vom 20mg tablet - Domperidone (20mg) medicine

Aldom 20mg Tablet DT (Domperidone) - Complete Medicine Guide

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🏭 Vintech Formulations 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Palpitations, irregular heartbeat, or fainting
  • Severe muscle spasms, stiffness, or difficulty speaking
  • Swelling of face, lips, or throat, or difficulty breathing
  • Severe abdominal pain or blood in vomit or stool
  • High fever with muscle rigidity and confusion
  • Seizures or loss of consciousness
  • Signs of liver problems such as yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is vom 20mg tablet used for?

This medicine contains Domperidone 20mg and is used to treat nausea, vomiting, and symptoms of slow stomach emptying such as bloating and early fullness. It works by blocking dopamine receptors in the brain and gut. It is usually taken before meals, and the dose should be individualised by a doctor.

  • Generic Name: Domperidone (20mg)
  • Manufacturer: Vintech Formulations
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 vom 20mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा डोम्पेरिडोन 20 मिलीग्राम युक्त एक डिस्पर्सिबल टैबलेट है, जिसका उपयोग मुख्य रूप से उल्टी, जी मिचलाना और पेट के खाली होने में देरी से जुड़े लक्षणों जैसे पेट फूलना, जल्दी पेट भरा हुआ महसूस होना और ऊपरी पेट में असुविधा के इलाज के लिए किया जाता है। यह दवा दिमाग और पेट में डोपामाइन रिसेप्टर्स को ब्लॉक करके काम करती है, जिससे उल्टी की प्रवृत्ति कम होती है और पेट की गति बढ़ती है। यह दवा आमतौर पर खाने से 15-30 मिनट पहले ली जाती है। इसका उपयोग डॉक्टर की सलाह के अनुसार ही करना चाहिए और इसका सेवन लंबे समय तक बिना डॉक्टर की सलाह के नहीं करना चाहिए।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मुँह सूखना, सिरदर्द, पेट में हल्की ऐंठन और दस्त शामिल हैं। कुछ लोगों में स्तन में तनाव या दूध का स्राव भी हो सकता है। दुर्लभ मामलों में यह दिल की धड़कन में गड़बड़ी पैदा कर सकती है। अगर आपको धड़कन तेज होना, चक्कर आना, बेहोशी या सांस लेने में तकलीफ हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें और खुराक न बढ़ाएँ। इसे आमतौर पर खाने से पहले लेना चाहिए। इस दवा के साथ शराब का सेवन न करें क्योंकि इससे उल्टी और दिल की धड़कन की समस्या बढ़ सकती है। अगर आपको दिल, जिगर या गुर्दे की बीमारी है, या आप अन्य दवाएँ ले रहे हैं, तो अपने डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान इस दवा का उपयोग करने से पहले डॉक्टर से सलाह लें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 vom 20mg tablet Uses & Benefits

[{"condition":"Nausea and vomiting","description":"This medicine helps to relieve nausea and vomiting by blocking dopamine receptors in the brain's vomiting centre.","evidence":"Well-established"},{"condition":"Diabetic gastroparesis","description":"It improves stomach emptying and reduces symptoms such as bloating, early fullness, and nausea in people with slow stomach emptying due to diabetes.","evidence":"Moderate"},{"condition":"Functional dyspepsia","description":"This medicine may help reduce upper abdominal discomfort, bloating, and early satiety in people with functional dyspepsia.","evidence":"Limited"},{"condition":"Gastro-oesophageal reflux disease (GERD)","description":"It can help reduce nausea and improve stomach emptying, which may ease some reflux symptoms, but it is not a primary treatment for acid reflux.","evidence":"Limited"}]

Off-label uses: [{"condition":"Migraine-associated nausea","description":"Sometimes used to relieve nausea that occurs with migraines, often alongside pain relievers.","evidence":"Limited"},{"condition":"Nausea during pregnancy","description":"In some countries, it has been used for pregnancy-related nausea, but safety data are limited and it should only be used if clearly needed and under medical supervision.","evidence":"Limited"}]

Primary treatment for: Nausea and vomiting

Also treats: Diabetic gastroparesis, Functional dyspepsia, Gastro-oesophageal reflux disease

