Which of the following is/are FDA-approved labeled indication(s) for Metoclopramide Hydrochloride? Select all that apply.
Depression
Gastroesophageal Reflux
Anxiolytic
Diabetic Gastroparesis
Correct Answer : B,D
A. Depression is primarily managed with selective serotonin reuptake inhibitors or other antidepressant classes to modulate monoamine neurotransmission. Metoclopramide acts as a dopamine D2 receptor antagonist and is not indicated for mood disorders. Its use in psychiatric conditions is restricted.
B. Gastroesophageal reflux is an approved indication for symptomatic relief when conventional therapy fails. Metoclopramide increases lower esophageal sphincter tone and stimulates upper gastrointestinal tract motility. It facilitates gastric emptying to prevent acid reflux into the distal esophagus.
C. Anxiolytic properties are characteristic of benzodiazepines or certain antihistamines that depress the central nervous system. Metoclopramide lacks the GABA-ergic modulation required to reduce clinical anxiety. The drug is classified as a prokinetic and antiemetic agent, not a psychotropic.
D. Diabetic gastroparesis is a labeled indication where the drug alleviates symptoms like nausea and delayed gastric emptying. By antagonizing dopamine receptors and sensitizing tissues to acetylcholine, it restores gastrointestinal motility. This enhances the transit of food in diabetic patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Chlorhexidine possesses broad-spectrum antimicrobial activity but is not a primary treatment for oral herpes virus. It does not inhibit viral DNA polymerase like acyclovir. This agent is not FDA-approved for the management of viral infections.
B. Gingivitis is a labeled indication for chlorhexidine gluconate oral rinse. It provides antimicrobial activity by disrupting the plasma membrane of bacterial cells. This reduces dental plaque and gingival inflammation between dental visits.
C. Vaginal candidiasis is typically managed with antifungal agents like fluconazole or miconazole. Chlorhexidine is not indicated for the treatment of fungal infections within the vaginal vault. Its therapeutic use is restricted to topical or oral mucosal applications.
D. Cryptococcal meningitis is a severe fungal infection of the central nervous system requiring systemic amphotericin B. Chlorhexidine does not cross the blood-brain barrier and lacks the necessary systemic distribution. It is not an approved treatment for meningitis.
Correct Answer is A
Explanation
A. Lidoderm is the brand name for the 5 percent transdermal patch containing lidocaine. It functions as a local anesthetic by blocking voltage-gated sodium channels in neuronal membranes. This stabilizes the membrane and inhibits the initiation and conduction of nociceptive nerve impulses.
B. Actos is the proprietary brand name for pioglitazone, a thiazolidinedione used in type 2 diabetes mellitus. It acts as an agonist for the peroxisome proliferator-activated receptor gamma to improve insulin sensitivity. It is pharmacologically unrelated to transdermal lidocaine preparations.
C. Lithobid is the brand name for a slow-release formulation of lithium carbonate. It is used primarily as a mood stabilizer in the management of bipolar disorder. It modulates neurotransmission via various intracellular signaling pathways and is not a local anesthetic.
D. Dilantin is the brand name for phenytoin, a hydantoin derivative used as an antiepileptic medication. It stabilizes neuronal membranes by promoting sodium efflux or decreasing sodium influx during generation of nerve impulses. It is not the brand name for lidocaine.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
