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Motilium® Tablets for Nausea and Vomiting
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Motilium is a brand of domperidone used to help relieve nausea, vomiting, and symptoms from slow stomach emptying. It supports coordinated movement in the upper gut and can ease bloating and early fullness. This page explains how the medicine works, who it may suit, and how you can request it with US shipping from Canada without insurance.
What Motilium Is and How It Works
Motilium® contains domperidone, a dopamine D2 receptor blocker that acts mainly outside the brain. It can reduce signals that trigger nausea and help the stomach and upper intestines move food forward more effectively. By improving gastric motility, the treatment may lessen feelings of fullness, discomfort, and the urge to vomit. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine works on the chemoreceptor trigger zone and the gastrointestinal tract, with minimal central nervous system penetration at recommended doses. Many regions supply Domperidone 10 mg tablets for adult use. See our overview of mechanisms in What Is Domperidone and learn more about gastric emptying in Domperidone and Stomach Emptying.
Who It’s For
Clinicians may prescribe this medicine to adults for short-term relief of nausea and vomiting. It is also used for symptoms tied to delayed gastric emptying, such as early fullness, bloating, or upper abdominal discomfort. It is not approved to increase milk supply and should not be used for that purpose.
People with known heart rhythm problems, prolonged QT interval, or significant electrolyte disturbances should avoid it. Those taking strong CYP3A4 inhibitors or other QT-prolonging drugs may be at higher risk of cardiac side effects. It is generally not recommended for children. If you have moderate to severe liver disease, talk with a healthcare professional about alternatives. Explore related topics in Nausea Vomiting, Gastroparesis, and Indigestion.
Dosage and Usage
Use the dose and schedule your prescriber recommends. Many adults take tablets before meals, and sometimes at bedtime if advised. Taking doses 15 to 30 minutes before eating can help the medicine work on the upper gut. Swallow tablets with water. Try to take it at the same times each day if you are on a scheduled course.
If your clinician advises occasional use for nausea, follow their instructions on when to take it. Avoid grapefruit and certain supplements that may interact with metabolism. Do not change the dose or duration on your own. When uncertain, follow the official label and speak with your prescriber.
Strengths and Forms
The most common presentation is a tablet for oral use. Markets frequently list Domperidone 10 mg tablet as the standard strength. Some regions may have a liquid formulation, though availability varies by country. Selection may differ based on supplier and current stock.
Missed Dose and Timing
If you miss a dose on a scheduled regimen, take it when remembered unless the next dose is close. Skip the missed dose if it is nearly time for your next one. Do not double up. If you take it only as needed, use it as directed by your prescriber when symptoms arise. Keep a simple reminder system, such as a phone alert, for consistent timing.
Storage and Travel Basics
Store tablets at typical room temperature in a dry place. Keep them in the original packaging and away from excess moisture. Protect from light, and keep medication out of reach of children and pets. When traveling, carry your prescription label, a copy of your medication list, and extra time in case of travel changes. Pack tablets in your hand luggage to avoid extreme conditions. If you cross borders, carry documentation for security and customs checks.
Benefits
This treatment may reduce nausea and vomiting, and support more regular stomach emptying. It can lessen upper abdominal discomfort, early satiety, and bloating tied to delayed gastric transit. Because it acts mainly outside the central nervous system at usual doses, some people may experience fewer drowsy effects than with centrally acting antiemetics. Individual response varies, and your prescriber will review continued need.
Side Effects and Safety
- Headache or dizziness
- Dry mouth or thirst
- Stomach cramps, gas, or diarrhea
- Breast tenderness or milk discharge related to higher prolactin
- Rash or itching
Serious effects can occur but are less common. These include heart rhythm changes, palpitations, fainting, or severe allergic reactions. Risk may be higher with certain interacting medicines, in older adults, or at higher than recommended doses. Stop the medicine and seek urgent care for symptoms of serious heart rhythm problems, severe lightheadedness, or swelling of the face, lips, or throat.
Drug Interactions and Cautions
Significant interactions may involve strong CYP3A4 inhibitors, such as ketoconazole, itraconazole, clarithromycin, erythromycin, some HIV protease inhibitors, and certain antifungals or macrolides. Combining with other QT-prolonging medicines or with marked electrolyte abnormalities can raise cardiac risk. Alcohol may worsen dizziness. People with moderate to severe hepatic impairment should avoid use. If you are pregnant or nursing, discuss potential risks and benefits with your prescriber.
What to Expect Over Time
Some people notice symptom relief after they establish a consistent schedule. If you are using it for a short period, your clinician may reassess after a brief course to confirm benefit and safety. Longer use requires regular review to confirm that the expected benefits continue to outweigh risks. Keep a simple symptom diary to share with your healthcare professional during follow-ups.
Compare With Alternatives
Some patients use the generic formulation when suitable. See our listing for Domperidone. Another prescriber-directed option for certain patients is Metoclopramide, which is a different dopamine antagonist used for nausea and gastroparesis in various settings. Your clinician will decide which therapy aligns with your history and current medicines.
Pricing and Access
You can review Domperidone price details on the product page and compare options. Our Domperidone online pharmacy listing shows current availability with Canadian pricing. Orders are fulfilled by licensed partners and Ships from Canada to US. Checkout uses encrypted processing for your privacy. For occasional savings, see our seasonal offers on Promotions. For more background on savings approaches, read Domperidone Buying Options.
