PRIMPERAN Scored tablet Ref.[115932] Active ingredients: Metoclopramide

Source: Υπουργείο Υγείας (CY)  Revision Year: 2022  Publisher: Sanofi-Aventis groupe, 54, rue La Boetie, F-75008 Paris, France

4.1. Therapeutic indications

Adult population

Primperan 10mg tablets are indicated in adults for:

  • Prevention of delayed chemotherapy induced nausea and vomiting (CINV)
  • Prevention of radiotherapy induced nausea and vomiting (RINV).
  • Symptomatic treatment of nausea and vomiting, including acute migraine induced nausea and vomiting. Metoclopramide can be used in combination with oral analgesics to improve the absorption of analgesics in acute migraine.

Paediatric population

Primperan 10mg tablets are indicated in children (aged 9-18 years) for:

  • Prevention of delayed chemotherapy induced nausea and vomiting (CINV) as a second line option

Primperan 10mg scored tablets, are not suitable for use in children weighing less than 31 kg.

4.2. Posology and method of administration

All indications (Adult patients)

The recommended single dose is 10 mg, repeated up to three times daily.

The maximum recommended daily dose is 30 mg or 0.5 mg/kg body weight.

The maximum recommended treatment duration is 5 days.

Prevention of delayed chemotherapy induced nausea and vomiting (CINV) (paediatric patients aged 1-18 years)

The recommended dose is 0.1 to 0.15 mg/kg body weight, repeated up to three times daily by oral route. The maximum dose in 24 hours is 0.5 mg/kg body weight.

Dosing table:

AgeBody WeightDoseFrequency
1-3 years10-14 kg1 mgUp to 3 times daily
3-5 years15-19 kg2 mgUp to 3 times daily
5-9 years20-29 kg2.5 mgUp to 3 times daily
9-18 years30-60 kg5 mgUp to 3 times daily
15-18 yearsOver 60 kg10 mgUp to 3 times daily

The maximum treatment duration is 5 days for prevention of delayed chemotherapy induced nausea and vomiting (CINV).

Primperan 10 mg scored tablets, are not suitable for use in children weighing less than 30 kg.

Other pharmaceutical forms/strengths may be more appropriate for administration to this population

Method and route of administration

A minimal interval of 6 hours between two administrations is to be respected, even in case of vomiting or rejection of the dose (see section 4.4).

Oral route.

Special populations

Elderly

In elderly patients a dose reduction should be considered, based on renal and hepatic function and overall frailty.

Renal impairment

In patients with end stage renal disease (Creatinine clearance ≤15 ml/min), the daily dose should be reduced by 75%.

In patients with moderate to severe renal impairment (Creatinine clearance 15-60 ml/min), the dose should be reduced by 50% (see section 5.2).

Hepatic impairment

In patients with severe hepatic impairment, the dose should be reduced by 50% (see section 5.2).

4.9. Overdose

Symptoms

Extrapyramidal disorders, drowsiness, decreased level of consciousness, confusion, hallucination, and cardio-respiratory arrest may occur.

Management

In case of extrapyramidal symptoms related or not to overdose, the treatment is only symptomatic (benzodiazepines in children and/or anticholinergic anti-parkinsonian medicinal products in adults).

A symptomatic treatment and a continuous monitoring of the cardiovascular and respiratory functions should be carried out according to clinical status.

6.3. Shelf life

3 years.

6.4. Special precautions for storage

Store at a temperature below 25°C.

6.5. Nature and contents of container

40 Tablets in heat-sealable blister strips (PVC and Aluminium).

© All content on this website, including data entry, data processing, decision support tools, "RxReasoner" logo and graphics, is the intellectual property of RxReasoner and is protected by copyright laws. Unauthorized reproduction or distribution of any part of this content without explicit written permission from RxReasoner is strictly prohibited. Any third-party content used on this site is acknowledged and utilized under fair use principles.