-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Cytotec From: Bernard Cristalli (bcrist@club-internet.fr) Fri May 12 02:50:37 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GIN11153@aol.com: "OB/GYN Medical Verdicts-NOTABLE JUDGMENTS AND SETTLEMENTS IN BRIEF" Previous message: GA12L@aol.com: "Cytotec" In reply to: GA12L@aol.com: "Cytotec" Next in thread: Dr EBerhard W Lisse: "Re: Cytotec" Content-Type: text/plain; charset=ISO-8859-1; format=flowed Content-Transfer-Encoding: quoted-printable Cytotec induces contractions (Prostaglandin), therefore it's contraindicated in the early pregnancy. BC GA12L@aol.com a écrit : > I'm sorry, but I don't understand why Cytotec is used to induce > labour. Pharmacia Limited who market Cytotec here clearly state that > > "Cytotec is contraindicated in pregnant women and in women planning a > pregnancy as it increases uterine tone and contractions in pregnancy > which may cause partial or complete expulsion of the products of > conception. Use in pregnancy has been associated with birth defects." > > Cytotec is indicated for the healing of duodenal ulcer and gastric > ulcer including those induced by nonsteroidal anti-inflammatory drugs > (NSAID) in arthritic patients at risk, whilst continuing their NSAID > therapy. In addition, Cytotec can be used for the prophylaxis of > NSAID-induced ulcers. It says nothing about using it to induce labour > in fact Pharmacia says that when used in pre-menopausal women they > should ensure that they have adequate contraception. The Summary of > Product Characteristics (SPC) clearly says in the section Undesirable > effects > > "A number of side effects have been reported in clinical studies or in > the literature following use of misoprostol for non-approved > indications. These include abnormal uterine contractions, uterine > haemorrhage, retained placenta, amniotic fluid embolism, incomplete > abortion and premature birth." > > So using Cytoec for inducing labour is a) using it for a non-approved > indication and b) it CAN cause AFE. > > So why is it used to induce labour? Sorry, I don't understand but I'm > sure one of you will enlighten me! > > Gail > Next message: GIN11153@aol.com: "OB/GYN Medical Verdicts-NOTABLE JUDGMENTS AND SETTLEMENTS IN BRIEF" Previous message: GA12L@aol.com: "Cytotec" In reply to: GA12L@aol.com: "Cytotec" Next in thread: Dr EBerhard W Lisse: "Re: Cytotec"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:03:04 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.