Misoprostol is a prostaglandin analog used to reduce the risk of NSAID related ulcers, manage miscarriages, prevent post partum hemorrhage, and also for first trimester abortions. The stimulation of prostaglandin receptors in the stomach reduces gastric acid secretion, while stimulating these receptors in the uterus and cervix can increase the strength and frequency of contractions and decrease cervical tone.
Misoprostol was granted FDA approval on 27 December 1988.
Misoprostol is indicated as a tablet to reduce the risk of NSAID induced gastric ulcers but not duodenal ulcers in high risk patients. Misoprostol is also formulated in combination with diclofenac to treat symptoms of osteoarthritis or rheumatoid arthritis in patients with a high risk of developing gastric ulcers. Misoprostol is used off label for the management of miscarriages, prevention of post partum hemorrhage, and is also used alone or in combination with mifepristone in other countries for first trimester abortions.
Beni-Suef University, Cairo, Egypt
Cairo University hospiatl, Cairo, Egypt
Isala Klinieken (there may be other sites in this country), Zwolle, Netherlands
Primary Health Care Units, Kafr El Dawar, El Beheira, Egypt
Northwestern University, Prentice Women's Hospital, Chicago, Illinois, United States
University Hospital Crosshouse, Kilmarnock, Scotland, United Kingdom
Ain Shams Maternity hospital, Cairo, Egypt
Hospital Dr. A. Llano, Corrientes, Argentina
Hospital J.R. Vidal, Corrientes, Argentina
Ain Shams University Maternity Hospital, Cairo, Egypt
Benha univesity hospital, Benha, Egypt
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