Reglan vs Botox

I was diagnosed with gastroparesis back in April 2010 by a gastroenterologist.  I've been on Omeprazole and Sucrafate since then with minimal relief.  Luckily my symptoms are mainly consistent heartburn.  I met with my gastroenterologist yesterday and he'd like to try something to speed up my stomach emptying.  He suggested either a small dose of Reglan or Botox injected into the nerve.  Needless to say I've read terrible side effects for the Reglan, but I don't want to have an endoscopy every 6 months.  My doctor has assured me that he's been prescribing Reglan for years with 90% of his patients having minimal to no side effects.  However, I'm still worried about taking the Reglan.  Any advice you can offer would be very helpful.  Thank you!

[Ratnakar Kini, MD]

Hi,
Prokinetics are the mainstay in the treatment of gastroparesis.
Reglan causes serious side effects in children and elderly individuals.
You can take other prokinetics like domperidone, itopride etc..