Perinorm Syrup 60 ml belongs to a group of medicines called anti-emetics and prokinetic agents used to prevent nausea and vomiting caused by chemotherapy, radiotherapy, and which might occur after migraine. Additionally, Perinorm Syrup 60 ml is also used to treat gastro-oesophageal reflux disease (GERD), diabetic gastroparesis (delayed gastric emptying in people with diabetes), heartburn, ulcers and sores in the oesophagus.

Perinorm Syrup 60 ml contains ‘metoclopramide’ that works by increasing the motility of the upper gastrointestinal tract; this allows faster transit of food and reduces the symptoms of GERD and gastric emptying. It also works on the part of the brain that controls vomiting, thereby helps in preventing nausea and vomiting.

In some cases, Perinorm Syrup 60 ml may cause common side-effects such as restlessness, fatigue, drowsiness, diarrhoea, weakness, and lassitude (lack of energy). Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if the side effects persist or worsen.

Do not take Perinorm Syrup 60 ml for more than 3 months as it might increase the risk of tardive dyskinesia (movement disorder). Consult your doctor before taking Perinorm Syrup 60 ml if you are pregnant or breastfeeding. Perinorm Syrup 60 ml may cause drowsiness and dizziness, so avoid driving until you know how Perinorm Syrup 60 ml affects you. Avoid consuming alcohol along with Perinorm Syrup 60 ml as it could lead to increased drowsiness. Keep your doctor informed about your health condition and medications to rule out any interactions.

Perinorm Syrup 60 ml belongs to a group of medicines called anti-emetics and prokinetic agents used to prevent nausea and vomiting caused by chemotherapy, radiotherapy, and which might occur after migraine. Additionally, Perinorm Syrup 60 ml is also used to treat gastro-oesophageal reflux disease (GERD), diabetic gastroparesis (delayed gastric emptying in people with diabetes), heartburn, ulcers and sores in the oesophagus. Perinorm Syrup 60 ml contains ‘metoclopramide’ that works by increasing the motility of the upper gastrointestinal tract; this allows faster transit of food and reduces the symptoms of GERD and gastric emptying. It also affects the dopamine receptor in the brain and gut, thereby helps in preventing nausea and vomiting.

• Restlessness
• Fatigue
• Drowsiness
• Diarrhoea
• Weakness
• Lassitude (lack of energy)

Do not take Perinorm Syrup 60 ml if you are allergic to any of its contents; if you have bleeding or obstruction in the stomach, tardive dyskinesia (movement disorder), pheochromocytoma (tumour in the adrenal glands), or epilepsy. Talk to your doctor before taking Perinorm Syrup 60 ml if you have heart problems, diabetes, depression, high blood pressure, breast cancer, seizures, liver or kidney problems, Parkinson’s disease, methaemoglobinaemia; if you are taking levodopa or if you have gastrointestinal surgery in the last 3-4days. Do not take Perinorm Syrup 60 ml for more than three months as it might increase the risk of tardive dyskinesia; the risk increases if you are older, especially if you are an older woman or if you have diabetes. Consult your doctor immediately if you cannot stop or control movements like shaking your arms and legs, blinking and moving your eyes, sticking out the tongue, frowning, lip-smacking, chewing, or puckering up the mouth.

Drug-Drug Interactions: Perinorm Syrup 60 ml may interact with pain killers (aspirin, acetaminophen), antidepressants (duloxetine), antihistamine (diphenhydramine), anti-anxiety (alprazolam), anticonvulsant (pregabalin), antiparkinson (levodopa). Inform your doctor if you are taking anti-hypertensive agents, Monoamine Oxidase Inhibitors (anti-depressants), anti-psychotics, anti-diabetic (insulin), narcotics and sleep medicines.

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interaction: Inform your doctor if you have gastrointestinal disorders, depression, seizures, fluid retention, high blood pressure, parkinsonism, pheochromocytoma (tumour of the adrenal gland), neuroleptic malignant syndrome (a nervous disorder with high fever and muscle stiffness), Tardive dyskinesia (jerky, stiff movements of the face), and kidney dysfunction.

• ASPIRIN
• ACETAMINOPHEN
• DULOXETINE
• DIPHENHYDRAMINE
• ALPRAZOLAM
• PREGABALIN
• LEVODOPA

• Eat smaller meals more often.
• Drink fluids to stay hydrated.
• Avoid solid foods until vomiting stops.
• Avoid foods that might cause stomach upset.
• Take ample rest. Avoid any activity immediately after eating.
• Consume plain, light foods such as bread and biscuits.
• Avoid food with strong flavours and fried food.
• Ginger tea might help in proper digestion.

Your doctor may advise you to regularly get blood tests done to check your blood pigment levels. If Methaemoglobinaemia is observed, treatment with Perinorm Syrup 60 ml should be stopped immediately and permanently. Methaemoglobinaemia is a blood condition in which the haemoglobin iron is in the oxidized state and cannot reversibly bind to oxygen.

Nausea/Vomiting: Nausea is an uneasy feeling in which the person feels an urge to vomit, whereas vomiting is an uncontrollable reflex that expels the contents of the stomach through the mouth. Nausea and vomiting may occur separately or together. The common causes include motion sickness, emotional stress, indigestion, food poisoning, high fever or overeating. Nausea/vomiting might also occur as an unpleasant effect of therapy, such as chemotherapy and radiation therapy. 

Gastroesophageal reflux disease (GERD): The stomach is usually protected from acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets eroded, which leads to complications like GERD, acidity, and peptic ulcers. Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the food pipe (oesophagus). This backflow (acid reflux) irritates the food pipe and causes heartburn.

Diabetic gastroparesis: Diabetic gastroparesis is delayed gastric emptying in people with diabetes. Gastroparesis, also called delayed gastric emptying is a condition that occurs when the stomach takes too long to empty the food into the intestine. Symptoms include nausea, vomiting, indigestion, loss of appetite, bloating and heartburn.