METOCLOPRAMIDE HYDROCHLORIDE

85/100 · Critical

Manufactured by ANI Pharmaceuticals, Inc.

Metoclopramide Hydrochloride: High Risk of Serious Adverse Reactions

206,778 FDA adverse event reports analyzed

Last updated: 2026-05-12

About METOCLOPRAMIDE HYDROCHLORIDE

METOCLOPRAMIDE HYDROCHLORIDE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by ANI Pharmaceuticals, Inc.. Based on analysis of 206,778 FDA adverse event reports, METOCLOPRAMIDE HYDROCHLORIDE has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for METOCLOPRAMIDE HYDROCHLORIDE include TARDIVE DYSKINESIA, EXTRAPYRAMIDAL DISORDER, NERVOUS SYSTEM DISORDER, DYSTONIA, NAUSEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for METOCLOPRAMIDE HYDROCHLORIDE.

AI Safety Analysis

Metoclopramide Hydrochloride has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 206,778 adverse event reports for this medication, which is primarily manufactured by Ani Pharmaceuticals, Inc..

The most commonly reported adverse events include Tardive Dyskinesia, Extrapyramidal Disorder, Nervous System Disorder. Of classified reports, 89.5% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Metoclopramide Hydrochloride is associated with a high incidence of serious adverse reactions, particularly extrapyramidal disorders and tardive dyskinesia.

The drug is frequently reported to cause neurological and gastrointestinal issues, including nausea, vomiting, and pain. There is a significant risk of drug interactions, particularly with other antipsychotics and drugs that affect the central nervous system.

Patients taking Metoclopramide Hydrochloride should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Metoclopramide Hydrochloride can cause serious drug interactions, particularly with other antipsychotics and drugs that affect the central nervous system. Healthcare providers should be cautious when prescribing this drug in combination with other me This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Metoclopramide Hydrochloride received a safety concern score of 85/100 (high concern). This is based on a 89.5% serious event ratio across 74,994 classified reports. The score accounts for 206,778 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

