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    Prophylaxis: 600 mcg PO within 1 minute of delivery Treatment: 800 mcg PO once; use caution if prophylactic dose already given and adverse effects present or observed Use only in settings where oxytocin not available Bacterial infections reported after use Patients must seek medical attention if excessive bleeding occurs Administration to pregnant women can cause abortion, premature birth, or birth defects Uterine rupture has been reported when drug is administered to pregnant women to induce labor; risk of uterine rupture increases with advancing gestational ages and prior uterine surgery, including cesarean delivery Contraindicated in pregnant women to reduce peptic ulcer risk from nonsteroidal anti-inflammatory drugs (NSAIDs) Warn patients of risk for abortion, and warn them not to give drug to others May cause diarrhea; should not be coadministered with other drugs that cause diarrhea (eg, magnesium-containing antacids) Adequate contraception is required in women of childbearing age May cause anaphylactic reaction May cause chills Unknown whether drug is safe for use in women with severe anemia Misoprostol may cause birth defects, abortion (sometimes incomplete), premature labor or rupture of the uterus if given to pregnant women Safety and efficacy in patients with cardiovascular disease, diabetes, renal impairment, or respiratory disease are not established Use with caution in women Pregnancy category: X Lactation: Drug is rapidly metabolized in mother to misoprostol acid, which is biologically active and is excreted in breast milk; although no published reports of adverse effects of misoprostol in breast-feeding infants exist, caution should be exercised when misoprostol is administered to breastfeeding women Synthetic prostaglandin E analogue parent drug that is rapidly deesterified to misoprostol acid (active metabolite) and replaces protective prostaglandins consumed with therapies that inhibit prostaglandin synthesis; inhibits gastric acid secretion and protects gastric mucosa Significantly reduces degree of fat malabsorption in patients with Extensive and rapid 1st-pass metabolism by liver to form misoprostol acid (active metabolite) Metabolites: Misoprostol acid (principal and active metabolite), dinor and tetranor metabolites of misoprostol acid The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. Early abortion with 800 micrograms of misoprostol by the vaginal. Gynäkologie Vaginales Misoprostol ein bis drei Tage nach. Abortion With Self-Administered Misoprostol A Guide For Women.
     
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