{
  "id": "motilium-domperidone",
  "recordTier": "source_traceable_archive",
  "editorial": {
    "reviewedAt": "2026-09-09",
    "status": "published_traceable_archive"
  },
  "names": {
    "brand": "Motilium",
    "generic": "多潘立酮",
    "aliases": [
      "吗丁啉",
      "吗丁啉®",
      "多潘立酮片",
      "domperidone",
      "Motilium",
      "多潘立酮"
    ],
    "marketBrandNames": [
      {
        "name": "吗丁啉®",
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "evidenceStatus": "dated_public_record",
        "note": {
          "zh": "多潘立酮片，企业公开说明书列国药准字 H10910003。",
          "en": "Domperidone tablets; the first-party leaflet lists Chinese approval identifier H10910003."
        },
        "source": {
          "id": "src_02cf937215e6cfe6",
          "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
          "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_public_record",
          "documentKind": "first_party_leaflet",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        }
      },
      {
        "name": "Motilium",
        "market": {
          "zh": "爱尔兰",
          "en": "Ireland"
        },
        "evidenceStatus": "current_regulatory_record",
        "note": {
          "zh": "HPRA 许可 PA23490/022/002；不能据此推定其他市场可售。",
          "en": "HPRA authorisation PA23490/022/002 does not establish sale eligibility elsewhere."
        },
        "source": {
          "id": "src_2668ced6c37f003a",
          "label": "HPRA: Motilium 10mg Film-Coated Tablets, Irish authorisation and pharmacy-supply conditions",
          "url": "https://www.hpra.ie/find-a-medicine/for-human-use/authorised-medicines/details/22237",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "IE",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        }
      }
    ],
    "mainlandChinaTradeNameCue": {
      "value": "吗丁啉®",
      "status": "discovery_cue_requires_target_market_verification",
      "source": {
        "id": "src_02cf937215e6cfe6",
        "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
        "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "first_party_leaflet",
        "market": "CN",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      }
    }
  },
  "identity": {
    "therapeuticArea": "消化系统",
    "sourceArchiveMarket": "中国大陆：吗丁啉 10 mg 片企业公开说明书；爱尔兰：Motilium 10 mg 薄膜衣片 HPRA 记录。美国未批准人用。",
    "dosageFormClass": "口服固体制剂",
    "dosageFormClassCode": "oral_solid",
    "route": "口服",
    "routeCode": "oral",
    "historicalApprovalEntry": "美国未批准",
    "archiveSponsorText": "Xi’an Janssen / JNTL Consumer Health I (Ireland) Limited"
  },
  "matchPolicy": {
    "contract": "reviewed_name_and_exclusion_cues_v1",
    "exactMatchNames": [
      "吗丁啉",
      "多潘立酮",
      "domperidone",
      "Motilium"
    ],
    "excludedProductCues": [
      "metoclopramide",
      "甲氧氯普胺",
      "ondansetron",
      "昂丹司琼"
    ],
    "exclusionPrecedence": "before_name_candidate"
  },
  "productPresentations": [
    {
      "id": "cn-motilium-10mg-30-tablets",
      "marketCode": "CN",
      "labelVersion": {
        "zh": "中国企业公开说明书，2026-05-13 修订",
        "en": "Chinese first-party leaflet, revised 13 May 2026"
      },
      "dosageForm": {
        "zh": "多潘立酮片",
        "en": "Domperidone tablets"
      },
      "route": {
        "zh": "口服（产品身份字段）",
        "en": "Oral (product-identity field)"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "H10910003",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片多潘立酮 10 mg；30 片/盒",
        "en": "10 mg domperidone per tablet; 30 tablets/carton"
      },
      "imageUrl": null,
      "visualStatus": "source_text_only_no_exact_public_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "多潘立酮",
            "en": "domperidone"
          },
          "value": 10,
          "unit": "mg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片含量，不是一次应吃的片数",
            "en": "Strength per tablet, not an individual tablet count"
          }
        }
      ],
      "concentration": null,
      "container": null,
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-09",
        "currentLabelDisplayed": false,
        "ndcDirectoryListed": false,
        "marketAvailability": "label_listed_not_live_supply",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 30,
        "unit": {
          "zh": "片/盒",
          "en": "tablets per carton"
        }
      },
      "physicalClues": null,
      "comparisonNotice": null,
      "source": {
        "id": "src_02cf937215e6cfe6",
        "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
        "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "first_party_leaflet",
        "market": "CN",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "cn-motilium-10mg-42-tablets",
      "marketCode": "CN",
      "labelVersion": {
        "zh": "中国企业公开说明书，2026-05-13 修订",
        "en": "Chinese first-party leaflet, revised 13 May 2026"
      },
      "dosageForm": {
        "zh": "多潘立酮片",
        "en": "Domperidone tablets"
      },
      "route": {
        "zh": "口服（产品身份字段）",
        "en": "Oral (product-identity field)"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "H10910003",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片多潘立酮 10 mg；42 片/盒",
        "en": "10 mg domperidone per tablet; 42 tablets/carton"
      },
      "imageUrl": null,
      "visualStatus": "source_text_only_no_exact_public_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "多潘立酮",
            "en": "domperidone"
          },
          "value": 10,
          "unit": "mg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片含量，不是一次应吃的片数",
            "en": "Strength per tablet, not an individual tablet count"
          }
        }
      ],
      "concentration": null,
      "container": null,
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-09",
        "currentLabelDisplayed": false,
