Patient/caregiver was educated on precautions to be exercised while taking Metoclopramide as follows:

  1. Metoclopramide can take some time to fairly adjust to your body and reach a therapeutic level in your blood, before providing relief from symptoms of nausea and vomiting, GERD, and slow stomach emptying. Do not discontinue taking the medication without your physician’s consult, as you failed to see the desired result immediately after taking the medication.
  2. Continue taking Metoclopramide as ordered, even if you experience relief from the symptoms. Abrupt discontinuation on Metoclopramide intake can result in recurrence of the nausea and vomiting and symptoms of GERD and delayed stomach emptying. Sudden discontinuation of Metoclopramide intake, after prolonged use, can also result in onset of severe withdrawal symptoms, such as, nervousness and anxiety. Discontinuation on Metoclopramide, after prolonged use, must be slow and gradual, using tapering doses and only on your physician’s recommendation.
  3. Your physician could change the dose of Metoclopramide, based on the relief obtained or side-effects developed. So, maintain compliance with follow-up physician appointments, to update on the relief from symptoms. Be accommodative to the plan of dose changes, if need be, until you show an optimum response.