Re: Tocolysis.

From: Arthur C Fougner (evsono@pipeline.com)
Fri Oct 20 13:46:55 1995


absent from this discussion is evidence that oral therapy has been shown to be efficacious in any randomized study. additionally, there is no evidence of efficacy for tocolytic therapy in general, save for forestalling delivery for a short interval. why, then, are we using these drugs and whom are we treating? these issues urgently need addressing.how about some trials using fibronectin in the triaging of patients for therapy? so far, it appears that an antibiotic may make the best tocolytic.

art fougner

On Thu, 19 Oct 1995 DoctorJoe@aol.com said:

><<In what situations are you using oral magnesium and in what doses?>>
>
>I particularly use Mg gluconate, some use Mg oxide. I like to push as
much, on >a four hourly basis usually, as the patient can take without GI problems.

>Usually, you can start at 500-1000 mg per dose and work up from there, if
need >be.
>
>I've found that Mg gluconate is a nice "homeopathic" medicine which takes
away >some uterine irritability in some women, or it makes a good combination
drug in >some (combined with progesterone or terbutaline). Some of the guys here
use it >as a take home follow up to IV MgSO4, though it obviously doesn't get NEAR
the >blood levels as the IV
>
>*************************************************
>
>doctorjoe@aol.com

> "All things are
connected. >Joseph Pastorek, MD Some things are just more
Department >of OB-GYN connected than others." LSU Medical Center

> - Dirk Gently New Orleans, LA
>U.S.A.
>
>*************************************************





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