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Metoclopramide Tablets for Nausea and Gastroparesis
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Metoclopramide is a prescription medicine for diabetic gastroparesis and troublesome reflux-related nausea. It increases stomach motility to help reduce vomiting. Compare options with US delivery from Canada, even for Metoclopramide 10mg without insurance.
What Metoclopramide Is and How It Works
CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order.
Reglan® is a brand of metoclopramide. This medicine blocks dopamine D2 receptors in the chemoreceptor trigger zone and the gut. It also has 5-HT4 agonist activity in the intestine. The combined actions increase gastric emptying, strengthen lower esophageal sphincter tone, and reduce nausea and vomiting.
Labelled tablet uses include documented symptomatic gastroesophageal reflux disease when usual measures are inadequate and diabetic gastroparesis with nausea, vomiting, or early satiety. This therapy is not a first-line option for simple motion sickness or routine, mild reflux. Use the shortest duration needed to limit neurologic risks.
Who It’s For
This treatment may be considered for adults with diabetic stomach stasis causing fullness or vomiting. It may also be used short term for refractory reflux symptoms when lifestyle steps and acid suppression are insufficient. In adults, Metoclopramide 10mg used for these indications is prescribed under close supervision. For an overview of the condition, see Diabetic Gastroparesis.
Do not use it when gastrointestinal obstruction, bleeding, or perforation is suspected. Avoid use with pheochromocytoma or a history of tardive dyskinesia. Use caution with Parkinson’s disease, epilepsy, significant depression, or kidney impairment. Pediatric use is limited and not routine. For condition-based options, visit Gastrointestinal Disorders.
Dosage and Usage
For gastroparesis, prescribers often direct dosing before meals and at bedtime. Swallow tablets with water about 30 minutes before eating. Follow the Metoclopramide 10mg dosage on your prescription label; do not take extra.
Treatment duration is generally short. Many labels advise avoiding therapy beyond 12 weeks because of the risk of tardive dyskinesia. If drowsiness occurs, postpone activities requiring alertness. Alcohol and sedatives can increase sleepiness.
In kidney or liver impairment, schedules may be adjusted by a clinician. If symptoms change or adverse effects appear, seek professional guidance. For diabetes context, review Common Diabetes Medications with your healthcare professional.
Strengths and Forms
Oral presentations commonly include 5 mg and 10 mg tablets and an oral solution (5 mg per 5 mL). The exact options can vary by manufacturer. A typical listing is a Metoclopramide HCl 10 mg tablet, often supplied as scored tablets for flexible dosing. Availability may vary by market and supplier.
Missed Dose and Timing
If a dose is missed, take it when remembered unless the next dose is near. If the next scheduled dose is soon, skip the missed dose and resume the regular schedule. Do not double doses. Nighttime dosing can cause drowsiness in some individuals; align timing with routines to reduce disruption.
Storage and Travel Basics
Store tablets at room temperature in a dry place away from heat and direct light. Keep the bottle tightly closed and out of children’s reach.
For travel, keep your medicine in original labeled packaging in your carry-on. Carry a copy of the prescription for airport screening. When applicable, our partners use temperature-controlled handling when required. Keep a simple dosing log while traveling to support adherence.
Benefits
Many adults find Metoclopramide 10mg tablets helpful when short-term symptom control is needed under supervision.
- Faster stomach emptying: may reduce fullness and bloating
- Nausea control: can lessen vomiting associated with gastroparesis
- Reflux relief: may improve troublesome heartburn when other steps fail
- Meal-timed dosing: scheduled before meals to align with symptoms
- Generic access: available across multiple manufacturers
Side Effects and Safety
- Drowsiness or fatigue
- Restlessness or anxiety
- Headache or dizziness
- Diarrhea
- Insomnia or irritability
- Elevated prolactin-related effects such as breast changes
This medicine can cause extrapyramidal symptoms, including acute dystonia and tardive dyskinesia, which may be irreversible. Use the shortest duration possible. Rare but serious reactions include neuroleptic malignant syndrome, depression with suicidal thoughts, and marked hypertension in patients with pheochromocytoma. Stop treatment and seek urgent care if fever, muscle rigidity, or severe mood changes occur.
Drug Interactions and Cautions
Other medicines can increase sedation, alter absorption, or change neurologic risk. Provide a full medication list to your prescriber and pharmacist.
- Levodopa and dopamine agonists: effects may be reduced by this therapy
- Antipsychotics: additive risk for movement disorders and sedation
- SSRIs, SNRIs, and triptans: risk of serotonin syndrome
- Opioids, benzodiazepines, alcohol: enhanced central nervous system depression
- Anticholinergics and narcotic analgesics: may counteract prokinetic effects
- Digoxin and cyclosporine: absorption can be altered; monitoring may be needed
What to Expect Over Time
Relief of nausea or fullness may develop as scheduled doses are followed. Some notice improvement early, while others may require adjustments under supervision. If side effects emerge, contact a healthcare professional promptly. Because long-term use raises the risk of tardive dyskinesia, clinicians generally limit duration. For broader diabetes context, see Premixed Insulin and Insulin Cartridges.