📋 Drug Information

Generic Name(s)Domperidone (20mg)
Brand Namevom 20mg tablet
ManufacturerVintech Formulations
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassDopamine (D2) receptor antagonist-Prokinetic agent
Route of AdministrationOral
StorageStore below 30°C in a dry place, protected from light. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine 15-30 minutes before meals for best results.
2
Use the lowest effective dose for the shortest duration to minimise side effects.
3
Avoid combining this medicine with strong CYP3A4 inhibitors like ketoconazole or clarithromycin.
4
Monitor for heart rhythm problems in patients with existing heart disease or electrolyte imbalances.
5
Advise patients to avoid alcohol while taking this medicine.
6
Do not prescribe this medicine for long-term use without regular review.
7
Caution in elderly patients due to increased risk of extrapyramidal symptoms.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nausea and vomiting
This medicine is commonly prescribed for these symptoms.
Likely Use
✅
Bloating and early fullness
This medicine helps improve stomach emptying.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Headache
This medicine is not a primary headache treatment.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is absorbed from the gastrointestinal tract after oral administration. It undergoes some metabolism in the gut wall, which reduces the amount that reaches the bloodstream. Taking it before meals may improve its absorption.
DistributionIt is widely distributed in the body, but it does not easily cross the blood-brain barrier, which limits its effects on the central nervous system outside the chemoreceptor trigger zone.
Protein BindingThis medicine is highly bound to plasma proteins, approximately 91-93%.
MetabolismIt is extensively metabolised in the liver, mainly by the CYP3A4 enzyme, and also by CYP1A2 and CYP2E1. This means that medicines that affect these enzymes can change its levels in the body.
Half-LifeThe elimination half-life of this medicine is approximately 7 to 9 hours in healthy adults, but it may be longer in people with liver problems.
ExcretionIt is excreted mainly in the faeces and urine as metabolites, with only a small amount excreted unchanged.
BioavailabilityThe oral bioavailability of this medicine is low, approximately 13-17%, because of extensive first-pass metabolism in the gut wall and liver.
Onset of ActionThe onset of action is usually within 30 to 60 minutes after taking an oral dose.
Peak Plasma TimePeak plasma levels are reached about 30 to 60 minutes after oral administration on an empty stomach.
Duration of ActionThe effects of a single dose generally last for about 4 to 6 hours.

How It Works

This medicine works by blocking dopamine D2 receptors in the chemoreceptor trigger zone of the brain and in the gastrointestinal tract. By blocking these receptors, it reduces the signals that trigger nausea and vomiting. It also increases the movement of the stomach and upper intestine, which helps food pass more quickly into the small intestine. This dual action makes it useful for both nausea and symptoms of slow stomach emptying.

Mechanism Steps

1
Blockade of dopamine D2 receptors: This medicine binds to dopamine D2 receptors in the chemoreceptor trigger zone of the brain, preventing dopamine from activating them.
2
Reduction of nausea signals: By blocking these receptors, it reduces the signals that travel to the vomiting centre, thereby decreasing the urge to vomit.
3
Enhanced gastric motility: In the gastrointestinal tract, it blocks dopamine receptors that normally slow down stomach emptying, leading to faster movement of food into the intestines.
4
Increased prolactin release: Blockade of dopamine receptors in the pituitary gland can increase prolactin secretion, which may cause breast-related side effects.

💡 How to Take vom 20mg tablet

Strength: Dispersible tablet, 20 mg

1Disperse the tablet in a small amount of water (about 15-30 ml) and stir until it dissolves.
2Drink the solution immediately after it is prepared.
3Take this medicine 15-30 minutes before meals for best effect.
4Do not chew or swallow the tablet whole if it is a dispersible tablet; always disperse it in water first.
5If you forget to take it before a meal, take it as soon as you remember, but do not take it with food if it causes stomach upset.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10 mg to 20 mg taken up to three times a day before meals, depending on the condition being treated. For nausea and vomiting, a common dose is 10 mg to 20 mg taken up to four times a day. The maximum daily dose should not exceed 80 mg. However, the exact dose and duration must be individualised by a qualified clinician based on the indication, age, weight, and liver and kidney function. Do not self-medicate or exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially heart rhythm problems and movement disorders. The dose should be individualised by a clinician, and the lowest effective dose should be used for the shortest duration.
Renal ImpairmentIn patients with severe kidney impairment, the elimination of this medicine may be reduced. It should be used with caution, and the dose may need to be adjusted by a clinician.
Hepatic ImpairmentThis medicine is contraindicated in patients with moderate to severe liver impairment. In mild liver impairment, it should be used with caution and the dose may need to be reduced.
Maximum Daily Dose80 mg per day in adults.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Meals
Take 15-30 minutes before meals
Improves absorption and effectiveness for stomach emptying.
Grapefruit juice
Avoid
May increase blood levels of this medicine by inhibiting CYP3A4.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of vom 20mg tablet

✅ Common Side Effects

Dry mouth (Common (1-10%))
Sip water frequently and chew sugar-free gum. If it persists, consult your doctor.
Headache (Common (1-10%))
Rest and stay hydrated. Consult your doctor if the headache is severe or persistent.
Abdominal cramps (Common (1-10%))
Take the medicine with food if it upsets your stomach. If cramps are severe, contact your doctor.
Diarrhoea (Uncommon (0.1-1%))
Drink plenty of fluids to avoid dehydration. Seek medical advice if diarrhoea is severe or lasts more than 2 days.

