- Generic name
- Metoclopramide
- Class
- Prokinetic (dopamine D2 antagonist)
- Mechanism
- Stimulates upper GI motility, apparently by sensitizing tissues to acetylcholine; raises LES tone and speeds gastric emptying.
- Used for
- Treatment for 4–12 weeks of symptomatic, documented GERD in adults who have not responded to conventional therapy; Relief of acute or recurrent diabetic gastroparesis symptoms in adults
- Common side effects
- Restlessness; Drowsiness; Fatigue; Lassitude
- Boxed warning
- Potentially irreversible tardive dyskinesia risk increases with duration and cumulative exposure. Use the shortest duration and stop if TD develops; prior TD is contraindicated. GERD treatment must not exceed 12 weeks. For diabetic gastroparesis, avoid total use beyond 12 weeks; unavoidable longer use requires routine TD monitoring.
- Warnings
- Tardive dyskinesia, EPS, NMS; Depression and suicidal ideation; Contraindicated in epilepsy, pheochromocytoma
- Interactions
- Antipsychotics; CNS depressants; MAO inhibitors
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Source snapshot checked: 2026-10-21. The source document and selected fields were compared. The complete card has not had an independent clinical review.