        "ndcDirectoryListed": false,
        "marketAvailability": "label_listed_not_live_supply",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 42,
        "unit": {
          "zh": "片/盒",
          "en": "tablets per carton"
        }
      },
      "physicalClues": null,
      "comparisonNotice": null,
      "source": {
        "id": "src_02cf937215e6cfe6",
        "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
        "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "first_party_leaflet",
        "market": "CN",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "ie-motilium-10mg-10-tablets",
      "marketCode": "IE",
      "labelVersion": {
        "zh": "爱尔兰 HPRA，2026-01-26",
        "en": "Ireland HPRA, 26 Jan 2026"
      },
      "dosageForm": {
        "zh": "多潘立酮薄膜衣片",
        "en": "Domperidone film-coated tablets"
      },
      "route": {
        "zh": "口服（产品身份字段）",
        "en": "Oral (product-identity field)"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "PA23490/022/002",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片多潘立酮 10 mg；10 片/盒",
        "en": "10 mg domperidone per tablet; 10 tablets/carton"
      },
      "imageUrl": null,
      "visualStatus": "source_text_only_no_exact_public_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "多潘立酮",
            "en": "domperidone"
          },
          "value": 10,
          "unit": "mg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片含量，不是一次应吃的片数",
            "en": "Strength per tablet, not an individual tablet count"
          }
        }
      ],
      "concentration": null,
      "container": null,
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-09",
        "currentLabelDisplayed": false,
        "ndcDirectoryListed": false,
        "marketAvailability": "label_listed_not_live_supply",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 10,
        "unit": {
          "zh": "片/盒",
          "en": "tablets per carton"
        }
      },
      "physicalClues": null,
      "comparisonNotice": null,
      "source": {
        "id": "src_0853ccda0505d456",
        "label": "HPRA: Motilium 10mg Film-Coated Tablets, PA23490/022/002; SmPC 26 January 2026",
        "url": "https://assets.hpra.ie/products/Human/22237/Licence_PA23490-022-002_26012026113955.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "product_label",
        "market": "IE",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "ie-motilium-10mg-20-tablets",
      "marketCode": "IE",
      "labelVersion": {
        "zh": "爱尔兰 HPRA，2026-01-26",
        "en": "Ireland HPRA, 26 Jan 2026"
      },
      "dosageForm": {
        "zh": "多潘立酮薄膜衣片",
        "en": "Domperidone film-coated tablets"
      },
      "route": {
        "zh": "口服（产品身份字段）",
        "en": "Oral (product-identity field)"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "PA23490/022/002",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片多潘立酮 10 mg；20 片/盒",
        "en": "10 mg domperidone per tablet; 20 tablets/carton"
      },
      "imageUrl": null,
      "visualStatus": "source_text_only_no_exact_public_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "多潘立酮",
            "en": "domperidone"
          },
          "value": 10,
          "unit": "mg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片含量，不是一次应吃的片数",
            "en": "Strength per tablet, not an individual tablet count"
          }
        }
      ],
      "concentration": null,
      "container": null,
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-09",
        "currentLabelDisplayed": false,
        "ndcDirectoryListed": false,
        "marketAvailability": "label_listed_not_live_supply",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 20,
        "unit": {
          "zh": "片/盒",
          "en": "tablets per carton"
        }
      },
      "physicalClues": null,
      "comparisonNotice": null,
      "source": {
        "id": "src_0853ccda0505d456",
        "label": "HPRA: Motilium 10mg Film-Coated Tablets, PA23490/022/002; SmPC 26 January 2026",
        "url": "https://assets.hpra.ie/products/Human/22237/Licence_PA23490-022-002_26012026113955.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "product_label",
        "market": "IE",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    }
  ],
  "comparisonPresentations": [],
  "appearanceReferences": [],
  "visualReference": {
    "status": "withheld_repackaged_or_non_exact_visual",
    "title": {
      "zh": "包装数量已核对，外盒照片尚未展示",
      "en": "Pack counts verified; exact carton photographs not shown"
    },
    "summary": {
      "zh": "中国说明书列 30 片及 2×21 片；爱尔兰列 10 或 20 片且并非所有包装都在售。未用电商或其他国家包装图代替；外观本身也不能证明真伪。",
      "en": "China lists 30 and 2×21 tablets; Ireland lists 10 or 20, not necessarily all marketed. Retail or other-country images are not substitutes, and appearance cannot authenticate a pack."
    },
    "source": {
      "id": "src_02cf937215e6cfe6",
      "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
      "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "dated_public_record",
      "documentKind": "first_party_leaflet",
      "market": "CN",
      "accessStatus": "public_access_confirmed",
      "accessMode": "direct_document",
      "accessVerifiedAt": "2026-09-09",
      "reviewedAt": "2026-09-09"
    }
  },
  "visualCoverageNote": null,
  "labelReading": {
    "coverage": "drug_specific_source_review",
    "title": {
      "zh": "说明书大字阅读：先看年龄、心脏和药单",
      "en": "Large-print leaflet reading: age, heart history and the medicine list"
    },
    "summary": {
      "zh": "中国吗丁啉公开说明书（2026-05-13）是这里的首选原件。先核对手中药盒，再看禁忌和注意事项；“非处方药”不等于适合所有人。",
      "en": "The Chinese Motilium leaflet (13 May 2026) is the primary original here. Match the pack, then read contraindications and precautions; OTC does not mean suitable for everyone."
