Motilium. Can Motilium be taken during pregnancy and while breastfeeding? Description of the active ingredients of the drug ""

The main purpose of Motilium is to establish a stable digestive process. The drug allows you to eliminate such unpleasant symptoms as heaviness after eating, nausea, increased gas formation, bloating and constipation. The main components of the product gently affect the muscular system of the stomach, forcing it to actively digest food and remove decay products naturally. Next, we will consider in more detail how to properly take Motilium during pregnancy.

The active substance of Motilium, entering the body, begins to be actively absorbed into the intestinal walls, forcing them to more actively digest food, absorb nutrients and quickly move the feces through the digestive system, gently removing them from the body. The production of bile is accelerated, which, in turn, does not allow food to stagnate in the stomach. That is why the remedy is a good prevention of constipation.

Ultimately, after using the drug, it is possible to eliminate the feeling of heaviness in the stomach, bloating, and increased gas formation. In other words, a stable digestive process is fully restored.

Motilium during pregnancy is prescribed only in the absence of contraindications, taking into account the personal health status of a particular patient.

Indications for use

Motilium for pregnant women can be prescribed in the following cases:

• If you experience such unpleasant symptoms after eating, such as nausea and vomiting.
• Problems with digestion of food when there is weakness in the muscles of the digestive system.

After childbirth, the drug may be prescribed in order to speed up the process of producing breast milk.

Also have general indications, namely:

• Weakening of the muscles of the digestive system, which leads to stagnation of food and malabsorption of nutrients.
• Increased gas formation and bloating.
• Diseases of the stomach, such as ulcers, colitis, cholecystitis.
• If you experience such unpleasant symptoms after eating, such as a feeling of heaviness in the stomach, nausea and vomiting.
• To prepare the digestive system for examination.

Contraindications

• If you are allergic to one of the components of the product.
• Intestinal obstruction is a major contraindication for most laxatives.
• Open wounds in the stomach and internal bleeding.
• Inflammatory processes of the digestive system.
• Pain in various parts of the abdomen.
• Increased pressure in the intestinal system.
• Malignant tumors of the intestine.
• Epilepsy.

Side effects

• Deterioration of general well-being in the form of headache, dizziness and drowsiness.
• Mood swings, irritability and depression.
• Sweating of limbs and convulsions.
• Feeling thirsty or dry mouth.
• Diarrhea or constipation.
• Allergic reactions in the form of skin redness and itching.

Methods of application and dosage

For chronic problems with digestion of food, it is recommended to adhere to the following scheme:

• Adults are prescribed one tablet before meals three times a day. You can also take the drug at bedtime if you experience unpleasant symptoms. Maximum daily dose should not exceed 8 tablets.
• Children are prescribed in the form of a syrup at the rate of 2.5 ml per 10 kg of body weight three times a day before meals. You can double the dose, but only with the permission of the doctor.

For nausea and vomiting:

• If unpleasant symptoms occur after eating, it is recommended to take 2 tablets three times a day immediately before meals. Maximum dose up to 8 tablets per day.
• Children are prescribed 5 ml of syrup per 10 kg of body weight three times a day.

Adults and children weighing more than 35 kg are prescribed only tablets, and small patients - sweet syrup. Shake the vial before using the suspension.

It is not known how Motilium will behave during pregnancy in the early stages, because no research and experiments have been conducted in this direction. Therefore, it is better not to take risks and be sure to consult a doctor who will select the best drug taking into account the state of health of the woman.

In addition, it is not recommended to use Motilium during breastfeeding. The main components through milk can enter the baby's body and negatively affect the functioning of important systems. The drug is allowed only after the cessation of breastfeeding.

Effect on the fetus

The main component of the drug is immediately absorbed into circulatory system and can be distributed to various organs. In addition, the substance also enters the fetus through the placenta. According to the manufacturer, the fetus may experience a lack of body weight.

Also, the drug can adversely affect a baby who is breastfed. Side effects include diarrhea, colic, and bloating. Therefore, it is better to stop taking the drug during pregnancy and lactation, in order to avoid side effects.

Release forms

Motilium is available in several forms for both adults and children:

• Tablets, coated with a yellow shell, and for chewing, 10 mg. Tablets are prescribed only for adults.
• Suspension in a bottle of 100 ml.
• Syrup for children in a container of 30 ml.

Analogues

In addition to Motilium, you can choose similar medicines, for example, Damelium, Domstal, Motinorm, Passazhiks.

The composition of the drug Motilium includes the active ingredient domperidone, which is a drug from the group of dopamine antagonists. Domperidone is a drug that speeds up the movement of food through the stomach and intestines. It is used to treat or prevent acid reflux (from heartburn), to relieve nausea and vomiting, to relieve the feeling of fullness in the stomach after eating, when appetite worsens.

The release form of the product is tablets, suspension (for newborns and young children) or lingual tablets.

How does domperidone work?

Domperidone blocks dopamine receptors in the upper digestive tract. This causes muscle contraction at the entrance to the stomach and relaxation of the muscles at the exit from it, and also increases the peristalsis of the stomach itself. Therefore, the use of Motilium for diarrhea is inappropriate. These actions speed up the passage of food through the stomach into the intestines, which helps prevent vomiting and reduce nausea, bloating and fullness. Domperidone also prevents the backflow of food from the stomach into the esophagus.

Motilium also blocks dopamine receptors in an area of ​​the brain that are activated by nerve signals from the stomach. Once activated, it sends signals to the vomiting center. Blocking dopamine receptors prevents nausea and vomiting.

What helps Motilium?

This drug has the following indications for use:

• Cessation of nausea and vomiting in adults and children.
• Relief of discomfort and bloating in the abdomen, feelings of fullness in the stomach, reduction of acid reflux and belching.

How to take the drug?

Dosage in adult patients:

• For relief of nausea and vomiting, patients over 16 years of age may take 1 tablet 3 times daily for 2 days.
• The tablet should be swallowed and washed down with a sufficient amount of water. Motilium should be taken before meals, since it takes more time to start the action of the drug when it is swallowed after a meal.
• Do not take more than 3 tablets per day.
• Do not use Motilium for longer than 2 days. If nausea and vomiting last longer, you should consult a doctor.

