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Precautions

Do NOT use Reglan if:

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• you might be allergic to the ingredient in Reglan

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• you've got seizures (eg, epilepsy); bleeding, blockage, or perforation with your stomach or intestines; or tumors on your own adrenal gland (pheochromocytoma)

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• you take cabergoline or pergolide

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• you take medicines, for example phenothiazines (eg, chlorpromazine), that may cause extrapyramidal reactions (abnormal, involuntary muscle movements of the head, neck, or limbs). Check using your doctor if you're unsure if all of your medicines could cause extrapyramidal reactions.

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Contact your physician without delay if all of these apply to you.

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Some health concerns may talk with Reglan. Tell your medical professional or pharmacist in case you have any health concerns, especially if any from the following connect with you:

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• in case you are pregnant, intending to become pregnant, or are breast-feeding

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• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• if you have allergies to medicines, foods, or another substances

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• in case you have a good reputation for mental or mood problems (eg, depression) or suicidal thoughts or actions

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• in case you have a good asthma, heart failure, blood pressure, diabetes, Parkinson disease, blood problems (eg, porphyria), kidney problems, liver problems (eg, cirrhosis), cancer of the breast, or lower levels of your enzyme called methemoglobin reductase

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• in case you are taking another form of metoclopramide (eg, syrup, orally disintegrating tablet).

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Some medicines may connect to Reglan. Tell your medical provider if you consider some other medicines, especially any with the following:

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• Monoamine oxidase inhibitors (MAOIs) (eg, phenelzine) since the chance of serious side effects (eg, hypertension, seizures) could be increased

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• Anticholinergic medicine (eg, hyoscyamine) or narcotic pain medicines (eg, codeine) since they may decrease Reglan's effectiveness

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• Acetaminophen, benzodiazepines (eg, diazepam), cyclosporine, insulin, levodopa, phenothiazines (eg, chlorpromazine), sedatives (eg, zolpidem), selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), succinylcholine, or tetracycline as the likelihood of their unwanted effects could possibly be increased by Reglan

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• Cabergoline, digoxin, or pergolide his or her effectiveness could be decreased by Reglan.

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This might not be a complete listing of all interactions which could occur. Ask your doctor if Reglan may communicate with other medicines that you just take. Check together with your health care provider before you start, stop, or affect the dose associated with a medicine.

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Important safety information:

• Reglan could cause drowsiness or dizziness. These effects could be worse in the event you get it with alcohol or certain medicines. Use Reglan with caution. Do not drive or perform other possibly unsafe tasks and soon you recognize how you reply to it.

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• Do not are drinking alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Reglan without first checking along with your doctor; it could add to their effects. Ask your pharmacist if you have queries about which medicines may cause drowsiness.

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• Do not take a lot more than the recommended dose or use Reglan for over 12 weeks without checking along with your doctor.

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• Diabetes patients - Reglan may affect your blood glucose. Check blood sugar levels closely. Ask your medical professional when you affect the dose of one's diabetes medicine.

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• Tell your medical professional or dentist that you simply take Reglan when you receive any medical or dental treatments, emergency care, or surgery.

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• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome that could be a result of Reglan. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor immediately in case you have some of these symptoms.

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• Some patients taking Reglan may develop muscle movements they cannot control. This is more likely to take place in elderly patients, especially women. The chance that this can happen or that it's going to become permanent is greater in those taking Reglan in higher doses or quite a long time. Muscle problems could also occur after short-term treatment with low doses. Tell your doctor simultaneously in case you have muscle problems using your arms; legs; or perhaps your tongue, face, mouth, or jaw (eg, tongue sticking out, puffing of cheeks, mouth puckering, chewing movements) while taking Reglan.

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• Patients having Reglan could possibly be at increased risk for new or worsening mental or mood changes (eg, depression) or suicidal thoughts or actions. Watch patients who take Reglan closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood or any unusual difference in mood or behavior occur. Contact your physician right away if any indications of suicidal thoughts or actions occur.

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• Reglan could raise the amount of some hormone (prolactin) within your blood. Symptoms can include enlarged breasts, missed monthly period, decreased sexual ability, or nipple discharge. Contact your medical professional right away in the event you experience some of these symptoms.

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• Lab tests, including liver and kidney function tests, might be performed when you use Reglan. These tests could possibly be employed to monitor your condition or pay attention to unwanted effects. Be sure to keep all doctor and lab appointments.

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• Use Reglan with caution in the elderly; they could possibly be more responsive to its effects, especially drowsiness, confusion, and uncontrolled muscle movements, including tardive dyskinesia.

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• Reglan must be used with extreme caution in children; safety and effectiveness in children weren't confirmed. The chance of developing uncontrolled muscle movements might be greater in children.

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• Pregnancy and breast-feeding: If you get pregnant, speak to your doctor. You will need to discuss the advantages and perils of using Reglan while you are pregnant. Reglan can be found in breast milk. If you're or will probably be breast-feeding as you use Reglan, check along with your doctor. Discuss any possible risks for a baby.

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A small number of patients have observed withdrawal symptoms when stopping Reglan. These symptoms might include dizziness, nervousness, and headache.

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