• Zugelassene ÄrzteLicensed doctorsMédecins agréésBevoegde artsen
  • Rezept nach ärztlicher PrüfungPrescription after medical reviewOrdonnance après évaluation médicaleRecept na medische beoordeling
  • Kostenloser, diskreter VersandFree, discreet deliveryLivraison gratuite et discrèteGratis, discrete verzending
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Treatment area: Nausea and vomiting

Treat nausea and vomiting in the short term

Nausea and vomiting have many causes, such as a gastrointestinal infection, a migraine attack, or medication, and often subside after a few days. Our doctors will review your questionnaire to determine whether domperidone or metoclopramide is suitable for short-term treatment.

  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Anti-nausea remedies

Domperidone and metoclopramide are prescription medications and intended for short-term treatment only. After making your selection, you will complete the medical questionnaire in full; a doctor will then decide whether treatment is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which remedy might be suitable?

  1. 1 If you have difficulty swallowing tablets Metoclopramide is also available as an oral solution, which is measured using a dosing syringe. Domperidone is available as a tablet. The doctor will decide which form is appropriate.
  2. 2 If you have heart disease or are taking medication that affects your heart rhythm. Domperidone can affect heart rhythm and is not suitable for certain heart conditions or medications. Caution is also advised when using metoclopramide in these cases. The doctor will review your information and make a decision.
  3. 3 In cases of epilepsy, Parkinson's disease, or previous movement disorders caused by medication Metoclopramide acts in the brain and is therefore unsuitable in these cases. Domperidone barely reaches the brain, but carries its own risks for the heart. The doctor will decide whether it is an option.
  4. 4 Nausea during a migraine attack or due to cancer treatment Both active ingredients can be considered for migraine. According to the product information, metoclopramide is also intended for the prevention of delayed nausea and vomiting after chemotherapy and radiation therapy, in consultation with the treating team. The doctor decides.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Domperidone RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Domperidon

Dopamine antagonist in tablet form for the short-term relief of nausea and vomiting.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Highest blood levels after about 1 hour
WirkdauerDurationDurée d’actionWerkingsduur
Half-life approximately 7 to 9 hours
FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Domperidone blocks dopamine receptors in a vomiting trigger area in the brainstem, which lies outside the blood-brain barrier. It also accelerates gastric emptying. The drug barely crosses the blood-brain barrier.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • For nausea or vomiting that only requires short-term treatment
  • If no heart disease, prolonged QT interval, or moderate or severe liver disease is known
  • If no medications are taken that affect the heart rhythm or inhibit the breakdown of domperidone.
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: One tablet up to three times daily before meals, not exceeding 30 mg per day and usually for no more than 1 week.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 10 mg

Domperidone can rarely cause dangerous heart rhythm disturbances, especially in people over 60, at doses above 30 mg per day, and in combination with certain other medications. If you experience a rapid heartbeat, irregular heartbeat, or fainting, stop taking the medication immediately and seek medical help.

abfromà partir devanaf 38,82 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Metoclopramide RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Metoclopramid

Dopamine antagonist in tablet or solution form for the short-term treatment of nausea and vomiting.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Highest blood levels after about 1 hour
WirkdauerDurationDurée d’actionWerkingsduur
Half-life approximately 3 to 5 hours
FormFormFormeVorm
Tablets and oral solution

So wirkt es:How it works:Mode d’action :Zo werkt het: Metoclopramide blocks dopamine and serotonin receptors in the vomiting center of the brainstem. It also accelerates gastric emptying. Because the drug crosses the blood-brain barrier, drowsiness and impaired motor function may occur.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • For nausea or vomiting that only requires short-term treatment
  • If there is no history of epilepsy, Parkinson's disease, or previous movement disorders caused by metoclopramide
  • If no Parkinson's medications such as levodopa, pramipexole, or ropinirole are taken
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Tablet or measured solution up to three times daily before meals, with at least 6 hours between doses and for a maximum of 5 days.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 1 mg/ml · 10 mg

Metoclopramide can cause movement disorders, and with prolonged use, these can become permanent. Therefore, it should not be used for more than 5 days and at a maximum dose of 30 mg per day; it should not be used in cases of epilepsy, Parkinson's disease, or in combination with levodopa or dopamine agonists.

abfromà partir devanaf 37,97 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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RatgeberGuideGuideGids

What you should know about nausea

Nausea is a symptom, not a disease in itself. Anti-nausea medications alleviate the symptoms but do not replace the need to investigate the underlying cause if the symptoms persist or warning signs appear.

What causes nausea and vomiting?

