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 correct?
a. "After 3 months, if the drug is not effective, you may need to increase the dose."
b. "Metoclopramide may cause hiccups, especially after meals."
c. "Serious side effects may occur but will stop when the drug is discontinued."
d. "You should take the drug 30 minutes before each meal and at bedtime."
ANS: 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 recommended. Metoclopramide is used to treat hiccups; it does not cause hiccups. Tardive dyskinesia is a serious and irreversible side effect.
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