What should I Know Regarding Pregnancy, Nursing and Administering Metoclopramide Hcl Vial to Children or the Elderly?
If you are PREGNANT
- Requires a Risk/Benefit Assessment:
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 Metoclopramide Hcl Vial to a child under 12
- Contraindication: 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.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.