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Cerucal is a medicine that helps normalize the functioning of the gastrointestinal tract, which often occurs during the treatment of helminthic infestations, and stop vomiting of any etiology. The drug has many years of practice and has undergone numerous tests that have proven its clinical effectiveness. It often leads to the development of side effects in young children, so the use of tablets has certain age restrictions. Let's consider whether Cerucal can be given to a child and what is the dosage?

Composition and description

Cerucal is an antiemetic drug. It has two forms of release - tablets for oral administration and a solution for intramuscular or intravenous administration. The main active ingredient of the drug is metoclopramide. The tablets are called “Cerucal”, and the injections are called “Cerucal injections”. The international nonproprietary name of the drug is Metoclopramide.

It is worth knowing: metoclopramide is included in dosage forms in different dosages. One tablet contains 10 mg, and the solution contains a concentration of 5 mg per milliliter. Since the solution is in ampoules of 2 ml, one piece is equal to 10 mg. Therefore, the solution from the ampoule and one tablet have the same concentration of metoclopramide.

The tablets contain potato starch, lactose, gelatin, silicon dioxide, and magnesium stearate as auxiliary components. In addition to the active substance, the solution for intravenous or intramuscular administration contains sodium sulfite, sodium chloride, and sterile water.

The active substance blocks serotonin and dopamine receptors. Helps get rid of incessant hiccups, prolonged heartburn, promotes “emptying” of the stomach, tones the lower sphincter of the digestive tract. In addition, it significantly reduces and slows down the motor activity of the esophagus, does not provoke diarrhea, but accelerates the movement of food through the small intestine.

Cerucal helps get rid of constant and painful nausea that arises due to various factors. An exception is motion sickness.

The therapeutic effect of using the medicine occurs 60 minutes after taking the tablets, a quarter of an hour after an intramuscular injection, and literally a minute after intravenous administration. The duration of action depends on the method of use of the medication. For an IV injection it takes half an hour, an intramuscular injection for several hours, and for a tablet – 6 hours.

Instructions for use of the drug


The indication for this medicine is nausea. Cerucal for vomiting has also found wide use in modern medical practice. It is also advisable to use it against the background of hiccups, atony and hypotension of the intestines/stomach, biliary dyskinesia, exacerbation of ulcerative pathologies, increased gas formation and bloating.

Cerucal tablets are given to children only if the child is over 14 years old. In this case, a single dose to get rid of vomiting, nausea or hiccups is equal to ½ or a whole tablet. The maximum dosage per day for children aged 14 to 18 years is three pieces. When vomiting, the medicine should be taken 2-3 tablets per day as needed.

Cerucal is included in the complex treatment of pathologies of the digestive tract, which are associated with disorders of intestinal and stomach motility - gastritis, ulcerative lesions, etc. In this case, ½-1 tablet is prescribed, the frequency of dosage is two to three times a day. The duration of the therapeutic course varies from 45 days to six months.

Features of using Cerucal for children with vomiting (injections):

  • Injections are used exclusively as an emergency drug against the background of uncontrollable vomiting, severe nausea or hiccups of any origin;
  • For children from 14 to 18 years old, one ampoule is administered, the frequency is up to three times a day;
  • The dosage for children 2-14 years old is calculated by the doctor, depending on the body weight of the small patient.

Instructions for use for children offer a formula to help calculate the required dose of the drug - 0.1 mg multiplied by 1 kg of body weight. Thus, the dosage for a baby weighing 10 kg is 1 mg, which is equal to 0.2 ml of solution.

Note: in some cases, the dose may be increased to 0.5 mg per kilogram of weight. The maximum daily dose of the solution for children weighing up to 20 kg is 10 mg (one ampoule), if the body weight is 20-30 kg, then 15 mg (which corresponds to 3 milliliters of solution) and 30-50 mg - 25 mg (equal to 5 milliliters solution).

For a child over 6 years of age, average dosages can be used. At the age of 6-10 years, the dose is 2.5 mg up to three times a day; 10-14 years – 5 mg up to 3 times a day.

Contraindications


Cerucal (injections) is often used to stop vomiting in a child under two years of age, although this is prohibited. Tablets are used similarly for children under 14 years of age, usually also to get rid of vomiting.

Many mothers share information with each other about how they gave the drug to their child, advising them not to pay attention to the contraindications in the instructions, since nothing happened to their baby. Of course, no one wants anything bad when advising each other, but this is completely incorrect from a medical point of view.

Important: repeated vomiting in a child under 2 years of age is a direct reason to call a medical team. And for children over 2 years old, to relieve nausea/vomiting, the medicine is not given in tablets, but rather with injections - this is more correct and safe, since the solution allows you to calculate the most accurate dosage, which eliminates the possibility of an overdose with all the negative consequences.

  1. Hypersensitivity to the active component or the drug in general.
  2. Lactose/galactose intolerance.
  3. Glaucoma.
  4. Intestinal obstruction.
  5. Arterial hypotension/hypertension.
  6. Gastrointestinal bleeding.
  7. First trimester of pregnancy (in the 2nd and 3rd trimester, use is allowed only for vital indications).
  8. Lactation.
  9. History of epilepsy, Parkinson's disease.

Side effects


All medications have a list of side effects and Cerucal is no exception. Instructions for use for children, thanks to the formula for calculating dosages, allows them to be minimized, but not completely eliminated. Moreover, the negative effects are the same both after taking the tablets and after intramuscular or intravenous administration.

Adverse reactions:

  • Headaches, dizziness, anxiety, irritability, extraneous noise in the ears, sleep disturbance, twitching of facial muscles;
  • Speech disorder, involuntary movements of the tongue, tremors of the limbs, fever;
  • Rapid decrease/increase in arterial blood counts;
  • Increased heart rate;
  • Constipation, diarrhea, dry mouth;
  • Menstrual disorder;
  • Allergic manifestations are an attack of bronchial asthma, shortness of breath, urticaria, burning and itching of the skin.

All these side effects cannot be excluded by giving your child medicine. However, they rarely develop. The medicine is discontinued during long-term treatment if the patient develops disorders of the cardiovascular and endocrine systems.

Worth knowing: Cerucal in combination with sedative medications significantly increases the risk of developing Parkinson's syndrome; in combination with antipsychotics, it aggravates movement disorders.

Analogues


On the pharmaceutical market you can purchase medications that are synonymous with Cerucal - these are those tablets/injections that contain the same active ingredient. Analogs for therapeutic effect include antiemetic medications that contain other active components.

Synonyms – Metoclopramide in tablet form and solution, Metoclopramide-Acri, Ceruglan in tablets and solution. Analogs for therapeutic effect include Ganaton, Motilium, Itopra, Domstal, Motonium.