TARDIVE DYSKINESIA16,216 reports
EXTRAPYRAMIDAL DISORDER12,906 reports
NERVOUS SYSTEM DISORDER7,523 reports
DYSTONIA7,093 reports
NAUSEA6,271 reports
PAIN5,895 reports
VOMITING4,771 reports
ANXIETY4,053 reports
ECONOMIC PROBLEM3,963 reports
DIARRHOEA3,927 reports
INCORRECT DRUG ADMINISTRATION DURATION3,710 reports
FATIGUE3,355 reports
MOVEMENT DISORDER3,271 reports
DYSKINESIA3,221 reports
DYSPNOEA3,166 reports
OFF LABEL USE2,937 reports
ACTIVITIES OF DAILY LIVING IMPAIRED2,932 reports
PYREXIA2,857 reports
TREMOR2,651 reports
ASTHENIA2,568 reports
HEADACHE2,451 reports
DEFORMITY2,422 reports
ABDOMINAL PAIN2,260 reports
FEBRILE NEUTROPENIA2,251 reports
MULTIPLE INJURIES2,242 reports
PNEUMONIA2,220 reports
DRUG INEFFECTIVE2,161 reports
EMOTIONAL DISTRESS2,151 reports
QUALITY OF LIFE DECREASED2,084 reports
CONSTIPATION1,999 reports
DIZZINESS1,984 reports
DEATH1,976 reports
FAMILY STRESS1,934 reports
ACUTE KIDNEY INJURY1,928 reports
ANAEMIA1,897 reports
AKATHISIA1,884 reports
DECREASED APPETITE1,819 reports
ANHEDONIA1,797 reports
FEAR1,793 reports
MALAISE1,775 reports
WEIGHT DECREASED1,747 reports
DEPRESSION1,733 reports
DEHYDRATION1,669 reports
HYPOTENSION1,565 reports
DRUG INTERACTION1,522 reports
FALL1,509 reports
RENAL FAILURE1,494 reports
CONDITION AGGRAVATED1,382 reports
RASH1,346 reports
UNEVALUABLE EVENT1,326 reports
COUGH1,289 reports
BACK PAIN1,286 reports
INJURY1,263 reports
ARTHRALGIA1,247 reports
CHRONIC KIDNEY DISEASE1,242 reports
HYPERTENSION1,236 reports
SEPSIS1,200 reports
NEUTROPENIA1,194 reports
NEUROPATHY PERIPHERAL1,193 reports
URINARY TRACT INFECTION1,191 reports
CONFUSIONAL STATE1,188 reports
CHEST PAIN1,172 reports
ABDOMINAL PAIN UPPER1,164 reports
EMOTIONAL DISORDER1,147 reports
MENTAL DISORDER1,120 reports
THROMBOCYTOPENIA1,097 reports
INSOMNIA1,048 reports
PAIN IN EXTREMITY1,046 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,042 reports
DRUG HYPERSENSITIVITY1,028 reports
PRURITUS979 reports
HYPOKALAEMIA963 reports
VISUAL IMPAIRMENT910 reports
SOMNOLENCE897 reports
OEDEMA PERIPHERAL896 reports
HYPERSENSITIVITY891 reports
PULMONARY EMBOLISM859 reports
RESTLESS LEGS SYNDROME859 reports
TOXICITY TO VARIOUS AGENTS853 reports
DYSPHAGIA842 reports
HYPONATRAEMIA813 reports
PRODUCT USE IN UNAPPROVED INDICATION812 reports
TACHYCARDIA797 reports
DYSPEPSIA792 reports
DISEASE PROGRESSION783 reports
MUSCLE SPASMS779 reports
GASTROOESOPHAGEAL REFLUX DISEASE766 reports
HAEMOGLOBIN DECREASED765 reports
MALIGNANT NEOPLASM PROGRESSION753 reports
PLATELET COUNT DECREASED752 reports
PLEURAL EFFUSION742 reports
GAIT DISTURBANCE734 reports
HYPERHIDROSIS726 reports
ABDOMINAL DISTENSION722 reports
ERYTHEMA711 reports
RESPIRATORY FAILURE705 reports
ATRIAL FIBRILLATION702 reports
OVERDOSE671 reports
CARDIAC ARREST652 reports
SYNCOPE652 reports

Key Safety Signals

  • Tardive dyskinesia and extrapyramidal disorders are key safety signals, with high report counts.
  • Neurological and gastrointestinal issues are frequently reported, indicating a broad range of potential adverse effects.
  • Serious reactions such as death, pneumonia, and renal failure are also common, highlighting the severity of potential side effects.

Patient Demographics

Adverse event reports by sex: Female: 42,931, Male: 24,879, Unknown: 1,594. The most frequently reported age groups are age 67 (1,107 reports), age 66 (1,069 reports), age 69 (1,056 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 74,994 classified reports for METOCLOPRAMIDE HYDROCHLORIDE:

  • Serious: 67,131 reports (89.5%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 7,863 reports (10.5%)
Serious 89.5%Non-Serious 10.5%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female42,931 (61.9%)
Male24,879 (35.8%)
Unknown1,594 (2.3%)

Reports by Age

Age 671,107 reports
Age 661,069 reports
Age 691,056 reports
Age 651,033 reports
Age 611,032 reports
Age 71997 reports
Age 62995 reports
Age 59992 reports
Age 68987 reports
Age 58967 reports
Age 57956 reports
Age 64948 reports
Age 60945 reports
Age 73943 reports
Age 72929 reports
Age 56925 reports
Age 54919 reports
Age 70900 reports
Age 63881 reports
Age 55854 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Metoclopramide Hydrochloride can cause serious drug interactions, particularly with other antipsychotics and drugs that affect the central nervous system. Healthcare providers should be cautious when prescribing this drug in combination with other me

What You Should Know

If you are taking Metoclopramide Hydrochloride, here are important things to know. The most commonly reported side effects include tardive dyskinesia, extrapyramidal disorder, nervous system disorder, dystonia, nausea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should inform their healthcare provider about any existing neurological conditions or history of drug-induced movement disorders before starting Metoclopramide Hydrochloride. Regular follow-up appointments are essential to monitor for signs of serious adverse reactions, especially in elderly patients. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA has issued warnings about the potential for serious adverse reactions with Metoclopramide Hydrochloride, particularly in elderly patients. Regular monitoring and dose adjustments are recommended to minimize risk.

