metoclopramide hydrochloride
metoclopramide hydrochloride.JPG

CLINICAL USE

Nausea and vomiting

DOSE IN NORMAL RENAL FUNCTION

10 mg 3 times a day. Use in patients under 20 years should be restricted

PHARMACOKINETICS

  • Molecular weight                           :354.3
  • %Protein binding                           :13–22
  • %Excreted unchanged in urine     : 20–30
  • Volume of distribution (L/kg)       :3.5
  • half-life – normal/ESRD (hrs)      :4–6/15

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50     : Dose as in normal renal function
  • 10 to 20     : Dose as in normal renal function
  • <10           : Dose as in normal renal function

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD                :Not dialysed. Dose as in normal renal function
  • HD                     :Dialysed. Dose as in normal renal function
  • HDF/high flux   :Dialysed. Dose as in normal renal function
  • CAV/VVHD      :Dialysed. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugs
  • Ciclosporin: increased ciclosporin blood levels

    ADMINISTRATION

    Reconstition

    Route

    Oral, IV, IM

    Rate of Administration

    1–2 minutes

    Comments

    OTHER INFORMATION

    Increased risk of extrapyramidal reactions in severe renal impairmentCan be used for hiccups at a dose of 10 mg 3 times a day



    See how to identify renal failure stages according to GFR calculation

    See how to diagnose irreversible renal disease

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