Brief description of similar products:

  1. Ganaton is used to enhance the tone and peristalsis of the gastrointestinal tract, the main active substance is itopride hydrochloride. Not recommended for use in children under 16 years of age as clinical studies have not established the safety of such use. Contraindications include pregnancy, lactation, organic intolerance to the drug components, bleeding in the gastrointestinal tract, perforation of internal organs.
  2. Motilium is an antiemetic drug that helps get rid of dyspeptic symptoms - heartburn, increased gas formation, attacks of nausea, discomfort in the stomach, heaviness after eating, etc. Tablets should not be given to children if the baby's weight is less than 35 kg. The use of the suspension is allowed only after a year with extreme caution.
  3. Passazhix belongs to the category of antiemetic drugs. Release form: tablets for chewing and tablets for swallowing. The instructions indicate that the product should not be given to children under five years of age or to a child weighing less than 20 kg. Other contraindications: mechanical intestinal obstruction, lactation, pregnancy, gastrointestinal bleeding.

Most often, Cerucal is used to relieve vomiting and nausea. Approximately 85-90% of available reviews are positive, which is based on a relatively quick and good clinical result. And in conclusion, I would like to note that despite the prohibition of the instructions, many use Cerucal for children. If the need arises, the best method of administration is injection, since it allows you to accurately calculate the required dosage.

Cerucal is presented in two dosage forms:

  1. Solution for intramuscular and intravenous administration. 1 ampoule of the drug contains 10 mg of metoclopramide hydrochloride - the active component - and excipients: sodium chloride, sodium sulfite, disodium EDTA, water for injection.
  2. The tablets are round, flat, white, with beveled edges. 1 tablet contains 10.54 mg metoclopramide hydrochloride monohydrate (active substance) and auxiliary components (potato starch, lactose monohydrate, magnesium stearate, gelatin, precipitated silicon dioxide).

This type of medication is sold in tablet and liquid form. The solution is poured into ampoules of 2 ml. Tablets are packaged in 10 pieces. Per 1 ml of medication there is 5 mg of metoclopramide hydrochloride. Purified water and sodium chloride were added as additional substances. The solution is used for intramuscular and intravenous administration.

Tasteless and odorless tablets are taken orally. Each contains 10 mg of the active ingredient. Placed in a dark glass bottle.

The instructions for children indicate that the action of the active substance is aimed at blocking the receptors through which impulses pass and irritate the mucous membrane of the digestive tract. As a result, the signals enter the brain and suppress the gag reflex.

The medication also has other effects. It enhances the tone of the smooth muscle structures of the stomach. Thanks to this process, the rate at which food enters the intestinal tract increases. At the same time, the medicine stimulates the protective functions of the esophagus from the ejection of food from the stomach back, as well as the stomach from excessive ingress of bile. Thus, unpleasant symptoms such as heartburn and belching disappear.

The active substance is metoclopramide hydrochloride monohydrate.

1 tablet contains 10.54 mg of this substance, which in terms of metoclopramide hydrochloride is 10 mg.

Additional substances are: silicon dioxide, potato starch, gelatin, magnesium stearate and lactose monohydrate.

1 ml of solution contains 5 mg of metoclopramide hydrochloride. Additional substances are: disodium edetate, injection water, sodium sulfite, sodium chloride.

Release forms

Cerucal is available in the form:

  • tablets;
  • solution for injection.

Blisters with white tablets are packed in cardboard boxes (50 tablets per package). Each tablet contains 10 mg of the active substance - metoclopramide hydrochloride. The solution for intramuscular and intravenous injection is sold in two-milligram ampoules with the same content of the active ingredient as in tablets - 10 mg (5 mg of metoclopramide per 1 ml of medicine).

Both forms of Cerucal provide the same therapeutic effect. The tablets have a prolonged effect (up to 6 hours), and therefore they are often prescribed in the complex treatment of chronic pathologies of the gastrointestinal tract. But the drug administered intramuscularly or intravenously does not act for so long - only about 2 hours. But the effect after the injection occurs much faster than after taking the pill.

Cerucal injections are usually prescribed in cases of urgent need to relieve symptoms of indigestion, as well as in case of vomiting, which does not allow the tablet to stay in the stomach for at least 20 minutes.

The medicine is available in the form of tablets and solution for intravenous and intramuscular injections.

Cerucal is available in ampoules and tablets. The solution for injection, which can be administered intramuscularly and intravenously, is available in two mg containers. They contain 10 mg of the active ingredient. Each tablet contains a similar amount of medication, but there are 50 tablets in a package.

Both forms of the drug provide the same effect on the body. Moreover, the tablets are characterized by a longer action algorithm - up to six hours. In this regard, they are often prescribed when it is necessary to treat chronic diseases of the digestive system. It is strongly recommended to pay attention to the following:

  • Cerucal, administered intramuscularly or intravenously, acts significantly less - no more than two hours;
  • the effect after the injection is identified faster than after using the tablet component;
  • injections are usually used to relieve symptoms of indigestion or vomiting, which prevents the tablet from staying longer than 20 minutes.

  • How to stop vomiting
  • When can medications be prescribed?
  • Antiemetic drugs for children
  • Other anti-vomiting agents
  • Supporting events

Vomiting in a child can be caused by many reasons. In severe cases, doctors prescribe anti-vomiting injections. In isolated cases of such symptoms, the patient can be helped with home remedies. Despite the fears of many parents, doctors call vomiting a natural reflex of the body when the contents of the stomach are released through the digestive organs.

Vomiting is not an unexpected symptom. Usually, in front of it, the child’s skin turns pale, cold sweat appears, the process of salivation intensifies, the heartbeat quickens, and a loss of strength is observed. Vomit contains most of the leftover food that has not been digested by the stomach.

How to stop vomiting

To help a child stop vomiting, you must first change his position - lift the baby and turn his head to the side.

This must be done to prevent vomit from entering the respiratory tract. If vomiting has started recently and is not accompanied by diarrhea, fever and other symptoms, the child’s suffering can be alleviated by gastric lavage. This procedure, using a weak solution of potassium permanganate or simple boiled water, is carried out until the effluent water is clean.

During an attack of vomiting, first of all, it is necessary to replenish lost fluid and restore salt balance. For this purpose, children are recommended the products “Regidron”, “Orapit”, “Glucosolan”, which contain salt.

For kids, a solution of these drugs in the proportion of 1 powder per 1 liter of water is given every 5 minutes, a tablespoon. For nausea and vomiting, the child must be given absorbents - activated carbon, Smecta, Enterosgel. If the cause of vomiting is a viral infection, absorbent medications will not help. Severe vomiting must be stopped as quickly as possible and a doctor must be called immediately.

The drug is available in 2 forms - tablets and solution for infusion. The main active ingredient is metoclopramide. The components of the drug block dopamine receptors in the central nervous system.

General characteristics of the drug

The registration certificate for the drug was issued to Teva (Israel). Manufacturers of Cerucal are the companies Pliva (Croatia) and Teva Private Co. (Hungary). The medicine belongs to the category of prokinetics - drugs that activate the motor function of the gastrointestinal tract. Cerucal effectively stops vomiting and hiccups. Sometimes this is the only means possible to suppress the gag reflex.

Cerucal is available not only in tablet form, but also in the form of a solution for intramuscular injection. When the contents do not stay in the stomach even for 10-12 minutes, only injections can cope with the dangerous symptoms of dehydration.

An important advantage of the medicine is its affordable price. A package of tablets (50 pcs.) costs on average 120-140 rubles, Cerucal in the form of an injection solution (10 ampoules) can be bought for 220-260 rubles.

