NICE - gastroparesis in type 2 diabetes

Last reviewed 02/2022

Management of gastroparesis

For treating vomiting caused by gastroparesis in adults with type 2 diabetes:

• consider alternating use of erythomycin and metoclopramide
• consider domperidone only in exceptional circumstances (if domperidone is the only effective treatment) and in accordance with MHRA guidance.

If gastroparesis is suspected, consider referral to specialist services if:

• the differential diagnosis is in doubt or persistent or severe vomiting occurs

Reference:

• NICE (December 2015). Type 2 diabetes in adults: management