Medicines/Generics/Domperidone

Domperidone

Generic medicine reference

Not yet clinically reviewed

This entry was migrated from the earlier Pharmapedia app bundle and has not been reviewed by a named clinician on this site. It is provided for educational reference only — verify dosage and safety information against current, authoritative sources and a qualified healthcare professional before any clinical use.

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Overview

Domperidone is an antiemetic (anti-sickness) and prokinetic drug. It belongs to a group of drugs called dopamine antagonists. It is used to treat stomach-related issues, such as nausea and vomiting , as well as stomach pain and discomfort caused by decreased movement of the stomach and upper gastrointestinal (GI) tract. It is also used to boost breastmilk supply. Domperidone works by blocking dopamine receptors in the gut. It increases the movement or contractions of the muscles in your stomach and intestines, increasing how quickly and easily food moves through your digestive tract. It also acts on the chemoreceptor trigger zone in your brain, which is involved in nausea and vomiting. This area of your brain is outside the blood-brain barrier. Unlike other dopamine antagonists, domperidone does not cross the blood-brain barrier, which minimizes central nervous system (CNS) side effects. Domperidone works to boost breastmilk supply by increasing the level of a hormone called prolactin, which stimulates the production of breastmilk. Domperidone is available on prescription and in some places as an over-the-counter (OTC) medicine. It is available in many places around the world, including the UK, Europe, Canada and New Zealand. Approved uses of the drug vary from country to country. It is also used for off-label or unapproved conditions, including boosting breastmilk supply. Domperidone is not approved for use in the US, but some patients with severe gastrointestinal motility disorders can still access it through an expanded access investigation new drug (IND) application. Domperidone first became available in the late 1970s.

Indications

Contraindications

Do not take domperidone tablets if: You are allergic to domperidone or any of the other ingredients in it. Signs of an allergic reaction include: Rash Swallowing or breathing problems Swelling of your lips, face, throat or tongue You have a tumor of the pituitary gland (prolactinoma) You have a blockage or tear in your intestines You have black, tarry bowel motions (stools) or notice blood in your bowel motions. This could be a sign of bleeding in the stomach or intestines. You have a moderate or severe liver disease Your ECG (electrocardiogram) shows a heart problem called “prolonged QT corrected interval” You have or had a problem where your heart cannot pump the blood round your body as well as it should (condition called heart failure) You have a problem that gives you a low level of potassium or magnesium, or a high level of potassium in your blood You are taking certain medicines (see Interactions below) Do not take domperidone if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking this medicine.

Side Effects

Domperidone can cause serious side effects. Stop taking domperidone and see your doctor or go to a hospital straightaway if: You get swelling of the hands, feet, ankles, face, lips or throat which may cause difficulty in swallowing or breathing. You may also notice an itchy, lumpy rash (hives) or nettle rash (urticaria). This may mean you are having an allergic reaction to this medicine. You notice any uncontrolled movements. These include irregular eye movements, unusual movements of the tongue, and abnormal posture such as a twisted neck, trembling and muscle stiffness. This is more likely to happen in children. These symptoms should stop once you stop taking this medicine. You have a very fast or unusual heartbeat. This could be a sign of a life-threatening heart problem. You have a fit (seizure). Common side effects of domperidone include: Dry mouth Uncommon side effects of domperidone include: Lowering of sexual drive (libido) in men Feeling anxious Feeling drowsy Headaches Diarrhea Itchy skin. You may also have a rash Unusual production of breast milk in men and women Painful or tender breasts A general feeling of weakness Other side effects (frequency unknown) of domperidone include: Disorders of the cardiovascular system: heart rhythm disorders (rapid or irregular heart beat) have been reported; if this happens, you should stop the treatment immediately. Domperidone may be associated with an increased risk of heart rhythm disorder and cardiac arrest. This risk may be more likely in those over 60 years old or taking doses higher than 30 mg per day. Feeling agitated or irritable Feeling more nervous than usual Abnormal eye movements Inability to urinate Breast enlargement in men In women, menstrual periods may be irregular or stop A blood test shows changes in the way your liver is working Some patients who have used this medicine for conditions and dosages requiring longer term medical supervision have experienced the following unwanted effects: Restlessness; swollen or enlarged breasts, unusual discharge from breasts, irregular menstrual periods in women, difficulty breastfeeding, depression, hypersensitivity. Side effects such as feeling drowsy, nervous, agitated or irritable or having a fit are more likely to happen in children. These are not all of the possible side effects of domperidone. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Warnings

Domperidone may cause an increased risk of heart rhythm disorder and cardiac arrest. This risk may be more likely in those over 60 years old or taking doses higher than 30 mg per day. The risk also increases when it is given together with some drugs. Tell your doctor or pharmacist if you are taking drugs to treat infection (fungal infections or bacterial infection) and/or if you have heart problems or AIDS/HIV. Domperidone should be used at the lowest effective dose in adults and adolescents 12 years of age and older and a body weight of 35kg or more. While taking this medicine, contact your doctor if you experience heart rhythm disorders such as palpitations, trouble breathing, loss of consciousness. Treatment with domperidone should be stopped.

