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The FDA has approved Gimoti (Evoke), a nasal spray formulation of the dopamine-2 (D2) receptor antagonist metoclopramide, for relief of symptoms in adults with acute and recurrent diabetic gastroparesis. Metoclopramide (Reglan, and generics) has been available for years in conventional and orally-disintegrating tablets and in an injectable formulation. It is the only drug that is FDA-approved for treatment of diabetic gastroparesis.
Gastroparesis treatment with Metoclopramide (10 mg, 10–15 min before a meal, preferably liquid formulation).
Clinical guidelines recommend metoclopramide beginning with 5 mg 3 times a day 30 min before meals with a maximum dose of 40 mg a day
Metoclopramide promotes gut motility b…