Page 159 - 2023 SMOG Digital
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METOCLOPRAMIDE       B                   Trade Name: Reglan
          Class / Mechanism of Action
          Prokinetic Agent: Antiemetic, Upper GI Stimulant
          Potent dopamine-receptor antagonist. At higher doses blocks serotonin receptor in chemoreceptor trigger
          zones of CNS. Increases GI tract motility and gastric emptying. Onset of action 1-5 minutes via IV with a
          duration of 1-2 hours.
          Indications
          Labeled Indications: Prevention of postoperative nausea and vomiting; Acid Reflux/Heartburn/GERD;
          Migraine Headache
          Contraindications
          •  Hypersensitivity to glucagon or any component of the formulation
          •  Insulinoma / Pheochromocytoma
          Adverse Reactions / Precautions
          •  Hypersensitivity, History of tardive dyskinesia or dystonic reaction to Metoclopramide in the past, GI
            Obstruction or Hemorrhage, and seizure disorder (epilepsy).
          Dose and Administration:    ADULT    PEDIATRIC Always Reference BROSELOW Tape

          5-10mg IV/IO slow push; repeat dose q20-30min   Not recommended or approved for routine
          prn for a max of 20mg.         pediatric use

          *Rapid IV push may cause intense feelings of
          anxiety and restlessness*
          Ideal  administration  to  Prevent  Agitation/Adverse
          Effects:  Dilute  in  a  50  or  100mL  NS  bag  and
          infuse over 10-15 minutes.
























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