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Prochlorperazine Buccal Tablets

  • Fast relief for migraine-related nausea
  • Dissolves on the gum, no swallowing needed
  • Bypasses the stomach for quicker absorption
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Fast & Free Delivery Options

Variety of delivery options including next day & free delivery.

100% UK-based Pharmacy

Pharmacy, clinic and prescribers based in Greater Manchester.

Free Online Consultations

Start your treatment with a quick and free online consultation.

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Prochlorperazine Buccal Tablets

Medication Name Prochlorperazine Maleate 3mg Buccal Tablets
Medication Form Buccal tablet
Used For Treating nausea and vomiting associated with migraine
Who Can Use Adults aged 18 years and over
Active Ingredient(s) Prochlorperazine maleate 3mg
Recommended Dose 1 to 2 tablets twice a day
Common Side Effects Drowsiness, dizziness, dry mouth
Prescription Required No
Patient Information Leaflet Prochlorperazine Buccal Tablets Patient Information Leaflet

What are Prochlorperazine Buccal Tablets used for?

Prochlorperazine 3mg buccal tablets are used to treat nausea and vomiting associated with migraines. They are sometimes referred to as Buccastem. They are available to buy from a pharmacy without a prescription.

Because the tablet dissolves against the gum rather than being swallowed, it’s absorbed directly into the bloodstream without passing through the stomach. This is useful during a migraine attack, when nausea can make it difficult to keep oral tablets down.

How does Prochlorperazine work?

Prochlorperazine belongs to a group of medicines called phenothiazines. These tablets work by blocking dopamine receptors. By blocking dopamine receptors in the brain area that triggers sickness, the medicine prevents those signals from reaching the gut.

Interrupting the signals that lead to nausea and vomiting means relief comes faster. Placing the tablet against the gum means it’s absorbed through the lining of the mouth, so it gets to work without relying on your digestive system.

Who can use Prochlorperazine buccal tablets?

Prochlorperazine tablets are suitable for adults aged 18 and over who experience nausea and vomiting associated with migraines.

Don’t use prochlorperazine buccal tablets if you:

  • Are allergic to prochlorperazine maleate or any of the other ingredients
  • Have liver or blood problems
  • Have epilepsy, Parkinson’s disease or glaucoma
  • Have problems with your prostate gland

Speak to your doctor before using prochlorperazine if you:

  • Are elderly
  • Are pregnant, trying to become pregnant or breastfeeding
  • Have risk factors for blood clots, such as high blood pressure, high cholesterol, diabetes or you smoke
  • Have a family history of blood clots
  • Are taking sedatives, tranquilisers or medicines for high blood pressure

How to use Prochlorperazine buccal tablets

  1. Place the tablet under the lip, high up along the top gum, on either side of your mouth. It’s best taken after a meal.
  2. Allow it to dissolve slowly and completely so the medication can be absorbed. This can take between 1 and 2 hours, but most people don’t notice it after a few minutes.

The tablet shouldn’t be swallowed whole or chewed, as this can cause it to dissolve too quickly and reduce its absorption. This will make sure it’s used to treat your symptoms effectively.

If you wear dentures, position the tablet comfortably along the lip on the gum line.

If you forget a dose, take it as soon as you remember. Don’t take a double dose to make up for a missed one.

Side Effects of Prochlorperazine Buccal Tablets

Like all medicines, prochlorperazine can cause side effects, though not everyone gets them.

Common Side Effects

  • Drowsiness
  • Dizziness
  • Dry mouth
  • Insomnia
  • Agitation
  • Mild skin reactions
  • Low blood pressure, which may make you feel dizzy or faint when you stand up

Occasional

  • Local irritation of the gum and mouth

Rare

  • Jaundice (yellowing of the skin or whites of the eyes)
  • Blood problems

Very Rare

  • Breast swelling (in men as well as women)
  • Abnormal movements, tremors and muscle rigidity, and unusual movements of the face and tongue

These very rare reactions are unlikely to occur at the low dose used in this medicine.

Serious Side Effects

Stop taking prochlorperazine and inform your doctor straight away if you experience:

  • A high temperature, pale complexion, muscle stiffness and changes in your level of alertness. These may be signs of a serious condition called neuroleptic malignant syndrome.
  • Swelling, pain or redness in the leg, or chest pain and difficulty breathing. These may be signs of a blood clot.

If you notice any side effects not listed here, tell your doctor or pharmacist. You can also report them directly via the Yellow Card Scheme.

Prochlorperazine Buccal Tablets Ingredients

Active ingredient: Prochlorperazine maleate 3mg

Other ingredients: Sucrose, locust bean gum, xanthan gum, hypromellose 2910, riboflavin sodium phosphate, magnesium stearate and talc

Warnings and Precautions

  • Don’t drink alcohol while you take prochlorperazine tablets, as it may interact with the medicine.
  • Prochlorperazine can cause drowsiness. Don’t drive or use machinery until you know how it affects you.
  • If you’re pregnant or breastfeeding, speak to your doctor or pharmacist before taking this medicine. Do not take prochlorperazine in the last three months of pregnancy. Don’t take prochlorperazine if you’re breastfeeding.
  • This medicine contains sucrose. If you’ve been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking it.
  • A small increase in the number of deaths has been reported in elderly people with dementia taking medicines of the same type as prochlorperazine.

Storage

  • Keep out of the sight and reach of children
  • Store in the original packaging to protect from light
  • Don’t use after the expiry date shown on the carton

Prochlorperazine Buccal Tablets Reviews

Prochlorperazine Buccal Tablets FAQs


Each tablet takes 1 to 2 hours to fully dissolve. However, most people stop noticing it within a few minutes of placing it against the gum, so you don’t need to wait around for it to finish dissolving.

The tablets don’t need to be refrigerated. Store them in the original blister pack to protect them from light, and keep them out of reach of children.

No – chewing or swallowing the tablet means it won’t be absorbed properly. It needs to slowly dissolve in the mouth so the medicine can be absorbed through the gum lining. Try not to move it around with your tongue either, as this speeds up dissolving and reduces absorption.

If you swallow the tablet accidentally, it’s unlikely to work as well. The buccal route is specifically designed to absorb the medicine through the mouth lining, bypassing the stomach. This matters during a migraine, as nausea can affect how well your gut absorbs medicines. If you’re unsure what to do, speak to your pharmacist.

Yes. Check the expiry date on the outer carton before use and don’t take the tablets after that time. The expiry date refers to the last day of the month shown.

Alcohol can interact with prochlorperazine, so avoid drinking while you’re taking it.

Our Experienced UK-based Pharmacy Team

Clinical Consultant
MUDr, MRCEM, EBCEM, FRCEM
GMC no. 7176414

Pharmacist
MPharm
GPhC no. 2065469

Pharmacist
MPharm
GPhC no. 2046514

Page content authored by Amjad Khan, last reviewed by Dr Hussain Ahmad on 5th May 2026.