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Reglan

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Reglan (Metoclopramide) is a prokinetic agent used to treat gastrointestinal motility disorders like gastroparesis and acid reflux. It helps adults by increasing muscle contractions in the upper digestive tract. This mechanism speeds up stomach emptying into the intestines, reducing nausea and heartburn symptoms effectively.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Metoclopramide
Reference Brand
Maxolon
Manufacturer
TEVA UK Ltd
Product Form
Tablet, Oral solution
Regulatory Classification
Rx
Primary Category
Nausea and Vomiting Relief
Product Category
Gastrointestinal system, Antiemetics and antinauseants, Propulsives
Pharmacological Class
Dopamine D2 antagonists
Manufacturer Description
Used to prevent nausea and vomiting, often following surgery or radiotherapy.
Mechanism of Action
Metoclopramide works by blocking dopamine receptors in the brain's vomiting centre and increasing the movements of the stomach and intestines, helping food pass more quickly.
Route of Administration
Oral
Onset Time
30-60 minutes
Duration
6 hours
Contraindications
Gastrointestinal obstruction, Epilepsy, Parkinson's disease, Phaeochromocytoma
Severe Adverse Events
Muscle spasms (extrapyramidal symptoms), Tardive dyskinesia, Neuroleptic malignant syndrome, Cardiac arrest
Common Side Effects
Restlessness
Uncommon Side Effects
Drowsiness, Fatigue, Diarrhoea, Depression
Drug Interactions
Levodopa, Digoxin, Ciclosporin, Opioid analgesics
Pregnancy Safety Warnings
Can be used during pregnancy if necessary.
Age Restrictions
Restricted use in patients under 18 years; max 5 days treatment.
Storage Guidelines
Keep in the original container away from light.
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Reglan FAQ

Can I travel internationally with RegLan tablets, and will they be detected at airport security?

Yes, you may travel with RegLan provided you carry the prescription label and the original packaging. In the UK and most other countries, oral tablets are not considered prohibited items, and security scanners do not detect them. Keep the medication in your hand luggage to avoid temperature extremes.

Will taking RegLan affect a drug test for work or sport?

Metoclopramide is not a prohibited substance on standard workplace or sport drug-testing panels. It will not produce a positive result for commonly screened drugs such as opioids, stimulants, or steroids. However, disclose all medications to the testing authority if required.

What is the difference between RegLan and other metoclopramide brands like Primperan?

RegLan and Primperan contain the same active ingredient, metoclopramide 10 mg, and are bioequivalent. Differences may lie in inactive fillers, tablet colour, or manufacturer imprint codes, which do not affect therapeutic effect.

Is RegLan safe to use for nausea caused by pregnancy?

Metoclopramide is classified as Category B1 in the UK and may be used for severe nausea in early pregnancy under specialist advice. It is generally avoided after the first trimester because of a small risk of neonatal extrapyramidal symptoms.

Can I use RegLan together with my antidepressant (SSRIs) without risk?

Metoclopramide can increase serotonin levels and may theoretically raise the risk of serotonin syndrome when combined with SSRIs. This interaction is uncommon, but clinicians usually monitor patients for symptoms such as agitation, rapid heart rate, or sweating. Discuss any antidepressant use with your prescriber.

Why is RegLan limited to five days of treatment?

Prolonged exposure to dopamine antagonists raises the chance of developing tardive dyskinesia, an often irreversible movement disorder. The five-day limit balances efficacy for nausea while minimising this serious risk. Longer courses are only prescribed when benefits clearly outweigh risks and under specialist supervision.

Do I need to take RegLan with food or on an empty stomach?

For optimal pro-kinetic action, take RegLan 30 minutes before meals. This timing helps stimulate gastric emptying and reduces reflux. The tablet can be taken with a small amount of water; do not chew.

How should I store RegLan if I live in a particularly humid climate?

Store the pills in a cool, dry place away from moisture and direct sunlight. If humidity is high, keep the bottle inside a sealed plastic bag or a container with a desiccant packet (if provided) to maintain tablet integrity.