There is no specially designed form of Cerucal for children. The drug is universal; in appropriate doses it is suitable for both children and adults.

pharmachologic effect

Cerucal is an antiemetic that helps reduce nausea and hiccups; stimulates gastrointestinal peristalsis. The antiemetic effect is due to the blockade of dopamine D2 receptors and an increase in the threshold of the trigger zone chemoreceptors.

Metoclopramide inhibits the relaxation of gastric smooth muscle, thereby enhancing the cholinergic reactions of gastrointestinal smooth muscle. Helps speed up gastric emptying by preventing relaxation of the body of the stomach and increasing activity of the antrum and upper small intestine.

Reduces reflux into the esophagus by increasing resting esophageal sphincter pressure and increasing acid clearance from the esophagus.

Antiemetic drug.

Calculation of the correct dose

The dosage of the drug is calculated based on the child’s body weight and the severity of the condition. In exceptional cases, the dose may be slightly increased, but this decision is made only by the attending physician:

  • Children from 2 to 14 years of age are prescribed the drug in a dosage of 0.1 mg of active substance per 1 kg of body weight, but the daily dose should not be more than 0.5 mg of metoclopramide per 1 kg of body weight. If the patient has chronic kidney disease, the volume of the drug is calculated by the doctor on an individual basis.
  • Children over 14 years of age are allowed to increase the dose of the drug to 10 mg; they drink cerucal 3 times a day. The tablets are taken 30 minutes before meals, washed down with a sufficient amount of clean water. The full course of therapy often lasts up to one and a half months. The doctor can adjust the course of treatment based on test data and the general condition of the child.

Cerucal in ampoules is prescribed for children with vomiting in cases where gagging, nausea or hiccups need to be quickly stopped. Injections against nausea and vomiting for adolescents aged 14-18 years are given intramuscularly, at the rate of 1 ampoule up to three times a day. The dosage for injections for a child under 14 years of age is calculated by the doctor based on the weight of the small patient.

An overdose can be caused by exceeding the daily norm: 0.5 mg of active substance per 1 kg of child’s weight. That is, if we are talking about a 20-kilogram 6-year-old boy, then he should not take more than 10 mg of metoclopramide per day (this is one tablet or one ampoule of Cerucal, i.e. 2 ml of solution).

Usually the daily dose is divided by the pediatrician into 2-3 doses. In each specific case, the treatment regimen is prescribed individually - sometimes the dosages are adjusted taking into account the characteristics of the patient's condition.

You should take Cerucal tablets approximately 30 minutes before meals, washing down the pills with a sufficient amount of liquid.

The instructions for the drug provide some recommendations related to the individual calculation of dosage in childhood. In general, it depends on the child’s weight category. Parents should be aware that exceeding the norm within 24 hours, namely 0.5 mg of the active ingredient per kg of the child’s weight, can provoke an overdose.

For example, when we are talking about a child weighing 20 kg, in his case it is unacceptable to use more than 10 mg of Cerucal during the day. As noted earlier, we are talking about one tablet or ampoule, namely two ml of solution.

In the vast majority of cases, the dose is divided by the attending physician into two or three doses during the day, which allows for a more complete and harmless effect on the digestive system. This is especially true when dealing with nausea.

It is important that in each specific case the dosage is set individually. This is due at least to the fact that it may require adjustment depending on the characteristics of the patient’s condition. Pediatricians point out that the tablets should be used 30 minutes before eating. It is very important to take the medicine with the optimal amount of liquid.

Injections can also be given after reaching the age of three. However, the child usually tolerates the tablet component much better, so they prefer to use it.

Experts also emphasize that when minimal symptoms of an overdose appear, the use of Cerucal must be stopped. The peculiarities of the interaction of the composition with other drugs deserve special attention.

Scheme of medication use

Children's pediatricians prescribe sorbents, enzymes, and probiotics for vomiting. It is best to use medicines in syrups. This way they are absorbed faster, and children also like the pleasant taste of the medicine. Read the following article about what antiemetics should be in your first aid kit.

Contraindications for all drugs are individual intolerance. And the main requirement: medications are prescribed by a doctor. Self-prescribing antibiotics for diarrhea is unacceptable!

The most popular drugs for the treatment of vomiting in children.

Cerucal acts on the motility of the digestive organs, so it is prescribed for any disorders that are accompanied by persistent nausea and vomiting. It is indicated for the following diseases and conditions:

  1. With severe nausea and uncontrollable vomiting, except in cases where such a condition is associated with weakness of the vestibular apparatus.
  2. In case of impaired motility of the gastrointestinal tract, for example, with dyskinesia of the bile ducts.
  3. For gastric paresis due to diabetes.
  4. In preparation for diagnostic manipulations on the digestive organs.

In addition, Cerucal tablets are prescribed to children for vomiting, when it is impossible to stop it by other means. This drug is usually used in a medical facility, but according to a doctor’s indications, therapy can also be done at home if the child is over 7 years old.

The method of application directly depends on the chosen form of the drug. The instructions for using Tsirukal injections for children say that the solution is administered intravenously or intramuscularly.

The dose depends on the patient's age:

  1. For children from 2 to 6 years old, the amount of the drug administered is calculated based on weight. So, per 1 kg there is 0.5 mg of the active ingredient. This dosage is divided into 2-3 doses.
  2. Children from 6 to 14 years old are given 2 ml of solution, which is equal to one ampoule. Frequency of application - 3 times per day.
  3. Adolescents over 14 years of age are prescribed 2-3 ml at a time. Frequency of use - 3 times.

In extreme cases, a doctor may give an injection to a child as young as 1 year old. The dosage is calculated not only based on the weight, but also the general condition of the baby, as well as the indications.

The tablets should be taken 30 minutes before meals or 1-2 hours after that. In this case, it is necessary to drink the drug with plenty of water.

If Cerucal is prescribed to children for vomiting, the dosage is calculated based on age:

  • Children from 3 to 6 years old are prescribed ¼ tablet 3 times a day.
  • Children from 6 to 14 years old are recommended to take ½ tablet up to 3 times a day.
  • Teenagers are prescribed 1 tablet 3 to 4 times.

The duration of the treatment course depends on the cause. In case of poisoning, it is enough to take the medicine once or twice. For more serious pathologies, the treatment course ranges from 1 to 6 months.

Overdose

An overdose of Cerucal can occur in the case of self-medication or an incorrectly calculated dose, when the doctor determines the weight of a small patient by eye. Another cause of overdose is improper storage of medications when they are stored in a place accessible to children. If a child takes too many Cerucal tablets, then it is necessary to urgently call a doctor or take the baby to the hospital on your own.

Symptoms of overdose are quite specific; they can be distinguished by the following points:

  • atypical drowsiness and confused consciousness appear;
  • there is increased excitability and motor activity, which then develops into convulsions;
  • the functioning of the heart is disrupted, which is manifested by instability of blood pressure, rapid heartbeat and high pulse.

If extrapyramidal disorders are observed during an overdose, then slow intravenous administration of an antidote, which is biperiden, is indicated. In this case, the child should be under constant medical supervision until all signs of overdose completely disappear.