Compare With Alternatives
For acid-related discomfort in certain cases, protective agents and mucosal therapies may be considered. Options we carry include Sucralfate and Sulcrate® Suspension Plus. A prescriber will select based on symptoms and medical history.
Pricing and Access
Review current Metoclopramide 10 mg price and compare manufacturers on this page. Canadian pricing with US shipping from Canada can support self-pay planning. Use the cart to check live availability, add a refill reminder, and proceed when your prescription is ready. For seasonal offers, see our Promotions.
To explore savings, compare unit counts and consider multi-pack fills when appropriate. To view up-to-date pricing, add the selection to your cart and review the checkout summary.
Availability and Substitutions
Supply can vary by brand and strength. If a specific presentation is unavailable, a prescriber may recommend a therapeutically appropriate alternative or adjust the schedule using the same active ingredient. Restock dates are not guaranteed.
Patient Suitability and Cost-Saving Tips
- Who may benefit: adults with symptomatic diabetic gastroparesis or refractory GERD
- Who should avoid: patients with GI obstruction, bleeding, perforation, or pheochromocytoma
- Movement disorder risk: keep duration as short as feasible
- Multi-month fills: when stable, consolidated supplies may reduce fees
- Refill reminders: set alerts at checkout to prevent gaps
- Budget planning: compare manufacturers and tablet counts to manage costs
Questions to Ask Your Clinician
- Is short-term therapy appropriate for my symptoms and history?
- What signs of movement disorders should I watch for during treatment?
- How should I coordinate doses around meals and bedtime?
- Which medicines or substances could increase sedation or interactions?
- What is the plan if symptoms return after stopping therapy?
Authoritative Sources
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Is metoclopramide the same as Reglan?
Yes. Reglan is a brand of metoclopramide, the active ingredient. Most pharmacies dispense generic versions, which contain the same active drug and follow the same approved indications. In the US, tablets are labeled for diabetic gastroparesis and for short-term treatment of documented GERD that has not responded to conventional therapy. Always confirm the specific product, strength, and instructions on your prescription label before starting therapy.
How long can adults take metoclopramide?
Labels advise limiting duration because of the risk of tardive dyskinesia, a movement disorder that can be irreversible. For GERD, courses are typically short term when other options have not helped. Treatment for diabetic gastroparesis is usually for a defined period as directed by a clinician. If symptoms persist or adverse effects appear, contact a healthcare professional to reassess risks and benefits.
Can this medicine cause movement problems?
It can. The drug may cause extrapyramidal symptoms such as restlessness, dystonia, or parkinsonism. Tardive dyskinesia can occur and may be irreversible, especially with longer exposure and higher cumulative dose. Risk increases with prolonged use and in older adults. Report muscle stiffness, uncontrollable movements, or agitation promptly. Clinicians generally aim for the lowest effective dose and the shortest duration to limit this risk.
What should I avoid while taking it?
Avoid alcohol and unnecessary sedatives because they can increase drowsiness. Be cautious with driving or operating machinery until you know how you respond. Certain medicines can interact, including antipsychotics, opioids, benzodiazepines, anticholinergics, levodopa, SSRIs, SNRIs, and triptans. Provide your full medication list to your prescriber and pharmacist so they can check for interactions and advise on timing around meals and other therapies.
Is it safe during pregnancy or breastfeeding?
Use in pregnancy or while breastfeeding requires individualized assessment. The medicine has been used in some situations, but potential benefits must be weighed against maternal and infant risks, including movement-related adverse effects. Discuss your medical history, current therapies, and symptom severity with your clinician. They will decide if treatment is appropriate or if another option is preferred for your specific circumstances.
Can it affect other medicines I take?
Yes. It can change stomach emptying and thereby alter the absorption of some drugs. Examples include digoxin and cyclosporine. It may also reduce the effect of levodopa and increase the risk of serotonin syndrome when combined with SSRIs, SNRIs, or triptans. Sedation may be enhanced with opioids, benzodiazepines, or alcohol. Provide a complete list of medicines and supplements to your prescriber before starting therapy.
How is this drug different from ondansetron or prochlorperazine?
These agents work in different ways. Metoclopramide is a prokinetic and dopamine antagonist that promotes gastric emptying and blocks nausea pathways. Ondansetron is a 5-HT3 antagonist primarily used for chemotherapy- or surgery-related nausea. Prochlorperazine is a dopamine antagonist antiemetic without significant prokinetic activity. Choice depends on the cause of symptoms, accompanying conditions, and risk of side effects; a clinician will decide which to use.
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