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Re: Oral cytotecFrom: Calvin J. Siegers, MD FACOG (csiegers@hayburn.com)Mon Apr 6 14:42:46 1998
At Mon, 6 Apr 1998, Douglas Krell MD wrote: > >-----Original Message----- >From: Luis Sanchez-Ramos <sanchez-ramos@worldnet.att.net> >To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> >Date: Monday, April 06, 1998 7:06 AM >Subject: Re: Oral cytotec > >>At Mon, 6 Apr 1998, Douglas Krell MD wrote: >> How often have you gone to >>>redose a cytotec patient and found the pill yet unabsorbed from the >vagina? I recall an explanation for the "unabsorbed cytotec pill" being due to the formulation of the active ingredient into a "matrix" that itself may not dissolve in the vagina, yet allowing the prostaglandin to be enlisted for active duty. BEWARE, the following is purely anecdotal: I selectively use prostin gel when dealing with "Bishop zero" and there is no clinical urgency/emergency. When I want some "punch" in the system, I choose cytotec tabs, especially when the cervix has already shown some readiness to go, ie, softer, patulous, mid or anterior. I continue to use prostin vag suppos for IUFD with better efficacy than colleagues using vag cytotec. FWIW
-- Calvin J. Siegers, MD FACOG...private practice, 20 yr veteran, Holland, MI
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