Domstal Suspension 30ml

Introduction About DOMSTAL SUSPENSION

DOMSTAL SUSPENSION contains Domperidone which belongs to the group of medicines
called Dopamine antagonists. It is used to manage nausea (feeling sick) and
vomiting (being sick).

Nausea and vomiting are not a disease but symptoms of different conditions such
as infections, food poisoning, motion sickness, overeating, blocked intestine,
migraine, indigestion and many more.

DOMSTAL SUSPENSION is not recommended for use in patients having heart or
moderate to severe liver diseases, bleeding in the stomach or intestines,
blockage or tear in your intestines, and tumors in the pituitary gland
(prolactinoma). DOMSTAL SUSPENSION should be used with caution in patients
having kidney diseases.

DOMSTAL SUSPENSION should be used with caution in pregnant women and should be
used in breastfeeding women only if considered clearly necessary by the doctor.
Ask for your doctor’s advice before taking. DOMSTAL SUSPENSION should be used
with caution in elderly patients (above 60 years of age).

DOMSTAL SUSPENSION should not be used in children below 12 years or weighing
less than 35kgs. Consult with your child’s doctor. The common side effect of
taking DOMSTAL SUSPENSION includes dry mouth. Consult with your doctor if this
worsens or doesn’t improve.

Uses Of DOMSTAL SUSPENSION

• manages nausea and vomiting

How DOMSTAL SUSPENSION Works

DOMSTAL SUSPENSION has an anti-emetic property which acts by blocking a chemical
messenger in the brain called dopamine, that transfers information through nerve
endings. DOMSTAL SUSPENSION functions by inhibiting the muscle contraction that
occurs naturally in the digestive system and enhances the peristaltic movement
in the food pipe which helps in facilitating the digestion time faster, this
causes calming down effect, thereby relieving nausea or vomiting sensation.

How to use DOMSTAL SUSPENSION

Take DOMSTAL SUSPENSION as advised by your physician. Shake well before use.
Your doctor will decide the appropriate dose and duration of DOMSTAL SUSPENSION
for you depending on your age, body weight and disease condition.

Side Effects Of DOMSTAL SUSPENSION

Common

• dry mouth

Uncommon

• feeling anxious
• feeling drowsy
• headache
• diarrhoea
• itchy skin, rash
• unusual production of breast milk in men and women
• painful or tender breasts
• lowering of sexual desire in men

Rare

Stop taking DOMSTAL SUSPENSION and consult your doctor immediately if you
experience any of the following side effects

• severe reaction having symptoms such as swelling of the hands, feet, ankle, face, lips and throat which may cause difficulty in swallowing or breathing
• itchy lumpy rash (hives), nettle rash (urticaria)
• uncontrolled movements, which include irregular movements of eyes, an unusual movement of the tongue, abnormal posture (Ex. twisted neck)
• have a fast unusual heartbeat
• seizures (fits)

How To Manage Side Effects

Dry mouth:

Dry mouth can be managed by chewing sugar-free gum or sucking on sugar-free hard
candies to stimulate the flow of saliva. Sip water at regular intervals of time.
Do not use mouthwashes that contain alcohol because they can be drying. Consult
your physician for advice.

Diarrhoea:

Drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do
not consume any medicine on your own without consulting your doctor. Ask for
your doctor’s advice if diarrhoea doesn’t improve.

Headache:

Try to take rest and don’t involve yourself in exertive activities. Rest in a
quiet and dark room. Apply a pain-relieving balm on your forehead. Ask for your
doctor’s advice if the headache doesn’t improve

Drowsiness:

Take adequate sleep. Do not involve in rigorous activities. Do not interfere
with your sleep cycle. Talk to your doctor if the drowsiness doesn’t improve.

Itchy skin:

Hot water makes your skin irritated, so avoid taking hot showers. Do not scratch
the affected area. Use sunscreen and protective clothing when outdoors. To
soothe and hydrate the irritated skin, apply moisturizers. Contact your doctor
if itching worsens.

Warning & Precautions

!### Pregnancy

DOMSTAL SUSPENSION should be used with caution in pregnant women. Consult your
doctor before taking it.

!### Breastfeeding

DOMSTAL SUSPENSION is not recommended for use in breastfeeding women as it may
pass through breast milk. DOMSTAL SUSPENSION may cause unwanted side effects
affecting the heart in a breastfed baby. It should only be used only if
considered clearly necessary by the doctor. Consult your doctor before taking
DOMSTAL SUSPENSION.

!### Driving and Using Machines

DOMSTAL SUSPENSION does not affect the ability to drive or use machines.

!### Kidney

DOMSTAL SUSPENSION should be taken with caution in patients with kidney problems
such as kidney impairment or kidney failure. Your doctor might consider
adjusting your dose. Consult your doctor before taking it.

!### Liver

DOMSTAL SUSPENSION is not recommended for use in patients having moderate to
severe liver diseases such as liver function impairment or liver failure.
Consult your doctor before taking it.

!### Allergy

Do not take DOMSTAL SUSPENSION if you are allergic to Domperidone or any other
ingredients present in it.

