Paracetamol +Metoclopromide - Vasoconstrictors
Drug Name:
Paracetamol +Metoclopromide - Vasoconstrictors
List Of Brands:
Indication Type Description:
Drug Interaction:
Anticholinergics, MAOIs, phenothiazines, butylphenones,
CNS depresants, narcotics analgesics tertbenazine, levodopa, paracetamol,
Bromocriptine, pergolide, atovaquone, aspirin, neuroleptics, anticoagulants,
Domperidone, zidovudine, heptotoxic drugs
Indication:
Migraine with nausea and vomiting
Adverse Reaction:
Extrapyramidal reactions, rash, drowsiness, restlessness, depression,
Neuroleptic malignant syndrome, raised serum prolactin
Irregular periods, gynacomastia, diarrhoea, fatigue, parkinsonism,
Endocrine disturbances, hypo or hypertension,
G I upset increased risk of dose and duration linked tardive dyskinesia,(no known treatment)
Rarely haemotological changes on prolonged administration
Neuroleptic malignant syndrome ( hyperthermia, muscle rigidity, altered consciousness
and evidence of autonomic instabilty )
Contra-Indications:
Epilepsy, phaeochromocytoma
Recent GI surgery, GIobstruction, perforation or haemorrhage.
Lactation.
Concomittant drugs which may cause extra pyramidal reactions
eg. phenothiazines, haloperidol, prolatin -dependent breast carcinoma
Special Precautions-
Establish diagnaosis, reassess persistent vomiting
Renal or hepatic insufficiency, prolonged use , elderly
Porphyria, pregnancy
Tardive dyskinesia.
History of breast cancer or depression
Dosages/ Overdosage Etc:
Indication-
Migraine with nausea and vomiting
Dosage-
Over 20 years
2 tablets at onset of attack, further doses may be taken at 4 hourly intervals or as required
Maximum dose - 6 tablets in 24 hours
12-19 years-
1 tablet at onset of attack , further doses may be taken at 6 hourly intervals or as required
Maximim dose- 3 tablets in 24 hours
Under 12 years not recommended
Pregnancy and lactation:
Use contraindicated during pregnancy and lactation.
Observe caution