Proper Use

Drug information provided by: Merative, Micromedex®

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

This medicine should come with a Medication Guide and patient instructions. Read and follow the instructions carefully. Ask your doctor if you have questions.

Take this medicine at least 30 minutes before each meal and at bedtime.

This medicine is for use only in the nose. Do not get any of it in your eyes or on your skin. If it does get on these areas, rinse it off right away.

To use the spray bottle:

  • Prime the nasal spray bottle before using it for the first time or if it has been 2 weeks since you last used it.
  • To prime, place your index and middle finger on each side of the finger flange and your thumb on the bottom of the bottle. Turning the nozzle away from your face, press down on the flange 10 times until a spray appears. Do not spray into your eyes.
  • Insert the nozzle tip under one of your nostrils, then tilt your head slightly forward so the nozzle tip is aimed away from the center of your nose.
  • Close the other nostril with your other index finger and press down firmly on the flange until it stops moving to deliver a full dose.
  • Release the flange and breathe in gently through the open nostril.
  • Remove the nozzle tip and breathe out slowly through your mouth.
  • After using the nasal spray, wipe the tip of the nozzle with a clean tissue and put the cap back on.
  • If the nozzle becomes clogged, pull it up from the bottle and soak it in warm water. Do not insert a pin or other sharp object to unblock the nozzle. Dry the nozzle at room temperature then place it back on the bottle.

Do not use this medicine for longer than 8 weeks. If you are taking any other medicine containing metoclopramide, do not use it for longer than 12 weeks.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For nasal dosage form (spray):
    • For diabetic gastroparesis:
      • Adults less than 65 years of age—1 spray in one nostril 4 times a day for 2 to 8 weeks. Each spray contains 15 milligrams (mg) of metoclopramide.
      • Adults 65 years of age and older and children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you are unsure that the spray entered the nose, do not repeat the dose. Take the next dose at the scheduled time.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Throw away any unused medicine 4 weeks after opening the bottle.