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Metoclopramide duration — GPhC CRA MCQ

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HardGastrointestinal TherapeuticsMetoclopramide durationGPhC CRA

A prescription for metoclopramide 10mg three times daily for 4 weeks is presented for nausea. The patient is 34 years old and has no Parkinson's disease. They have not tried it before. What is the most appropriate action?

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Correct answer: D — Query duration because short-term use is recommended

Metoclopramide use is restricted because of neurological adverse effects, including extrapyramidal reactions. It is generally used for short-term treatment at the lowest effective dose. A 4-week new prescription should be queried unless there is a specialist rationale.

Reference: BNF; MHRA Drug Safety Update