How to prevent overdose

When choosing a dosage and dosage form, the doctor takes into account the compatibility of the medication with other drugs, as well as the performance of the liver and kidneys. It is strictly forbidden to violate the recommended doses, otherwise you can cause serious harm to the child. If taking it does not have the desired effect, consult your pediatrician for advice, but under no circumstances increase the amount of medication yourself.

Cerucal for children with vomiting: dosage in tablets

The dose of metoclopramide recommended for children is calculated taking into account the baby’s body weight: per 1 kg of weight, 0.1 mg of this component is prescribed, three times a day. For example, if a child weighs 30 kg, he should take one sixth of a Cerucal tablet three times a day; The daily dose will be 3 mg (one third of a pill).

The maximum amount of medication that can be taken over 24 hours is 0.5 mg per 1 kg of weight. In our case, a child weighing 30 kg should not be given more than 1.5 tablets per day. This dosage is recommended for all children under 14 years of age, as well as adult patients in case of advanced age or the presence of various disorders in the functioning of the excretory system.

According to the manufacturer's instructions, the duration of use should not exceed 5 days. The decision to continue therapy can only be made by a specialist.

Cerucal for children with vomiting: dosage in ampoules

The dosage of the drug in ampoules is calculated in the same way. For a baby weighing 30 kg, the average dose will be 3 mg, that is, a third of the ampoule. The maximum amount of solution that can be administered by injection is 1.5 ampoules.

How to use Cerucal correctly for vomiting in children

For adults, it is allowed to take 10 mg of the drug 3 times a day. For children, the dosage is different. It must be calculated by weight - 0.1 mg of substances per 1 kg of body weight. Sometimes doctors raise the dose by 0.5 mg for certain treatments.

Cerucal tablets should be taken 30 minutes before meals. Take the medicine with plenty of clean water.

The course of treatment is prescribed by the doctor. Typically therapy lasts 1-2 months depending on the diagnosis. With complex therapy, taking pills can take up to six months.

If the patient has kidney problems, he needs to adjust the dosage of the tablets individually.

Cerucal tablets

Take orally with water, about half an hour before meals.

  • For adolescents over 14 years of age, the recommended dose of the drug is 1/2–1 table. 2–3 times a day.
  • For adults, the recommended dose of the drug is 1 tablet. (10 mg metoclopramide) 3-4 times a day. The maximum single dose is 2 tablets. (20 mg). The maximum daily dose is 6 tablets. (60 mg).

Injections in ampoules

Intramuscularly or slowly intravenously.

  • Adults and adolescents over 14 years of age: 1 ampoule (10 mg metoclopramide) 3-4 times a day.
  • Children from 3 to 14 years of age: the therapeutic dose is 0.1 mg metoclopramide/kg body weight, the maximum daily dose is 0.5 mg metoclopramide/kg body weight.

Scheme 1. Short-term drip infusion (dropper) (for 15 minutes) at a dose of 2 mg/kg half an hour before the start of treatment with a cytostatic agent, and then 1.5 hours, 3.5 hours, 5.5 hours and 8.5 hours after the use of cytostatics.

Scheme 2. Long-term drip infusion at a dose of 1.0 or 0.5 µg/kg per hour, starting 2 hours before the use of a cytostatic agent, then at a dose of 0.5 or 0.25 mg/kg per hour over the next 24 hours after the use of a cytostatic agent.

The drip infusion is carried out briefly for 15 minutes after preliminary dilution of the dose of cerucal in 50 ml of infusion solution. Cerucal injection solution can be diluted with isotonic sodium chloride solution or 5% glucose solution. Cerucal is used throughout the entire period of treatment with cytostatic agents.

The drug begins to act quickly - 10-20 minutes after use. In some cases, the medicine is well tolerated. But the younger you are, the more likely you are to get side effects.

They appear:

  • in disorders of the nervous system: dizziness, insomnia, weakness, lethargy, apathy, tremors of the limbs;
  • in disorders of the cardiovascular system. Characterized by a decrease or increase in pressure, tachycardia;
  • in disorders of the digestive system in the form of dry mouth, heartburn, belching, a feeling of heaviness in the stomach, constipation, bloating.

Cerucal tablets, instructions for use

The drug is taken orally 30 minutes before meals three times a day, 5-10 mg. It is recommended to take the tablet with a large volume of liquid. The maximum daily dose is 60 mg, single dose is 20 mg.

Cerucal injections, instructions for use

Adults and from 14 years of age are administered intramuscularly or slowly intravenously, one ampoule 1-3 per day.

Children from 2 to 14 years old need to be given injections at the rate of 0.1 mg/kg, the maximum permissible dose per day is 0.5 mg/kg.

The following phenomena are observed: hallucinations, drowsiness, irritability, convulsions, decreased level of consciousness and confusion, arrest of respiratory and cardiac activity, anxiety, extrapyramidal disorders, dysfunction of the cardiovascular system, dystonic reactions.

In case of overdose, symptomatic treatment should be used.

The drug Cerucal belongs to the group of antiemetic drugs and is a dopamine receptor blocker.

Release form and dosage composition

The drug Cerucal is available in the form of tablets and solution for injection. The solution is transparent, sterile, colorless and odorless, available in 2 ml transparent glass ampoules. The ampoules are placed in plastic trays of 5 pieces (2) in a cardboard box; detailed instructions describing the characteristics of the solution are attached to the drug.

1 ml of solution contains 5 mg of the active substance - Metoclopramide hydrochloride, 1 ampoule contains 10 mg of the active substance. The auxiliary components are water for injection and sodium chloride.

Indications for use

Tablets and solution for injection.

This drug should be prescribed to children by the attending physician and only according to indications! Self-treatment is unacceptable! Effective dosage of "Cerucal" for children of different ages:

  • Up to 2 years – the drug is not prescribed in any form.
  • From 2 to 14 years - tablet forms are not used. From 14 years – no more than 1 tablet 3 times a day.
  • From 3 years to 14 – injection forms – the dose is calculated based on the child’s weight. The effective volume of the drug is 0.1 mg per 1 kg of weight of a toddler or teenager. But not more than 0.5 mg per 1 kg during the day.
  • From 14 years and older – 1 ampoule 3 to 4 times a day.

Tablet forms are taken half an hour before meals, washed down with plenty of water. Injection forms are administered dropwise over 15 minutes. The drug is diluted in 50 ml of saline or 5% glucose.

The drug is aimed at reducing side effects from medications and unpleasant physiological conditions. But this does not mean that Cerucal itself does not have side effects. Side effects of the drug:

  1. Neurological disorders - fear, anxiety, headaches, various tics, increased fatigue. Children may develop dyskinetic syndrome.
  2. Various neuroleptic conditions. This is expressed in increased body temperature, pressure surges, and disturbances in consciousness.
  3. Defecation disorder, dry mouth.
  4. Gynecomastia (in boys), galactorrhea (in girls), menstrual irregularities.
  5. Heart rhythm disturbances - bradycardia, tachycardia.
  6. If side effects develop, Cerucal is discontinued.

Symptoms of a drug overdose are similar to the side effects of the drug. Most often this is a violation of consciousness, the development of seizures, and dyskinetic disorders. In mild cases, signs of overdose are not treated, since metoclopramide is eliminated from the body on its own within 24 hours. In severe cases, slow administration of biperiden is prescribed. This drug blocks the transmission of impulses to the central nervous system.

