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Metoclopramide in Parkinson's disease — GPhC CRA MCQ

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ModerateCNS TherapeuticsMetoclopramide in Parkinson's diseaseGPhC CRA

A patient with Parkinson's disease taking co-beneldopa is prescribed metoclopramide for nausea. What is the most appropriate alternative?

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Correct answer: B — Ask the prescriber to choose a non-dopamine-blocking antiemetic

Metoclopramide blocks dopamine receptors and can worsen Parkinson's symptoms. This makes ask the prescriber to choose a non-dopamine-blocking antiemetic the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF