7 facts on metoclopramide utility Review article
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Abstract
Nausea and vomiting can be either a symptom, or an adverse reaction to treatment. Metoclopramide is an effective agent that can be used to treat nausea and vomiting due to inhibition effect on dopamine D2 receptor and histamine 5-HT3 receptor, causing accelerated gastric emptying, as well as increased gut motility. It is effective in treatment of nausea and vomiting regardless of cause. Some conditions with evidence (based on randomized clinical trials) of metoclopramide effectiveness include migraine, diabetic gastroparesis, patients after chemo- or radiotherapy, after surgery. Even though there is a risk of serious adverse events (including extra-pyramidal syndrome), metoclopramide can be regarded as safe, assuming appropriate patient selection. It can be used also during pregnancy, as well as in pediatric setting, where long-lasting adverse outcomes are observed extremely rarely.
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