Re: MgSO4 -- Magnesium Sulfate -- As A Tocolytic

From: Eberhard Lisse (el@ac.lisse.na)
Thu Oct 31 05:43:27 2002


We like Ipradol as well, in particular since it has less tachycardia.

But, what does one do if the dreaded "N/S" appears on the presciption card?

For the uninitiated this means "No Stock" :-)-O

I am using Adalat and/or Indomethacin. then...

el

--
Dr. Eberhard W. Lisse  \   *    /  Obstetrician & Gynaecologist (Saar)
<el@lisse.NA> el108    /       |               Oshakati State Hospital
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Oshakati, Namibia       ;____/            Managing Member, NA-NiC (cc)
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In message <3DBEF151.1B7F0307@intekom.co.za>, Steve & Eryl Raymond writes: > We have almost exclusively used "Ipradol" for tocolysis (Hexoprenaline) routi > nely. This > has only ever been thought of as a means to buy enough time to administer ste > roids for > prevention of RDS, hence not maintained for more than 24 -36 hours. The addi > tion of an > indomethacin suppository is often advocated and may be repeated for up to 5 d > ays on an 8 > - 12 hourly basis. I personally have never been convinced that MgSO4 showed > enough > promise, and have never been convinced of the superiority of nifedipine over > betastimulants either. Further, we never use any tocolytic after 35 weeks no > w. > stray > > Dean Huffman wrote: > > > I have quite a bit of confusion as to what to use. I have not seen > > convincing evidence for the benefit of any tocolytics, at least beyond 48 - > > 72 hours. There is some suggestion that oral procardia might be of some > > benefit. > > > > What are others of you doing out there for tocolysis? Is anybody using the > > terbutaline pump? Is anybody using oral agents? Is anybody using nothing at > > all. > > - - - - > > > > At 05:59 AM 10/22/2002 -0500, you wrote: > > > > > >If one chooses to treat premature labor in order to get steroids on > > >board, what is now being used, if Magnesium is to be dropped? > > > > > >Oral Nifedipine? Terbutaline?? Other? > > > > > >Garry > > >Garry E. Siegel, M.D. > > >Private Practice > > >Roswell, GA > > -- > > Dr.S.H. Raymond > Head of Department of O & G > Empangeni Hospital > South Africa 3880 > Phone: (+27) 35-9028560 > Fax: (+27) 35-7922596 >





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