Is a generic version of metoclopramide cheaper than the brand RegLan in the UK?

Generic metoclopramide tablets are typically priced lower than branded RegLan because they lack brand-specific marketing costs. Both contain the same 10 mg active ingredient and are interchangeable when prescribed. Prescription charges follow the standard NHS pricing structure.

Can RegLan be used to treat chronic gastroparesis, and is it covered by the NHS?

Metoclopramide is approved for gastroparesis and may be prescribed for chronic cases when other therapies are insufficient. The NHS may cover RegLan if it is deemed clinically necessary, but individual funding decisions depend on the local Clinical Commissioning Group.

RegLan (Metoclopramide): Generic Medication Overview

Metoclopramide is the active ingredient in RegLan, a 10 mg pill classified under Digestive Health medications. In the United Kingdom it is a prescription-only (POM) product regulated by the Medicines and Healthcare products Regulatory Agency (MHRA). Metoclopramide is marketed under several brand names, including RegLan, Primperan, and Maxolon.

How Metoclopramide Works in the Body

Metoclopramide is a prokinetic agent that enhances gastrointestinal motility and exerts anti-emetic effects through several mechanisms:

  • Dopamine D₂-receptor antagonism in the chemoreceptor trigger zone reduces nausea and vomiting.
  • Serotonin 5-HT₄ agonism stimulates the release of acetylcholine in the gut, increasing the strength of gastric and intestinal contractions.
  • Facilitation of lower-esophageal sphincter tone helps reduce reflux.

The drug is rapidly absorbed after oral administration, reaching peak plasma concentrations within 1-2 hours. It is partially metabolised by the liver (CYP2D6) and excreted unchanged in the urine. The therapeutic effect usually begins within 30 minutes, with a duration of action of 4-6 hours.

Conditions Treated by RegLan

Metoclopramide is approved by the MHRA for the following adult indications:

  • Nausea and vomiting associated with postoperative recovery, chemotherapy, and radiotherapy when other anti-emetics are inadequate.
  • Gastro-oesophageal reflux disease (GERD) refractory to standard therapy (e.g., proton-pump inhibitors).
  • Functional dyspepsia with delayed gastric emptying.
  • Gastroparesis (delayed gastric emptying) in adults, particularly when caused by diabetes or postoperative gastric surgery.

These uses reflect the drug’s ability both to speed gastric emptying and to block central vomiting pathways.

Patient Suitability and Contraindications

Who Should Not Use RegLan?

  • Known hypersensitivity to metoclopramide or any pill excipients.
  • Pheochromocytoma or uncontrolled hypertension (dopamine antagonism can precipitate a crisis).
  • Seizure disorders not well controlled (risk of lowering seizure threshold).
  • Mechanical gastrointestinal obstruction (e.g., strictures, perforation).
  • Parkinson’s disease, Huntington’s disease, or other extrapyramidal disorders (dopamine blockade can worsen symptoms).
  • History of tardive dyskinesia or other persistent movement disorders.

Relative Contraindications

  • Pregnancy - Category B1 in the UK; generally avoided after the first trimester because of possible neonatal extrapyramidal effects.
  • Lactation - Metoclopramide passes into breast milk; caution advised.
  • Renal or hepatic impairment - Dose reduction may be required (see dosing section).
  • Elderly patients - Increased risk of confusion, falls, and extrapyramidal reactions; start at the lowest effective dose.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Drowsiness or fatigue
  • Restlessness or agitation
  • Diarrhoea or abdominal cramping
  • Dry mouth
  • Headache

These effects are usually mild and transient. If they persist, contacting a healthcare professional is advisable.

Serious Adverse Events

  • Extrapyramidal symptoms (EPS) - acute dystonia, akathisia, or parkinsonism; may appear within hours to days.
  • Tardive dyskinesia - irreversible involuntary movements, most often after prolonged use (>5 days).
  • Neuroleptic malignant syndrome - rare but life-threatening hyperthermia, rigidity, autonomic instability.
  • Hyperprolactinemia - galactorrhoea, menstrual irregularities, libido changes.

Any sudden muscle rigidity, high fever, or uncontrolled movements warrant emergency medical attention.

