MEDICATION GUIDE

Metoclopramide Injection, USP

You or your caregiver should read the Medication Guide before you start receiving metoclopramide injection and before you get another dose of metoclopramide injection. There may be new information. If you take another product that contains metoclopramide (such as metoclopramide tablets, metoclopramide orally disintegrating tablets, or metoclopramide oral solution), you should read the Medication Guide that comes with that product. Some of the information may be different. This Medication Guide does not take the place of talking to your doctor about your medical condition or your treatment.

What is the most important information I should know about metoclopramide?

Metoclopramide can cause serious side effects, including:

Abnormal muscle movements called tardive dyskinesia (TD). These movements happen mostly in the face muscles. You can not control these movements. They may not go away even after stopping metoclopramide. There is no treatment for TD, but symptoms may lessen or go away over time after you stop taking metoclopramide.

Your chances for getting TD go up:

• the longer you take metoclopramide and the more metoclopramide you take. You should not take metoclopramide for more than 12 weeks.
• if you are older, especially if you are a woman
• if you have diabetes

It is not possible for your doctor to know if you will get TD if you take metoclopramide.

Call your doctor right away if you get movements you can not stop or control, such as:

• lip smacking, chewing, or puckering up your mouth
• frowning or scowling
• sticking out your tongue
• blinking and moving your eyes
• shaking of your arms and legs

See the section " What are the possible side effects of metoclopramide?" for more information about side effects.

What is metoclopramide?

Metoclopramide is a prescription medicine used to:

• relieve symptoms of slow stomach emptying in people with diabetes
• prevent nausea and vomiting that can happen with cancer chemotherapy
• prevent nausea and vomiting that may happen after surgery, if your doctor decides that you should not be treated with a stomach tube and suction
• help make it easier to insert a tube into the small intestine in both adults and children, if the tube does not pass into the stomach normally.
• to help empty stomach contents or to help barium move through your intestine, when you get an X-ray examination of the stomach or small intestine. It is not known if metoclopramide is safe and works in children except when used to help insert a tube into the small intestine.

Who should not receive metoclopramide?

Do not receive metoclopramide if you:

• have stomach or intestine problems that could get worse with metoclopramide, such as bleeding, blockage or a tear in your stomach or bowel wall
• have an adrenal gland tumor called pheochromocytoma
• are allergic to metoclopramide or anything in it. See the end of this Medication Guide for a list of ingredients in metoclopramide.
• take medicines that can cause uncontrolled movements, such as medicines for mental illness
• have seizures

What should I tell my doctor before receiving metoclopramide?

Tell your doctor about all of your medical conditions, including if you have:

• depression
• Parkinson's disease
• high blood pressure
• kidney problems. Your doctor may start with a lower dose.
• liver problems or heart failure. Metoclopramide may cause your body to hold fluids.
• diabetes. Your dose of insulin may need to be changed.
• breast cancer
• you are pregnant or plan to become pregnant. It is not known if metoclopramide will harm your unborn child.
• you are breastfeeding. Metoclopramide is passed into human milk and may harm your baby. Talk with your doctor about the best way to feed your baby if you take metoclopramide.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Metoclopramide and some other medicines can affect each other and may not work as well, or cause possible side effects. Do not start any new medicines while receiving metoclopramide until you talk with your doctor.

Especially tell your doctor if you take:

• another medicine that contains metoclopramide, such as metoclopramide tablets, metoclopramide orally disintegrating tablets, or metoclopramide oral solution
• a blood pressure medicine
• a medicine for depression, especially a Monoamine Oxidase Inhibitor (MAOI)
• insulin
• a medicine that can make you sleepy, such as anti-anxiety medicine, sleep medicines, and narcotics.

If you are not sure if your medicine is one listed above, ask your doctor or pharmacist. Know the medicines you take. Keep a list of them and show it to your doctor and pharmacist when you get a new medicine.

How will I receive metoclopramide?

• Metoclopramide will be given to you by intravenous (IV) infusion into your vein or by intramuscular (IM) injection into a large muscle. Where and how you receive your metoclopramide injection (IV or IM) will depend on why you are receiving it.
• Certain side effects can happen if metoclopramide is given too fast. See the section " What are the possible side effects of metoclopramide?"
• You should not take or receive metoclopramide for more than 12 weeks.

What should I avoid while receiving metoclopramide?

• Do not drink alcohol while receiving metoclopramide. Alcohol may make some side effects of metoclopramide worse, such as feeling sleepy.
• Do not drive, work with machines, or do dangerous tasks until you know how metoclopramide affects you. Metoclopramide may cause sleepiness.