    },
    "checks": [
      {
        "zh": "60 岁以上、心脏病、肝肾问题或多药合用，请先找医生或药师逐项核对。",
        "en": "If over 60, with heart, liver or kidney problems, or taking several medicines, ask a clinician or pharmacist to review the whole list."
      },
      {
        "zh": "中国说明书提示：使用 3 天未缓解应咨询，通常不超过 1 周；这不是让所有人按网页自行开始一个疗程。",
        "en": "The Chinese leaflet advises consultation if symptoms persist after 3 days and usually limits use to one week; this is not an instruction to start a course."
      },
      {
        "zh": "出现可能与心律异常有关的症状，说明书要求停用并迅速咨询。晕厥、严重胸部不适或呼吸困难应立即求助当地急救。",
        "en": "The leaflet calls for stopping and prompt consultation if symptoms may indicate arrhythmia. Fainting, severe chest discomfort or breathing difficulty needs emergency help."
      },
      {
        "zh": "每片 10 mg 与整盒片数不同。是否能掰片、如何服用，按手中具体说明书和专业意见核对，不能从薄膜衣或外观猜测。",
        "en": "10 mg per tablet is different from the carton count. Check splitting and administration against the exact leaflet and professional advice, not appearance or coating alone."
      }
    ],
    "source": {
      "id": "src_02cf937215e6cfe6",
      "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
      "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "dated_public_record",
      "documentKind": "first_party_leaflet",
      "market": "CN",
      "accessStatus": "public_access_confirmed",
      "accessMode": "direct_document",
      "accessVerifiedAt": "2026-09-09",
      "reviewedAt": "2026-09-09"
    },
    "scope": "label_literacy_only_no_individual_dosing_or_substitution"
  },
  "mechanismReading": {
    "title": {
      "zh": "它帮助胃肠运动，不是所有“胃药”都一样",
      "en": "It helps gut movement; not all stomach medicines do the same thing"
    },
    "summary": {
      "zh": "爱尔兰说明书解释：多潘立酮阻断多巴胺受体，促进胃排空并有止吐作用；这与减少胃酸分泌不是一回事。",
      "en": "The Irish SmPC describes dopamine-receptor blockade, faster gastric emptying and anti-emetic effects, rather than reduced acid secretion."
    },
    "checks": [
      {
        "zh": "作用在胃肠道，也可能影响心脏电活动。QT 是心电图上的时间指标，不能靠有没有胃痛判断风险。",
        "en": "Gut effects do not rule out cardiac electrical effects. QT is an ECG interval; stomach symptoms do not measure that risk."
      },
      {
        "zh": "身体主要通过 CYP3A4 相关途径处理该药。某些药会干扰这一过程，使血中药量升高；错开一两个小时不能保证解决。",
        "en": "CYP3A4 contributes to its metabolism. Inhibiting it can raise drug exposure; separating doses by an hour or two is not a reliable solution."
      },
      {
        "zh": "抗酸或抑酸药不应与其同时服用。让药师按具体药单安排，不从“都是胃药”推断可叠加。",
        "en": "Antacids and acid-suppressing medicines should not be taken simultaneously with it. A pharmacist should check the actual schedule rather than assume all stomach medicines can be combined."
