Re: Another Interesting VBAC
From: art fougner, md (evsono@pipeline.com)
Mon Jul 17 08:34:35 2000
ok - now about that package insert for MgSO4 or Aspirin for that
matter...
art
At Sun, 16 Jul 2000, Dean Huffman wrote:
>
>The issue of labeling of terbutaline apparently has been quite an issue for
>quite some time. A few years ago (I will try to find it) there was an
>interesting article by Hugh Barber on the issue. It seems that the drug
>companies have been fighting tooth and nail to put that wording in and have
>it stay there. I do not know how big a market IV terbutaline is for
>tocylysis, but it was certainly a big enough market for a company to make
>Yutopar. In any event, with the labeling as such, the drug companies can
>sell terbutaline for tocolysis as much as they want, and take the profits,
>but if anything ever goes wrong, they can point to the package insert and
>tell the judge or jury that, "...it was that damn doctor that gave the
>terbutaline and he did not even look at the package insert. IT IS THE
>DOCTOR'S FAULT AND WE ARE COMPLETELY INNOCENT."
>
>--
>Dean Huffman
>
>- - - -
>
>Re: Another Interesting VBAC
>
>From: Paul Prior MD (pprior@earthlink.net)
>Sun, 09 Jul 2000 12:58:19 -0400
>
>On Sun, 9 Jul 2000 01:07:13 -0500, eramirez@icepr.com (Efrain Ramirez) wrote:
>
>>Terbutaline sulfate should not be used for tocolysis. Serious adverse
>>reactions may occur after administration ofterbutaline sulfate to women
>>in labor. In the
>>mother, theseinclude increased heart rate, transient
>>hyperglycemia,hypokalemia, cardiac arrhythmias,pulmonary edema,
>>andmyocardial ischemia. Increased
>>fetal heart rate andneonatal hypoglycemia may occur as a result of
>>maternal administration.
>>
>>DOSAGE AND ADMINISTRATION
>>
>>Ampuls should be used only for subcutaneous administration and not
>>intravenous infusion. Sterility and
>>accurate dosing cannot be assured if the ampuls are
>>not used inaccordance with DOSAGE AND ADMINISTRATION.
>
>Wow. I never read the package insert. Didn't realize they were this strong
>against it. Is this present on the PO version as well?
>(note: I do NOT use PO terbutaline!!)
>
>--
>Paul Prior MD Get rebates on online purchases - up to 25% cash back.
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>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
