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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

Overview

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.

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)

FDA Drug Approvals

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Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Greenstone LLC
59762-0029
ORAL
200 ug in 1 1
12/1/2022
Mylan Pharmaceuticals Inc.
59762-0029
ORAL
200 ug in 1 1
12/1/2022
GenBioPro Inc
43393-203
ORAL
200 ug in 1 1
1/2/2013
BluePoint Laboratories
68001-231
ORAL
200 ug in 1 1
4/21/2023
Aidarex Pharmaceuticals LLC
33261-076
ORAL
200 ug in 1 1
1/15/2014
GenBioPro, Inc.
43393-020
ORAL
200 ug in 1 1
1/9/2024
Novel Laboratories, Inc.
40032-161
ORAL
200 ug in 1 1
12/21/2020
NuCare Pharmaceuticals,Inc.
68071-4843
ORAL
200 ug in 1 1
2/17/2021
Amneal Pharmaceuticals LLC
65162-436
ORAL
200 ug in 1 1
12/24/2021
Nivagen Pharmaceuticals, Inc.
75834-265
ORAL
200 ug in 1 1
11/25/2022

EMA Drug Approvals

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HSA Drug Approvals

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NMPA Drug Approvals

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PPB Drug Approvals

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TGA Drug Approvals

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