      }
    ],
    "source": {
      "id": "src_0853ccda0505d456",
      "label": "HPRA: Motilium 10mg Film-Coated Tablets, PA23490/022/002; SmPC 26 January 2026",
      "url": "https://assets.hpra.ie/products/Human/22237/Licence_PA23490-022-002_26012026113955.pdf",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "dated_public_record",
      "documentKind": "product_label",
      "market": "IE",
      "accessStatus": "public_access_confirmed",
      "accessMode": "direct_document",
      "accessVerifiedAt": "2026-09-09",
      "reviewedAt": "2026-09-09"
    },
    "scope": "mechanism_literacy_only_no_individual_dosing_or_substitution"
  },
  "pharmacovigilance": {
    "status": "official_routes_only_no_live_alert_inference",
    "reviewedAt": "2026-08-22",
    "identity": {
      "brand": "Motilium",
      "generic": "多潘立酮",
      "dosageFormClass": "口服固体制剂"
    },
    "labelSource": {
      "id": "src_02cf937215e6cfe6",
      "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
      "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "dated_public_record",
      "documentKind": "first_party_leaflet",
      "market": "CN",
      "accessStatus": "public_access_confirmed",
      "accessMode": "direct_document",
      "accessVerifiedAt": "2026-09-09",
      "reviewedAt": "2026-09-09"
    },
    "productRoutes": [
      {
        "source": {
          "id": "src_02cf937215e6cfe6",
          "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
          "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_public_record",
          "documentKind": "first_party_leaflet",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        },
        "status": "manufacturer_public_label_verified",
        "authority": {
          "zh": "西安杨森",
          "en": "Xi’an Janssen"
        },
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "recordType": {
          "zh": "企业公开说明书",
          "en": "Manufacturer public leaflet"
        },
        "reviewedAt": "2026-09-09",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      },
      {
        "source": {
          "id": "src_0853ccda0505d456",
          "label": "HPRA: Motilium 10mg Film-Coated Tablets, PA23490/022/002; SmPC 26 January 2026",
          "url": "https://assets.hpra.ie/products/Human/22237/Licence_PA23490-022-002_26012026113955.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_public_record",
          "documentKind": "product_label",
          "market": "IE",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "爱尔兰药监 HPRA",
          "en": "HPRA"
        },
        "market": {
          "zh": "爱尔兰",
          "en": "Ireland"
        },
        "recordType": {
          "zh": "监管产品记录或公开说明书",
          "en": "Regulatory product record or public product information"
        },
        "reviewedAt": "2026-09-09",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      },
      {
        "source": {
          "id": "src_2668ced6c37f003a",
          "label": "HPRA: Motilium 10mg Film-Coated Tablets, Irish authorisation and pharmacy-supply conditions",
          "url": "https://www.hpra.ie/find-a-medicine/for-human-use/authorised-medicines/details/22237",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "IE",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "爱尔兰药监 HPRA",
          "en": "HPRA"
        },
        "market": {
          "zh": "爱尔兰",
          "en": "Ireland"
        },
        "recordType": {
          "zh": "监管产品记录或公开说明书",
          "en": "Regulatory product record or public product information"
        },
        "reviewedAt": "2026-09-09",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      }
    ],
    "recordRoute": {
      "status": "manufacturer_public_label_verified",
      "authority": {
        "zh": "西安杨森",
        "en": "Xi’an Janssen"
      },
      "market": {
        "zh": "中国大陆",
        "en": "Mainland China"
      },
      "recordType": {
        "zh": "企业公开说明书",
        "en": "Manufacturer public leaflet"
      },
      "reviewedAt": "2026-09-09",
      "scope": {
        "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
        "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
      }
    },
    "channels": [
      {
        "id": "china-nmpa-drug-evaluation-centre",
        "authority": "NMPA 药品评价中心",
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "title": {
          "zh": "药物警戒快讯与安全警示",
          "en": "Drug-vigilance bulletins and safety notices"
        },
        "purpose": {
          "zh": "国家药监局药品评价中心发布的药物警戒快讯、安全警示及药品不良反应监测相关原始入口；具体产品仍须按批准文号、剂型、规格、持有人和公告日期逐项核对。",
          "en": "Primary NMPA Drug Evaluation Centre gateway for drug-vigilance bulletins, safety notices and adverse-reaction monitoring. Exact products still require checking approval number, dosage form, strength, authorisation holder and notice date item by item."
        },
        "source": {
          "id": "src_05ff2860226564d4",
          "label": "国家药监局药品评价中心：药物警戒与安全警示入口",
          "url": "https://www.cdr-adr.org.cn/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-drug-safety-communications",
        "authority": "FDA",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "药物安全通讯",
          "en": "Drug Safety Communications"
        },
        "purpose": {
          "zh": "监管机构就重要新安全问题、标签变化或风险沟通发布的原始页面。",
          "en": "Primary FDA pages for important new safety issues, labelling changes and risk communications."
        },
        "source": {
          "id": "src_9177df9e1825aa72",
          "label": "FDA：Drug Safety Communications",
          "url": "https://www.fda.gov/drugs/drug-safety-and-availability/drug-safety-communications",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-medwatch",
        "authority": "FDA MedWatch",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "安全信息与严重问题报告",
          "en": "Safety information and serious-problem reporting"
        },
        "purpose": {
          "zh": "美国 MedWatch 的安全信息和报告入口；报告不等同于已证实因果关系。",
          "en": "U.S. MedWatch safety-information and reporting gateway; a report does not itself establish causality."
        },
        "source": {
          "id": "src_e4739cd55d27ab51",
          "label": "FDA：MedWatch 药品安全信息与不良事件报告计划",
          "url": "https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "ema-pharmacovigilance",
        "authority": "EMA",
        "market": {
          "zh": "欧盟/欧洲经济区",
          "en": "European Union / European Economic Area"
        },
        "title": {
          "zh": "药物警戒概览与 EudraVigilance",
          "en": "Pharmacovigilance overview and EudraVigilance"
        },
        "purpose": {
          "zh": "欧盟药物警戒、疑似不良反应报告和 PRAC 安全评估的官方入口。",
          "en": "Official EU gateway for pharmacovigilance, suspected adverse-reaction reports and PRAC safety assessment."
        },
        "source": {
          "id": "src_2ad42a3deae747d1",
          "label": "EMA：Pharmacovigilance overview",
          "url": "https://www.ema.europa.eu/en/human-regulatory-overview/pharmacovigilance-overview",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "EU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "javascript_or_cookie_controls",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mhra-drug-safety-update",
        "authority": "MHRA",
        "market": {
          "zh": "英国",
          "en": "United Kingdom"
        },
        "title": {
          "zh": "Drug Safety Update",
          "en": "Drug Safety Update"
        },
        "purpose": {
          "zh": "英国 MHRA 面向专业人士和公众的药品安全更新原始发布页。",
          "en": "Primary UK MHRA medicine-safety updates for professionals and the public."
