Regulatory Information
HSA regulatory responsibility and product classification details
Regulatory Responsibility
Product Classification
Formulation Information
INJECTION
**4.2 Posology and method of administration** Syntometrine should be used under medical supervision only. Dosage General target population - Active management of third stage of labour 1 mL IM following delivery of the anterior shoulder or immediately after delivery of the child. Expulsion of the placenta — usually separated by the first strong uterine contraction following the injection of Syntometrine — should be assisted by controlled cord traction. - Prevention and treatment of postpartum haemorrhage 1 mL IM following expulsion of the placenta, or when bleeding occurs. If necessary, the injection of 1 mL may be repeated after an interval of no less than 2 hours. The total dose given within 24 hours should not exceed 3 mL. Special populations Renal impairment / Hepatic impairment No studies have been performed in patients with renal or hepatic impairment. However considering the metabolic pathway of ergometrine and oxytocin, use is contraindicated in severe hepatic and renal impairment and caution is required in mild or moderate hepatic and renal impairment (see sections 4.3 Contraindications, 4.4 Special warnings and precautions for use and 5.2 Pharmacokinetic properties – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). Paediatric population: No data are available. Elderly: Not applicable. **Method of administration** Intramuscular injection is the recommended route. Intravenous administration of Syntometrine (0.5 to 1 mL by slow injection) is possible, but should be limited to use only in cases of severe haemorrhage due to uterine atony.
INTRAVENOUS, INTRAMUSCULAR
Medical Information
**4.1 Therapeutic indications** - Active management of the third stage of labour (in order to facilitate separation of the placenta and to reduce blood loss) - Prevention and treatment of postpartum haemorrhage associated with uterine atony
**4.3 Contraindications** - Hypersensitivity to the active substances or to any of the excipients listed in section 6.1. – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_ - Pregnancy and labour (induction of labour, first stage labour and second stage labour prior to the delivery of the anterior shoulder) due to the risk of uterine hypertonus and associated foetal complications (see section 4.6 Fertility, pregnancy and lactation – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). - Primary or secondary uterine inertia - Severe hypertension, pre-eclampsia, eclampsia - Severe cardiac disorders - Severe hepatic or renal impairment - Occlusive vascular disease - Sepsis
G02AC
麦角生物碱类与缩宫素及其类似药物的复方
Manufacturer Information
PHARMACON PTE LTD
Panpharma GmbH
Active Ingredients
Documents
Package Inserts
Syntometrine Injection PI.pdf
Approved: June 7, 2021