Method of application in children:

• You can give domperidone syrup to a child only as directed by a doctor.
• It is necessary to take the drug strictly at the same time.
• For heartburn, Motilium should be taken 30 minutes before meals.
• Carefully measure the amount of syrup with a special syringe or measuring spoon.

Side effects

Common (develop in 1-10% of patients):

• Dry mouth.

Uncommon (develop in 0.1 - 1% of patients):

• Diarrhea.
• Decreased sex drive.
• Anxiety.
• Insomnia.
• Headache.
• Rash or itching.
• Weakness.
• Pain or tenderness in the breasts.
• Increased production of breast milk.

Frequency unknown:

• Hives.
• Swelling of the face, tongue, and throat (angioedema).
• Excitation.
• Nervousness.
• Seizures.
• Uncontrolled movements of the arms, legs, face, neck, or tongue.
• An increase in prolactin levels, which can lead to breast enlargement in men (gynecomastia) or the cessation of menstruation in women.
• Difficulty urinating.
• Abnormal heart rhythm.
• Arrhythmia.
• Liver dysfunction.

When should you not take Motilium?

Like any drug, domperidone has its contraindications:

• Allergy or intolerance to any of the components of the drug.
• Tumor of the pituitary gland (prolactinoma).
• Intestinal obstruction or perforation.
• Black stools or blood in the stool can be a sign of gastrointestinal bleeding.
• Disease of the liver or kidneys.
• Heart problems that appear on the ECG with a long QT interval.
• Heart failure.
• Low or high levels of potassium in the blood, low magnesium.
• Reception certain drugs prolonging the QT interval.

With caution, domperidone should be taken by people over 60 years of age.
Motilium should be taken at the lowest possible dose.

Can Motilium be used by pregnant women and breastfeeding mothers?

So far, there is no data on the safety of taking domperidone during pregnancy. Therefore, it should only be taken as directed by a physician and if the benefits outweigh the potential risk to fetal development. You can not use Motilium on your own for nausea in early pregnancy.

Domperidone penetrates into breast milk in small amounts that are most likely harmless to the baby. However, the instructions for use of the drug do not recommend its use in women who are breastfeeding, unless the potential benefit to the mother outweighs any risk to the baby. If taking Motilium is necessary, it is better for the mother to stop breastfeeding for this time.

Motilium or Motilak - which is better?

Domperidone is contained in many drugs, such as Motilium, Motinorm, Motilak and others. Having carefully studied the description of these drugs, it is not difficult to understand the difference between them. Motilium is the original (brand) drug, and Motilac is its generic. Patients and doctors have broken many spears in the debate about which remedy is better - branded or generic? The original drug is considered to be more effective in most cases, but it is almost always more expensive than the generic drug. In addition, Motilac is available only in the form of lozenges, that is, it is not suitable for small children.

Uncontrolled drug intake is one of the biggest problems modern society. In conditions when every patient is his own doctor, when medicines can be freely bought at a pharmacy, the development of serious complications from taking medicines has long ceased to surprise employees of medical institutions.

One such drug that most people consider "harmless" is Motilium. In fact, this remedy has quite dangerous side effects that can be life-threatening for the patient.

Some medicines needed to treat a number of diseases can be harmful to a pregnant woman and her baby - almost everyone knows this. And here we are, the people of the new millennium, fearing (sometimes quite justifiably!) the achievements of chemical medicine, closing our eyes, we rush into the arms of natural, natural, centuries-old herbal healing. What is the main advantage of herbs over pills? In harmlessness. But is it really so? Why, brewing yourself a sedative or diuretic tea, future mommy does not remember the literary grandmothers-herbalists who save unfaithful wives or deceived virgins from the "consequences of secret passions"?

Medicinal herbs are not harmless toys for those who want to play doctors. A careless attitude towards them, multiplied by ignorance, is dangerous! To avoid trouble, let's put the dried herbalist's bouquet on the shelves.

Herbs that disrupt the normal course of pregnancy

Can induce an abortion:

• Aloe tree- is part of the gastrointestinal fees, fees that stimulate appetite, is prescribed to stimulate the immune system.
• Barberry common- found in anti-anemic collections, recommended to improve liver function, stimulate appetite, with cholelithiasis, etc.
• Oregano officinalis- used to improve appetite, in gastrointestinal, pulmonary-bronchial, sedative collections.
• Lovage officinalis- often used as a seasoning, included in sedatives, expectorants, diuretics and painkillers.
• Buckthorn brittle- used as a laxative and for stomach ulcers.
• Ergot currently not often used in gynecological practice. Ergot is poisonous and absolutely contraindicated during pregnancy!
• Garlic sowing- widely used in herbal medicine.
• Tansy is poisonous, increases the tone of the uterus, increases arterial pressure. It is part of many fees: gastrointestinal, from anemia, headaches, edema, chronic stress.
• Tangut rhubarb used as a laxative and choleretic agent. May disrupt the formation of fetal bone tissue due to the high content of oxalic acid.
• Common radish is prescribed to improve appetite and improve digestion, with cholecystitis, bronchitis and colds. It may be useful a little later, after childbirth, as it increases lactation.
• Parsley curly often included in fees for the treatment of gallstone and urolithiasis, is used as a diuretic, for digestive and menstrual disorders.

Violate placental circulation, that is, blood circulation in the placenta, providing the baby with oxygen and nutrients:

• Hyssop officinalis. In addition, it increases the tone of the uterus, increasing the risk of premature termination of pregnancy. It is included in the fees against bronchial asthma, gastrointestinal diseases, angina pectoris, neurosis, anemia.
• Salvia officinalis- is included in diuretic and gastrointestinal preparations, is used as a rinse for colds, stomatitis, tonsillitis, is used as a seasoning.

They can cause a child not a specific allergy, but a general allergic predisposition:

• Wild strawberry- recommended for diseases of the stomach and intestines, with urolithiasis, beriberi, anemia, etc. It can increase the tone of the uterus and provoke premature termination of pregnancy.
• Three-part series- used in various skin preparations as a diaphoretic and diuretic.

Violate the normal development of the child (when using these drugs, the formation of malformations in the fetus is possible):

• sea ​​kale due to the risk of iodine overdose.
• Spinach garden and sorrel sour- due to the high content of oxalic acid, they can disrupt the formation of bones in a child.