When a solid form is prescribed in adolescence, a single dosage can be either half a tablet (it is carefully divided according to risk) or a whole tablet. The frequency of administration, unlike for adults, is no more than 3 times a day. The maximum single dosage for a teenager 14-18 years old is 10 mg (one tablet or one ampoule), and the daily dosage is 30 mg (three tablets or 6 ml of solution).

If the drug is prescribed before examining the upper digestive tract, it is used once - 10 minutes before the procedure. A child 2-13 years old is given a slow intravenous injection (the solution is administered over one to two minutes) at a dose of 0.1 mg/kg, and a teenager over 14 years old is given a slow intravenous injection of 10 or 20 mg of the active substance - a solution from one or two ampoules .

A very large dose of Cerucal can lead to drowsiness, irritability, confusion, motor and other disorders of the nervous system. In addition, exceeding the dosage can affect the heart rate (causing bradycardia) and blood pressure (it may increase or decrease). If the poisoning is mild, then after stopping Cerucal, all symptoms go away on their own within 24 hours.

Contraindications for use and side effects

In young children and adolescents, the use of cerucal is limited by a number of contraindications, which must be taken into account when choosing a drug. These include the following diseases:

How to take Cerucal for poisoning

If a child is poisoned by poor-quality food products or medications, then through vomiting the body is cleansed and recovery occurs faster. In such cases, antiemetics should not be given immediately after the first bouts of vomiting, as this will inhibit the natural elimination of toxic substances.

First, the child needs to be given first aid, which will be aimed at quickly removing toxic substances from the body. The emergency protocol is as follows:

  1. The child's stomach is thoroughly washed with a large volume of water. You can take pure water or with the addition of potassium permanganate. Potassium permanganate is first dissolved in a small volume of water, and only then added to the total volume of water for rinsing.
  2. Give any adsorbents in a therapeutic dose. If activated carbon is used, it is first crushed into powder and diluted in a small volume of water, and then only given to the child.
  3. They do a cleansing enema, for which they take slightly salted water or chamomile decoction.

If all these measures do not help stop vomiting, then the use of antiemetic drugs, for example, cerucal, is indicated. In case of poisoning, you can drink Cerucal only after consulting a doctor.

Drug interactions

You need to know how Cerucal works when taking other medications in parallel. Doctors noted the following important interactions:

  • When taken with any other medications, the rate of absorption is significantly reduced;
  • Cerucal will speed up the absorption process of any antibiotics, Ethanol and Paracetamol;
  • If you use the medicine with anticholinergic drugs, their effect will be significantly reduced;
  • It is forbidden to take Cerucal together with sedatives and antipsychotics;
  • It is dangerous to combine the drug with alcohol;
  • Cerucal will change the effect of MAO inhibitors and medications for depression;
  • The drug in the form of a solution will accelerate the breakdown of vitamin B1 in the blood.

If you are taking any other medicine, be sure to tell your doctor. He will change the dose of Cerucal and adjust the therapy.

Anticholinesterase drugs weaken the effect of metoclopramide. Cerucal increases the absorption of paracetamol, ampicillin, tetracycline, ethanol, levodopa, ascorbic acid. The drug reduces the absorption of cimetidine and digoxin. The simultaneous administration of neuroleptics is unacceptable (the risk of developing extrapyramidal disorders increases).

When taking other medications with Cerucal, it is important to know that this drug:

  • incompatible with alkaline solutions for infusion;
  • together with antipsychotics can aggravate movement disorders;
  • in combination with sedatives increases the likelihood of Parkinson's syndrome;
  • accelerates the absorption of antibiotics;
  • quickly destroys vitamin B1;
  • enhances hepatotoxicity (effect on the liver) of drugs with this property.

Such opportunities to change the effect of other medications are another reason for the danger of self-medication with Cerucal.

When using the drug and other medications at the same time, pay attention to its incompatibility with alkaline infusion solutions. Special emphasis is placed on the fact that use with antipsychotics can worsen the severity of movement disorders. It is also necessary to remember that:

  • the likelihood of developing Parkinson's syndrome increases in combination with sedatives. For children, the threat presented is no less pressing;
  • the process of absorption of antibiotics is accelerated;
  • Vitamin B1 is rapidly destroyed;
  • the effect on the liver, namely hepatotoxicity, increases.

Another danger of self-treatment with Cerucal is the ability to change the effect of other drugs. If parents have previously used this remedy to treat vomiting, but more than a year has passed, a second consultation with the pediatrician will also be required.

Speaking directly about Cerucal for vomiting, dosage for children, pay attention to certain analogues of this drug. As for the active substance, we are talking about Perinorm, Ceruglane and others. Damelium, Motilak, Motilium and other products are characterized by a similar effect on the body, but with a different list of components. It is noteworthy that many of them have fewer possible side effects and contraindications.

Thus, Cerucal is a medicine that can be used for vomiting, nausea and other symptoms of digestive system disorders. However, before the drug is used in the treatment of a child, it would be best to consult a pediatrician. It is in this case that the rehabilitation course will be effective and not associated with complications or side effects.

Terms of sale

Tablets and ampoules should be kept in a dark place at a temperature of 15-30 degrees. It is advisable that children do not have access to the drug. If a solution for injection has already been prepared from ampoules, it can be stored for no more than a day. The shelf life of Cerucal in packaging is no more than 5 years from the date of production.

The average price of Cerucal (10 mg tablets No. 50) in Moscow is 120 rubles. Dispensed by prescription.

It should be stored in a dry, dark place, at a temperature not exceeding 25°C. Keep away from children. Shelf life – 5 years.

Requires a prescription.

In a dark place, out of reach of children, at a temperature not exceeding 25 degrees Celsius.

Vomiting does not always have to be stopped immediately. For example, in case of poisoning, it is better to wait until the vomit becomes transparent. After all, all harmful substances come out along with them.

To buy any of the forms of Cerucal in a pharmacy, you need to present a prescription from a doctor, so consultation with a gastroenterologist, pediatrician or other doctor is required. The average price of one package of injection solution is 220-230 rubles, and one bottle of tablets is 120 rubles.

Analogues

Instead of Cerucal, your doctor may prescribe other antiemetic drugs for children that have a similar effect. Despite the fact that cerucal is a highly effective antiemetic, it has a lot of contraindications and side effects, so if possible it is changed to other medications:

  • Motilium is an excellent replacement for Cerucal, especially since it is allowed to be prescribed to children from 1 year of age, and with constant supervision by a pediatrician from birth. This anti-nausea and vomiting remedy for babies is sold in the form of a suspension with a pleasant taste, which makes treatment easier for babies. In addition, motilium helps get rid of flatulence, belching and a feeling of fullness in the abdomen. It is sometimes prescribed to infants for intestinal colic;
  • No-spasm - prescribed for vomiting caused by functional disorders. This could be gastroenteritis, high intracranial pressure, or a consequence of radiation therapy. This medication can be given to children from the first days of life, but only under the supervision of a doctor and in accordance with the calculated dosage. No-spasm can be purchased in the form of a syrup for children and in the form of a solution for patients in the older age group.