Nausea occurs when the vomiting center in the brainstem receives signals from the stomach and intestines, the vestibular system, or the blood. Common triggers include:

  • Gastrointestinal infections, often accompanied by diarrhea
  • Migraine attacks
  • Medications, for example antibiotics, strong painkillers or chemotherapy

Pregnancy, excessive alcohol consumption, travel sickness, or severe stress can also trigger nausea. In most cases, the symptoms subside within a few days. If the nausea persists longer or recurs frequently, the cause should be investigated by a doctor.

How do domperidone and metoclopramide work?

Both active ingredients belong to the class of dopamine antagonists. These block dopamine receptors in the vomiting trigger zone in the brainstem and accelerate gastric emptying.

  • Domperidone: The tablet barely reaches the brain, usually lasting a maximum of 1 week.
  • Metoclopramide: Tablet or oral solution, also effective in the brain, lasts for a maximum of 5 days.

According to the prescribing information, metoclopramide is also indicated for nausea during an acute migraine attack and for preventing delayed nausea after chemotherapy and radiation therapy. Both medications alleviate the symptoms but do not treat their underlying cause. Long-term treatment is not recommended.

Side effects and cautions

Domperidone: Possible side effects include dry mouth, headache, or diarrhea. Rarely, it can trigger dangerous heart rhythm disturbances, especially in people over 60, at higher doses, and when taken with certain medications, such as some antibiotics or antifungal drugs.

Metoclopramide: Common side effects include fatigue and movement disorders such as muscle cramps, tremors, or restlessness. With prolonged use, involuntary movements may persist (tardive dyskinesia). It is not suitable for patients with epilepsy, Parkinson's disease, or when used in combination with levodopa.

Both medications can interact with other drugs. Therefore, all medications must be listed in full on the questionnaire.

When should you see a doctor immediately?

Nausea can also be a sign of a serious illness. Call emergency services immediately on 112 (Switzerland: 144) if:

  • If blood or coffee-ground-like material is vomited, or if the stool is black
  • Severe abdominal pain, a hard abdomen, or lack of bowel movements and flatulence may also occur.
  • Severe headaches with a stiff neck or fever are present, or nausea occurs after a head injury.

If signs of dehydration occur, such as insufficient urine output, severe dizziness, or an inability to retain liquid in the stomach, a medical examination is necessary on the same day. If rapid heartbeat or fainting occurs while taking domperidone, or if facial or throat cramps occur while taking metoclopramide, discontinue the medication and seek immediate medical attention.

Well cared for in case of vomiting

Replace lost fluid

When vomiting occurs, the body loses fluids and electrolytes such as potassium and magnesium. Such a deficiency can also increase the risk of heart rhythm disturbances when taking domperidone. Therefore, it is important to replace lost fluids early, even if only a small amount remains in the stomach at first. Older people and those with pre-existing medical conditions dehydrate more quickly.

  • Drink frequent small sips of water, tea, or an electrolyte solution from the pharmacy.
  • After the symptoms subside, start with small, light meals such as rusks, rice or bananas.
  • Note the time of each dose to ensure that intervals and maximum amounts are observed.

Do not save any leftover tablets or solution for later use without first consulting a doctor. If nausea persists longer than the intended treatment duration, the cause should be investigated in person by a doctor. More information on gastrointestinal problems with diarrhea: Irritable bowel syndrome and diarrhea. Our online doctor answers general questions..

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about remedies for nausea

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Do I need a prescription for domperidone or metoclopramide?

Yes. Both medications in this category require a prescription. A licensed physician will review your questionnaire to determine if short-term treatment is medically appropriate. Information regarding heart conditions, epilepsy, Parkinson's disease, pregnancy, and all medications you are currently taking is particularly important. Please provide complete information on these conditions.

Both medications are intended for short-term treatment only. According to the prescribing information, domperidone should be taken for the shortest possible time, generally for no more than one week and no more than three times a day. Metoclopramide should be taken for no more than five days, with at least six hours between doses. If nausea persists longer, a medical evaluation to determine the cause is necessary.

Both block dopamine receptors and promote gastric emptying. Domperidone barely crosses the blood-brain barrier, but requires special caution in patients with heart conditions and when taking many other medications. Metoclopramide also acts in the brain and can cause fatigue and movement disorders. It is also available as an oral solution. The doctor will decide which medication is most suitable.

The doctor will decide after careful consideration. There is limited data on domperidone use during pregnancy. Metoclopramide can be used if medically necessary, but should ideally be avoided towards the end of pregnancy. Both active ingredients pass into breast milk. They are not prescribed to promote milk production. Please indicate if you are pregnant or breastfeeding in the questionnaire.

In that case, no prescription will be issued and you will receive a full refund of all payments made. If you experience persistent or recurring nausea, we recommend that you consult a doctor in person as soon as possible so that the cause can be determined. If you notice warning signs such as blood in your vomit or severe abdominal pain, call emergency services immediately.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

Nausea: medically reviewed and treated

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