Frequently Asked Questions

How many adverse event reports has the FDA received for Metoclopramide Hydrochloride?

The FDA has received approximately 206,778 adverse event reports associated with Metoclopramide Hydrochloride. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Metoclopramide Hydrochloride?

The most frequently reported adverse events for Metoclopramide Hydrochloride include Tardive Dyskinesia, Extrapyramidal Disorder, Nervous System Disorder, Dystonia, Nausea. By volume, the top reported reactions are: Tardive Dyskinesia (16,216 reports), Extrapyramidal Disorder (12,906 reports), Nervous System Disorder (7,523 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Metoclopramide Hydrochloride.

What percentage of Metoclopramide Hydrochloride adverse event reports are serious?

Out of 74,994 classified reports, 67,131 (89.5%) were classified as serious and 7,863 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Metoclopramide Hydrochloride (by sex)?

Adverse event reports for Metoclopramide Hydrochloride break down by patient sex as follows: Female: 42,931, Male: 24,879, Unknown: 1,594. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Metoclopramide Hydrochloride?

The most frequently reported age groups for Metoclopramide Hydrochloride adverse events are: age 67: 1,107 reports, age 66: 1,069 reports, age 69: 1,056 reports, age 65: 1,033 reports, age 61: 1,032 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Metoclopramide Hydrochloride?

The primary manufacturer associated with Metoclopramide Hydrochloride adverse event reports is Ani Pharmaceuticals, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Metoclopramide Hydrochloride?

Beyond the most common reactions, other reported adverse events for Metoclopramide Hydrochloride include: Pain, Vomiting, Anxiety, Economic Problem, Diarrhoea. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Metoclopramide Hydrochloride?

You can report adverse events from Metoclopramide Hydrochloride to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Metoclopramide Hydrochloride's safety score and what does it mean?

Metoclopramide Hydrochloride has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Metoclopramide Hydrochloride is associated with a high incidence of serious adverse reactions, particularly extrapyramidal disorders and tardive dyskinesia.

What are the key safety signals for Metoclopramide Hydrochloride?

Key safety signals identified in Metoclopramide Hydrochloride's adverse event data include: Tardive dyskinesia and extrapyramidal disorders are key safety signals, with high report counts.. Neurological and gastrointestinal issues are frequently reported, indicating a broad range of potential adverse effects.. Serious reactions such as death, pneumonia, and renal failure are also common, highlighting the severity of potential side effects.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Metoclopramide Hydrochloride interact with other drugs?

Metoclopramide Hydrochloride can cause serious drug interactions, particularly with other antipsychotics and drugs that affect the central nervous system. Healthcare providers should be cautious when prescribing this drug in combination with other me Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Metoclopramide Hydrochloride.

What should patients know before taking Metoclopramide Hydrochloride?

Patients should inform their healthcare provider about any existing neurological conditions or history of drug-induced movement disorders before starting Metoclopramide Hydrochloride. Regular follow-up appointments are essential to monitor for signs of serious adverse reactions, especially in elderly patients.

Are Metoclopramide Hydrochloride side effects well-documented?

Metoclopramide Hydrochloride has 206,778 adverse event reports on file with the FDA. The drug is frequently reported to cause neurological and gastrointestinal issues, including nausea, vomiting, and pain. The volume of reports for Metoclopramide Hydrochloride reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Metoclopramide Hydrochloride?

The FDA has issued warnings about the potential for serious adverse reactions with Metoclopramide Hydrochloride, particularly in elderly patients. Regular monitoring and dose adjustments are recommended to minimize risk. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to METOCLOPRAMIDE HYDROCHLORIDE based on therapeutic use, drug class, or shared indications:

HaloperidolRisperidoneOlanzapineAripiprazoleQuetiapine
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.