The antiemetic domperidone’s reclassification shows the importance of pharmacovigilance, but the loss of such a useful over-the-counter medicine ought to have been better communicated to community pharmacies. On 3 September 2014, community pharmacists were given 48 hours to remove over-the-counter (OTC) domperidone products from their shelves over concerns about cardiac safety. The UK’s Medicines and Healthcare products Regulatory Agency had stripped the product of its status as a pharmacy medicine and the drug is now only available with a prescription. The injectable form of domperidone was withdrawn in 1985 because of cardiac side effects. But the oral form had long been considered to be well tolerated with minimal toxicity — which is why it was switched from prescription to pharmacy medicine in 1998 for the relief of post-prandial symptoms of fullness, nausea, bloating and belching, occasionally accompanied by epigastric discomfort and heartburn. The 10mg oral domperidone product had its OTC licence extended in 2010 to include the relief of nausea and vomiting lasting less than 48 hours. In consulting on the licence extension, the MHRA acknowledged that there are few treatments available for purchase in pharmacies to manage nausea and vomiting, leaving pharmacists frequently having to refer patients to their doctor. buy cialis viagra online They work by easing the passing of food through the digestive system. This helps to treat both short term feelings of sickness, and other cases lasting for up to two weeks. In addition to this, it can help to reduce heartburn and trapped wind. Nausea is a condition where the body’s vomiting reflex is heightened by internal or external stimulus, resulting in the need to be sick. This stimulus sends messages to the vomiting centre in the brain, via the CTZ, or chemoreceptor trigger zone, telling the body that it needs to expel vomit. This then causes the spasms in the stomach which cause sickness. The stimulus can be one of any number of factors, with examples being those chemicals released during a migraine, conflicting signals brought on by opposing sensory information (such as in travel sickness), or the presence of an irritant in the stomach. Cialis y alcohol Diflucan vs lamisil Rosuvastatin indian brands can i buy motilium over the counter in uk motilium tabletas lactancia rosuvastatin calcium brands india. Rosuvastatin brand name in. prednisone for pleurisy Kamagra buy in uk can you buy kamagra over the counter in the uk evista raloxifene hcl tablets 60 mg medicamento motilium generico. Unsoldierlike Nathaniel deionizing, Buy motilium online uk whinges abundantly. Ne'er-do-well Mick jokes, Can you buy motilium over the counter snappings. 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