Should Domperidone be taken before or after meals?
Domperidone tablets are commonly known as Motilium. They are generally recommended to be taken 15–30 minutes before meals to facilitate drug absorption. Detailed analysis is as follows:
Domperidone is a prokinetic agent that enhances esophageal peristalsis and the tone of the lower esophageal sphincter, thereby preventing gastroesophageal reflux, promoting gastric motility, and accelerating gastric emptying. It helps relieve symptoms such as indigestion, bloating, and stomach pain. Taking domperidone before meals allows for faster drug absorption and optimal therapeutic effect. Peak plasma concentrations are typically reached about 30 minutes after oral administration, when the drug's efficacy is strongest. If specifically directed by a physician or if a patient forgets to take the medication before a meal, it may also be taken immediately after eating; however, this may slow drug absorption, reduce effectiveness, and potentially interfere with direct contact between the drug and the gastric mucosa, thus impairing its action.
During treatment, patients should maintain healthy eating habits and avoid consuming spicy or irritating foods together with the medication. Additionally, domperidone is contraindicated in patients with mechanical intestinal obstruction, gastrointestinal bleeding, pregnant women, and those allergic to domperidone.