Have an adverse effect on the mother's body:

• Mordovnik ordinary increases muscle tone and enhances sensitivity to pain, is included in fees for the treatment of a number of neurological and therapeutic diseases.
• Licorice naked increases pressure, retains water in the body, causing swelling. Very often prescribed for chronic and acute diseases of the lungs and bronchi, with some endocrine diseases.
• Infusion of birch fungus chaga also retains water in the body.

Herbs that aggravate the phenomena of early toxicosis and late gestosis

Herbs of this group can sometimes be prescribed to pregnant women, but only for special indications and only by a phytotherapist who also has an obstetric and gynecological specialization.

Can cause nausea, vomiting, heartburn, flatulence, etc.:

• Ledum marsh- poisonous, causes inflammation of the mucous membrane of the stomach and duodenum, dilates blood vessels, lowers blood pressure. It is mainly used as an expectorant in bronchial asthma.
• Valerian officinalis at long-term use or at high doses may cause headache, nausea, slow down digestion, disturb the work of the heart and, oddly enough, increase nervousness.
• Melilot officinalis- poisonous, provokes headaches, dizziness, nausea, vomiting, drowsiness. Included in expectorant, diuretic fees. Assign with flatulence, insomnia, rheumatic pains. Joster laxative causes irritation of the gastric mucosa with nausea and vomiting. Used as a laxative.
• Wormwood- is prescribed to stimulate appetite, as a choleretic agent and for various chronic diseases of the gastrointestinal tract. Wormwood is dangerous in overdose. It can cause seizures, hallucinations, and other mental disorders. It must be taken into account that the organisms of a pregnant woman and her child are more sensitive to various chemicals, and doses (including infusions) should be reduced.
• Celandine large refers to poisonous herbs, nausea, vomiting, diarrhea, respiratory depression are possible from it. Ingestion in the form of an infusion is recommended mainly for diseases of the digestive system.

Raise blood pressure:

• Sandy immortelle- is prescribed for diseases of the gallbladder and liver.
• St. John's wort(some authors classify it as a poisonous plant) constricts blood vessels, disrupts the blood circulation of the placenta, increases blood pressure. It is widely used in phytotherapeutic preparations.

Negatively affect the functioning of the kidneys:

• calamus marsh- contraindicated due to a pronounced diuretic effect, is part of the gastrointestinal and antiulcer fees.
• Cornflower blue— contains a cyan component, requires especially careful handling. Included in the choleretic, diuretic fees, is used for cardiovascular and eye diseases, etc. It is contraindicated due to the diuretic effect and the content of the cyanide complex.
• Elecampane high- used in expectorant, gastrointestinal preparations.
• Madder dye- irritates the mucous membrane of the stomach, is prescribed for urolithiasis.
• Juniper (berries)- used as a diuretic, laxative, diaphoretic, enhances the separation of gastric juice.
• golden rhododendron- a poisonous plant that causes severe salivation, vomiting, pain in the stomach and along the intestines, bradycardia, respiratory disorders, decreased pressure, and kidney depression.
• Celery fragrant.
• Dill fragrant.

Herbs that affect blood clotting

During pregnancy and childbirth, situations arise in which complications are possible, associated both with an increase in blood clotting (thrombophlebic complications), and with a decrease in thrombus formation and severe blood loss. And directly in childbirth, when a woman begins to lose blood from a sufficiently large damaged surface (the area of ​​​​rejected placenta), the blood coagulation system may be at the limit of its capabilities. And if the bleeding continues (incomplete separation of the placenta, serious ruptures, etc.), these forces may not be enough, in this case, increased thrombus formation turns into its complete opposite: the blood stops clotting at all, a very serious complication develops - DIC. Uncontrolled use of agents (drugs, herbs) that activate thrombosis during the prenatal period increases the risk of thrombophlebitis. Exhausted by all this even before delivery, the blood coagulation system may not be able to cope with the task even with uncomplicated childbirth, and the risk of DIC increases. Given such a delicate balance, it is not worth interfering with the blood coagulation system unnecessarily.

• G bird, kidney, pepper- in addition to a strong blood-clotting effect, it causes uterine contraction with the risk of abortion. Included in fees used for many diseases.
• Burnet officinalis- used in collections for cholecystitis, flatulence, enterocolitis, respiratory diseases.
• cat paw(aka immortelle) has a strong blood-clotting effect, increases blood pressure.
• Stinging nettle widely used in herbal medicine. In addition, it stimulates the sex glands, disrupting the natural hormonal background.
• Corn(stigma) is usually recommended as a choleretic and diuretic.
• Common ragwort- it causes palpitations, dry mouth, has a carcinogenic effect.

Herbs that stimulate the sex glands and disrupt the hormonal background

• Dandelion officinalis- widely used in phytotherapy.
• walnut- can provoke a spasm of cerebral vessels, increases blood clotting.
• Melissa officinalis- used in collections for many diseases.
• Common hop- most often found in collections for various kidney diseases and for the treatment of insomnia, nervous tension.
• Potentilla goose- Appointed as a hemostatic and diuretic.
• Black currant- is prescribed for kidney diseases, beriberi, bleeding and radiation sickness, hypertension, colds and as a choleretic.
• Yarrow- the plant is poisonous, causes dizziness, skin rashes, increases blood clotting and uterine tone.
• Adaptogens: Manchurian aralia, zamaniha, common ginseng, leuzea safflower or maral root, Chinese Schisandra, Rhodiola rosea, Eleutherococcus senticosus. All of them also stimulate the sex glands, disrupting the normal hormonal background, and increase blood pressure, cause palpitations, tachycardia, insomnia, headaches, and increase nervousness. During pregnancy, they can be used only strictly according to indications, reduced doses, shortened courses and always under the supervision of a doctor.

Just poisonous plants

Medicinal herbs from the list of poisonous plants deserve a separate discussion. You may wonder how it is: poisonous - and they are medicinal? But this is often the case in traditional, non-traditional and folk medicine: it all depends on the doses taken. In small doses under the supervision of a herbalist, herbs from this list are used for a number of diseases. But pregnancy requires special attention! The woman herself, her child are more sensitive to the active ingredients of herbs, so from the point of view of safety it is better not to take medicinal herbs with a "tarnished reputation".

