Misoprostol
 
Presentation
• 200mcg tablet
Pharmacology
• A synthetic prostaglandin
Actions
• Causes contractions of uterus
Metabolism
• Converted to active metabolite Misoprostol Acid in the blood Metabolised in the tissues and excreted by the kidneys
Primary Emergency Indications
• Primary Post Partum Haemorrhage Obst
Contraindications
• Allergy to prostaglandins
Precautions
• History of Asthma
• Ensure multiple pregnancy excluded before drug administration
Route of Administration
• Oral
Side Effects
• Hyper-pyrexia
• Shivering
• Abdominal pain
• Diarrhoea
Special Notes
Side effects more likely with >600mcg oral dose
Therapeutic Effect
Oral     
Onset:
8-10min
Peak:
Duration:
2-3hr