What should I Know Regarding Pregnancy, Nursing and Administering METOCLOPRAMIDE HCL to Children or the Elderly?
If you are PREGNANT
- Not Recommended:
If you are NURSING
- Precaution: MONITOR NURSING INFANT FOR EPS AND METHEMOGLOBINEMIA
If you are an adult over 60
- management or monitoring precaution: General-Avoid high doses and long duration of use. AVOID treatment for longer than 12 weeks. Neuro/Psych-Neurological and psychiatric adverse effects including depression/suicidal ideation and greater risk of tardive dyskinesia. Risk of parkinsonian-like reactions increases with ascending doses; discontinue use if they occur. Sedation is more common in elderly and contributes to increased confusion and falls. Renal- Reduce dose for CrCL < 61mL/min and monitor renal function.
Giving Haloperidol to a child under 12
- Severe Precaution: Extrapyramidal effects more likely to occur in children age < 1 year. Rare risk of tardive dyskinesia with prolonged administration. Risk of methemoglobinemia in neonates.
- Severe Precaution: Increased risk of extrapyramidal symptoms, dystonia. Rare risk of tardive dyskinesia with prolonged administration. Not recommended per manufacturer.
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