Drug Name:Metoclopramide
Drug Class:Dopamine antagonist
Mechanism of Action:
  • Blocks dopamine receptors in the chemoreceptor trigger zone and in the GI tract
  • Increases motility of the upper GI tract
  • Increases tone of the lower esophageal sphincter
Use:
  • Treatment of nausea and vomiting
  • Management of gastroparesis
  • Facilitation of small bowel intubation
Side Effects:
  • Extrapyramidal symptoms (dystonia, akathisia, tardive dyskinesia)
  • Sedation
  • Diarrhea
  • Hyperprolactinemia
Contraindications:
  • GI obstruction or perforation
  • Pheochromocytoma
  • Parkinson's disease
  • Epilepsy
Specialty:
  • Gastroenterology
  • Emergency Medicine
  • Internal Medicine