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Details for: DOMPERIDONE

Company: SIVEM PHARMACEUTICALS ULC

DIN DIN name Active Ingredient(s) Strength Dosage Form Route of Administration
02238341DOMPERIDONEDOMPERIDONE (DOMPERIDONE MALEATE)10 MGTABLETORAL
Search Reported Side Effects Report a Side Effect

Summary Reports

Summary Safety Review - DOMPERIDONE - Serious abnormal heart rhythms and sudden death (cardiac arrest)

Consumer Information

This information was provided by the drug’s manufacturer when this drug product was approved for sale in Canada. It is designed for consumers and care givers. It is a summary of information about the drug and will not tell you everything about the drug. Contact your doctor or pharmacist if you have any questions about the drug.

What the medication is used for

DOMPERIDONE is used to treat symptoms of slowed stomach emptying seen in people with some gastrointestinal disorders (e.g. gastritis- inflammation of the GI tract). DOMPERIDONE is also used to reduce symptoms such as nausea and vomiting caused by some drugs used to treat Parkinson’s disease.

What it does

DOMPERIDONE increases the mild digestive contractions of the esophagus and stomach and helps to more effectively coordinate the emptying of food from the stomach into the intestine. It also helps to more effectively move digesting food material through the small intestine.

When it should not be used

In should not be used in patients who are known to be allergic to domperidone or any of the nonmedicinal ingredients (See What the nonmedicinal ingredients are). It should not be used in patients who show signs of bleeding in the stomach or intestines, or who may have an obstruction or perforation of the stomach or intestines.

It should not be used in patients who have a tumour associated with the pituitary gland known as a prolactinoma.

Do not use DOMPERIDONE if you have:

  • moderate or severe liver problems
  • heart disease including congestive heart failure or prolonged QT interval
  • prolactinemia (a pituitary tumour releasing prolactin)
  • electrolyte imbalance (unbalanced levels of salts) in your blood
  • are taking certain drugs listed in the Interactions section of this consumer information
What the medicinal ingredient is

Domperidone Maleate

What the non-medicinal ingredients are

Cornstarch, croscarmelose sodium, hydroxypropyl methylcellulose, lactose, magnesium stearate, microcrystalline cellulose, polydextrose, polyethylene glycol, povidone, sodium docusate 85%-sodium benzoate 15% and, titanium dioxide, triacetin.

What dosage form it comes in

DOMPERIDONE is available as 10 mg domperidone tablets (as domperidone maleate).

Warnings and precautions

Serious Warnings and Precautions

DOMPERIDONE may be associated with an increased risk of heart rhythm disorder and sudden death (cardiac arrest). This risk may be more likely in those over 60 years old or taking doses higher than 30 mg per day. Domperidone should be used at the lowest possible dose for the shortest duration necessary.

  • The maximum dosage is one 10 mg tablet three times daily, to help avoid adverse heart effects.
  • For patients at risk for heart problems, your doctor may request an assessment of your heart function (e.g. EEG) before and/or during domperidone treatment.

BEFORE you use DOMPERIDONE talk to your doctor or pharmacist if:

  • you have, or have ever had breast cancer
  • you have an irregular heartbeat, or any other kind of heart disease
  • you have any kind of kidney disease
  • you are pregnant or plan to become pregnant
  • you are breast feeding or planning to breastfeed. Domperidone is excreted in breast milk. Discuss with your doctor.
  • you experience any kind of unusual discharge of breast milk
  • you are a male and have any kind of irregular growth of the breasts
  • you are taking any other medications (See Interactions with this medication)
Interactions with this medication

Do not take DOMPERIDONE with the following drugs as they are contraindicated:

  • antiarrhymics (drugs for the heart) including disopyramide, quinidine, hydroquinidine, amiodarone, dofetilide, dronedarone, sotalol)
  • certain antidepressants (e.g. citalopram, escitalopram)
  • certain antibiotics (e.g. erythromycin, clarithromycin, levofloxacin, moxifloxacin, spiramycin, telitromycin)
  • certain antifungal agents (e.g. pentamidine)
  • certain antimalarial agents (e.g. halofantrine, lumefantrine)
  • certain gastrointestinal agents (e.g. cisapride, dolasetron, prucalopride)
  • certain antihistamines (e.g. mequitazine, mizolastine)
  • certain cancer medicines (e.g. toremifene, vandetanib, vincamine)
  • some other medications (e.g. bepridil, methadone, diphemanil)
  • do not take DOMPERIDONE with grapefruit juice

Drugs that may interact with DOMPERIDONE include:

  • a drug called ketoconazole
  • any kind of drug known as:
    • an “anticholinergic” drug
    • an antifungal drug
    • an antibiotic drug
    • a drug to treat AIDS
    • a drug called nefazodone
Proper use of this medication

Usual adult dose

For disorders involving movement of food through the stomach and intestines: one 10 mg tablet taken 3 times per day, 15 to 30 minutes before meals.

Overdose

Symptoms of overdosage may include drowsiness, disorientation, difficulty with normal body movements, irregular heartbeat and lowered blood pressure.

In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.
Side effects and what to do about them

Most side effects will gradually disappear with continuing administration of DOMPERIDONE and are easily tolerated. The more serious or troublesome side effects are dose related and gradually resolve after the dose is lowered or if administration of the drug is discontinued.

Common side effects include dry mouth, headache and migraine. Uncommon side effects include abdominal cramps, diarrhea, regurgitation (bring up stomach contents), nausea and rash. If these side effects become troublesome, talk to your doctor.

Contact your doctor if the more serious or troublesome side effects occur such as galactorrhea (excessive or spontaneous flow of breast milk), gynecomastia (excessive development of male mammary gland) or menstrual irregularities (spotting or delayed periods).

Serious side effects, how often they happen and what to do about them
Symptom / effect Talk with your doctor or pharmacist Only if severe Talk with your doctor or pharmacist In all cases Stop taking drug and call your doctor or pharmacist
Uncommon
palpitations    
irregular heart beat (arrhythmia)    
dizziness    
fainting    

This is not a complete list of side effects. For any unexpected effects while taking DOMPERIDONE, contact your doctor or pharmacist.
How to store

Keep out of the reach and sight of children.
Store between 15-30°C. Protect from light.

Reporting side effects

You can report any suspected side effects associated with the use of health products to Health Canada by:

NOTE: Contact your health professional if you need information about how to manage your side effects. The Canada Vigilance Program does not provide medical advice.

More information

If you want more information about DOMPERIDONE:

  • Talk to your healthcare professional
  • Find the full product monograph that is prepared for healthcare professionals and includes this Patient Medication Information by visiting the Health Canada website (hc-sc.gc.ca/index-eng.php) or by calling 1-855-788-3153
  • Or at www.sivem.ca

This leaflet was prepared by
Sivem Pharmaceuticals ULC
4705 Dobrin Street
Saint-Laurent, Quebec
H4R 2P7

Last revised: June 4, 2018

Date modified: