Misoprostol

Generic Name
Misoprostol
Brand Names
Arthrotec, Cytotec, Mifegymiso
Drug Type
Small Molecule
Chemical Formula
C22H38O5
CAS Number
59122-46-2
Unique Ingredient Identifier
0E43V0BB57
Background

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.

Indication

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.

Associated Conditions
Gastric Ulcer, Incomplete Abortion, Missed Abortion, Postpartum Haemorrhage (PPH)
Associated Therapies
Induction of cervix ripening therapy, Medically induced abortion

Optimum Misoprostol Dose Prior to Office Hysteroscopy

First Posted Date
2012-06-05
Last Posted Date
2013-04-11
Lead Sponsor
Cairo University
Target Recruit Count
132
Registration Number
NCT01612065
Locations
🇪🇬

Kasr alainy hospital, faculty of medicine , Cairo university, Cairo, Egypt

Cervical Priming Before Dilation & Evacuation

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2012-05-14
Last Posted Date
2013-11-07
Lead Sponsor
Ibis Reproductive Health
Target Recruit Count
159
Registration Number
NCT01597726
Locations
🇿🇦

Tygerberg Hospital, Cape Town, South Africa

Combined Use of Oxytocin and Misoprostol Versus Oxytocin Infusion and Misoprostol Alone to Reduce Blood Loss at Cesarean Section

First Posted Date
2012-04-05
Last Posted Date
2012-10-11
Lead Sponsor
Qazvin University Of Medical Sciences
Target Recruit Count
150
Registration Number
NCT01571323
Locations
🇮🇷

Qazvin Medical University Science, Qazvin, Iran, Islamic Republic of

Sublingual Misoprostol Versus Standard Surgical Care for the Treatment of Incomplete Abortion in Nigeria

First Posted Date
2012-02-27
Last Posted Date
2012-02-27
Lead Sponsor
Gynuity Health Projects
Target Recruit Count
90
Registration Number
NCT01539408
Locations
🇳🇬

Adeoyo Maternity Hospital, Ibadan, Nigeria

🇳🇬

University College Hospital, Ibadan, Ibadan, Nigeria

A Study of Self-administered Misoprostol to Prevent Bleeding After Childbirth in the Community (MamaMiso)

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2012-01-16
Last Posted Date
2013-03-13
Lead Sponsor
Gynuity Health Projects
Target Recruit Count
749
Registration Number
NCT01510574
Locations
🇺🇬

Busiu Health Centre, Mbale, Uganda

🇺🇬

Lwangoli Health Centre, Mbale, Uganda

🇺🇬

Siira Health Centre, Mbale, Uganda

and more 1 locations

Misoprostol for Treatment of Postpartum Haemorrhage (PPH) in Home Births

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2012-01-12
Last Posted Date
2016-07-11
Lead Sponsor
Gynuity Health Projects
Target Recruit Count
70
Registration Number
NCT01508429
Locations
🇦🇫

Home delivery setting, Darwaz, Ishkashim, Shugnan, Wakhan districts, Badakshan Province, Afghanistan

A Novel Protocol for Labour Induction

First Posted Date
2012-01-10
Last Posted Date
2014-01-22
Lead Sponsor
Cairo University
Target Recruit Count
400
Registration Number
NCT01506388
Locations
🇪🇬

Waleed El-khayat, Cairo, Egypt

🇪🇬

Cairo University, Cairo, Egypt

Treatment of Postpartum Haemorrhage (PPH) Using Misoprostol in Home Births

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2011-12-05
Last Posted Date
2016-03-10
Lead Sponsor
Gynuity Health Projects
Target Recruit Count
84
Registration Number
NCT01485562
Locations
🇵🇰

Home Births, Chitral, Khyber Pakhtunkhwa, Pakistan

Comparative of Effects of Sublingual Misoprostol and Infusion Oxytocin in Reduction of Bleeding at Cesarean

Phase 2
Conditions
Interventions
First Posted Date
2011-11-23
Last Posted Date
2011-12-13
Lead Sponsor
Soudabeh Eshghi ali
Target Recruit Count
180
Registration Number
NCT01477840
Locations
🇮🇷

KUMS Obstetrics & Gynecology Department, Imam Reza Hospital, Kermanshah, Iran, Islamic Republic of

Study on Combined Use of Letrozole, Mifepristone and Misoprostol in Termination of Pregnancy

First Posted Date
2011-11-21
Last Posted Date
2011-11-21
Lead Sponsor
The University of Hong Kong
Target Recruit Count
50
Registration Number
NCT01475318
Locations
🇭🇰

Joyce Chai, Hong Kong, Hong Kong

© Copyright 2024. All Rights Reserved by MedPath