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Why is Cytotec prescribed?

Cytotec (Misoprostol) is prescribed to avoid stomach ulcers when taking NSAIDs such as naproxen, ibuprofen, and aspirin. This can also be used in combination with another drug to end a pregnancy (abortion).

What does it do?

Cytotec belongs to a drug class known as Gastrointestinal Agents. It works by decreasing the amount of acid that may come in contact with the stomach lining. It protects the stomach from damage that may occur from taking NSAIDS.

How should I use it?

The dosing regimen as prescribed by the healthcare provider should be strictly followed as it is patient-specific. For stomach protection, this is usually taken orally, four times a day (after meal), and at bedtime or as prescribed. It is preferably taken same time each day for the maximum benefit. If used to induce labor during delivery, it will be inserted into the vagina by the healthcare provider. If the reason for taking is for abortion, follow the prescription accordingly.

What if I missed a dose?

If you missed a dose, take it immediately upon recall. Otherwise, you may skip a dose (if almost time for the next dose) and take the next one as per your regular dosing schedule. Do not take a double dose to replace the missed dosage.

What are the special precautions before taking Cytotec?

• It is best to use birth control while taking this medication (and for at least a month after the treatment), to prevent pregnancy. Stop using it and inform your doctor immediately if you become pregnant while taking this medication.
• Notify your doctor if you have an allergy to this medication or to any medication.
• Notify your doctor if the condition worsens after 2 weeks of treatment.

Does it have any side effects?

Cytotec may cause the following side effects:
Common side effects may include:
• Abdominal Cramps
• Belching
• Bloated
• Diarrhea
• Heartburn
• Nausea
• Menstrual cramps
• Mood changes
• Slow wound healing
Serious side effects may include:
• Dehydration
• Heavy menstrual bleeding
• Severe diarrhea
• Severe abdominal discomfort
• Vaginal bleeding/spotting

Other patients may experience adverse effects not mentioned above. If symptoms are persistent or become worse, immediately stop taking the medication. Call your doctor or ambulance for professional medical assistance.

Is it safe to take it with another drug?

Inform your doctor or pharmacist if you are planning to take or taking the following (possible drug interaction may occur if they are taken together):

• Aluminum carbonate
• Calcium carbonate
• Dihydroxy aluminum sodium carbonate
• Dinoprostone topical
• Magnesium carbonate
• Naproxen
• Oxytocin
• Quinapril
• Sodium citrate
Ask your doctor or pharmacist for other possible interactions not listed within this section. Always inform your doctor about all the medications you are taking for the safety and success of your treatment.

How should I store it?

This must be stored at room temperature. Keep away from heat and moisture. Do not keep in the bathroom. Keep out of reach of children and pets.

What action should I take in case of an overdose?

In case of overdose, call poison control; seek immediate medical intervention.

Is it safe for pregnant or breastfeeding women?

This is not recommended for a pregnant woman due to the risks to an unborn baby. It may cause premature birth, birth defects, miscarriage (including incomplete miscarriage), uterine rupture, and uterine bleeding.

For breastfeeding women, consult your healthcare provider before taking this medication as there are not enough studies that determined the risk to infants when this medication is used while breastfeeding. This medication may pass through the breast milk. Although no established harmful effects to the nursing infant have been reported, benefits and risks must be weighed prior to commencing treatment.

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