🚨 Serious Side Effects

QT prolongation and serious heart rhythm problems (Rare (<0.1%))
Seek immediate medical attention if you experience palpitations, dizziness, fainting, or shortness of breath.
Extrapyramidal reactions (muscle spasms, restlessness, tremors) (Rare (<0.1%))
Contact your doctor immediately if you develop unusual muscle movements, stiffness, or difficulty speaking.
Hyperprolactinaemia (increased prolactin levels) (Uncommon (0.1-1%))
If you notice breast enlargement, tenderness, or milk discharge, consult your doctor.
Severe allergic reaction (anaphylaxis) (Very rare (<0.01%))
Seek emergency medical help if you experience swelling of the face, lips, throat, or difficulty breathing.

⚠️ Rare Side Effects

Neuroleptic malignant syndrome
Seek emergency care if you develop high fever, muscle rigidity, confusion, or irregular heartbeat.
Seizures
Call emergency services if a seizure occurs.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Clarithromycin Major
Amiodarone Major
Haloperidol Major
Morphine Moderate
Dicyclomine Moderate
Antacids Minor
Grapefruit juice Minor

🚨 Major Interactions

  • Ketoconazole, itraconazole, clarithromycin, ritonavir
  • Amiodarone, sotalol, quinidine, haloperidol

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., dicyclomine, hyoscyamine)
  • Opioid pain relievers (e.g., morphine, codeine)

🍷 Alcohol Interaction

Alcohol can worsen nausea and may increase the risk of heart rhythm problems when taken with this medicine. It is best to avoid alcohol while you are taking this product.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to domperidone or any component of this medicine","Prolactin-releasing pituitary tumour (prolactinoma)","Moderate to severe liver impairment","Known existing QT prolongation or certain heart rhythm disorders","Concurrent use with strong CYP3A4 inhibitors such as ketoconazole, clarithromycin, or ritonavir","Gastrointestinal obstruction, perforation, or bleeding","Severe constipation or intestinal blockage"]

⚠️ Warnings & Precautions

["Use the lowest effective dose for the shortest possible duration.","Avoid use in patients with risk factors for heart rhythm problems, such as heart disease, electrolyte imbalance, or family history of sudden cardiac death.","Use with caution in the elderly, as they may be more sensitive to side effects.","Do not use in children without consulting a paediatrician.","Inform your doctor if you are taking other medicines, especially antibiotics or antifungals.","Avoid alcohol while taking this medicine.","Do not drive or operate machinery if you feel dizzy or drowsy after taking this medicine."]

🤱 Lactation Safety

This medicine passes into breast milk in small amounts. It may increase milk production, but it can also cause side effects in the baby. It is generally not recommended during breastfeeding unless advised by a doctor.

💊 Overdose Management

Overdose of this medicine may cause drowsiness, confusion, and extrapyramidal symptoms such as muscle spasms or restlessness. In case of overdose, seek immediate medical attention. Treatment is supportive and may include activated charcoal if taken recently, and management of any heart rhythm abnormalities.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor, and do not increase the dose or take it for longer than recommended. It is usually taken before meals so that it can help food move through the stomach more efficiently. Avoid drinking alcohol while taking this medicine because alcohol can worsen nausea and may increase the risk of heart rhythm problems. Do not take this medicine if you have a known allergy to domperidone or if you have a prolactinoma, a condition where the pituitary gland produces too much prolactin. Inform your doctor if you have heart problems, liver disease, kidney disease, or if you are taking other medicines, especially antibiotics or antifungals that can affect heart rhythm. This medicine is not recommended for long-term use without regular medical review. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before using this medicine. Keep this medicine out of the reach of children and store it in its original packaging.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to side effects such as extrapyramidal symptoms and heart rhythm problems. Use the lowest effective dose and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not well established, and it should only be used if clearly needed.

🏥 Post-Surgery Considerations

This medicine may be used to treat post-operative nausea and vomiting. However, it should be used with caution in patients with heart conditions, and the dose should be individualised.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with certain medications used during dental procedures. It is generally safe to continue, but your dentist may need to adjust other medicines.

