Gastroparesis
- Small-particle diet + nutrition come first
- Optimize glucose if diabetic
- Metoclopramide is the main FDA-approved drug
- Limit exposure because of TD risk
- Erythromycin can work short-term
- Antiemetics treat nausea—not gastric emptying
- Refractory disease → specialty procedures
Use at a glance
- Small-particle diet + nutrition come first
Escalation / refractory disease
- Refractory disease → specialty procedures
Treatment options
- Metoclopramide is the main FDA-approved drug
- Erythromycin can work short-term
- Antiemetics treat nausea—not gastric emptying
Choosing treatment
- Optimize glucose if diabetic
Practical pearls
- Limit exposure because of TD risk
Self-check
- What comes first in gastroparesis treatment?
Small-particle diet and nutrition.
- What is the main FDA-approved drug for gastroparesis?
Metoclopramide.
Drugs used for this (1)
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