Metoclopramide

Drug CategoryDrugIHD Dosing

Administration Timing Around HD Session

Antiemetics Metoclopramide 5mg PO/IV Q6H PRN Anytime During HD

Molecular Weight    (Da)

Excreted Unchanged (%)Normal Half-Life (Hours)ESRD Half-Life (Hours)Plasma Protein Binding (%)Volume of Distribution (L/kg)Dialytic Plasma Clearance (ml/min)% Dialyzed
299.8 10-22 2.5-4 14-15 40 2-3.4 91.0 ± 15.9

minimal (Low flux)

References:

    • Aronoff GR, Bennett WM, Berns JS, Brier ME, Kasbekar N, Mueller BA, et al. Drug Prescribing in Renal Failure. Philadelphia: American College of Physicians;2007.
    • Bateman DN, Gokal R, Dodd TRP, Blain PG.  The pharmacokinetics of single doses of metoclopramide in renal failure. Eur J Clin Pharmacol 1981;19,437-41.
    • DrugBank [Online]. 2012 Apr 12 [cited 2012 May 6]; Available from: URL: http://www.drugbank.ca/drugs/DB01233
    • Lehmann CR, Heironimus JD, Collins MB, O'Neil TJ, Pierson WP, Crowe JT, et al. Metoclopramide kinetics in patients with impaired renal function and clearance by hemodialysis. Clin Pharmacol Ther 1985;37:284-9.
    • Wright MR, Axelson JE, Rurak DW, McErlane B, McMorland GH, Ongley RC, Tam YK, et al. Effect of haemodialysis on metoclopramide kinetics in patients with severe renal failure. Br J Clin Pharmacol 1988;26:474-7.