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Indication & Dosage
 
 
Oral
REDUCTION OF POSTPARTUM HAEMORRHAGE AND PUERPERAL UTERINE ATONY AND SUBINVOLUTION
Adult: Following initial IM/IV admin, 200-400 mcg every 6-12 hr for 2-7 days.
 
Intravenous
PREVENTION AND TREATMENT OF POSTPARTUM AND POSTABORTAL HAEMORRHAGE
Adult: IV use is not routinely advocated unless as an emergency measure. Dose is 200 mcg by slow inj over 60 sec.
 
Intramuscular
PREVENTION AND TREATMENT OF POSTPARTUM AND POSTABORTAL HAEMORRHAGE
Adult: 200 mcg. May be repeated as required at intervals of not more often than 2-4 hr or for >5 doses.
   
Precautions Captivation of the placenta may occur if given during the 2nd or 3rd stage of labour prior to delivery of the placenta; use in this situation should only be done by a qualified personnel. Avoid prolonged use. Caution in patients with sepsis, hepatic or renal impairment. Lactation.
   
Potentially Life-threatening 
Adverse Drug Reactions
Headache, dizziness, hallucinations; tinnitus; nausea, vomiting, foul taste, diarrhoea; hypertension, temporary chest pain, palpitations, bradycardia; nasal congestion, dyspnoea; diaphoresis; thrombophlebitis; haematuria; water intoxication; leg cramps; allergic reactions.
   
Adverse Drug Reactions Shock.
   
Interactions

Possible increase in serum levels and risk of severe vasoconstrictive effects with potent CYP3A4 inhibitors (e.g. erythromycin, troleandomycin, clarithromycin, ritonavir, indinavir, nelfinavir, delavirdine, ketoconazole, itraconazole, voriconazole) and less potent CYP3A4 inhibitors (e.g. saquinavir, nefazodone, fluconazole, fluoxetine, fluvoxamine, zileuton, clotrimazole).

Possible increase in serum levels and risk of severe vasoconstrictive effects with grapefruit juice.

   
   
 

 

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