💚 Lifestyle Tips for Better Results

🏃
Eat small, frequent meals to reduce stomach discomfort.
🥗
Avoid lying down immediately after eating.
😴
Stay hydrated by drinking plenty of fluids.
💧
Limit caffeine and spicy foods if they worsen your symptoms.
🧘
Maintain a healthy weight and engage in regular light exercise.
🌞
Manage stress through relaxation techniques like deep breathing or meditation.

🏋️ Exercise Considerations

This medicine may cause dizziness or drowsiness in some people. Avoid strenuous exercise or activities requiring alertness until you know how this medicine affects you.

🥗 Diet Recommendations

Eat small, frequent meals.
Avoid high-fat and spicy foods that can slow stomach emptying.
Include ginger and peppermint, which may help with nausea.
Stay well hydrated with water and clear fluids.
Limit alcohol and caffeine intake.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is generally safe to continue desk work, but take breaks if you feel nauseous.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as heart palpitations, muscle spasms, or allergic reactions, stop the medicine and seek immediate medical attention. Your doctor will advise you on the appropriate duration of treatment.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of heart rhythm problems, extrapyramidal symptoms, and elevated prolactin levels. It should only be used for extended periods under regular medical supervision, with monitoring of heart rhythm, prolactin levels, and liver function if necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary changes

Eating small, frequent, low-fat meals can help reduce nausea and improve stomach emptying.

Evidence: Well-established
Ginger

Ginger has been shown to help with nausea in some studies.

Evidence: Moderate
Acupuncture

Acupuncture at the P6 point may help reduce nausea and vomiting.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider that you are taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (below 30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight and moisture

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When travelling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, adjust your dosing schedule gradually to avoid missing doses. Check the customs regulations of your destination country regarding prescription medicines. Always carry enough supply for your entire trip.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with diabetic gastroparesis
She had been experiencing nausea, bloating, and early fullness after meals for several months. Her doctor prescribed this medicine 20mg three times a day before meals. Within a week, she noticed significant improvement in her symptoms and was able to eat more comfortably. She was advised to monitor her blood sugar levels regularly and to report any palpitations.
💡 Lesson: Taking this medicine before meals and adhering to the prescribed dose can greatly improve symptoms of slow stomach emptying.
👤 A 60-year-old man with nausea after surgery
After abdominal surgery, he experienced persistent nausea and vomiting. He was given this medicine 20mg every 8 hours. His nausea subsided within a few hours, and he was able to tolerate oral intake. He was monitored for heart rhythm changes due to his age and history of hypertension.
💡 Lesson: This medicine can effectively relieve post-operative nausea, but elderly patients require careful monitoring for cardiac side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30 to 60 minutes after taking a dose.

Q: Can I take this medicine with food?

A: It is best taken 15-30 minutes before meals. If it upsets your stomach, you may take it with food, but this may reduce its effectiveness.

Q: Is it safe to take this medicine every day?

A: This medicine is generally safe for short-term use. Long-term use should only be under medical supervision because of potential side effects.

Q: What should I do if I miss a dose?

A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart rhythm?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for vom 20mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is a painkiller.
    Fact: This medicine is not a painkiller. It is used to treat nausea, vomiting, and slow stomach emptying.
  • Myth: This medicine can be taken for any stomach problem.
    Fact: This medicine is specifically for nausea, vomiting, and certain motility disorders. It is not for all stomach problems.
  • Myth: It is safe to take this medicine for a long time without a doctor's advice.
    Fact: This medicine should only be used for short periods under medical supervision because long-term use can increase the risk of side effects.

🔄 Alternative Options

Generic Alternatives

  • Domperidone 20mg dispersible tablet

Brand Alternatives

  • Domstal 20mg Tablet DT
  • Vomikind 20mg Tablet DT
  • Domperidone 20mg Tablet DT

📊 Comparison with Similar Medicines

[{"medicine":"Domperidone","class":"Dopamine D2 antagonist","primary_use":"Nausea, vomiting, gastroparesis","onset":"30-60 minutes","duration":"4-6 hours"},{"medicine":"Metoclopramide","class":"Dopamine D2 antagonist","primary_use":"Nausea, vomiting, gastroparesis","onset":"30-60 minutes","duration":"1-2 hours"},{"medicine":"Ondansetron","class":"5-HT3 antagonist","primary_use":"Nausea and vomiting","onset":"30 minutes","duration":"4-8 hours"}]

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