صباح الفل الدومبريدون (الموتليوم) خلى بالك منه 🚨🚨🚨 خلى بالك من الثلاث حاجات دول 🚨خلى بالك فى الاطفال اللى اقل من سنه 🚨خلى بالك من الاطفال اللى عندهم مشاكل فى القلب حتى لو حاجه بسيطه 🚨خلى بالك مش تستخدمه مع المضادات الحيويه macrolids as Azithromycin, clarithromycin, and erythromycin المزيد 👇👇👇👇👇👇👇 Ezz Clinical Cards – Pediatric GI Drug Pearls Drug #25: Motilium (Domperidone) Peripheral dopamine-2 receptor antagonist ✅ Indications: • Gastric dysmotility • Persistent vomiting (e.g., post-viral, cyclic vomiting syndrome) • Reflux-related symptoms in older infants and children • Delayed gastric emptying in neurologically impaired children ⸻ ✅ Clinical Pearls: 1️⃣ Prokinetic agent – increases gastric emptying and enhances lower esophageal sphincter tone. 2️⃣. Pediatric dosing (oral suspension): • 0.25–0.5 mg/kg/dose, 3 times/day • Administer 30 minutes before meals 3️⃣ Suppository form – useful when oral route is compromised (e.g., vomiting). 4️⃣ Caution in infants <1 year – higher risk of extrapyramidal side effects and cardiac arrhythmias. 5️⃣ QT prolongation risk: • Avoid in children with cardiac disease or when combined with macrolides, azoles, or other QT-prolonging drugs. 6️⃣ Use under specialist supervision for chronic cases – do not use for >7–10 days without reassessment. ⸻ ✅ Bonus Tip: Motilium may help with vomiting or motility-related symptoms—but always combine with feeding review, positional strategies, and underlying cause management. ⸻ #ezzclinicalcards #pediatricgi #motilium #domperidone #prokinetic #vomiting #reflux #gitransit #drugpearls