!### Heart Disease

DOMSTAL SUSPENSION is not recommended in patients suffering from heart problems
such as prolonged QT corrected interval (reading in eco cardiogram (ECG)
machine) or heart failure (heart cannot pump blood properly). Kindly consult a
doctor before taking DOMSTAL SUSPENSION.

Others

DOMSTAL SUSPENSION is not recommended for use if you:

• tumor in the pituitary gland (prolactinoma)
• history of blockage or tear in the intestine
• hypokalemia (low level of potassium)
• hyperkalemia (increased levels of potassium in the blood)
• hypomagnesemia (decreased levels of magnesium in the blood)
• signs and symptoms of bleeding in the stomach or intestine (black tarry bowel motions or blood in your bowel motions)

Use in pediatrics:

DOMSTAL SUSPENSION is not recommended for use in children below 12 years of age
or weighing less than 35 kgs. Consult with your child’s doctor before giving
DOMSTAL SUSPENSION to your child.

Use in geriatrics:

DOMSTAL SUSPENSION should be used with caution for use over 60 years of age, as
DOMSTAL SUSPENSION be associated with an increased risk of heart rhythm disorder
and cardiac arrest. Consult your doctor before taking it.

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Interactions

A. Drug-Drug interactions:

Before taking DOMSTAL SUSPENSION, inform your doctor if you are taking any of
the following medicines:

• medicines to manage fungal infections (Ex. ketoconazole, fluconazole, and voriconazole)
• medicines to manage bacterial infections (Ex. erythromycin, clarithromycin, telithromycin, moxifloxacin, pentamidine)
• medicine to manage heart problems or high blood pressure (Ex. amiodarone, dronedarone, quinidine, disopyramide, bepridil, dofetilide, sotalol, diltiazem, verapamil)
• medicines to manage psychoses (Ex. haloperidol, pimozide, sertindole), medicine to manage depression (Ex. citalopram, escitalopram)
• medicines to manage gastrointestinal disorders (such as cisapride, diphem
• medicines to manage allergies (Ex. mequitazine, mizolastine)
• medicine to manage malaria (specifically halofantrine)
• medicines to manage AIDS/HIV (Ex. ritonavir, atazanavir)
• medicine to manage cancer (Ex. toremifene, vandet
• medicine used to manage drug addiction (Ex. methadone)

Overdosage:

If you or anyone else accidentally took too much of this medicine, consult your
doctor immediately. The symptoms might include feeling sleepy, confused,
uncontrolled movements of the eye and tongue and abnormal posture (like a
twisted neck).

Synopsis

Drug	:	Domperidone
Pharmacological Category	:	Dopamine antagonists
Therapeutic Indication	:	Nausea and Vomiting
Dosage Forms	:	Tablets, Capsules, Dispersible tablets, Rapitab, Suspension, Oral Suspension, Syrup, Oral Drops, Drops

More Information

• Keep DOMSTAL SUSPENSION out of reach of children
• Store DOMSTAL SUSPENSION at room temperature below 30°C

FAQs About DOMSTAL SUSPENSION

What is DOMSTAL SUSPENSION and why is it prescribed?

DOMSTAL SUSPENSION contains Domperidone which belongs to the group of medicines
called Dopamine antagonists. It is used in managing nausea and vomiting.

How long can I take DOMSTAL SUSPENSION?

It is recommended that DOMSTAL SUSPENSION be taken for the shortest period and
at the lowest dose. This is because DOMSTAL SUSPENSION can cause an irregular
heartbeat when taken for a longer period or at a high dose. Ask for your
doctor’s advice.

Can I take DOMSTAL SUSPENSION with antibiotics?

Use of DOMSTAL SUSPENSION with antibiotics like erythromycin, levofloxacin, and
some antifungals is not recommended as this can cause interaction. Please
consult your doctor for advice before using any antibiotics with DOMSTAL
SUSPENSION.

Does DOMSTAL SUSPENSION increase milk secretion?

Yes, DOMSTAL SUSPENSION can increase milk secretion also known as galactorrhoea.
This is an uncommon side effect of using DOMSTAL SUSPENSION. Talk to your doctor
if you are experiencing this side effect while taking this medicine.

Does DOMSTAL SUSPENSION cause heart problems?

DOMSTAL SUSPENSION may be associated with an increased risk of heart problems
(like an irregular heartbeat) and heart attacks. The risk also increases when
DOMSTAL SUSPENSION is given together with other medicines.  Inform the doctor of
your medication history when taking DOMSTAL SUSPENSION.

Does DOMSTAL SUSPENSION cause dry mouth?

Yes, DOMSTAL SUSPENSION can cause dry mouth. Dry mouth can be managed by chewing
sugar-free gum or sucking on sugar-free hard candies to stimulate the flow of
saliva. Sip water at regular intervals of time. Do not use mouthwashes that
contain alcohol because they can be drying. Consult your physician for advice.

What is the best time to take DOMSTAL SUSPENSION?

It is recommended to take DOMSTAL SUSPENSION before meals. If taken after meals,
absor
dose of DOMSTAL SUSPENSION at a scheduled time to avoid missing a dose.