Re: nifedipine for pre-term labor

From: David A. Nagey (dnagey@welchlink.welch.jhu.edu)
Sat Aug 31 08:35:43 1996


At 07:40 AM 8/31/96 -0500, you wrote: >I am asking this question for a physician that I work with that is not on "the
>net". Do any of you out there use nifedipine for PTL, and if so, what
dosage do >you use? Is it a 30mg. loading dose and then 20mg. Q6H, or is it a 20mg.
>loading dose and then 10mg. Q6H? How do you find this treatment works?
>Thank you in advance.
>Julie Holden, RN, BSN
>NH
>

We use 10 mg po q 1 h. *3 then q6h. My impression is consistent with the randomized clinical trial (sorry, I don't have the reference at hand), showing that it works as well as ritodrine per mnufacturer's protocol. We have tended to use it as a secondary agent however, continuing to favor MgSO4 as our first line drug.

David

--
David A. Nagey, M.D., Ph.D., The Johns Hopkins Hospital




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