        },
        "source": {
          "id": "src_23fdbe67abeafc63",
          "label": "MHRA：Drug Safety Update",
          "url": "https://www.gov.uk/drug-safety-update",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "UK",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "pmda-drug-safety",
        "authority": "PMDA",
        "market": {
          "zh": "日本",
          "en": "Japan"
        },
        "title": {
          "zh": "药品安全信息",
          "en": "Medicine safety information"
        },
        "purpose": {
          "zh": "日本 PMDA 药品安全信息的英文官方入口；具体产品仍应以日文产品页和现行文件复核。",
          "en": "PMDA’s English official safety gateway; exact products still require checking against the Japanese product page and current documents."
        },
        "source": {
          "id": "src_06d6be2880f12024",
          "label": "PMDA：Safety Information Regarding Drugs",
          "url": "https://www.pmda.go.jp/english/safety/info-services/drugs/0001.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "JP",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mfds-drug-safety-letters",
        "authority": "MFDS",
        "market": {
          "zh": "韩国",
          "en": "Republic of Korea"
        },
        "title": {
          "zh": "药品安全性书信",
          "en": "Medicine safety letters"
        },
        "purpose": {
          "zh": "韩国 MFDS 发布的药品安全性书信原始索引。原文为韩文，须按涉及产品、剂型、市场和日期逐项阅读；它不自动适用于其他市场，也不构成对个人情况的结论。",
          "en": "MFDS’s primary index for medicine safety letters in the Republic of Korea. The original notices are in Korean and must be read against the named product, dosage form, market and date; they do not automatically apply in another market or decide an individual case."
        },
        "source": {
          "id": "src_2d7f5018cd05eff4",
          "label": "MFDS：药品安全性书信（韩文原始资料）",
          "url": "https://www.mfds.go.kr/brd/m_545/list.do",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "KR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "hsa-adverse-events",
        "authority": "HSA",
        "market": {
          "zh": "新加坡",
          "en": "Singapore"
        },
        "title": {
          "zh": "不良反应报告与药物安全信息",
          "en": "Adverse-event reporting and medicine-safety information"
        },
        "purpose": {
          "zh": "新加坡 HSA 面向公众的疑似不良反应报告、药物安全信息与本地监管入口；一份报告不等同于个体因果关系，具体产品仍须按新加坡注册状态、剂型、规格、日期和现行产品资料逐项核对。",
          "en": "HSA’s public Singapore gateway for suspected adverse-event reporting and medicine-safety information. A report does not itself establish individual causality; exact products still require checking Singapore registration status, dosage form, strength, date and current product information."
        },
        "source": {
          "id": "src_9240397d5a8574c1",
          "label": "HSA：Report adverse events",
          "url": "https://www.hsa.gov.sg/adverse-events/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "SG",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "health-canada-medeffect-advisories",
        "authority": "Health Canada",
        "market": {
          "zh": "加拿大",
          "en": "Canada"
        },
        "title": {
          "zh": "MedEffect 加拿大：建议、警告与召回",
          "en": "MedEffect Canada: advisories, warnings and recalls"
        },
        "purpose": {
          "zh": "加拿大政府 Health Canada 的 MedEffect 公开入口，汇集药品及健康产品的建议、警告、召回、报告与安全信息；具体产品仍须按市场、剂型、规格、公告日期和批号逐项核对。",
          "en": "Health Canada’s public MedEffect gateway for medicine and health-product advisories, warnings, recalls, reporting and safety information. Exact products still require checking market, dosage form, strength, notice date and lot item by item."
        },
        "source": {
          "id": "src_212ec921fa6634ad",
          "label": "Health Canada：MedEffect Canada 建议、警告与召回",
          "url": "https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada/advisories-warnings-recalls.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "tga-safety-alerts",
        "authority": "TGA",
        "market": {
          "zh": "澳大利亚",
          "en": "Australia"
        },
        "title": {
          "zh": "药品安全警示",
          "en": "Medicine safety alerts"
        },
        "purpose": {
          "zh": "澳大利亚 TGA 的药品安全警示、建议和监测信息原始发布页。",
          "en": "Primary Australian TGA safety alerts, advisories and monitoring information for therapeutic products."
        },
        "source": {
          "id": "src_ffe6142814f88fac",
          "label": "TGA：Safety alerts",
          "url": "https://www.tga.gov.au/safety/safety-monitoring-and-information/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "AU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "swissmedic-pharmacovigilance",
        "authority": "Swissmedic",
        "market": {
          "zh": "瑞士",
          "en": "Switzerland"
        },
        "title": {
          "zh": "药物警戒与不良反应报告",
          "en": "Pharmacovigilance and suspected adverse-reaction reporting"
        },
        "purpose": {
          "zh": "瑞士 Swissmedic 的药物警戒、信号评估和疑似不良反应官方入口；报告或信号本身不等同于对个体因果关系的确认。",
          "en": "Official Swissmedic gateway for pharmacovigilance, signal assessment and suspected adverse-reaction reporting; a report or signal does not itself confirm individual causality."
