{"id":59004,"date":"2024-02-28T05:37:46","date_gmt":"2024-02-28T05:37:46","guid":{"rendered":"https:\/\/medsname.com\/reglan\/"},"modified":"2026-04-30T10:24:05","modified_gmt":"2026-04-30T10:24:05","slug":"reglan","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/reglan\/","title":{"rendered":"Reglan"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Reglan?<\/h3>\n<p style=\"margin:0;\"><strong>Reglan<\/strong> is metoclopramide 10 mg &mdash; a centrally and peripherally acting dopamine D2 receptor antagonist used as an antiemetic and prokinetic. It accelerates gastric emptying, increases LES tone, and blocks the chemoreceptor trigger zone. Indications include nausea\/vomiting (post-operative, chemotherapy adjunct, migraine-associated), gastroparesis, and prevention of aspiration. Standard dose: <strong>10 mg three times daily before meals, for a maximum of 5 days (FDA) or 12 weeks (EMA gastroparesis exception)<\/strong>. WHO-GMP gecertificeerde fabrikant.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>Waarom bestellen bij MedsBase:<\/strong> \u2714 <strong>WHO-GMP gecertificeerde fabrikant<\/strong> \u2714 Discrete verpakking \u2714 Wereldwijde verzending \u2714 <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">Geverifieerde klantbeoordelingen (1.400+ klanten)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>&#9888;&#65039; FDA black-box warning &mdash; tardive dyskinesia.<\/strong> Metoclopramide can cause tardive dyskinesia, an involuntary movement disorder that may be irreversible. Risk rises with cumulative dose and treatment duration, and is higher in older adults, women, and patients with diabetes. Use the lowest effective dose for the shortest duration. The FDA caps routine use at 5 days (US) and the EMA caps it at 5 days for nausea\/vomiting (12 weeks for gastroparesis under specialist supervision). Other extrapyramidal effects: acute dystonia (especially in young men, treat with IV anticholinergic), akathisia, parkinsonism, neuroleptic malignant syndrome.<\/div>\n<h3 class=\"wp-block-heading\">Waarom bestellen bij MedsBase<\/h3>\n<p>Reglan is supplied from a <strong>WHO-GMP gecertificeerde fabrikant<\/strong>. Elke bestelling wordt discreet wereldwijd verzonden en valt onder onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> &mdash; if it does not arrive within 20 business days, we reship at no cost. Metoclopramide remains a first-line agent for several niche indications (migraine-associated nausea, post-operative ileus prevention, lactation enhancement) where its central D2 effect is helpful.<\/p>\n<h2 class=\"wp-block-heading\">Werkingsmechanisme<\/h2>\n<p>Metoclopramide blocks dopamine D2 receptors centrally (in the chemoreceptor trigger zone, the nigrostriatum, and the tuberoinfundibular system) and peripherally (gut). At higher doses it also blocks 5-HT3 and stimulates 5-HT4 receptors in the gut, which contributes to its prokinetic effect. CNS penetration distinguishes it from domperidone and explains both its higher antiemetic potency and its extrapyramidal side-effect profile.<\/p>\n<h2 class=\"wp-block-heading\">Indicaties<\/h2>\n<ul>\n<li>Nausea and vomiting (chemotherapy-induced, post-operative, migraine-associated)<\/li>\n<li>Diabetic and idiopathic gastroparesis (12-week max under EMA)<\/li>\n<li>Aspiration prevention pre-anaesthesia (rapid-sequence induction adjunct)<\/li>\n<li>Adjunct in radiology to speed barium transit<\/li>\n<li>Off-label: galactagogue<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dosering<\/h2>\n<p>Adults: 10 mg up to three times daily, 30 minutes before meals and at bedtime if needed. Maximum cumulative duration: 5 days for nausea\/vomiting (FDA), 12 weeks for gastroparesis (EMA, specialist). CrCl &lt; 60: reduce dose 50 percent. Hepatic impairment: reduce dose. Children: avoid &lt; 1 year; restricted use in &gt; 1 year for chemo-induced or post-op nausea, weight-based.<\/p>\n<h2 class=\"wp-block-heading\">Bijwerkingen<\/h2>\n<ul>\n<li>Common: drowsiness, restlessness, fatigue, diarrhoea<\/li>\n<li>Extrapyramidal: acute dystonia, akathisia, parkinsonism, tardive dyskinesia (BLACK-BOX)<\/li>\n<li>Hyperprolactinaemia: galactorrhoea, gynaecomastia, menstrual disturbance<\/li>\n<li>Rare: neuroleptic malignant syndrome, seizures, methaemoglobinaemia (G6PD-deficient infants)<\/li>\n<li>Cardiac: bradycardia and hypotension after rapid IV push<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Geneesmiddelinteracties<\/h2>\n<ul>\n<li>Anticholinergics, opioids: oppose the prokinetic effect.<\/li>\n<li>Other dopamine antagonists (haloperidol, risperidone, prochlorperazine): additive extrapyramidal risk &mdash; avoid stacking.<\/li>\n<li>MAO inhibitors: hypertensive crisis &mdash; avoid.