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Metoclopramide duration — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsMetoclopramide durationGPhC CRA

A patient presents a repeat prescription request for metoclopramide 10 mg three times daily, originally issued for nausea after gastroenteritis three weeks ago. They now feel better but requested it automatically. What is the most appropriate action?

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Correct answer: E — Query ongoing use because treatment duration should be limited

Metoclopramide is associated with extrapyramidal adverse effects and is generally limited to short-term use. A repeat request after the acute indication has resolved should be queried. Dose escalation or combination antiemetics without review increases adverse-effect risk. The patient may not need ongoing treatment.

Reference: BNF; MHRA Drug Safety Update