Metoclopramide HCL Syrup

Product Description

Do not take Metoclopramide if:

• you are allergic (hypersensitive) to metoclopramide, procaine or procainamide or any other ingredients in this liquid (listed in section 6 below). The signs of an allergic reaction can include a rash, itching or shortness of breath
• you have bleeding, blockage or a tear in your stomach or gut
• you have had an operation on your stomach or gut in the last three or four days
• you have or may have a rare tumour of the adrenal gland, which sits near the kidney (phaeochromocytoma)
• you have ever had involuntary muscle spasms (tardive dyskinesia), when you have been treated with a medicine
• you have epilepsy. Metoclopramide may increase the risk of you having a fit (seizure)
• you have Parkinsons disease
• you are taking levodopa (a medicine for Parkinsons disease) or dopaminergic agonists (see below Other medicines and Metoclopramide€)
• you have ever had an abnormal blood pigment levels (methaemoglobinemia) or NADH cytochrome-b5 deficiency.

Do not give Metoclopramide to a child less than 1 year of age (see below Children and adolescents).

Do not take Metoclopramide if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Metoclopramide.

Warnings and precautions

Talk to your doctor or pharmacist before taking Metoclopramide if:

• you have a history of abnormal heart beats (QT interval prolongation) or any other heart problems
• you have problems with the levels of salts in your blood, such as potassium, sodium and magnesium
• you are using other medicines known to affect the way your heart beats
• you have any neurological (brain) problems
• you have liver or kidney problems. The dose may be reduced (see section 3)
• you have an inherited blood disorder known as porphyria
• you have a history of allergies including asthma.

If vomiting persists, even when you are taking this medicine, you should talk to your doctor.

Tests whilst taking Metoclopramide

• Your doctor may perform blood tests to check your blood pigment levels. In cases of abnormal levels (methaemoglobinemia), the treatment should be immediately and permanently stopped.
• Metoclopramide may interfere with a hormone test (Gonadorelin test). Tell your doctor you are taking Metoclopramide if you need to take this test.

You must wait at least 6 hours between each metoclopramide dose, even in case of vomiting and rejection of the dose, in order to avoid overdose.

Do not exceed 3 months treatment because of the risk of involuntary muscle spasms.

Children and adolescents

Uncontrollable movements (extrapyramidal disorders) may occur in children and young adults. This medicine must not be used in children below 1 year of age because of the increased risk of the uncontrollable movements (see above Do not take Metoclopramide if).

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking metoclopramide.

Other medicines and Metoclopramide

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines bought without a prescription, including herbal medicines. This is because metoclopramide can affect the way some other medicines work. Also, some medicines can affect the way metoclopramide works.