        },
        "source": {
          "id": "src_c854f813ce2671df",
          "label": "Swissmedic：Pharmacovigilance",
          "url": "https://www.swissmedic.ch/swissmedic/en/home/humanarzneimittel/market-surveillance/pharmacovigilance.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "CH",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "medsafe-safety-communications",
        "authority": "Medsafe",
        "market": {
          "zh": "新西兰",
          "en": "New Zealand"
        },
        "title": {
          "zh": "药品安全通讯",
          "en": "Medicine safety communications"
        },
        "purpose": {
          "zh": "新西兰 Medsafe 面向公众和专业人士的药品安全通讯与归档入口；旧公告可能已被现行产品资料更新。",
          "en": "New Zealand Medsafe gateway for public and professional medicine safety communications and archives; older notices may have been superseded by current product information."
        },
        "source": {
          "id": "src_3510c1a523ec9769",
          "label": "Medsafe：Safety Communications",
          "url": "https://www.medsafe.govt.nz/safety/SafetyCommunications.asp",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "NZ",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "sahpra-safety-information",
        "authority": "SAHPRA",
        "market": {
          "zh": "南非",
          "en": "South Africa"
        },
        "title": {
          "zh": "药物安全信息、警示与药物警戒",
          "en": "Medicine safety information, alerts and pharmacovigilance"
        },
        "purpose": {
          "zh": "南非 SAHPRA 面向公众和专业人士的药物安全信息、警示与药物警戒入口；官方警示不等同于产品在所有情形下不安全，具体产品仍须按南非注册状态、剂型、规格、公告日期与现行资料逐项核对。",
          "en": "SAHPRA’s safety-information, alerts and pharmacovigilance gateway for the public and professionals in South Africa. An official alert does not itself mean a product is unsafe in every circumstance; exact products still require checking South African registration status, dosage form, strength, notice date and current product information."
        },
        "source": {
          "id": "src_25b0aaefee742163",
          "label": "SAHPRA：Safety Information Updates / Pharmacovigilance",
          "url": "https://www.sahpra.org.za/safety-information-and-updates/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "ZA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "who-medicine-safety-alerts",
        "authority": "WHO",
        "market": {
          "zh": "全球",
          "en": "Global"
        },
        "title": {
          "zh": "药品与疫苗安全警示档案",
          "en": "Medicine and vaccine safety-alert archive"
        },
        "purpose": {
          "zh": "WHO 的跨市场安全警示档案；每条历史警示必须按公告日期、涉及产品和市场单独阅读。",
          "en": "WHO’s cross-market safety-alert archive; every historical notice must be read against its date, named product and market."
        },
        "source": {
          "id": "src_9a7dc56ec34c7e1a",
          "label": "WHO：Safety alerts for medicines and vaccines",
          "url": "https://www.who.int/teams/regulation-prequalification/regulation-and-safety/pharmacovigilance/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "GLOBAL",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "anvisa-pharmacovigilance",
        "authority": "Anvisa",
        "market": {
          "zh": "巴西",
          "en": "Brazil"
        },
        "title": {
          "zh": "药物警戒、警示与 VigiMed",
          "en": "Pharmacovigilance, alerts and VigiMed"
        },
        "purpose": {
          "zh": "巴西 Anvisa 的药物警戒原始入口，涵盖警示、药物警戒公告、风险沟通和 VigiMed 报告路径；具体产品仍须按巴西批准状态、剂型、规格和公告日期逐项核对。",
          "en": "Anvisa’s primary Brazilian pharmacovigilance gateway for alerts, bulletins, risk communication and VigiMed reporting. Exact products still require checking Brazilian authorisation status, dosage form, strength and notice date item by item."
        },
        "source": {
          "id": "src_5de362c12580111d",
          "label": "Anvisa：Farmacovigilância（药物警戒、警示与 VigiMed）",
          "url": "https://www.gov.br/anvisa/pt-br/assuntos/fiscalizacao-e-monitoramento/farmacovigilancia",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "BR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      }
    ],
    "notices": [],
    "boundary": {
      "zh": "本卡将逐药产品级来源与 15 个市场级官方警戒入口放在同一处核验；它不表示已完成该药在所有国家或地区的实时警示检索，也不表示该药存在新的安全警示、召回或风险结论。请先以品牌名、通用名、剂型、规格、所在市场和公告日期逐项匹配；不要仅因看到标题自行停药、换药、加量或减量。",
      "en": "This card brings together the medicine-specific product route and 15 market-level official vigilance gateways. It does not mean real-time alerts for this medicine have been searched in every country or region, or that the medicine has a new alert, recall or risk conclusion. Match brand, generic name, dosage form, strength, market and notice date item by item; do not self-stop, switch, increase or reduce use from a headline."
