Perinorm-CD Capsule

Perinorm CD capsule contains Metoclopramide as an active ingredient. It is used to treat certain stomach and intestine problems like nausea, vomiting, indigestion, and heartburn. It works by blocking a natural substance in the body, known as dopamine, thus speeding up stomach emptying and movement of the intestines.

Perinorm CD capsules should be taken under medical prescription, and for the duration it is prescribed. It should be taken on an empty stomach. Dizziness, stomach pain and diarrhoea are some of the common side effects of this capsule.

Most of which are temporary but if you feel the side effects persist or your condition worsens, you should contact your doctor immediately.

Dosage

Overdose

Symptoms of overdose which are likely to occur are an altered state of mind and no coordination. If you experience any of the symptoms or think you have taken too much of Perinorm CD capsules, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you missed any dose of Perinorm CD capsules take it as soon as you remember. However, if it's time for your next dose, then skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate for the missed one.

Mode of Action

How Does It Work?

Metoclopramide in Perinorm CD capsule inhibits the dopamine receptors and prevents agonists from acting on those receptors. This action is responsible for enhancing gastric emptying and also preventing acid flow back to the windpipe.

Directions for Use

Perinorm CD capsules should be taken as directed by your doctor. Swallow it whole with a glass of water. Do not cut, break or chew the medicine. It should be taken on an empty stomach. It would be best if you took it at a fixed time for optimal results and should not consume it more than that prescribed by your doctor.

Precautions and Warnings

Pregnancy

Can I take Perinorm CD capsule during pregnancy?

You should consult your doctor before using Perinorm CD capsules as it may be harmful, especially at the end of pregnancy. Your doctor will only prescribe you this medicine if considered essential after assessing the benefits over risks.

Breast Feeding

Can I take Perinorm CD capsule while breastfeeding?

Perinorm CD capsule is not recommended during breastfeeding as Metoclopramide passes into human milk and could harm the breastfed baby. Consult your doctor before using this medicine during breastfeeding.

Driving

Can I drive if I have consumed Perinorm CD capsule?

Perinorm CD capsule hampers alertness and concentration, which is essential during driving. Thus, it is better to avoid using this medicine while driving.

Alcohol

Can I consume alcohol with Perinorm CD capsule?

Alcohol worsens the side effects of Perinorm CD capsule and can cause more harm. It is advisable to stop drinking alcohol with this medicine.

Other General Warnings

Talk to your doctor if

• You have problems with your kidney or liver.
• You have any brain-related problems.
• You have heart problems like abnormal heartbeats.
• You have a salt imbalance in your body like potassium, sodium and magnesium.
• You are using other medicines known to affect the way your heart beats.
• You ever had a condition of abnormal blood pigment levels; your doctor may monitor your blood regularly.
• Perinorm CD capsules should not be given to babies less than one-year-old.

Contraindications

• If you are allergic to Metoclopramide or any other ingredients of Perinorm CD capsule.
• If you experience fits.
• If you have a rare tumour, named pheochromocytoma.
• If you have Parkinson's disease or are taking levodopa to treat it.
• If you have any problems with your stomach, such as bleeding or tear.
• If you are taking dopaminergic agonists like ropinirole, pramipexole.
• If you ever had an involuntary muscle spasm after treatment with a medicine.
• If you ever had a condition of abnormal blood pigment levels or NADH cytochrome-b5 deficiency.
• Perinorm CD capsules should not be given to a child less than a year-old.

Side effects

• Dizziness
• Sleepiness
• Stomach pain
• Diarrhoea
• Weakness
• Altered mood
• Lack of concentration
• Shaking
• Stiffness
• Restlessness
• Irregular periods
• Hallucinations
• Low level of consciousness
• Low blood pressure
• Slow heartbeats

Interactions

Interactions with other medicines

• You should not concomitantly use Perinorm CD capsule along with medicines to treat Parkinson's disease like levodopa, a medicine used to treat stomach cramps like atropine, dicyclomine as it may be harmful.
• Concomitant use of this capsule along with medicines like morphine or alprazolam, diazepam used to treat severe pain.
• Concomitant use, along with medicines like fluoxetine and paroxetine to treat mental illness may increase the effects of this medicine.
• Other medicines like digoxin used to treat heart disease, cyclosporine used to treat certain immune system problems, mivacurium and suxamethonium used to relax muscles should be used cautiously while on treatment with Perinorm CD capsules.
• You should always tell the doctor if you are taking any other medicines, herbal preparation and supplements to avoid any interaction.

Interactions with food items

Perinorm CD capsules should be taken on an empty stomach, preferably before meals.

Storage and disposal

• Store Perinorm CD capsules in a cool and dry place, protected from direct sunlight, moisture and heat.
• Keep it away from children and pets.
• Do not use expired or damaged medicines.
• Discard any unused medicine properly, do not flush in the toilet or throw it into the drain.

Frequently Asked Questions (FAQs)

Are there any special instructions that I need to remember about Perinorm CD capsule?

Mostly this medicine affects any muscles that are influenced by dopamine receptors. Do not use it in any severe involuntary muscle spasms since it cannot reverse. Do not exceed the treatment beyond twelve weeks as it can cause undesirable muscle problems.

Is Perinorm CD capsule useful for paediatric patients?

Since there are too many unwanted side effects which may prove fatal for children, it is better not to give Perinorm CD capsule to children.

What should I tell my healthcare practitioner before starting Perinorm CD capsule?

Mention to your physician all OTC and prescription medicines that you take and explain all the history of your past and present illnesses.

How should I take Perinorm CD capsule?

Take Perinorm CD capsule 30 minutes before any food intake and also at bedtime.