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Doctors' Answers to "Frequently Asked Questions" - Reglan
Answer: Yes, Reglan is a very good reflux medication, but occasional patients will develop an irreversible facial tic after taking it for a while. Discuss this with your md as to the pros and cons.
Reglan [posted 1/8/99]
Answer: Reglan(metoclopromide) is made by Robins (800-934-5556). This drug is used to improve gi motility and occasionally for severe reflux. Short term side effects place limits on the drug. Extra-pyramidal reactions (involuntary movements, tics, etc. may be permanent), galactorrhea, amenorrhea, gynecomastia, hypertension, and occasional lowering of white cell counts. The usual problem that limits both long term use and short term use is tardive dyskinesia (smacking of the lips, etc.), which is involuntary and may be permanent. This appears to be dosage dependent although individual sensitivity varies a great deal. As to children, risks and benefits need to be discussed. It is the best motility agent and there are few other choices except propulsid.
Reglan Concerns [posted 11/06/98]
Answer: Not the reglan. Reglan has little effect on glucose metabolism. It can affect absorption of food by changing gi motility.
European Equivalent of Reglan
Answer: You'll need to check with the company, I'm not an expert on Europe, Reglan is Robins 610-685-4400, Prevacid Tap Pharmaceutical 800-621-1020.
Reglan and Infants [posted
Answer: There are no studies ever done on children. Many GI specialists use this drug for reflux and motility disorders. There do not seem to be severe side effects. The long term use is unclear since the drug has only been available a few years.
Answer: Reglan(metoclopramide) is an extremely useful drug in treating GI
motility disorders. For people with severe reflux, or general slowness of the GI tract
resulting in vomiting and malabsorption, this drug can work wonders. It is also useful in
diabetic gastroenteropathy of evening out the GI speed. There is no drug as effective as
Reglan. However, in some patients it can cause irreversible neurologic side effects. These
are usually seen as facial tics and movements. Stopping the drug at the earliest sign and
using as little as possible will minimize this problem. However, some patients are very
susceptible and can get irreversible facial tics with small doses. There are other drugs
which are not used, such as propulsid for GI motility disorders. While they do not work as
well, they also do appear to cause the neurologic side effects.
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