These comments are made for the purpose of discussion and should NOT be used as
recommendations for or against therapies or other treatments. An individual patient is
always advised to consult their own physician.
Reglan [posted 1/8/99]
Question: I would like some information on reglan. How long should you take it?
What are the side effects? Should it be given to children, and if so, how long? Who is the
manufacturer?
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]
Question: My father who is a diabetic also had a bleeding ulcer last year. Reglan
was given and lowered his blood sugar too much (working in conjunction with his diabetic
medicines). Now my father is off of any diabetic meds but is back on Reglan for undigested
food in his stomach (part of his stomach was removed due to the ulcer and the vagal nerve
was cut) However, he is retaining fluid, his blood sugar ranges from 99-120 and now he is
seeing “floaters” in his eyes. Could this all be from the Reglan which was just
started 2 weeks ago? His family doc is on vacation so please help!!
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
[posted 10/30/98]
Question: I need information on what the names of the European equivalents of
Reglan and Prevecid would be. Any information that could point me in that direction would
be appreciated.
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
8/6/98]
Question: My four-month old son was diagnosed with pyloric stenosis at 19 days old
and had surgery at 20 days. However, he continues to vomit (not projectile) quite often
with almost all feedings. At his last appointment with the pediatric surgeon, the doctor
decided to try Reglan to strengthen the valve at the top of the stomach and move the food
through the stomach quicker to help eliminate the vomiting. Is this drug safe for a
four-month old? Will it help his situation? Will he now be susceptible to the side effects
you list in your information?
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.
Reglan
Question: How long should a patient be kept on reglan, 10 milligrams, and should
they be monitored closely?
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.