Explore related topics in our Gastrointestinal category and see regional sourcing details under Country Of Origin India.
Availability and Substitutions
Supply can vary by supplier and season. If a particular brand is unavailable, a prescriber may recommend a compatible alternative. Some patients use Generic Motilium when appropriate and approved for them. If you receive a substitution proposal, your pharmacist will contact your prescriber to confirm the change before dispensing.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who need help with nausea, vomiting, or upper gut motility symptoms and who are not taking interacting medicines. It may not suit people with a history of cardiac arrhythmias, significant liver disease, or those using drugs that strongly inhibit CYP3A4. Always inform your prescriber about all medicines, including over-the-counter products and supplements.
To manage overall pricing, consider a multi-month fill if your prescriber writes for it and you tolerate the therapy. Fewer orders can reduce repeat fees and travel time. Set refill reminders so you can avoid last-minute requests and maintain consistent use when directed. Review your medicine list at each visit, as stopping an interacting drug may broaden options.
Questions to Ask Your Clinician
- What goal are we targeting with this therapy?
- How long should I use it before we reassess?
- Which medicines or foods should I avoid while taking it?
- What symptoms mean I should stop and contact you?
- Could another class be safer based on my heart history?
- If I tolerate it, can I use a multi-month supply?
- How will we monitor for potential side effects?
Authoritative Sources
Review official information here:
Ready to proceed? You can request this medicine with US delivery from Canada and prompt, express shipping. Temperature-controlled handling when required. This content is educational and not a substitute for medical advice from your prescriber.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
What is Motilium used for?
Motilium (domperidone) is a prokinetic agent used to relieve nausea, vomiting, bloating, and gastroparesis by speeding up stomach emptying. It can also help with symptoms of reflux or indigestion. It’s available by prescription in many countries.
How should I take Motilium?
Typically taken 15–30 minutes before meals and at bedtime. Swallow the tablet or capsule whole; do not take with a high-fat meal. Use the lowest effective dose for the shortest duration.
What are common side effects?
Side effects may include dry mouth, abdominal cramps, and headache. Rare but serious heart rhythm issues may occur, particularly at high doses or with certain medications. Inform your doctor if you experience palpitations or dizziness.
Is Motilium safe for pregnant women?
It may be prescribed off-label to treat nausea in pregnancy, but risks and benefits should be discussed with your OB-GYN. Though data is limited, short-term use under medical guidance is generally considered acceptable.
Can Motilium interact with other medications?
Yes, it may interact with drugs that prolong the QT interval (like certain antipsychotics or antibiotics). Inform your healthcare provider about all medications and supplements to avoid cardiac risks. Regular monitoring may be needed with other cardiac-sensitive drugs.
How does domperidone compare with other antiemetics?
Domperidone works mainly outside the brain, blocking dopamine receptors in the gut and in the chemoreceptor trigger zone. Some antiemetics act centrally and may cause more drowsiness. Others work through serotonin or histamine pathways. Your clinician will consider your symptoms, heart history, current medicines, and how often you need relief. If a different mechanism suits your case, they may recommend an alternative or a short trial with careful follow-up.
Can I use this medicine long term?
Many people use domperidone for short courses. Longer use may be considered if benefits continue to outweigh risks and you have no interacting medicines. Your prescriber may reassess periodically, especially if you have cardiac risk factors. Report palpitations, fainting, or new dizziness promptly. Do not extend treatment duration without discussing it with your healthcare professional, and follow the official label if your situation changes.
What if I have diabetes and gastroparesis?
Some clinicians use domperidone to help with delayed gastric emptying symptoms. If you have diabetes, your prescriber will weigh potential benefits and risks based on your heart history, other medicines, and blood sugar patterns. Dose timing relative to meals may be important. Monitor how you feel and bring a symptom log to visits. Never change your dose on your own, and seek advice if symptoms persist or worsen.
Is it safe during pregnancy or breastfeeding?
Safety in pregnancy or while nursing is not fully established. Domperidone can raise prolactin levels and is not approved to increase milk supply. If you are pregnant, planning to become pregnant, or breastfeeding, discuss risks and benefits with your prescriber. They may recommend a different option depending on your history and current symptoms. Follow the official label and local guidance for the most accurate information.
Which drugs should I avoid while taking it?
Strong CYP3A4 inhibitors, like ketoconazole, itraconazole, erythromycin, and clarithromycin, can raise domperidone levels and increase cardiac risk. Other QT-prolonging medicines may compound that risk. Always share your full medication list, including over-the-counter medicines and supplements, with your healthcare professional. They can check for interactions and advise on safer combinations. Do not start or stop medicines without guidance.
How should I take the tablets relative to meals?
Many adults take tablets 15 to 30 minutes before meals, and sometimes at bedtime if advised by a prescriber. Taking doses before eating may help the medicine act on the upper gut. Swallow with water and avoid grapefruit products, which may affect metabolism. If your schedule varies, try to keep timing as consistent as possible and use reminders to avoid missed doses.
What are common side effects I should watch for?
Common effects include headache, dizziness, dry mouth, abdominal cramps, gas, or diarrhea. Some people notice breast tenderness or milk discharge due to higher prolactin levels. Serious reactions such as fast or irregular heartbeat, fainting, or severe allergy need urgent care. Read the official label, and contact your prescriber if you develop new or worsening symptoms while taking Motilium.
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