All analogues have their limitations and side effects. Before you start taking it, you must carefully study the instructions.

What else can you do to stop vomiting in a child?

When vomiting is caused by typical food poisoning and the child’s condition is satisfactory, then you can do without antiemetic drugs. In this case, traditional medicine recipes can help.

To stop attacks of vomiting, children are given a decoction of peppermint or lemon balm. To prepare a medicinal decoction, you need to pour a tablespoon of crushed leaves into a glass of boiling water and leave in a thermos for about two hours.

Then the broth is filtered and given to drink a tablespoon every half hour until the condition normalizes.

A drink of honey and lemon will not only replenish fluid lost during vomiting, but will also regulate the balance of electrolytes in the body. This tasty drink has a tonic effect and quickly eliminates the urge to vomit. They use it often, but in small portions.

Before you try to stop vomiting, you need to understand what causes it. If this is poisoning with toxic substances, then you should not take Cerucal right away; you need to wait until the body is a little cleared of harmful substances.

The doctor may prescribe another drug to the patient with a similar therapeutic effect. Here is a list of the main analogues of Cerucal:

  1. Metoclopramide in the form of a solution;
  2. Bryulium in tablets;
  3. Domidon;
  4. Gastropome;
  5. Domperidone;
  6. Motilium;
  7. Itomed.

Remember that all these medications have their own dosage, side effects and a number of contraindications. Do not forget to study the instructions for use and consult your doctor.

Analogues are determined by structure:

  1. Raglan.
  2. Tseruglan.
  3. Apo-Metoclop.
  4. Metamol.
  5. Metoclopramide-Acri (-Vial, -Promed, -ESKOM).
  6. Perinorm.

Analogues of the drug are Metoclopramide, Metukal.

If it is not possible to purchase Cerucal, it can be replaced with Metoclopramide. This drug is produced in the same forms and is used for the same indications. It, like Cerucal, is prescribed from the age of 2, but is given to young patients only under the supervision of a doctor. But, unlike Cerucal, the cost of Metoclopramide is much less - for 50 tablets of this medicine you need to pay an average of 30 rubles, and 10 ampoules cost about 60 rubles.

To learn what to do if a child is vomiting, watch the following video.

Prevention after treatment

Doctors prescribe Cerucal for children with severe nausea caused by various problems of the digestive organs or due to illness.

Injections are used in emergency cases when the urge to vomit does not stop.

Cerucal injections for adolescents and children with vomiting are given in a dosage calculated for each kilogram.

The dosage is determined strictly by the attending physician.

The maximum daily dose of medication for children is determined by weight:

  • with body weight from 10 to 20 kg – 0.3-0.5 ml;
  • with a weight of 20 to 30 kg – 0.5-1 ml;
  • with a weight of 30 to 40 kg – 1-1.5 ml.

You can do 3-4 injections of the drug per day. The calculation is made from the ratio of 0.1 mg per 1 kg of weight.

Important! The daily dose for children from 3 to 14 years old should not exceed 0.5 mg per 1 kilogram of weight. Children are administered cerucal intramuscularly and slowly.

One ampoule contains 2 ml. medicines. 1 ml contains 5 mg of metoclopramide. To determine a single dose, calculate the daily norm and divide it by 3-4 times. For example, if the child’s weight is 30 kg, then at one time you need to take 3 mg of the active substance, which is about 0.7 ml of solution.

There are several effective folk recipes to combat the problem.

A decoction of valerian roots: the root is crushed, poured with boiling water, and left on the fire for 15 minutes; given twice a day, a teaspoon.

Mint infusion: pour boiling water into a half-liter jar with a tablespoon of mint, infuse for half an hour, wrapped in a towel, after which 1/2 tsp is given to the patient every 3 hours.

Melissa infusion: prepared and used in a similar way to mint.

Ginger drink: prepared at the rate of 1/6 sachet of ginger powder per glass of warm water; give the solution three times a day, 1 tsp.

The first rule of prevention is compliance with the rules of personal hygiene. Washing your hands before eating is the bare minimum. A gentle diet is required. The first feeding of a baby or child over a year old is 5-7 hours after the last attack.

The best way to restore a baby under one year old is breast milk. For six-month-old babies, buckwheat and rice porridge with milk, vegetable or fruit puree are acceptable.

special instructions

When using the drug, distortions in the results of laboratory tests of liver function and determination of the concentration of prolactin and aldosterone in the blood plasma are possible. It is prescribed with special caution to children, especially at an early age, since in this case the risk of dyskinetic syndrome is much higher.

For children and adolescents from 2 to 14 years of age, the drug is prescribed exclusively by injection (for the purpose of correct dosing). Prescribe with caution to patients with bronchial asthma, functional disorders of the kidneys and/or liver, arterial hypertension, and Parkinson's disease.

According to the annotation, in some cases it is recommended to additionally use antiparkinsonian drugs and central anticholinergic blockers. It is unacceptable to consume ethanol during treatment with Cerucal. The drug affects the performance of complex activities, driving a car.

INN: Metoclopramide.

The medicine is used in veterinary medicine for cats and dogs.

Rp: Tab. Metoclopramidi (Cerucali) 0.01D.S. 1 tab. 3 times a day before meals

Cerucal for adults

For adults, the drug is administered intravenously or intramuscularly. How long it takes for the substance to take effect depends on the method chosen. When the medicine enters a vein, the effect is noticeable faster, but lasts less than with intramuscular administration.

The daily dose is determined by the attending physician depending on the overall course of treatment. Recommended doses:

  • prevention of vomiting and nausea after surgery – 2 ml (1 ampoule) 3-4 times a day;
  • in complex treatment after a course of chemotherapy – 2 ml (1 ampoule) 3-4 times a day;
  • before diagnostics of the gastrointestinal tract (x-ray, probing) - 2-4 ml (1-2 ampoules) 10 minutes before the start of the examination.

The daily dose should not exceed 0.5 mg per 1 kilogram of body weight. You should use the drug in liquid form as little as possible, switching to rectal or oral administration.

Cerucal for vomiting during therapy with cytostatics is administered through a dropper. There are two main ways:

  1. Short term. The infusion is calculated over 15 minutes. The solution is administered in a ratio of 2 mg per 1 kg of patient weight. The first dropper is placed 30 minutes before taking the cytostatic, then time intervals follow - 1.5 hours, 3.5 hours, 5.5 hours, 8.5 hours.
  2. Long. The medication begins to drip 2 hours before using the cytostatic drug. Dose – 0.5 or 1 mg per 1 kg of body weight per hour. Then it is reduced to 0.25 mg per 1 kg and administered within 24 hours after taking the cytostatic.

For intravenous infusion, the solution is diluted with 5% glucose or 0.9% isotonic sodium chloride.

Cerucal - why it should be taken with caution

Children, pregnancy and breastfeeding

Cerucal is not intended for use by pregnant women in the first trimester of pregnancy, as well as children under 3 years of age. In the second and third trimesters of pregnancy, the use of the drug is possible only in case of vital indications.

The drug is prohibited for use in children under 2 years of age. Prescribed with caution to children 2–14 years old.