<\/li>\n<li>SSRIs, SNRIs: serotonin syndrome (rare).<\/li>\n<li>Levodopa: each blocks the other&#39;s effect &mdash; do not co-prescribe.<\/li>\n<li>Digoxin: gastric-emptying acceleration may reduce digoxin absorption.<\/li>\n<\/ul>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3 class=\"wp-block-heading\">How is Reglan different from domperidone?<\/h3>\n<p>Both block D2 receptors. Metoclopramide crosses the blood-brain barrier and is more potent as an antiemetic but causes extrapyramidal side effects (FDA black-box). Domperidone is peripheral-only with minimal EPS but has a QT-prolongation signal.<\/p>\n<h3 class=\"wp-block-heading\">What does the FDA black-box mean for me?<\/h3>\n<p>Use the lowest dose for the shortest time. Tell the prescriber immediately about any involuntary tongue, jaw, lip, or limb movements &mdash; these may be early tardive dyskinesia and the drug must be stopped.<\/p>\n<h3 class=\"wp-block-heading\">Can I take it for travel sickness?<\/h3>\n<p>There are better-tolerated alternatives (cinnarizine, hyoscine, antihistamines). Metoclopramide is not first-line for motion sickness because it does not act on the vestibular system.<\/p>\n<h3 class=\"wp-block-heading\">Is het veilig tijdens de zwangerschap?<\/h3>\n<p>Category B in the US. Used in pregnancy for nausea\/vomiting and is the second-line after pyridoxine-doxylamine when first-line fails. Discuss with obstetric prescriber.<\/p>\n<h3 class=\"wp-block-heading\">Can I drive on this?<\/h3>\n<p>Drowsiness is common, especially in the first few days. Do not drive or operate machinery until you know how it affects you.<\/p>\n<h3 class=\"wp-block-heading\">What if I develop a stiff neck or strange jaw movements?<\/h3>\n<p>Stop the drug and seek medical help. Acute dystonia is treated with IV anticholinergic (procyclidine or benztropine) and is fully reversible.<\/p>\n<h3 class=\"wp-block-heading\">Why do I have leaky breasts on this medication?<\/h3>\n<p>Metoclopramide raises prolactin via pituitary D2 blockade. The effect is reversible on discontinuation.<\/p>\n<h3 class=\"wp-block-heading\">Can it interact with my Parkinson&#8217;s drugs?<\/h3>\n<p>Yes &mdash; metoclopramide blocks central D2 receptors and can dramatically worsen Parkinson&#8217;s motor symptoms. Avoid in Parkinson&#8217;s disease.<\/p>\n<h3 class=\"wp-block-heading\">Opslag<\/h3>\n<p>Below 25&deg;C in a dry place. Keep out of reach of children.<\/p>\n<h3 class=\"wp-block-heading\">Wat als ik een dosis vergeet?<\/h3>\n<p>Take it before the next meal, then continue. Do not double up.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Andere Maag-Darm Gezondheidsmedicijnen<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/dompewal-tablet\/\">Dompewal &mdash; Domperidone (peripheral D2 antagonist)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/stemetil\/\">Stemetil &mdash; Prochlorperazine (antiemetic)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/doxinate\/\">Doxinate &mdash; Doxylamine + B6 (NVP first-line)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/omez-d\/\">Omez D &mdash; Omeprazole + Domperidone SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/gr8-od\/\">GR8-OD &mdash; Pantoprazole + Domperidone SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/gastro-health\/\"><strong>Bekijk alle Maag-Darm Gezondheidsmedicijnen<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Medisch disclaimer.<\/strong> This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. Tell the prescriber about every neurological or psychiatric medication you take. Avoid in Parkinson&#8217;s disease and in personal\/family history of tardive dyskinesia.<\/div>","protected":false},"excerpt":{"rendered":"<p>Reglan (Metoclopramide 10 mg) \u2014 central + peripheral D2 antagonist prokinetic and antiemetic. Carries FDA black-box for tardive dyskinesia (12-week max). For nausea, vomiting, gastroparesis, migraine-associated nausea. Worldwide shipping from MedsBase.<\/p>","protected":false},"featured_media":59005,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3542,3342],"product_tag":[4610,4611],"class_list":{"0":"post-59004","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-gastro-health","8":"product_cat-general-health","9":"product_tag-metoclopramide","10":"product_tag-reglan","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/59004","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=59004"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/59005"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=59004"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=59004"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=59004"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=59004"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}