Metoclopramide

Metoclopramide
Clinical data
Pronunciation/ˌmɛtəˈklɒprəmd/
Trade namesPrimperan, Maxolon, others
AHFS/Drugs.comMonograph
MedlinePlusa684035
License data
Pregnancy
category
  • AU: A
Routes of
administration
By mouth, intravenous, intramuscular, nasal spray
Drug classD2 receptor antagonist; 5-HT3 receptor antagonist; 5-HT4 receptor agonist; Prolactin releaser
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability80 ± 15% (by mouth)
MetabolismLiver
Elimination half-life5–6 hours
ExcretionUrine: 70–85%
Feces: 2%
Identifiers
  • 4-Amino-5-chloro-N-(2-(diethylamino)ethyl)-2-methoxybenzamide
CAS Number
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.006.058
Chemical and physical data
FormulaC14H22ClN3O2
Molar mass299.80 g·mol−1
3D model (JSmol)
Melting point147.3 °C (297.1 °F)
  • Clc1cc(c(OC)cc1N)C(=O)NCCN(CC)CC
  • InChI=1S/C14H22ClN3O2/c1-4-18(5-2)7-6-17-14(19)10-8-11(15)12(16)9-13(10)20-3/h8-9H,4-7,16H2,1-3H3,(H,17,19) Y
  • Key:TTWJBBZEZQICBI-UHFFFAOYSA-N Y
  (verify)

Metoclopramide is a medication used to treat nausea, vomiting, gastroparesis, and gastroesophageal reflux disease. It is also used to treat migraine headaches.

Common side effects include feeling tired, diarrhea, akathisia, and tardive dyskinesia. More serious side effects include neuroleptic malignant syndrome and depression. It is thus rarely recommended that people take the medication for longer than twelve weeks. No evidence of harm has been found after being taken by many pregnant women. It belongs to the group of medications known as dopamine-receptor antagonists and works as a prokinetic.

In 2012, metoclopramide was one of the top 100 most prescribed medications in the United States. It is available as a generic medication. It is on the World Health Organization's List of Essential Medicines. In 2022, it was the 245th most commonly prescribed medication in the United States, with more than 1 million prescriptions.