The following are considered poisonous: avran officinalis, black henbane, belladonna (or belladonna), common cocklebur, medicinal fumes, high larkspur, European hoof, flat-leaved ragwort, yellow capsule, European bathing suit, medicinal gospel, glossy euphorbia, medicinal soapwort, medicinal comfrey, stonecrop caustic, male fern , white step, evading peony, open backache, fragrant rue, common lilac, horsetail, bird cherry, forest chistets, clematis chirkason.

Of course, this list is far from complete, and some of the plants named in it, some of the herbalists are not classified as poisonous, but stand out in the group of potent ones. But the name of the group does not change the essence: uncontrolled intake of these and some other plants can lead to serious health problems!

Medicinal herbs deserve to be taken seriously, with understanding, used appropriately, "with feeling, sensibly...".

Anna Ivanchina
general practitioner, Medical Center of the Administration of the President of the Russian Federation

Thanks

The site provides background information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

Release forms, names and composition of Motilium

Coated and oral lozenges are usually referred to simply as "Motilium tablets" without specifying which variety is being referred to. And the suspension is often called Motilium syrup in everyday speech. However, since Motilium does not exist in the form of a syrup, people use this term to refer to the liquid form of the drug, without going into the subtleties of the differences between suspension, solution, syrup, emulsion, etc. In addition, the suspension is often called children's Motilium, since it is this dosage form that is used in pediatric practice.

The composition of all dosage forms of Motilium as an active substance includes domperidone in the following different dosages:

• Tablets for resorption in the oral cavity - 10 mg;
• Tablets for oral administration in the shell - 10 mg;
• Suspension - 1 mg per 1 ml.

The suspension is a white opaque liquid of a homogeneous structure and jelly-like consistency. Produced in dark glass bottles of 100 ml.

What helps Motilium (therapeutic effects)

• Suppression of the activity of the vomiting center in the brain;
• Increase in the intensity and duration of contractions of the stomach and duodenum;
• Increased pressure in the esophagus;
• Acceleration of the evacuation of the food bolus from the stomach into the duodenum.

Motilium improves the contractile activity of the stomach muscles, which leads to a faster evacuation of the food bolus into the duodenum. And due to the fact that food does not stagnate and does not irritate the stomach, a person experiences painful symptoms of dyspepsia (belching, heartburn, flatulence, etc.). That is, Motilium helps to get rid of the symptoms of stomach diseases, in which food stagnates in it. And since these symptoms can also occur in a healthy person, for example, when overeating, eating fatty or unusual foods, or with other violations of a normal balanced diet, Motilium will also help in this case to get rid of the discomfort associated with stomach overcrowding.

Due to the increase in pressure in the esophagus, Motilium prevents gastroesophageal reflux, reducing heartburn and other symptoms (sour belching, etc.), as well as helping to cure GERD (gastroesophageal reflux disease). That is, Motilium helps to stop the symptoms of gastroesophageal reflux and GERD.

And due to the suppression of the activity of the vomiting center, Motilium is able to eliminate vomiting provoked by an infectious disease, taking medications, various chronic pathologies of any organs and systems, as well as functional digestive disorders caused by the use of unknown or unusual food and other similar factors.

Motilium - indications for use

• Feeling of heaviness, pressure or fullness in the stomach after eating;
• Pain in the stomach after eating;
• Bloating
• Belching, including sour contents;
• Vomit;
• Heartburn;
• Regurgitation (throwing a fairly large amount of stomach contents into the oral cavity).

4. Nausea and vomiting provoked by taking Levodopa, Bromocriptine or other drugs of the dopamine agonist group in parkinsonism.
5. Relief of nausea and gag reflex during medical procedures, for example, the introduction of a gastric tube, the production of EFGDS, etc.
6. regurgitation syndrome in children.
7. Cyclic vomiting in children.
8. Gastroesophageal reflux in children.
9. Disorders of gastric motility in children.

Instructions for use

Motilium tablets - instructions for use

The coated tablet is simply swallowed without biting or chewing with half a glass of water. A lozenge is placed on the tongue and wait a few seconds until it breaks up into small particles. After that, the formed particles are swallowed and, if necessary, washed down with a few sips of water. However, if for some reason there is no water, then absorbable tablets can not be washed down after they have disintegrated into small particles on the tongue and have been swallowed.

The coated tablets can be removed from the blister without any special precautions. And with absorbable tablets, care must be taken, as they are quite fragile. In order to avoid breaking and spilling the tablets, it is recommended not to squeeze them out of the blister through the foil, but to carefully cut the edge of the cell with scissors. You can also carefully remove the foil from one cell and remove the tablet from it.

To stop the manifestations of dyspepsia (belching, heartburn, flatulence, feeling of fullness in the stomach, etc.) in chronic diseases of the stomach and esophagus, adults and children over 5 years old should take 1 tablet 3 times a day before meals, and, if necessary, before sleep. If there is no effect, children over 12 years of age and adults can double the dosage, that is, take 2 tablets 3 times a day before meals.

With nausea and vomiting for their relief, children over 12 years of age and adults should take 2 tablets 3 to 4 times a day before meals and at bedtime. And for children 5-12 years old, for the relief of nausea and vomiting, 1 tablet 3-4 times a day before meals and at bedtime should be given.

For children 5-12 years old, the maximum allowable daily dosage of Motilium is 2.4 mg (1/4 tablet) per 1 kg of body weight, but not more than 80 mg (8 tablets). For adults and adolescents over 12 years of age, the maximum allowable daily dosage of Motilium is 80 mg.

For children under 5 years of age, the drug is given in the form of a suspension and the dosage is calculated individually according to body weight, based on the ratio of 2.5 ml per 10 kg of weight. Motilium tablets are not used in children under 5 years of age and weighing less than 35 kg.

Motilium suspension (Motilium for children) - instructions for use

Suspension, as well as tablets, should be given to the child 15 to 30 minutes before meals and, if necessary, at bedtime. The amount of the drug, measured with a special syringe, must be poured into a spoon or into a small container (glass, glass, etc.) and given to the child to drink. You can drink the suspension as you wish.

The dosage of the suspension for use for various conditions in children is the same and depends only on body weight. The dosage each time is calculated individually according to the ratio of 0.25 - 0.5 ml of suspension for every 1 kg of the child's body weight. The calculated amount of suspension is given to the child 3-4 times a day before meals and, if necessary, at bedtime.