Drug Interactions

  • CNS depressants (alcohol, opioids, benzodiazepines) - additive sedation and respiratory depression.
  • Anticholinergic agents (e.g., atropine, scopolamine) - may reduce the pro-kinetic benefit.
  • Other dopamine antagonists (e.g., antipsychotics) - increase the risk of EPS.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine) - can raise metoclopramide plasma levels, enhancing side-effect risk.
  • Anticholinesterase drugs (e.g., pyridostigmine) - may potentiate gastrointestinal stimulation.

Patients should disclose all prescription medicines, over-the-counter products, herbal supplements, and alcohol use before starting RegLan.

Food and Lifestyle Interactions

  • Take RegLan 30 minutes before meals to maximise the pro-kinetic effect.
  • Avoid consuming large amounts of alcohol while on the medication due to increased sedation.
  • No specific driving restrictions, but patients experiencing dizziness should exercise caution.

Dosing and Administration Guidelines

Standard Adult Dosing

  • Initial dose: 10 mg orally, four times daily (approximately every 6 hours).
  • Maximum daily dose: 40 mg (10 mg × 4).
  • Duration: Routine therapy is limited to 5 days to minimise the risk of tardive dyskinesia. Longer courses require specialist supervision.

Adjustments for Special Populations

  • Renal impairment (eGFR < 30 mL/min): consider 5 mg four times daily or increase interval to every 8 hours.
  • Hepatic impairment: start with 5 mg four times daily; monitor for side effects.
  • Elderly: initiate at 5 mg four times daily; titrate cautiously.

Administration Tips

  • Swallow the 10 mg pill whole with a glass of water.
  • Do not crush, chew, or split the tablet unless instructed by a pharmacist.
  • Store at room temperature, away from moisture and direct sunlight.

Missed Dose

If a dose is missed and the next scheduled dose is more than 4 hours away, take the missed tablet. If it is soon time for the next dose, skip the missed one-do not double up.

Overdose Management

Signs of overdose include extreme drowsiness, agitation, severe EPS, or hypotension. Management is supportive:

  • Ensure airway protection and monitor vital signs.
  • Administer physostigmine only under specialist direction for severe EPS.
  • Contact the local poison information centre (UK: NHS Poisons Information Service).

Discontinuation

When stopping after short-term use, no taper is required. For prolonged therapy, gradual dose reduction (e.g., halve the dose every 2-3 days) helps prevent rebound nausea and reduces EPS risk.

Monitoring and Follow-Up

  • Clinical monitoring for drowsiness, mood changes, or movement disorders during the first week.
  • Laboratory checks are not routinely required, but serum prolactin may be measured if galactorrhoea or menstrual disturbances develop.
  • Renal function should be assessed in patients with known kidney disease before initiating therapy.

If any alarming symptoms (e.g., uncontrolled muscle stiffness, fever) appear, seek urgent medical review.

Storage and Handling

  • Keep the bottle tightly closed in its original packaging.
  • Store at 15-25 °C (room temperature); avoid freezing.
  • Protect from humidity and light.
  • Dispose of unused tablets according to local pharmacy waste guidelines - do not flush down the toilet.

Medication-Specific Glossary

Extrapyramidal Symptoms (EPS)
Drug-induced movement disorders such as acute dystonia, akathisia, or parkinsonism caused by dopamine blockade.
Tardive Dyskinesia
Persistent, involuntary facial and limb movements that may develop after weeks to months of dopamine-antagonist use.
Prokinetic
An agent that increases the frequency or force of gastrointestinal contractions, thereby accelerating gastric emptying.
Neuroleptic Malignant Syndrome
A rare, life-threatening reaction characterised by high fever, muscle rigidity, autonomic instability, and altered mental status.
Hyperprolactinemia
Elevated blood prolactin levels, which can lead to galactorrhoea, menstrual changes, and sexual dysfunction.

Medical Disclaimer

This article provides educational information about RegLan (metoclopramide) and is not a substitute for professional medical advice. Treatment decisions, including the use of unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Reglan is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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