    },
    "scope": "official_routes_only_no_live_alert_inference"
  },
  "archive": {
    "summary": "吗丁啉的成分是多潘立酮，属于胃肠促动力药。10 mg 是每片含量，30 片或 42 片是整盒数量。60 岁以上或正在吃其他药，先把药盒和完整药单交给医生或药师核对。",
    "history": "EMA 记录该成分在欧洲各国的使用历史，并在 2014 年因心脏风险限制适应症与使用期限。本页分别保留中国 2026-05-13 说明书和爱尔兰 2026-01 HPRA 说明书，不把各国用途、规格或供药条件合成一份全球说明书。",
    "sourceDocuments": [
      {
        "id": "src_02cf937215e6cfe6",
        "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
        "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "first_party_leaflet",
        "market": "CN",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      {
        "id": "src_0853ccda0505d456",
        "label": "HPRA: Motilium 10mg Film-Coated Tablets, PA23490/022/002; SmPC 26 January 2026",
        "url": "https://assets.hpra.ie/products/Human/22237/Licence_PA23490-022-002_26012026113955.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "product_label",
        "market": "IE",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      {
        "id": "src_2668ced6c37f003a",
        "label": "HPRA: Motilium 10mg Film-Coated Tablets, Irish authorisation and pharmacy-supply conditions",
        "url": "https://www.hpra.ie/find-a-medicine/for-human-use/authorised-medicines/details/22237",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "regulatory_product_record",
        "market": "IE",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      {
        "id": "src_171e9167eada395b",
        "label": "EMA: domperidone referral and 2014 restrictions on nausea/vomiting use and cardiac risk",
        "url": "https://www.ema.europa.eu/en/medicines/human/referrals/domperidone-containing-medicines",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "historical_public_record",
        "documentKind": "regulatory_guidance",
        "market": "EU",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      },
      {
        "id": "src_4fbd8611c0fd0f3d",
        "label": "FDA: Information about domperidone; not FDA-approved for human use",
        "url": "https://www.fda.gov/drugs/information-drug-class/information-about-domperidone",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "regulatory_guidance",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-09",
        "reviewedAt": "2026-09-09"
      }
    ],
    "applicationNumber": "CN H10910003 / IE PA23490/022/002",
    "approvalTimeline": [
      {
        "date": "2007-10-05",
        "title": {
          "zh": "爱尔兰本许可首次批准",
          "en": "First authorisation of this Irish licence"
        },
        "detail": {
          "zh": "仅为 PA23490/022/002 的日期，不是美国或全球首发日期。",
          "en": "This date belongs to PA23490/022/002, not U.S. approval or a global first launch."
        },
        "source": {
          "id": "src_2668ced6c37f003a",
          "label": "HPRA: Motilium 10mg Film-Coated Tablets, Irish authorisation and pharmacy-supply conditions",
          "url": "https://www.hpra.ie/find-a-medicine/for-human-use/authorised-medicines/details/22237",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "IE",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        }
      },
      {
        "date": "2014-04-23",
        "title": {
          "zh": "欧洲限制使用建议",
          "en": "European restrictions endorsed"
        },
        "detail": {
          "zh": "监管复核支持在限制条件下用于恶心和呕吐，重点关注心脏风险。",
          "en": "Regulatory review supported restricted nausea/vomiting use with cardiac-risk precautions."
        },
        "source": {
          "id": "src_171e9167eada395b",
          "label": "EMA: domperidone referral and 2014 restrictions on nausea/vomiting use and cardiac risk",
          "url": "https://www.ema.europa.eu/en/medicines/human/referrals/domperidone-containing-medicines",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "historical_public_record",
          "documentKind": "regulatory_guidance",
          "market": "EU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        }
      },
      {
        "date": "2026-05-13",
        "title": {
          "zh": "中国公开说明书修订",
          "en": "Chinese public leaflet revised"
        },
        "detail": {
          "zh": "官网当前下载文件列明这一修订日期。",
          "en": "The current first-party download prints this revision date."
        },
        "source": {
          "id": "src_02cf937215e6cfe6",
          "label": "Xi’an Janssen: 吗丁啉 / domperidone tablets OTC leaflet, revised 2026-05-13; H10910003",
          "url": "https://www.xian-janssen.com.cn/sites/default/files/PDF/%E5%A4%9A%E6%BD%98%E7%AB%8B%E9%85%AE%E7%89%87OTC%E8%AF%B4%E6%98%8E%E4%B9%A6_1.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_public_record",
          "documentKind": "first_party_leaflet",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        }
      }
    ],
    "marketStatus": [
      {
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "status": {
          "zh": "企业公开非处方药说明书",
          "en": "Public first-party OTC leaflet"
        },
        "detail": {
          "zh": "吗丁啉／多潘立酮片，10 mg；本次未独立完成 NMPA 当前数据库记录核验，不作库存结论。",
          "en": "Motilium / domperidone tablets, 10 mg. A separate current NMPA database check is not completed; no stock claim is made."
        }
      },
      {
        "market": {
          "zh": "爱尔兰",
          "en": "Ireland"
        },
        "status": {
          "zh": "HPRA 已授权记录；供药条件按包装区分",
          "en": "HPRA-authorised record; supply conditions vary by pack"
        },
        "detail": {
          "zh": "本许可小包装可经药房非处方供应；超过 10 片的包装需处方。说明书列包装不等于实时有货。",
          "en": "The licence permits non-prescription pharmacy supply for the small pack; packs above 10 tablets require a prescription. Listed packs are not live inventory."