However, since a convenient measuring syringe is supplied with the bottle, which simultaneously indicates the child's weight in increments of 1 kg and the corresponding amount of suspension in ml, you can not calculate the dosage for the baby. Simply use the included measuring syringe.

The maximum allowable daily dosage of Motilium suspension for children under 5 years of age is 2.4 ml per 1 kg of body weight, but not more than 80 mg (80 ml of suspension).

If necessary, the suspension can be taken by both adults and adolescents over 12 years of age at a dosage of 10-20 ml 3-4 times a day. The maximum allowable daily dose of the suspension for adults and adolescents over 12 years of age is 80 ml.

Each time before use, shake the vial with the suspension, and then open it according to the following algorithm:
1. Press on the cover from above while turning it counterclockwise;
2. Remove cover;
3. Remove the measuring syringe from the package and lower it into the vial so that its tip goes into the suspension by 1-3 cm;
4. Holding the lower ring of the syringe with your fingers, raise the piston to a mark that corresponds to the weight of the child;
5. Holding the syringe by the lower ring, remove it from the vial;
6. Squeeze the suspension into a spoon or other container;
7. Rinse the syringe well with warm water after use;
8. Close the vial.

special instructions

In renal insufficiency, it is recommended to maximize the intervals between two subsequent doses of the drug, but the dosage is not required to be reduced. However, if a person suffering from renal insufficiency must take Motilium for a long time, then the entire daily dosage should be divided into 1-2 doses, and not 3-4. If the kidney function worsens during the use of the drug, then it is necessary to reduce the dosage of the drug.

In case of liver failure, the drug in any form should be used with caution, constantly monitoring the functions and condition of the liver.

When using Motilium simultaneously with antacids (Renny, Phosphalugel, Almagel, Maalox, etc.) and H2-histamine blockers (Ranitidine, Famotidine, etc.), their intake should be spaced in time. It is optimal to take Motilium before meals, and antacids and H2-histamine blockers - after meals.

The coated tablets contain lactose, so they should not be taken by people suffering from milk sugar intolerance, as well as malabsorption of glucose and galactose. Also, lozenges should not be taken by people who have an increased risk of developing hyperphenylalaninemia due to their aspartame content.

In children under 1 year of age, Motilium can rarely provoke neurological side effects Therefore, when using the drug, you should strictly adhere to the recommended dosages, without increasing them yourself.

Use during pregnancy and breastfeeding

Influence on the ability to control mechanisms

Overdose

• Disorientation;
• Agitation (excitement);
• Altered consciousness;
• Extrapyramidal reactions (tremor, speech disorder, tics, myoclonus, etc.).

Interaction with other drugs

Ketoconazole and Erythromycin, when used simultaneously with Motilium, cause ECG changes that normalize after discontinuation of the drugs.

Side effects of Motilium

• Spasms of the intestines;
• Changes in the activity of AsAT, AlAT and alkaline phosphatase;
• Thirst;
• Appetite disturbance.

• Extrapyramidal syndrome (tics, tremor, speech disorder, parkinson-like movements, muscle tone disorders, etc.);
• convulsions;
• Drowsiness;

• Agitation (excitement);

• Anaphylactic reactions (Quincke's edema, anaphylactic shock, urticaria);
• Allergic reactions.

• An increase in the level of prolactin in the blood;
• Galactorrhea (leakage of milk from the breast);

Contraindications for use

• Prolactinoma (a tumor of the pituitary gland of the brain that produces prolactin);
• Hyperprolactinemia (increased levels of prolactin in the blood);
• Simultaneous administration of drugs containing ketoconazole, erythromycin, fluconazole, voriconazole, clarithromycin, amiodarone or telithromycin as active substances;
• Gastrointestinal bleeding;
• Mechanical obstruction of the intestine;
• Perforation of any organ of the digestive tract;
• Body weight less than 35 kg (for tablets);
• Individual sensitivity or intolerance to the components of the drug;
• Pregnancy and lactation.

Motilium - analogues

Synonyms of Motilium are the following drugs:

• Damelium tablets;
• Domet tablets;
• Domperidone, Domperidone Geksal and Domperidone-Teva tablets;
• Domstal tablets;
• Motiject tablets;
• Motilac lozenges and film-coated tablets;
• Motinorm syrup and tablets;
• Motonium tablets;
• Passagex tablets are chewable and coated.

• Aceclidine solution for subcutaneous injection;
• Ganaton tablets;
• Dimetpramide tablets and solution for intramuscular injections;
• Itomed tablets;
• Itopra tablets;
• Melomide hydrochloride tablets and solution for intravenous and intramuscular injections;
• Metoclopramide tablets and solution for intravenous and intramuscular injections;
• metoclopramide-acry tablets;
• Metoclopramide-Vial, Metoclopramide-Promed, Metoclopramide-ESCOM solution for intravenous and intramuscular injections;
• Perinorm tablets, oral solution and solution for intravenous and intramuscular injections;
• Ceruglan tablets and solution for intravenous and intramuscular injections;
• Cerucal tablets and solution for intravenous and intramuscular injections.

Cheap analogues

• Domet - 76 - 108 rubles;
• Domperidone - 99 - 113 rubles;
• Passazhiks - 84 - 107 rubles;
• Motilak - 126 - 232 rubles;
• Motonium - 94 - 100 rubles.

• Dimetpramide - 89 - 168 rubles;
• Metoclopramide 35 - 135 rubles;
• Perinorm 99 - 183 rubles;
• Tseruglan 19 - 42 rubles;
• Cerucal 125 - 142 rubles.

Russian analogues of Motilium

Reviews

So, adults took Motilium in two main cases. First, the drug was taken episodically to relieve nausea and vomiting that arose due to existing diseases of the digestive tract, dietary disorders, or an infectious disease. Secondly, adults took Motilium as part of complex therapy diseases of the stomach (gastritis, peptic ulcer, pyloric stenosis, etc.), reflux and GERD in order to relieve flatulence, a feeling of fullness in the epigastrium, belching, early satiety, vomiting and other symptoms of food digestion disorders characteristic of these diseases.

With occasional use of Motilium to stop vomiting and nausea, the drug eliminates these symptoms in about 2/3 cases after the first pill. Stopping vomiting and nausea significantly improves a person’s general well-being, allowing him to calmly drink various solutions to replenish fluid loss, as well as take other medications, the action of which is aimed at eliminating the cause of symptoms and treating the disease. In such situations, reviews of Motilium were positive.

