Cytotec 100 mg

Discussion in 'Canadian Prescription' started by Prak, 26-Aug-2019.

  1. Couccammala XenForo Moderator

    Cytotec 100 mg


    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. Adults Healing of duodenal ulcer, gastric ulcer and NSAID-induced peptic ulcer: 800 micrograms daily in two or four divided doses taken with breakfast and / or each main meal and at bedtime. Treatment should be given initially for at least 4 weeks even if symptomatic relief has been achieved sooner. In most patients ulcers will be healed in 4 weeks but treatment may be continued for up to 8 weeks if required. If the ulcer relapses further treatment courses may be given. Prophylaxis of NSAID-induced peptic ulcer: 200 micrograms twice daily, three times daily or four times daily. Dosage should be individualised according to the clinical condition of each patient. CYTOTEC (MISOPROSTOL) ADMINISTRATION TO WOMEN WHO ARE PREGNANT CAN CAUSE BIRTH DEFECTS, ABORTION, PREMATURE BIRTH OR UTERINE RUPTURE. UTERINE RUPTURE HAS BEEN REPORTED WHEN CYTOTEC WAS ADMINISTERED IN PREGNANT WOMEN TO INDUCE LABOR OR TO INDUCE ABORTION. THE RISK OF UTERINE RUPTURE INCREASES WITH ADVANCING GESTATIONAL AGES AND WITH PRIOR UTERINE SURGERY, INCLUDING CESAREAN DELIVERY (see also ). PATIENTS MUST BE ADVISED OF THE ABORTIFACIENT PROPERTY AND WARNED NOT TO GIVE THE DRUG TO OTHERS. Cytotec should not be used for reducing the risk of NSAID-induced ulcers in women of childbearing potential unless the patient is at high risk of complications from gastric ulcers associated with use of the NSAID, or is at high risk of developing gastric ulceration. In such patients, Cytotec may be prescribed if the patient Misoprostol is extensively absorbed, and undergoes rapid de-esterification to its free acid, which is responsible for its clinical activity and, unlike the parent compound, is detectable in plasma. The alpha side chain undergoes beta oxidation and the beta side chain undergoes omega oxidation followed by reduction of the ketone to give prostaglandin F analogs.

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    Find patient medical information for Cytotec Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. In 2000, the FDA approved medication abortion using 600 mg of oral. µg of sublingual misoprostol plus 100 mg of diclofenac or 100 mg of diclofenac alone 1. New U. S. Food and Drug Administration labeling on Cytotec misoprostol use. Recommended doses of Misoprostol Cytotec® are provided in this site along with instructions for use. 27-28 wks 100mcg vaginally/sublingually/buccal 4-hrly

    Do not take this medication if you think that you may be pregnant. It may cause abortion, premature birth, or birth defects. In rare cases, serious complications (e.g., uterine rupture) have occurred when misoprostol was used to start labor or when used in combination with another drug to cause abortion after the eighth week of pregnancy. These complications have resulted in harm to the unborn baby and mother. Avoid pregnancy while taking misoprostol and for at least one month or one completed menstrual cycle after you have stopped treatment. If you become pregnant while taking misoprostol, contact your doctor right away. If you are pregnant, do not take this medication to reduce the risk of stomach ulcers due to aspirin or other related drugs (non-steroidal anti-inflammatory drugs-NSAIDs such as ibuprofen). Prophylaxis: 600 mcg PO within 1 minute of delivery Treatment: 800 mcg PO once; use caution if prophylactic dose already given and adverse effects present or observed Use only in settings where oxytocin not available Bacterial infections reported after use Patients must seek medical attention if excessive bleeding occurs Administration to pregnant women can cause abortion, premature birth, or birth defects Uterine rupture has been reported when drug is administered to pregnant women to induce labor; risk of uterine rupture increases with advancing gestational ages and prior uterine surgery, including cesarean delivery Contraindicated in pregnant women to reduce peptic ulcer risk from nonsteroidal anti-inflammatory drugs (NSAIDs) Warn patients of risk for abortion, and warn them not to give drug to others May cause diarrhea; should not be coadministered with other drugs that cause diarrhea (eg, magnesium-containing antacids) Adequate contraception is required in women of childbearing age May cause anaphylactic reaction May cause chills Unknown whether drug is safe for use in women with severe anemia Misoprostol may cause birth defects, abortion (sometimes incomplete), premature labor or rupture of the uterus if given to pregnant women Safety and efficacy in patients with cardiovascular disease, diabetes, renal impairment, or respiratory disease are not established Use with caution in women Pregnancy category: X Lactation: Drug is rapidly metabolized in mother to misoprostol acid, which is biologically active and is excreted in breast milk; although no published reports of adverse effects of misoprostol in breast-feeding infants exist, caution should be exercised when misoprostol is administered to breastfeeding women Synthetic prostaglandin E analogue parent drug that is rapidly deesterified to misoprostol acid (active metabolite) and replaces protective prostaglandins consumed with therapies that inhibit prostaglandin synthesis; inhibits gastric acid secretion and protects gastric mucosa Significantly reduces degree of fat malabsorption in patients with Extensive and rapid 1st-pass metabolism by liver to form misoprostol acid (active metabolite) Metabolites: Misoprostol acid (principal and active metabolite), dinor and tetranor metabolites of misoprostol acid The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

    Cytotec 100 mg

    Things to Know About Misoprostol for Early Pregnancy Loss., Uses of Misoprostol in Obstetrics and Gynecology - NCBI - NIH

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  7. Medscape - Indication-specific dosing for Cytotec misoprostol. 200 mcg PO q6hr with food; may be decreased to 100 mcg q6hr if higher dose is not tolerated;.

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    Metformin is one of the oldest and most widely prescribed antidiabetic medicines worldwide. It is the only such medicine that has shown a reduction of cardiovascular mortality in diabetes mellitus type 2. Since many diabetic patients have chronic kidney disease, its use is often curtailed by practitioners due to fear of lactic acidosis and the US Food and Drug Administration (FDA) warnings that, until recently, had been in place for decades. Current guidelines, though somewhat vague regarding dosages, clearly pave the way for spreading the use of metformin in patients with lower glomerular filtration rates. These guidelines also suggest moving away from just looking at serum creatinine to create a cut-off. Metformin’s costs are lower, and in many underdeveloped countries this is the only medicine available for poor patients. More widespread use of metformin will further help with health care costs, as well as obesity. Metformin Can Be Used Safely at Lower Levels of Renal Function. Potential Impact of Prescribing Metformin According to eGFR. Use of Metformin in the Setting of Mild-to-Moderate Renal Insufficiency.
     
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