Indication |
For management of dyspepsia, heartburn, epigastric pain, nausea, and vomiting. |
Pharmacodynamics |
Domperidone is a specific blocker of dopamine receptors. It
speeds gastrointestinal peristalsis, causes prolactin release, and is
used as antiemetic and tool in the study of dopaminergic mechanisms. |
Mechanism of action |
Domperidone acts as a gastrointestinal emptying (delayed) adjunct
and peristaltic stimulant. The gastroprokinetic properties of
domperidone are related to its peripheral dopamine receptor blocking
properties. Domperidone facilitates gastric emptying and decreases small
bowel transit time by increasing esophageal and gastric peristalsis and
by lowering esophageal sphincter pressure. Antiemetic: The antiemetic
properties of domperidone are related to its dopamine receptor blocking
activity at both the chemoreceptor trigger zone and at the gastric
level. It has strong affinities for the D2 and D3 dopamine receptors,
which are found in the chemoreceptor trigger zone, located just outside
the blood brain barrier, which - among others - regulates nausea and
vomiting |
Absorption |
Fast |
Volume of distribution |
Not Available |
Protein binding |
91%-93% |
Metabolism |
Not Available |
Route of elimination |
Not Available |
Half life |
7 hours |
Clearance |
Not Available |
Toxicity |
Side effects include galactorrhea, gynecomastia, or menstrual irregularities. |