In the remaining 1/3 of cases, people had to take Motilium to stop vomiting for several days in a row before each meal or liquid. This mode of using the drug, of course, does not please people, therefore, in such situations, as a rule, they leave a neutral or negative review.

And when taking Motilium to relieve dyspeptic symptoms (belching, nausea, vomiting, flatulence, feeling of fullness in the stomach, epigastric pain, etc.), characteristic of chronic diseases stomach, GERD and reflux, the drug was effective in almost 100% of cases, so this category of reviews about it is almost all positive.

Motilium for children - reviews

Reviews on the use of Motilium for the relief of vomiting in children with rotavirus infections, any other acute infectious diseases, as well as in response to medication in about 2/3 of cases, are positive. This is due to the fact that the drug stopped vomiting and improved general state a child who began to actively play, ask to drink, eat, etc. Moreover, in some cases, a single dose of the drug was enough to stop vomiting, and in others, it was necessary to give the child syrup several times a day for 2 to 3 days. When vomiting did not stop after a single dose of the drug, then the parents gave Motilium to the child before each meal, drink or other medication.

Approximately 1/3 - 1/4 reviews of Motilium for the relief of vomiting in acute conditions in children are negative, which, as a rule, is due not so much to the properties of the drug as to a subjective attitude towards it, high expectations, and also use not according to indications. Very often, parents try to give their child Motilium with vomiting provoked by poisoning, and when the drug does not have the expected effect, they are disappointed and leave negative feedback. In fact, Motilium will not stop vomiting in case of poisoning, since it is due to the entry of toxic substances into the blood from the intestine, and not a disorder of the stomach. In such cases, you need to take sorbents that bind toxic substances. And Motilium can be drunk only before taking the sorbent, so that the child does not vomit within the next 10-15 minutes and the main therapeutic drug is not brought out.

The second part of the reviews about Motilium concerns its use in infants and young children in order to reduce gas formation, bloating and regurgitation. In this case, almost all reviews of the drug are positive, since the syrup effectively stopped these symptoms.

The third part of the reviews about the drug concerns its use in diseases of the digestive tract in children (GERD, gastritis, gastroduodenitis, esophagitis, reflux) in order to relieve the unpleasant symptoms of slow gastric emptying (feelings of heaviness in the stomach, abdominal pain, belching, flatulence, nausea, vomiting and etc.). This category of reviews is in most cases positive, since parents achieve a good therapeutic effect with regular use of Motilium syrup according to the instructions.

The fourth part of the reviews about Motilium concerns its use not according to indications. So, many parents give syrup to children so that the food from the stomach is evacuated faster, and they can eat more at a time. This use of syrup is based on the fact that Motilium stops the feeling of fullness in the stomach. Usually, the drug is used in this way when trying to make the child "eat well" and gain weight, which, according to parents and doctors, is insufficient. Naturally, such a method of improving the child's appetite and increasing the amount of food he eats does not work for a number of reasons, and parents leave a negative review about the drug.

Firstly, Motilium reduces the feeling of fullness in the stomach and accelerates the passage of the food bolus into the intestines only in diseases such as peptic ulcer, gastritis, GERD, esophagitis and reflux! And if the child does not suffer from such diseases, then his food is evacuated from the stomach to the intestines at a normal rate, and attempts to reduce this period of time only lead to the fact that the food bolus is poorly processed and digested by gastric juice. This will cause the baby colic, flatulence, bloating and other discomfort. In other words, by trying to speed up the evacuation of the food bolus from the stomach to the intestines in order to “make room” for another large portion of food, parents only disrupt the normal process of digestion in a child, which can ultimately cause the development of severe chronic diseases of the gastrointestinal tract.

Secondly, while taking Motilium, the child will not be able to eat more, but, on the contrary, will be saturated with a smaller amount of food. This is due to the fact that the food bolus will quickly enter the intestines, from where nutrients will begin to be absorbed into the bloodstream and give a signal to the brain about the onset of satiety. As a result, the child will be satisfied with much less food than before.

That is, the use of Motilium in order to "improve" the child's nutrition is not only irrational, inexpedient, ineffective and not according to indications, but also dangerous. In order for the child to gain weight, you need to feed him small portions of high-calorie and tasty food 4 to 6 times a day. And trying to feed him a large portion of low-calorie food only stretches the stomach, disrupts the normal process of digestion and creates the basis for the development of gastrointestinal diseases.

Ganaton or Motilium?

This means that for the relief of painful symptoms (nausea, vomiting, heartburn, belching, feeling of fullness and pain in the epigastrium, etc.) of diseases of the stomach and esophagus (gastritis, esophagitis, GERD, peptic ulcer, etc.), both Ganaton and and Motilium. However, Ganaton is preferable in such situations, since this drug is intended specifically for use in the complex therapy of these conditions.

Ganaton is also preferable in cases where it is necessary to take drugs for a long period of time or in conjunction with other drugs. This is usually necessary in the treatment of chronic diseases of the stomach and esophagus.

For episodic relief of symptoms of dyspepsia (heartburn, belching, vomiting, nausea, a feeling of fullness in the stomach, epigastric pain after eating, etc.) arising from a violation of the diet or for other reasons, you can use any drug that, for any reasons people like it more.

To stop vomiting and nausea caused by taking any medications, infections, gastrointestinal diseases and functional digestive disorders, Motilium should be chosen, since Ganaton is ineffective in such situations.

Motilium should also be chosen if it is necessary to use drugs with similar properties in children, since Ganaton cannot be used to treat babies.

Motilium or Motilac?

Thus, in the absence of any special requirements for the drug, as well as with overall good tolerability of drugs, when side effects are rare, you can choose any drug - Motilak or Motilium, based only on subjective preferences (for example, for some reason like one drug more than another, relatives or friends respond positively). If a person is prone to the development of side effects or does not tolerate any medication, then Motilium should be preferred.

However, Motilium is available in tablets and suspensions, while Motilac is available only in tablets. Therefore, Motilac cannot be used for children, but Motilium can. That is, if it is necessary to use the remedy in children or in people who for some reason find it difficult to swallow tablets, Motilium should be preferred. If a person can take pills, then you can choose any remedy based on your own subjective preferences.

