A patient with gastroesophageal reflux disease (GERD) is to begin taking oral metoclopramide [Reglan]. The patient asks the nurse about the medication. Which response by the nurse is cor-rect?
a. "After 3 months, if the drug is not effec-tive, you may need to increase the dose."
b. "Metoclopramide may cause hiccups, es-pecially after meals."
c. "Serious side effects may occur but will stop when the drug is discontinued."
d. "You should take the drug 30 minutes be-fore each meal and at bedtime."
D
Metoclopramide should be given 30 minutes before meals and at bedtime. Metoclopramide should not be used long term, and increasing the dose after 3 months of therapy is not recom-mended. Metoclopramide is used to treat hiccups; it does not cause hiccups. Tardive dyskinesia is a serious and irreversible side effect.
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