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Wiley InterScience | ||
![]() The American Journal of GastroenterologyVolume 102 Issue 9, Pages 2036 - 2045 Published Online: 3 May 2007 © 2008 American College of Gastroenterology/Blackwell Publishing Official publication of the American College of Gastroenterology
Abstract | References | Full Text: HTML, PDF (Size: 121K) | Related Articles | Citation Tracking CLINICAL REVIEWS Domperidone: Review of Pharmacology and Clinical Applications in Gastroenterology Copyright 2007 by Am. Coll. of Gastroenterology (Am J Gastroenterol 2007;102:2036–2045) ABSTRACTDomperidone is a dopamine-2 receptor antagonist. It acts as an antiemetic and a prokinetic agent through its effects on the chemoreceptor trigger zone and motor function of the stomach and small intestine. Unlike metoclopramide, it does not cause any adverse neurological symptoms as it has minimal penetration through the blood-brain barrier. It thus provides an excellent safety profile for long-term administration orally in the recommended doses. Domperidone is widely used in many countries and can now be officially prescribed to patients in the United States by an investigational new drug application for the treatment of gastroparesis and any condition causing chronic nausea and vomiting. In view of this additional clinical exposure of domperidone to a new generation of gastroenterologists and other specialists, the purpose of this timely review is to revisit the pharmacology, clinical application, and safety profile of this beneficial medication. Received October 30, 2006; accepted March 5, 2007. |