        }
      },
      {
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "status": {
          "zh": "FDA 未批准人用",
          "en": "Not FDA-approved for human use"
        },
        "detail": {
          "zh": "FDA 公开页面明确未批准；不得把其他国家说明书当作美国上市或可购买依据。",
          "en": "FDA states it is unapproved. Other countries’ leaflets do not establish U.S. marketing or purchasing eligibility."
        }
      }
    ],
    "frequentlyAskedQuestions": [
      {
        "question": {
          "zh": "中国说明书与爱尔兰用途为什么不同？",
          "en": "Why do the Chinese and Irish indications differ?"
        },
        "answer": {
          "zh": "各市场批准范围不同。中国企业产品页列消化不良等症状；爱尔兰当前说明书只列恶心和呕吐。按所在地、具体产品的现行说明书核对，不取更宽的一份自行使用。",
          "en": "Authorised scope differs by market. The Chinese first-party product page includes dyspepsia symptoms; the current Irish label lists nausea and vomiting. Follow the actual local product, not whichever wording is broader."
        }
      },
      {
        "question": {
          "zh": "能用来催乳吗？",
          "en": "Can it be used to increase milk supply?"
        },
        "answer": {
          "zh": "不要自行用于催乳。FDA 提示该用途疗效未确立并有严重心脏风险，停减药也有神经精神不良事件报告；若已在用，请让医疗团队评估。",
          "en": "Do not self-use it to increase milk supply. FDA describes unestablished benefit, serious cardiac risks and reports of neuropsychiatric events during withdrawal; if already using it, seek clinical review."
        }
      },
      {
        "question": {
          "zh": "掰半就一定变成安全的小剂量吗？",
          "en": "Does half a tablet guarantee a safer dose?"
        },
        "answer": {
          "zh": "不是。是否适用、能否分片及该吃多少是不同问题；有禁忌时掰半不能把药变安全。",
          "en": "No. Suitability, splittability and the prescribed amount are separate questions. Halving does not remove a contraindication."
        }
      }
    ],
    "relatedMedicineChecks": [
      {
        "target": {
          "id": "levaquin",
          "brand": "Levaquin",
          "generic": "左氧氟沙星",
          "canonicalUrls": {
            "zh": "https://origindrug.com/drugs/levaquin/",
            "en": "https://origindrug.com/en/drugs/levaquin/"
          }
        },
        "title": {
          "zh": "药单里还有可乐必妥／左氧氟沙星？",
          "en": "Also taking levofloxacin / Cravit / Levaquin?"
        },
        "summary": {
          "zh": "爱尔兰 Motilium 说明书将左氧氟沙星列入不能合用的延长 QT 药物示例。把两盒药交给医生或药师立即核对，不靠错开时间自行处理。",
          "en": "The Irish Motilium SmPC lists levofloxacin among QT-prolonging medicines contraindicated with domperidone. Have both packs reviewed promptly; do not solve it by self-spacing doses."
        },
        "source": {
          "id": "src_0853ccda0505d456",
          "label": "HPRA: Motilium 10mg Film-Coated Tablets, PA23490/022/002; SmPC 26 January 2026",
          "url": "https://assets.hpra.ie/products/Human/22237/Licence_PA23490-022-002_26012026113955.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_public_record",
          "documentKind": "product_label",
          "market": "IE",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        }
      },
      {
        "target": {
          "id": "biaxin",
          "brand": "BIAXIN",
          "generic": "克拉霉素",
          "canonicalUrls": {
            "zh": "https://origindrug.com/drugs/biaxin/",
            "en": "https://origindrug.com/en/drugs/biaxin/"
          }
        },
        "title": {
          "zh": "还有克拉霉素等抗感染药？",
          "en": "Also taking clarithromycin or another anti-infective?"
        },
        "summary": {
          "zh": "爱尔兰说明书将克拉霉素等强 CYP3A4 抑制剂列为合用禁忌。该清单不是全部相互作用；带完整药单核对。",
          "en": "The Irish SmPC contraindicates potent CYP3A4 inhibitors such as clarithromycin. This is not an exhaustive interaction list; bring every medicine for review."
        },
        "source": {
          "id": "src_0853ccda0505d456",
          "label": "HPRA: Motilium 10mg Film-Coated Tablets, PA23490/022/002; SmPC 26 January 2026",
          "url": "https://assets.hpra.ie/products/Human/22237/Licence_PA23490-022-002_26012026113955.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_public_record",
          "documentKind": "product_label",
          "market": "IE",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-09",
          "reviewedAt": "2026-09-09"
        }
      }
    ],
    "relatedArticleSlugs": [
      "medicine-label-for-everyday-questions",
      "dose-unit-literacy",
      "interactions-are-not-a-home-scheduling-problem"
    ]
  },
  "canonicalUrls": {
    "zh": "https://origindrug.com/drugs/motilium-domperidone/",
    "en": "https://origindrug.com/en/drugs/motilium-domperidone/"
  },
  "limitations": [
    "No originator, generic, interchangeability, availability, price, holder, strength or sale-eligibility conclusion is inferred beyond the linked source documents.",
    "Target-market current labels and official records must be checked separately."
  ]
}