According to experiments, Cerucal does not cause toxic damage to the fetus during pregnancy, however, in the last stages it is impossible to exclude the appearance of extrapyramidal syndrome in infants. Therefore, the drug should be prescribed with caution by a qualified physician, and use of the drug should be avoided during the final stages of pregnancy.

conclusions

Parents should be able to properly deal with vomiting in children and be sure to call a doctor at home! Frequent vomiting requires a thorough medical examination to exclude internal pathologies. In case of psychogenic vomiting, the child needs to create a favorable environment at home and visit a psychologist to find out the cause of worries and fears. Let your children be healthy!

Metoclopramide is an excellent remedy for quickly stopping nausea and vomiting. It helps both children and adults. But you can take it only with the permission of a doctor and strictly in the specified amount.

Cerucal is one of the medications that doctors prescribe for vomiting and poor motility of the stomach and intestines. It is produced in the form of tablets and solution. The active substance of the drug is metoclopramide. The instructions for its use clearly establish the age at which children can be treated with Cerucal - these are patients over 2 years of age. Therapy must be carried out carefully, since the smooth muscles of children's viscera do not always adequately respond to the intake of such substances. In rare cases, Cerucal is prescribed to newborns. The minimum dose of the drug is given to the baby if it is not possible to use another drug.

Cerucal: indications for use

Cerucal is prescribed to children for intestinal atony, gastric hypotension, and biliary dyskinesia. The product improves the child’s well-being with vomiting and hiccups, reflux esophagitis, and flatulence. The instructions also indicate exacerbation of ulcerative lesions of the stomach and duodenum and the need to increase peristalsis, which arises during examinations of the gastrointestinal tract with contrast, as indications for the use of Cerucal.

The active substance Cerucal metoclopramide exhibits its medicinal properties as follows:

  1. stimulates the release of prolactin;
  2. slows down the motor activity of the esophagus;
  3. increases the tone of the lower esophageal sphincter;
  4. accelerates gastric emptying and movement of food masses through the small intestine.

How long should it take after consuming Cerucal for relief to occur? The instructions state that when administered intravenously, the drug begins to act within 1 to 3 minutes. The effect of intramuscular injections is felt after 10 – 15 minutes. Metoclopramide disintegrates in the liver and does not cause intestinal disorders in children.

How to take Cerucal?

The tablet form of the drug is prescribed for use by children over 14 years of age. A single dose of the drug to relieve unpleasant symptoms is equal to ½ or a whole tablet. The drug is taken 30 minutes before meals. Children aged 14 - 18 years Cerucal are allowed to drink 3 tablets per day.

To tame vomiting, the drug is used as needed 2 - 3 times. in a day. In the complex treatment of digestive pathologies, the scheme changes. Instructions for use suggest taking tablets in half or whole 2 - 3 times. per day and for 6 weeks - 6 months. Dosages are indicated for peptic ulcers, gastritis, GERD.

An injection with Cerucal is given to a child as an emergency when it is necessary to quickly stop vomiting, hiccups or nausea, regardless of the origin. For adolescents 14–18 years old, the solution is administered intramuscularly, 1 ampoule up to 3 times a day. per day. For children over 2 years of age and children under 14 years of age, doctors calculate the optimal dose individually, based on body weight.

Cerucal for the treatment of children

For the described indications for use of the drug, its instructions prescribe the use of tablets and solutions in the following quantities (for children 14 – 18 years old):

  • tablets – 0.5 – 1 pc. 2 - 3 r. per day;
  • ampoules - injection is given 1 - 3 times. in a day.

For the treatment of younger children, the instructions included with Cerucal suggest using only the solution. A single amount of medication is calculated using the formula 0.1 mg of the substance per kilogram of body weight. In case of urgent need, the amount is increased to 0.5 mg per 1 kg of weight.

The maximum possible dose of the solution according to the weight criterion is:

  • 2 ml – for babies weighing less than 20 kg;
  • 3 ml – for children weighing 20 – 30 kg;
  • 5 ml – for patients whose body weight reaches 50 kg.

For children over 6 years old, average doses of the solution are provided:

  • 6 – 10 years – 0.5 ml 1 – 3 r. in a day;
  • 10 – 14 years – 1 ml up to 3 r. per day.

Contraindications and side effects

Contraindications to the use of Cerucal by children are stated in the annotation:

  1. intestinal obstruction;
  2. facial tics and tendency to convulsions;
  3. perforation of the walls of the stomach or intestines;
  4. individual intolerance to metoclopramide;
  5. bleeding of any organ of the digestive tract.

As for side effects, the nervous system reacts mainly to Cerucal. Use of the drug by a child under 14 years of age can cause various negative conditions.

Most often, young patients complain of headaches, anxiety, fear, bad mood and causeless restlessness. Possible speech impairment, spasms of the eye and facial muscles, nervous twitching of the neck and shoulders, and other disorders.

If the drug does not help or causes a lot of side effects, it is replaced with analogues:

  • Motilium;
  • Motilak;
  • Domperidone;
  • Ganaton;
  • Motizhekt;
  • Motinorm, etc.

Cerucal is a local antiemetic drug. While effectively combating, the drug produces side effects that prevent its use for children. Cerucal is generally contraindicated for children under 2 years of age.

Is it possible to give Cerucal to children?

However, there are situations when it is necessary to prescribe Cerucal to children. Let's look at how and when you can give Cerucal to children.

Cerucal contains the active component metoclopramide. Its mechanism of action is due to the ability to block irritating impulses going to the vomiting center of the brain from the stomach. According to doctors, Cerucal is contraindicated for children due to the high risk of developing the so-called. dyskinetic syndrome. With dyskinetic syndrome, a disorder of nerve conduction occurs, which manifests itself in various involuntary movements and twitching of the muscles of the face and neck muscles. This side effect is not life-threatening, but it can be a big obstacle for children’s adaptation to a group. Therefore, children under 14 years of age can be prescribed Cerucal tablets only with great caution, while monitoring for possible side effects. If side effects occur, treatment will have to be interrupted.

But there are diseases for which the doctor is forced to prescribe the drug to children in the dosage prescribed by the manufacturer. Such diseases, as a rule, are indications for hospitalization, and in the hospital it is possible to constantly monitor the patient’s condition. However, if there is uncontrollable vomiting, the child quickly loses useful microelements and water, and the use of Cerucal is justified in this case. Children in such a situation lose a lot of weight, so in such a situation the only way out may be to prescribe Cerucal to the children, since uncontrollable vomiting can result in a state of shock.

Instructions for use of Cerucal. Dosage

It must be said right away that independent use of Cerucal for children is excluded. The instructions indicate a high risk of side effects in children. In addition, in the process of self-medication, you can make a mistake with the dose.

Cerucal is used only for diseases of the gastrointestinal tract.

The indication for use of Cerucal is uncontrollable vomiting. The dosage for children aged 2-14 years is 0.1 mg of the active ingredient per kg of the child’s weight. In this case, the maximum dose should not be more than 0.5 mg per 1 kilogram of weight per day.

