Dompewal Tablet

📦 Κάθε παραγγελία καλύπτεται από την Πολιτική Εγγύησης Επαναποστολής — εάν το δέμα σας δεν φτάσει εντός 20 εργάσιμων ημερών, το επαναποστέλλουμε.

Γιατί να παραγγείλετε από τη MedsBase

Τα γενόσημα φάρμακά μας προέρχονται από κατασκευαστές που πιστοποιούνται από την WHO-GMP και αποστέλλονται παγκοσμίως σε διακριτική, απλή συσκευασία — χωρίς όνομα φαρμάκου στο εξωτερικό του δέματος. Οι πληρωμές με κάρτα δρομολογούνται μέσω ρυθμισμένου επεξεργαστή (οι περιγραφές εκκαθάρισης περιλαμβάνουν ρυθμισμένο επεξεργαστή πληρωμών με κάρτα — ποτέ “MedsBase” ή οποιοδήποτε όνομα φαρμάκου). Γίνονται δεκτές και πληρωμές με κρυπτονομίσματα και τραπεζική μεταφορά SEPA. Κάθε παραγγελία καλύπτεται από την Πολιτική Επαναποστολής Εξασφαλίσεώς μας.

Γιατί να παραγγείλετε από τη MedsBase

Dompewal is supplied from a πιστοποιημένο από τη WHO-GMP κατασκευαστή. Every order ships discreetly worldwide and is covered by our Πολιτική Εγγύησης Επαναποστολής — if it does not arrive within 20 business days, we reship at no cost. Domperidone is widely used for short-term symptom relief and is a useful alternative to metoclopramide in patients who experience extrapyramidal effects on the latter.

Μηχανισμός δράσης

Domperidone is a benzimidazole derivative that selectively blocks dopamine D2 receptors in the gut wall (gastric antrum and duodenum) and in the chemoreceptor trigger zone (CTZ) of the area postrema, which lies outside the blood-brain barrier. Peripheral D2 blockade increases acetylcholine release from cholinergic neurons in the myenteric plexus, accelerating gastric emptying and tightening LES tone. CTZ blockade produces antiemetic effect. Because the molecule has poor BBB penetration, central D2 blockade and the resulting extrapyramidal side effects are minimal.

Ενδείξεις

• Nausea and vomiting (acute, short-course)
• Adjunct in diabetic gastroparesis (specialist initiation)
• Functional dyspepsia with postprandial distress
• Off-label: galactagogue (induction of lactation)
• Adjunct to levodopa to control peripheral nausea in Parkinson’s without antagonising central effects

Δόση

Adults: 10 mg up to three times daily, 15–30 minutes before meals. Maximum 30 mg/day. Maximum 7 days. Children > 12 years and > 35 kg: same as adult. Children < 35 kg: weight-based 250 mcg/kg up to 3 times daily, max 750 mcg/kg/day. Severe hepatic impairment: avoid. CrCl < 30: not contraindicated but extend interval.

Παρενέργειες

• Common: dry mouth, headache, abdominal cramps
• Hyperprolactinaemia: galactorrhoea, gynaecomastia, menstrual disturbance, low libido, erectile dysfunction
• QT prolongation, torsades de pointes (rare, dose- and risk-factor-dependent)
• Allergic skin reactions

Αλληλεπιδράσεις φαρμάκων

• QT-prolonging: azithromycin, ondansetron, fluoroquinolones, citalopram, methadone — avoid combination.
• Strong CYP3A4 inhibitors: ketoconazole, ritonavir, clarithromycin, grapefruit juice — raise levels 4–8 fold; avoid.
• Anticholinergic drugs oppose the prokinetic effect.
• Levodopa: can be co-prescribed deliberately to manage levodopa-induced nausea without affecting CNS levodopa effect.

Συχνές Ερωτήσεις

When should I take Dompewal?

15–30 minutes before meals on an empty stomach. Food delays absorption and weakens the prokinetic effect.

Can I take it for chronic gastroparesis?

Long-term use needs specialist supervision with baseline and periodic ECG. The EMA short-course rule applies to general practice prescribing; specialist exemption is allowed when benefits outweigh and monitoring is in place.

What is the difference between domperidone and metoclopramide?

Both are D2 antagonists and prokinetics. Metoclopramide crosses the BBB and can cause extrapyramidal symptoms (acute dystonia, tardive dyskinesia — FDA black-box) and has its own 12-week limit. Domperidone has minimal CNS penetration but a clearer cardiac (QT) signal and a 7-day rule.

Why do I have breast tenderness on this drug?

Domperidone raises prolactin via pituitary D2 blockade. This is reversible on discontinuation. Persistent symptoms warrant a serum prolactin check and review.

Είναι ασφαλές στην εγκυμοσύνη;

Limited human data. Avoid unless the prescriber decides benefits outweigh. Breastfeeding: small amounts in breast milk; sometimes used off-label to enhance lactation but specialist input is recommended.

Can I take it with my heart medication?

Tell the prescriber about every drug you take, especially antibiotics (azithro/clari), antifungals (keto/itra), antidepressants (citalopram), antimalarials (chloroquine), and methadone. Domperidone QT-prolongation stacks with these.

Why does the EMA limit it to 7 days?

Pharmacovigilance signal of sudden cardiac death linked to high doses and long courses, particularly in older adults. The 7-day cap balances symptom relief against arrhythmia risk.

What if I have Parkinson’s?

Avoid. Even peripheral D2 blockade can worsen motor symptoms in vulnerable patients. Discuss alternatives with neurology.

Αποθήκευση

Below 30°C, protect from moisture. Keep out of reach of children.

Τι γίνεται αν χάσω μια δόση;

Take it before the next meal, then continue the schedule. Do not double up.

Other Gastro Health Medications

• Reglan — Metoclopramide 10 mg (alt prokinetic)
• Stemetil — Prochlorperazine 5 mg (antiemetic)
• Doxinate — Doxylamine + B6 (NVP-specific)
• Omez D — Omeprazole + Domperidone SR combo
• GR8-OD — Pantoprazole + Domperidone SR combo
• Browse all Gastro Health Medications

More options in Nausea Treatment

Ταξινομημένα σύμφωνα με τον όγκο παραγγελιών στο MedsBase — τι επιλέγουν άλλοι πελάτες σε αυτήν την κατηγορία.

Κιτ Ιατρικής Έκτακτης Ανάγκης

US$189.00 – US$1,020.00Prijsbereik: US$189.00 tot US$1,020.00

Doxinate

US$11.00 – US$117.00Prijsbereik: US$11.00 tot US$117.00

Vomistop

US$8.80 – US$34.00Prijsbereik: US$8.80 tot US$34.00

Granicip

US$11.20 – US$32.00Prijsbereik: US$11.20 tot US$32.00