What are the contraindications for metoclopramide use and in which patient populations should this medication be avoided?
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Metoclopramide is contraindicated in patients with pheochromocytoma, gastrointestinal obstruction, epilepsy, and Parkinson’s disease.
Metoclopramide should not be used in patients with GI perforation, active bleeding, mechanical obstruction, or those allergic to it.
Avoid metoclopramide in individuals with a history of tardive dyskinesia induced by neuroleptic drugs, as it can exacerbate symptoms.
Patients with a known sensitivity to metoclopramide or its constituents should avoid this medication. It is also contraindicated in epilepsy and bowel obstruction.