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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Metoclopramide (Reglan) Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 8 November 2018

⏱️ 9 minutes

🧾️ Download transcript

Summary

Metoclopramide Pharmacology
Metoclopramide can block dopamine receptors as part of it's mechanism of action.  I discuss the clinical implications from this in the podcast.

Metoclopramide can exacerbate Parkison's disorder so you need to be careful in that type of patient.

Metoclopramide is dosed frequently, which can potentially be a downside as far as patient adherence goes.

Metoclopramide has a few potential interactions that you should be aware of.  I talk about those in this episode.

Be sure to check out The Thrill of the Case on Amazon as I do have a clinical scenario about Reglan (metoclopramide) in that 200+ page book.

As always, check out my free Top 200 study guide!

Transcript

Click on a timestamp to play from that location

0:00.0

Hello again and welcome back to the real-life pharmacology podcast. On today's episode, I'm going to cover

0:07.7

Metaclopramide brand name Reglan. But I do want to remind you that we've had almost a thousand people now

0:17.3

take advantage of our free top 200 study guide on a real life pharmacology.com.

0:24.6

So definitely go there, free download once you've subscribed to the podcast and really just send

0:30.5

weekly updates usually on when a new podcast is available is primarily what we send out there.

0:37.6

So definitely go check that out.

0:39.4

It's a perfect tool for before final exams or board exams,

0:44.4

just kind of going through each of the top 200.

0:46.6

And I pull out three of the most important things you should know from each medication there.

0:53.5

So go check that out.

0:55.4

Let's get into metaclopramide a little bit.

0:59.4

Starting off with the mechanism of action,

1:03.0

and the mechanism of action is going to be really, really important.

1:05.7

So this drug blocks dopamine and can have some serotonin receptor activity as well or blockade

1:13.9

as well.

1:16.0

Now the primary mode of action or where this happens is in the chemoreceptor zone which is

1:25.0

important in regulating the sensation of nausea and vomiting.

1:30.3

So you could imagine that if we're trying to target that area mechanistically,

1:36.3

we're trying to reduce or improve somebody's symptoms of nausea and vomiting,

1:42.3

and indeed that is one of the common uses of metaclopramide.

1:47.0

Now, one other use with this medication is gastroporesis.

1:54.0

So gastroporesis is basically the slowing down of the gut motility and nausea, vomiting, stomach upset can result because of this.

...

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