Motilium (tablets and suspension) - price

• Suspension 1 mg / ml, bottle 100 ml - 485 - 672 rubles;
• Lozenges 10 mg, 10 pieces - 345 - 458 rubles;
• Lozenges 10 mg, 30 pieces - 550 - 701 rubles;
• Coated tablets 10 mg, 30 pieces - 452 - 589 rubles.

Motilium is an effective drug that helps with various gastrointestinal diseases by stimulating intestinal motility.

This drug has a pronounced antiemetic and antispasmodic action. This makes it possible to reduce pain in the abdomen. You can learn more about the positive and negative impacts from our material.

What helps Motilium and what is its composition, active substance?

Motilium, where the main active ingredient is domperion, is used as an antiemetic drug and a stimulant of the functionality of the housing and communal services. Feature of this drug is as follows - it has a reduced bioavailability. Motilium increases the peristalsis of the stomach, cleanses it of food residues, and has a positive effect on the performance of the sphinx of the esophagus.

As a rule, often this medicine is taken by those patients who complain of gastrointestinal upset. In addition, the components that make up Motilium increase the concentration of prolactin, which is in the blood.

The drug itself consists of:

• Domperidone
• Gelatin
• Cellulose
• Aspartame
• sodium hydroxide
• Sorbitol

In addition, the composition of the product also contains mint flavoring, which is needed in order to improve the taste of the product.

If we talk about the pharmacological qualities of the drug, then it is worth highlighting the most pronounced:

• Thanks to the drug, the performance of peristaltic indications of the duodenum is accelerated ( duodenum) and stomach
• The medicine quickly removes food from the stomach and duodenum. Food after the medicine does not linger in the stomach for a long time, plus it does not irritate the walls of the stomach
• Accelerates the removal of food from the stomach. As a result, it is quickly excreted, digested, without forming decay and fermentation.

Motilium: release form, indications for use, how long does it take to act?

Today, pharmacology offers this medicine in the following forms:

• In the form of tablets, which are covered with a light shell
• In the form of lozenges
• in the form of a suspension

Motilium is prescribed in the following cases:

• During a dyspeptic phenomenon occurring in gastroesophageal reflux. As a result, gastric emptying slows down and esophagitis occurs.
• For nausea and vomiting that occurs during Parkinson's disease.
• With nausea and vomiting, which can be infectious, organic and functional.
• With nausea and vomiting that appear after a violation of a particular diet, radiotherapy and treatment with other drugs.
• During cyclic vomiting, regurgitation syndrome and other changes that are associated with gastric motility.

As the reviews of people who have already taken this medicine have shown, it begins to act in different ways. For some, the medicine helps already on the first day of taking it, while others feel relief after a few days. It all depends on the disease itself and its intensity.

Motilium - at what age can children be given?

Motilium has a strong antiemetic effect. Often, the drug is taken to normalize the child's digestive tract. Since you can buy several types of release of this medicine in a pharmacy, you can choose the best option for your own child.

So, for example, tablets of this drug are prescribed to those children who are already 5 years old and their weight is more than 35 kg. Tablets that need to be sucked are more suitable for adult patients, and in pediatrics, as a rule, a suspension is used for children who are less than 5 years old. And it is not strange, since the baby will drink syrup with great pleasure, rather than a nasty pill.

Motilium - suspension, syrup, lozenges: abstract, instructions for use and dosage for newborns, infants and children over a year old with nausea, vomiting, diarrhea, regurgitation

If you follow the instructions correctly, the duration and dosage of the course of treatment for the baby will depend on some factors:

• From the form in which the drug is released
• From the age of the child
• From the problem that parents want to solve by giving the baby motilium

In any individual case, there are own characteristics of the use of the drug. They must be taken into account in order to achieve the best efficiency.

Particular attention should be paid to the frequency of use and dosage of the drug.

• Suspension. The dosage of motilium for infants is calculated in the following ratio - 2.5 mg of suspension should be taken per 10 kg of child weight. The medicine is allowed to be given to children from the 1st month of life, 3 times a day.
• Tablets. It is allowed to drink a child 1 tablet before bedtime. For children over 12 years of age, during belching and heartburn, the dosage is 1 tablet 3 times a day. In the absence of a positive effect, doctors recommend increasing the dose by giving him 2 tablets at a time. During chronic nausea and during vomiting, the dosage is as follows: children from 5 to 12 years old can drink 1 tablet 4 times a day. The norm per day should be a maximum of 80 mg (8 tablets).

Motilium - suspension, syrup, lozenges: abstract, instructions for use and dosages for adults with nausea, vomiting, diarrhea

Tablets:

• Those tablets that need to dissolve are taken throughout the day or at bedtime. Coated tablets are swallowed, not cracked or chewed. They are washed down with plain water (1/2 tbsp).
• The lozenge is placed on the tongue. You need to wait a bit for the tablet to break up into small particles. The resulting particles are then swallowed. If necessary, they drink water. But if at this moment there is no water, then such a tablet is not washed down after disintegration.
• The coated tablet comes out of the blister. However, there are no special precautions. But with those tablets that dissolve, you need to be extremely careful, because they are very fragile.
• To prevent such a tablet from breaking and crumbling, it is advisable to cut the package with scissors and pull the tablet out of its cell.
• For adults, in order to eliminate belching, heartburn and other similar problems, doctors advise taking 2 capsules, 3 times. During nausea and vomiting, the dosage is as follows: 2 capsules, 4 times a day.

Suspension:

• As a rule, doctors prescribe a suspension only for small children.
• But adults can drink this medicine too. The dosage in this case is as follows: 20 ml of motilium 4 times a day
• The largest dose that is permissible for adults is 80 ml of the drug

Motilium - suspension, syrup, lozenges: summary, instructions for use and dosage during pregnancy and breastfeeding

During pregnancy, the drug is taken only when there is no risk of harm to the fetus itself. The dosage can be prescribed only by the attending physician of the pregnant woman. During breastfeeding, the drug is strictly prohibited.

How to take Motilium for adults and children: before meals or after meals?

Motilium contains the active ingredient, domperidone. It relieves the feeling of fullness in the stomach, as a result of which heartburn and belching disappear. Since all the symptoms present are relieved after eating, then it is advisable to drink the medicine before meals. If it comes to tablets, then this should be done in 15 minutes. before meals. During this time, the medicine will have time to have a positive effect.

