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Alleviating nausea and vomiting associated with migraine
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We also offer
Buccal Tablet
No
Prochlorperazine Maleate (3 mg, equivalent to 1.85 mg prochlorperazine base)
Not specified
Alleviating nausea and vomiting associated with migraine
- Drowsiness - Dizziness - Dry mouth - Inability to sleep (insomnia) - Skin reactions - Increased sensitivity to sunlight - Low blood pressure - High blood sugar level - Abnormal movements and muscle rigidity - Impotence and ejaculation problems - Local irritation to the gum and mouth (This is not an exhaustive list)
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Buccastem M contains prochlorperazine 3mg and is used for nausea and sickness associated with migraine. The tablet is placed between the upper lip and gum rather than swallowed, which makes it practical when swallowing a tablet or keeping anything down is difficult.
Prochlorperazine blocks dopamine signalling in the part of the brain that triggers nausea and vomiting. Placing the tablet against the gum lets it dissolve and absorb through the lining of the mouth directly into the bloodstream, bypassing the stomach entirely. That matters during migraine, when the stomach empties slowly and swallowed medicines are absorbed poorly.
Place one tablet high between the upper lip and the gum and leave it to dissolve. Do not chew or swallow it, and avoid moving it around with your tongue. The tablet softens and sticks in place over a few minutes. Follow the dosing and maximum stated on the pack.
Pharmacy supply is for adults aged 18 and over who have a previous diagnosis of migraine from a doctor. It is not for a first episode of migraine like symptoms, not for children or adolescents, and it is not suitable for anyone with a known sensitivity to prochlorperazine.
Drowsiness is common, so do not drive or operate machinery until you know how it affects you, and avoid alcohol. Seek medical advice promptly for unusual muscle stiffness, restlessness or uncontrolled movements of the face, tongue or eyes. See a doctor if your headache pattern changes, becomes the worst you have had, or comes with fever, a stiff neck, weakness or confusion. Our UK pharmacy team can answer questions about this product before you buy.
Why is it not swallowed?
Absorption through the gum avoids the stomach, which empties slowly during a migraine attack.
Can I eat or drink with the tablet in place?
Wait until it has dissolved. Eating or drinking can dislodge it.
Can I use it for travel sickness?
Pharmacy supply of this product is specifically for nausea with diagnosed migraine. Ask a pharmacist about options for motion sickness.
Always read the patient information leaflet supplied with the pack before use.
Medically reviewed and published
This page was medically reviewed by Dr Sohaib Imtiaz, Clinical Lead on Aug 24, 2023, 3:30 pm
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