Flashcards in Uterine drugs Deck (10):
Oxytocin (Pitocin, Syntocinon)
DOC to induce labor at term (IV), for PPH (IM), milk let down (nasal)
Adv: water intox, uterine rupture, anaphylaxis, fetal sinus brady
CI: indications for C-section.
Ergonovine Maleate (Ergotrate)
Methylergonovine Maleate (Methergine)
Uterine specific ergots, 5HT & a agonist.
Lasts hours- 2nd line tx for PPH
Adv: ergot hypersensitivity, angina, MI
CI: NOT FOR INDUCING LABOR, hepatic/renal dz, vascular dz
Dinoprostone (Prostin E2)
Synthetic PGE2, suppository/gel
Induces abortion, cervical ripening
Adv: GI, DIARRHEA, fever
CI: any pbs in mom/baby for ripening
Derivative PGF2a (IM)- For: 2nd trim abortion, 3rd line tx for PPH.
Adv: V/D, fever, rash
CI: PID, cardiac, pulm, renal, hepatiz dz, asthma, HTN, anemia, jaundice
For uterine relaxation (not approved) in pre-eclampsia
IV- inpt use only
Adv: flush/sweat, hypotension, dec DTR, paralysis, weakness, cardiac CNS and resp depression
DO NOT combine w/ Nifedipine
(Procardia)- L-type Ca2+ ch blocker
Use: delay premature labor (not approved)
Adv: flus/sweat, hypotension, dizzy
DO NOT combine w/ MgSO4
Dec PG synth -Tocolytic/Uterine relaxation
Adv: GI, partial closure of ductus arteriosus
Prophylactic tx for preterm labor in high risk women, not for acute.
Emergency use for uterine rupture - Tocolytic
CI: hypovolemia, anemia, inc ICP, pericarditis, tamponade.