For children over 14 years of age, the dose may be increased to 10 mg three times a day. Treatment is carried out for 4-6 weeks. In rare cases, the duration of treatment may be increased.

The drug has a number of contraindications.

Vomiting is an involuntary reaction of the body, often associated with the proliferation of pathogenic microorganisms and the ingestion of low-quality products. The release of vomit is a protective reaction of the body. Only complex treatment, including the use of enterosorbents, rehydration drugs, pribiotics and, if necessary, antibiotics, antispasmodics, and antipyretics will bring an effective result. In addition, therapeutic measures for vomiting require compliance with the drinking regime and diet.

If a child starts vomiting, first of all you need to take care of the correct position of his body: you should not throw your head back or put the child on his back, in this case the vomit may enter the respiratory tract. You need to lay the baby on his side and raise his head slightly. Then immediately call an ambulance.

The first procedures at home consist of rinsing the stomach with boiled water. Further treatment should be carried out according to the doctor's instructions.

Among the medications, Cerucal is often prescribed, an anti-vomiting medicine approved for children over 2 years of age.

Cerucal is a common medicine for nausea and vomiting approved for children. The drug enhances the motility of the smooth muscle tissues of the digestive organs and blocks the transmission of nervous system signals from the small intestine and stomach to the medulla oblongata, the center that activates the gag reflex.

Thanks to this mechanism, the brain “does not recognize” about the smooth muscle disorder and does not cause processes such as vomiting, nausea, hiccups, and constipation.

Cerucal is available in the form of tablets and injections. You cannot decide to take it on your own, since the drug has many side effects, and there is a high risk of choosing the wrong dosage. Indications for use are diseases of the gastrointestinal tract with indomitable vomiting.

Diseases accompanied by frequent or non-stop vomiting quickly lead to dehydration and loss of important microelements. At the same time, the child noticeably loses weight, and there is a risk of developing a state of shock.

In such situations, despite possible complications, Cerucal is the only effective remedy for vomiting in children. It is better if the drug is taken under the supervision of a doctor, for example, in a hospital.

  • for children from 2 to 14 years old it is 0.1 mg of metoclopramide per kilogram of body weight, while the daily dose should not exceed 0.5 mg of the active substance per 1 kg of body weight. That is, at the maximum dosage, the drug can be used no more than 5 times a day. If you have kidney disease, the permitted amount of the drug is determined by your doctor individually;
  • for children over 14 years of age, the dosage of the drug can be increased to 10 mg, taken 3 times a day. The tablets are taken half an hour before meals. The full course of treatment lasts from 4 to 6 weeks. At the discretion of the doctor, its duration can be reduced or increased.

Indications and contraindications

Since the main mechanism of action of Cerucal is associated with stimulation of the motility of smooth muscles of internal organs, it is prescribed exclusively for diseases of the digestive tract.

Indications include the following conditions:

  • nausea and vomiting, except in cases caused by signals from the vestibular apparatus ();
  • disorders of the motor function of the gastrointestinal tract, for example, biliary dyskinesia;
  • impaired motor activity of the stomach (paresis) due to diabetes mellitus;
  • preparation for diagnostic procedures of the gastrointestinal tract.

The list of contraindications for taking Cerucal includes:

  • the presence of pheochromocytoma (a tumor that synthesizes large quantities of adrenaline);
  • various intestinal disorders, including obstruction;
  • the presence of prolactin-dependent tumors;
  • disturbances in the structure of the walls of the stomach and duodenum;
  • bleeding in the stomach, esophagus, small or large intestine;
  • individual intolerance;
  • history of seizures;
  • nervous tics in the facial muscles;
  • first three months of pregnancy;
  • breastfeeding;
  • children's age from birth to 2 years.

Most often, Cerucal is used for nausea and vomiting in a child. It is important to remember that only a doctor can prescribe it, since for a successful recovery it is necessary to find out the cause of the symptoms.

Adverse reactions

Side effects from taking Cerucal are largely determined by the age of the patient. In children, most of these manifestations are associated with the effects of active substances on the central and peripheral parts of the nervous system.

In childhood, the use of Cerucal can cause emotional and psychological disorders: phobic manifestations, anxiety, worries, low and gloomy mood.

Possible neurological symptoms include headaches, lethargy, drowsiness, dizziness, tics in the muscles of the neck, face and shoulders, speech impairment, and shaking paralysis.

According to medical practice, most often in children, dyskinetic syndrome manifests itself as a side reaction, when uncontrolled movements of the muscles of the face and neck appear. And although this condition is not life-threatening, it can negatively affect the child’s adaptation at school or kindergarten. It is for this reason that Cerucal is prescribed to children carefully, under the supervision of a doctor. If adverse reactions occur, treatment is interrupted.

Alternative Anti-Vomiting Remedies

Despite its effectiveness, Cerucal has many adverse reactions and contraindications, one of which is age under 2 years. The drug is always prescribed with caution and under close medical supervision. It is used extremely rarely in infants and, if possible, is replaced with other medications.

Motilium can serve as an alternative to Cerucal. This medicine for nausea and vomiting is approved for children from one year old, and with careful monitoring - from birth. It is available in the form of a suspension, which greatly simplifies the administration procedure for children.

Indications for use, in addition to nausea and vomiting, are: belching, flatulence, heartburn, abdominal discomfort (bloating, feeling of fullness, pain), dyspesia. Before use, you should carefully study the instructions for the drug, as it also has contraindications and side effects.

But-spasm used for vomiting caused by functional spasms, acute gastroenteritis, febrile syndrome, increased intracranial pressure and the consequences of radiation therapy.

It is also used for abdominal pain and for symptomatic treatment of organic diseases of the gastrointestinal tract. Approved for use by children from the first days of life. Available in the form of syrup and solution.

Traditional methods of treating vomiting

To completely cure the disease, a complete diagnostic examination and treatment according to the doctor’s recommendations is necessary. But folk remedies for nausea and vomiting in children can significantly improve the condition. In addition, these methods can be successfully used as part of complex therapy.

The following plants will help you quickly stop an attack of vomiting::

  1. Peppermint. It is necessary to prepare a decoction based on it: 1 tbsp. l. pour a glass of boiling water over the leaves and leave for 2-3 hours in a thermos. Then filter and take a tablespoon three times a day as soon as nausea appears.
  2. Melissa . The decoction is prepared as follows: 1 tbsp. l. herbs are poured into a glass of boiling water, boil for 2 minutes. The strained liquid helps not only against vomiting, but also against nausea and stomach problems.
  3. Dill seed . For the decoction you need to take 1 tsp. dill seeds, pour a glass of hot water over them, boil over low heat for 13-15 minutes. Filter and drink 2 tsp three times a day.
  4. Valerian root . Grind the root and 1 tsp. Pour the powder into a glass of hot water. Boil for about 10 minutes, filter. Take 1 tsp. 3 times a day.
  5. Blend of medicinal herbs : peppermint leaves, chamomile flowers, lemon balm flowers and leaves. All herbs should be taken in equal quantities, chopped well and mixed. Then 1 tbsp. l. pour boiling water over the resulting powder. Cover the container with a lid and leave for 30 minutes. Filter the broth, drink 1 tbsp three times a day. l.

All these recipes will not help if the baby