Bromopride (INN) is a dopamine antagonist with prokinetic properties widely used as an antiemetic, closely related to metoclopramide. It is not available in the United States.
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| AHFS/Drugs.com | International Drug Names |
| Routes of administration | Oral, IM, IV |
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| Bioavailability | 50 to 75% (oral) 78% (intramuscular) |
| Protein binding | 40% |
| Metabolism | Hepatic |
| Elimination half-life | 4 to 5 hours |
| Excretion | Renal, 10 to 14% unchanged |
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| ECHA InfoCard | 100.021.675 |
| Chemical and physical data | |
| Formula | C14H22BrN3O2 |
| Molar mass | 344.253 g·mol−1 |
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Bromopride appears to be safe and effective for use in pregnancy.[1]
Indications
editBromopride is indicated in the treatment of nausea and vomiting, including postoperative nausea and vomiting (PONV); gastroesophageal reflux disease (GERD/GORD); and as preparation for endoscopy and radiographic studies of the gastrointestinal tract. The manufacturer also claims it is valuable in, among other indications, hiccups and gastrointestinal adverse effects of radiation therapy.
Adverse effects
editBromopride is generally well tolerated; the most common adverse effects of its use are somnolence and fatigue. Bromopride may rarely cause extrapyramidal symptoms and, as with metoclopramide, may increase prolactin levels.[2]
Chemistry
editBromopride is a substituted benzamide, closely related to metoclopramide.[3] It is identical to metoclopramide except for the presence of a bromine atom where metoclopramide has a chlorine substituent.
Availability
editBromopride is not available in the United States or the United Kingdom. It is marketed in Brazil by Sanofi-Synthélabo under the trade name Digesan, by LIBBS under the name Plamet, and as a generic drug.
References
edit- ^ Araújo JR (1981). "Evaluation of bromopride in nausea and vomiting of pregnancy". J Bras Ginecol (in Portuguese). 91 (4): 283–5.
- ^ "Bula do Profissional de Saúde: Bromoprida". Bulário Eletrônico da Anvisa (in Portuguese). Brazilian National Health Surveillance Agency. April 11, 2006. Archived from the original on September 28, 2007. Retrieved 2007-07-23.
- ^ Brodie RR, Chasseaud LF, Darragh A, Lambe RF, Rooney L, Taylor T (1986). "Pharmacokinetics and bioavailability of the anti-emetic agent bromopride". Biopharm Drug Dispos. 7 (3): 215–22. doi:10.1002/bdd.2510070302. PMID 3730521.