At a glance

QUICK SUMMARY

01 Type of medicine

Buccal Tablet

02 Generic

No

03 Active ingredient

Prochlorperazine Maleate (3 mg, equivalent to 1.85 mg prochlorperazine base)

04 Effective within

Not specified

05 Works by

Alleviating nausea and vomiting associated with migraine

06 Side effects

- 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)

Medication details

Description

Buccastem M 3mg Tablets

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.

How it works

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.

How to use it

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.

Who it is for

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.

Safety and when to get advice

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.

Common questions

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.

Directions

Take Buccastem M 3mg exactly as directed by your healthcare provider. Place one tablet under your upper lip and allow it to dissolve completely. This allows the medication to be absorbed through the mucous membranes, providing rapid relief. Do not chew or swallow the tablet. If you are unsure about the proper use, consult your healthcare professional.

Ingredients

Each Buccastem M 3mg tablet contains the active ingredient prochlorperazine maleate. Prochlorperazine is an antiemetic and antipsychotic medication that helps alleviate nausea and vomiting by affecting certain neurotransmitters in the brain. It effectively targets the root cause of your symptoms, providing you with much-needed relief.

Side Effects

Buccastem M 3mg is generally well-tolerated, but like any medication, it may cause some side effects in certain individuals. Common side effects may include drowsiness, dry mouth, blurred vision, and dizziness. If you experience any unusual or severe side effects, consult your healthcare provider promptly.

Warnings

Allergies: Inform your doctor or pharmacist if you are allergic to prochlorperazine or any other medications.
Medical Conditions: If you have a history of certain medical conditions, such as heart problems, liver disease, or glaucoma, consult your healthcare provider before using Buccastem M.
Other Medications: Inform your doctor about all medications you are currently taking, including prescription and over-the-counter drugs, herbal supplements, and vitamins.
Precautions
Driving and Operating Machinery: Buccastem M 3mg may cause drowsiness. Avoid activities that require mental alertness, such as driving or operating machinery, until you know how the medication affects you.
Alcohol: Limit alcohol consumption while using Buccastem M, as it may enhance drowsiness.
Duration of Use: Use Buccastem M as directed by your healthcare provider. Do not exceed the recommended dose.

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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FAQs

Please read our FAQs page to find out more.

Can I take Buccastem M Tablets for all types of nausea and vomiting, or are they specifically for migraines?

Buccastem M Tablets are primarily designed to alleviate nausea and vomiting associated with migraine episodes. It's important to consult your healthcare provider to determine if these tablets are suitable for your specific condition.

Are Buccastem M Tablets suitable for children and adolescents under 18 years of age?

No, Buccastem M Tablets are not recommended for use in children and adolescents under the age of 18. Always follow your healthcare provider's advice and recommendations for age-appropriate treatments.

Can I take Buccastem M Tablets if I have a history of blood clots or blood clot-related conditions?

If you have a history of blood clots, high blood pressure, high cholesterol levels, diabetes, or other risk factors for blood clots, it's important to discuss your medical history with your healthcare provider before using Buccastem M Tablets. They can help assess the potential risks and benefits based on your individual health profile.

Can I drive or operate machinery while using Buccastem M Tablets?

Buccastem M Tablets may cause drowsiness and dizziness. It's advisable to avoid driving, operating heavy machinery, or engaging in activities that require mental alertness until you know how the tablets affect you. Consult your healthcare provider for personalized guidance.

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