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Metoclopramide utilization review.

B J Mason1

  • 1College of Pharmacy, Idaho State University, Pocatello.

QRB. Quality Review Bulletin
|April 1, 1989
PubMed
Summary
This summary is machine-generated.

Metoclopramide prescriptions were reviewed, finding many were for inappropriate uses. However, further analysis confirmed medical literature supports metoclopramide for one previously questioned indication.

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Area of Science:

  • Pharmacology
  • Clinical Pharmacy
  • Health Services Research

Background:

  • Metoclopramide is a medication used for gastrointestinal issues.
  • Utilization reviews assess appropriate medication prescribing.
  • Previous reviews identified potential off-label or inappropriate metoclopramide use.

Purpose of the Study:

  • To conduct a utilization review of metoclopramide prescriptions.
  • To identify and evaluate the appropriateness of metoclopramide indications.
  • To reconcile prescribing practices with supporting medical literature.

Main Methods:

  • A utilization review was performed at a Veterans Administration Medical Clinic.
  • Prescriptions for metoclopramide were analyzed.
  • Indications for metoclopramide use were compared against established medical literature.

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Main Results:

  • A significant percentage of metoclopramide prescriptions were for indications deemed inappropriate.
  • Further investigation revealed that medical literature supported metoclopramide use for at least one of these 'inappropriate' indications.
  • This suggests a potential discrepancy between perceived and evidence-based metoclopramide utilization.

Conclusions:

  • The initial utilization review highlighted areas of concern regarding metoclopramide prescribing.
  • Further evaluation demonstrated that some prescribing practices, initially flagged, are supported by scientific evidence.
  • This underscores the importance of comprehensive literature review in utilization studies to accurately assess drug use.