High Risk Groups

Adult Dosage

10 to 20 mg (15 (15)) 6 hourly PO — 15-30 minutes before meal. It can be used for maximum 12 weeks. 30 to 60 mg (45 (45)) 6 hourly Suppository — Scraped Dose — Always take this medicine exactly as your doctor or pharmacist tells you to. You should check with them if you are not sure. Your doctor will decide how long you will need to take this medicine. Gastric symptoms usually resolve within 3-4 days of using this medicine. Do not take for more than 7 days without talking to your doctor. Oral forms of domperidone - oral tablet, oral suspension, oral drops and orally disintegrating tablet Take this medicine by mouth. It is recommended to take oral domperidone 15 to 30 minutes before meals, as when taken after meals the absorption of the medicine is slightly delayed. Swallow the tablets whole with a drink of water. Do not crush or chew them. Orally disintegrating tablets (orodispersible tablets) dissolve in the mouth and do not need to be taken with water. If taking the oral suspension, use the plastic measuring cup that comes with it. If taking the oral drops, use the dropper that comes with it. Suppositories containing domperidone To insert a suppository into your rectum (back passage) take the following steps: First wash your hands. The suppository should be moistened and then inserted into the bottom as far as possible. Once this has been done tense your muscles to prevent the suppository coming out. Food and drink does not affect the absorption of domperidone suppositories.

Child Dosage

250 to 0.4 ug/kg (130 (125.2)) 8 hourly Oral — 15-30 minutes before meal. It can be used for maximum 12 weeks. To a total daily dose of 80mg. 30 to 120 mg (75 (75)) 8 hourly Suppository —

Neonatal Dosage

0.2 to 0.4 mg/kg (0.3 (0.3)) 8 hourly Oral — -

Drug Interactions

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Do not take domperidone if you are taking medicine to treat: Fungal infections such as azole anti-fungals, specifically oral ketoconazole, fluconazole or voriconazole. Bacterial infections, specifically erythromycin, clarithromycin, telithromycin, moxifloxacin, pentamidine (these are antibiotics) Heart problems or high blood pressure (amiodarone, dronedarone, quinidine, disopyramide, dofetilide, sotalol, diltiazem, verapamil) Psychoses (haloperidol, pimozide, sertindole) Depression (citalopram, escitalopram) Gastro-intestinal disorders (cisapride, dolasetron, prucalopride) Allergy (mequitazine, mizolastine) Malaria (in particular halofantrine) AIDS/HIV (protease inhibitors) Cancer (toremifene, vandetanib, vincamine) Tell your doctor or pharmacist if you are taking drugs to treat infection, heart problems or AIDS/HIV. Talk to your doctor if you need to take domperidone and apomorphine. Before you use these two medicines together your doctor will ensure that you can tolerate both when used simultaneously. Ask your doctor or specialist for advice. It is important to ask your doctor or pharmacist if domperidone is safe for you when you are taking any other medicines, including medicines obtained without prescription.

Storage

Tab Store Below 25°C.

Available Brands in Pakistan

107 active brands listed alphabetically.

Domperidone

Available Brands in Pakistan

ALMEDON

AL-PRIDONE

AMBRILIUM

APPDOM

ARDILIUM

C-DOM

D DONE

DEPECAR

DODON

DO-GE

DOLIRICIN

DOLIUM

DOMEC

DOMEL

DOME-ONE

DOMID

DOMILIUM

DOMIPAR

DOMOFIT

DOMOTIN

DOMOZAT

DOMPEDONE

DOMPRO

DOMPROG

DOMPTILLIUM

DOMPYRAX

DOMSAVE

DOMWIS

DOMYCARE

DO ONE

EDOM

EMETUS

EMIDONE

EMISET

EMOLIUM

EMORIP

ENTEVIGOR

EVDON

EVDON V

F-DOM

GASTROCURE

GERIN

H-DONE

JPERIDON

KINETIC

MAKDONE-M

MALDOM

MAPRID

MEDIDONE

MILIUM

MILIUM-V

MOLIUM

MOPERIUM

MOTEDONE

MOTICOL

MOTIDIL

MOTIL

MOTILITE

MOTILIUM

MOTILIUM-V

MOTIREG

NENDONE

NEOPERI

NOMIT

NV-NIL

OLIDON

OLIDON M

OMPERIN

OPTILIUM

OTATONE

PELTON

PELTON-C

PELTON-V

PENTEX

PEPTIMAX-V

PERICID

PERID

PERID-M