The presence of food in the stomach reduces the absorption of the drug. As a result, the therapeutic effect is reduced. Therefore, drinking motilium after a meal is simply irrational. The drug is ideally absorbed only on an empty stomach.

How to take Motilium for heartburn?

Burning sensation in chest familiar to almost everyone. Many people experience heartburn after eating certain foods. An unpleasant burning sensation is a process that occurs after the contents of the stomach are ejected into the esophagus. There can be many reasons for this condition:

• Excess weight
• stressful regular conditions
• Alcohol abuse
• Disturbed diet and so on

It does not matter for what reason the heartburn occurred. Motilium will always come to the rescue. In order to permanently get rid of the burning sensation, a single drug is not enough. It is also necessary to bring your own diet back to normal, forever forget about bad habits.

Motilium: course duration, intake

• Motilium is taken only before meals. The product is washed down with water (approximately 80 ml). The scheme for taking the medicine for everyone (except for small children) is the same: 1 tablet, 3 times.
• The latter should be drunk in the evening before going to bed. The duration of the course of treatment is until the person's condition returns to normal.

Treatment with tablets:

Motilium in absorbable tablets is taken before meals, putting the remedy on the tongue. The recommended course duration is 1 week. You can drink 3 tablets per day. The dosage is always the same, the time of admission is also:

• 1 prem - in the morning
• 2 reception - at lunch
• 3 reception - before bedtime

If the symptoms are severe, then the dosage is advised to increase. However, this should be done by visiting the attending physician and consulting with him. It is impossible to increase the dose yourself, especially for children, since this can cause serious complications. The longest period of taking the medicine is 4 weeks. After this period passes, motilium cannot be taken.

Motilium and alcohol: compatibility

The mechanism of action of motilium is based on the following - the drug blocks dopamine receptors. Dopamine is a neurotransmitter that transmits nerve impulses to nerve cells. As a result of this process, the stomach and the vomiting center located in the medulla oblongata cease to be connected. This is the reason why nausea and vomiting disappear.

At the same time, the tone and functionality of smooth muscles in the upper gastrointestinal tract increases. The tone of the lower sphincter in the esophagus also increases, which also stops vomiting.

IMPORTANT: Alcoholic drinks block the effects of dopamine components, and therefore positive impact motilium. Therefore, the intake of alcoholic beverages will lead to the following - the use of motilium will be simply useless.

For example, during an overdose of alcohol in normal person from good health who practically does not drink, vomiting occurs - a protective function of the body, which removes various poisons from the body. It is impossible to remove such vomiting by drinking motilium.

Motilium or Espumizan, Domperidone, Motilac: what's the difference, which is better?

Drugs such as espumizan, domperidone and motilac are recommended for use during bloating, nausea, vomiting, hiccups of various origins, postoperative decrease in the tone of the walls of the stomach, as well as the intestines.

• As for motilium, this medicine is complex. It promotes gastric emptying, has a positive effect on gastroesophageal reflux, eliminates esophagitis (feeling of full epigastrium, feeling of bloating and fullness of the stomach, pain in the upper abdomen).
• It also easily copes with belching, flatulence, heartburn, plus it takes the contents of the stomach.

Everyone has it medicinal product, expensive or inexpensive, which were described above, there are contraindications. Therefore, each drug acts individually. And which of these medicines is better, can only be said by a person who has already used them.

What can replace Motilium: analogues

The functionality of the gastrointestinal tract is the main basis of the human body. When there are any disorders, it is very important that good health care be provided. When choosing drugs for treatment, in order not to spend a lot of money, you cannot buy those drugs that are cheap. Saving on your own health, as a rule, exacerbates the disease.

But you should not chase very expensive products, as they are not always effective. It is important to correctly find a balance between price and quality of drugs. Motilium is considered today the most effective medicine. But this medicine can be replaced by another drug that is cheaper.

Ganaton:

• The medicine helps during diseases of the gastrointestinal tract, relieves heaviness in the abdomen, bloating. It also eliminates nausea, vomiting, awakens appetite.
• The medicine should not be taken during pregnancy and lactation. Also, it is not recommended to take it to children under 16 years of age and those people who have strong sensitivity.

Domperidone:

• Helps with nausea, heartburn, bloating. Improves the efficiency of the intestines, normalizes the functionality of the gastrointestinal tract. This drug is also advised to take if the body has a very high level of cholesterol and after surgery.
• The medicine should not be taken while internal bleeding, during pregnancy, breastfeeding. You can also read about other contraindications in the detailed instructions.

Maalox:

• An excellent drug that helps during many deviations that are associated with the gastrointestinal tract. It is considered one of the most powerful remedies, but also has contraindications.
• For example, it should not be used during kidney failure, pregnancy, Alzheimer's syndrome.

Motilium: contraindications, side effects

Tablets and suspension can cause some side effects. There are also some contraindications. We will describe them in a little more detail.

Side effects:

• Urinary system. Sometimes after using this medicine, you may experience urinary retention, a feeling of heaviness in the lower abdomen.
• Mental disorders. During the reception of motilium, nervousness rarely occurs, sleep disappears. Often such actions occur in children who are younger than 1 year old.
• Stress. Rarely, after taking, extrapyramidal symptoms develop, as a result of which the secretion of certain hormones in the thyroid gland increases. This deviation appears in young children.
• Immunity. Here everything is individual. Often, the drug is not capable of causing a negative effect on the immune system, but there have been cases when anaphylactic shock appeared.
• Skin covering. Taking the medicine temporarily affects the condition of the epidermis. For example, there is swelling and urticaria.

Contraindications:

The drug motilium is strictly forbidden to take if there is bleeding in the gastrointestinal tract, during perforation or intolerance to certain components, with obstruction, if there is a danger of stimulating the motor work of the stomach. It is not yet allowed to drink medicine if there is prolactin - a secreting pituitary tumor. Doctors do not advise drinking during high sensitivity.

What is the shelf life of Motilium after opening?

The shelf life of tablets and suspensions is significantly different:

• Tablets taken internally have a shelf life of 3 years
• Tablets that need to dissolve are stored for 2 years

IMPORTANT: It is important to remember that if the drug has expired, it should not be taken. The drug is stored in a cool place. The maximum storage temperature must not exceed 25 °C.