VOMITING AND METOCLOPRAMIDE

Dear editor,

We read your case presentation titled 'Metoclopramide-induced dystonia' with interest (1). In patients with gastroenteritis, inflammatory bowel diseases, and neurological symptoms such as seizures, ischemia, and intracranial hemorrhage, vomiting symptom is observed and the physician should stabilize the patient. Although many physicians know that methaclopromide can cause dystonia, it is thought that this effect may occur in higher doses and we do not hesitate to use the drug as a part of the treatment. Metaclopromide is a dopamine antagonist and is also used in hyperemesis gravidarum together with ondansetron, a serotonin receptor antagonist.