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.
Kasr alainy hospital, faculty of medicine , Cairo university, Cairo, Egypt
Tygerberg Hospital, Cape Town, South Africa
Qazvin Medical University Science, Qazvin, Iran, Islamic Republic of
Adeoyo Maternity Hospital, Ibadan, Nigeria
University College Hospital, Ibadan, Ibadan, Nigeria
Busiu Health Centre, Mbale, Uganda
Lwangoli Health Centre, Mbale, Uganda
Siira Health Centre, Mbale, Uganda
Home delivery setting, Darwaz, Ishkashim, Shugnan, Wakhan districts, Badakshan Province, Afghanistan
Waleed El-khayat, Cairo, Egypt
Cairo University, Cairo, Egypt
Home Births, Chitral, Khyber Pakhtunkhwa, Pakistan
KUMS Obstetrics & Gynecology Department, Imam Reza Hospital, Kermanshah, Iran, Islamic Republic of
Joyce Chai, Hong Kong, Hong Kong
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