Misoprostol: Difference between revisions

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'''Misoprostol''' is a synthetic prostaglandin E<sub>1</sub> (PGE<sub>1</sub>) analogue that has a wide range of clinical applications, including the prevention and treatment of gastric ulcers, induction of labor, and as a component of medical abortion regimens. It is marketed under various brand names, including '''Cytotec''' and '''Arthrotec''' (combined with diclofenac).
{{Short description|Medication used to prevent and treat stomach ulcers, induce labor, and as an abortifacient}}


==Pharmacology==
[[File:Misoprostol.svg|thumb|right|Chemical structure of Misoprostol]]
Misoprostol is a synthetic prostaglandin E<sub>1</sub> analogue that exerts its pharmacological effects by binding to and activating prostaglandin E<sub>1</sub> receptors. The activation of these receptors leads to various physiological effects, including the inhibition of gastric acid secretion, increased uterine tone and contractions, and cervical ripening.


==Indications and uses==
'''Misoprostol''' is a medication used for various medical purposes, including the prevention and treatment of [[stomach ulcers]], induction of [[labor]], and as an [[abortifacient]]. It is a synthetic prostaglandin E1 (PGE1) analog that has a range of effects on the body, particularly on the [[gastrointestinal tract]] and the [[uterus]].
Misoprostol has multiple clinical applications, some of which include:


* '''Gastric ulcers''': Misoprostol is used for the prevention and treatment of gastric ulcers induced by nonsteroidal anti-inflammatory drugs (NSAIDs), as it can decrease gastric acid secretion and promote the healing of the gastric mucosa.
==Medical Uses==
* '''[[Induction of labor]]''': Misoprostol is used to induce labor in cases where the induction is medically necessary, such as in pregnancies that have gone past the due date or in cases of fetal distress. It is administered vaginally or orally to promote uterine contractions and cervical ripening, facilitating the process of labor and delivery.
Misoprostol is utilized in several medical contexts:
* '''Medical abortion''': Misoprostol is used in combination with mifepristone as a part of medical abortion regimens. Mifepristone, a progesterone receptor antagonist, is administered first to block the action of progesterone, a hormone necessary for the continuation of pregnancy. Misoprostol is then administered to induce uterine contractions and expulsion of the products of conception.
* '''Postpartum hemorrhage''': Misoprostol can be used to manage postpartum hemorrhage by promoting uterine contractions, which help to reduce blood loss after childbirth.
==Side effects==
Misoprostol can cause a range of side effects, including:


* Gastrointestinal disturbances, such as diarrhea, abdominal pain, nausea, and vomiting
===Prevention and Treatment of Stomach Ulcers===
* Headache
Misoprostol is commonly prescribed to prevent [[gastric ulcers]] in patients who are taking [[nonsteroidal anti-inflammatory drugs]] (NSAIDs). NSAIDs can cause irritation and ulceration of the stomach lining, and misoprostol helps to protect the stomach by increasing the production of gastric mucus and bicarbonate, which are protective factors against stomach acid.
* Dizziness
 
* Fever and chills
===Induction of Labor===
* Uterine cramping and pain
In obstetrics, misoprostol is used to induce labor in pregnant women. It works by softening the [[cervix]] and stimulating uterine contractions. This use is particularly common when there is a medical need to deliver the baby before the onset of natural labor.
These side effects are usually mild and resolve on their own. However, more severe side effects, such as excessive bleeding, severe abdominal pain, or signs of an allergic reaction, should be reported to a healthcare professional immediately.
 
===Abortifacient===
Misoprostol is also used in combination with [[mifepristone]] or [[methotrexate]] to induce abortion. It is effective in terminating early pregnancies by causing the uterus to contract and expel the pregnancy tissue.
 
==Mechanism of Action==
Misoprostol acts as a prostaglandin analog, mimicking the effects of naturally occurring prostaglandins in the body. It binds to prostaglandin receptors in the stomach and uterus, leading to increased mucus production in the stomach and increased uterine contractions.
 
==Side Effects==
Common side effects of misoprostol include [[diarrhea]], [[abdominal pain]], and [[nausea]]. When used for labor induction or abortion, it can cause uterine cramping and bleeding. It is important for patients to be monitored by healthcare professionals when using misoprostol for these purposes.


==Contraindications==
==Contraindications==
Misoprostol is contraindicated in individuals with a known hypersensitivity to misoprostol or other prostaglandins. Additionally, it is contraindicated in pregnant women when not being used for its approved indications, as it can cause uterine contractions and miscarriage.
Misoprostol should not be used in pregnant women for ulcer prevention due to its uterotonic effects, which can lead to miscarriage. It is contraindicated in individuals with known hypersensitivity to prostaglandins.
 
==Legal and Ethical Considerations==
The use of misoprostol, particularly as an abortifacient, is subject to legal and ethical considerations that vary by country and region. In some areas, its use for abortion is restricted or regulated.


==See also==
[[File:CC-BY_icon.svg|thumb|left|CC-BY Icon]]


* [[Mifepristone]]
==Related Pages==
* [[Prostaglandin]]
* [[Prostaglandin]]
* [[Nonsteroidal anti-inflammatory drug]]
* [[Nonsteroidal anti-inflammatory drug]]
* [[Medical abortion]]
* [[Mifepristone]]
==References==
* [[Gastric ulcer]]
<references />
* [[Labor induction]]
{{Reflist|30em}}
 
[[Category:Pharmacology]]
[[Category:Drugs]]
[[Category:Prostaglandins]]
[[Category:Prostaglandins]]
[[Category:Abortifacients]]
[[Category:Abortifacients]]
{{stubd}}
[[Category:Anti-ulcer agents]]
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Latest revision as of 10:59, 23 March 2025

Medication used to prevent and treat stomach ulcers, induce labor, and as an abortifacient


Chemical structure of Misoprostol

Misoprostol is a medication used for various medical purposes, including the prevention and treatment of stomach ulcers, induction of labor, and as an abortifacient. It is a synthetic prostaglandin E1 (PGE1) analog that has a range of effects on the body, particularly on the gastrointestinal tract and the uterus.

Medical Uses[edit]

Misoprostol is utilized in several medical contexts:

Prevention and Treatment of Stomach Ulcers[edit]

Misoprostol is commonly prescribed to prevent gastric ulcers in patients who are taking nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs can cause irritation and ulceration of the stomach lining, and misoprostol helps to protect the stomach by increasing the production of gastric mucus and bicarbonate, which are protective factors against stomach acid.

Induction of Labor[edit]

In obstetrics, misoprostol is used to induce labor in pregnant women. It works by softening the cervix and stimulating uterine contractions. This use is particularly common when there is a medical need to deliver the baby before the onset of natural labor.

Abortifacient[edit]

Misoprostol is also used in combination with mifepristone or methotrexate to induce abortion. It is effective in terminating early pregnancies by causing the uterus to contract and expel the pregnancy tissue.

Mechanism of Action[edit]

Misoprostol acts as a prostaglandin analog, mimicking the effects of naturally occurring prostaglandins in the body. It binds to prostaglandin receptors in the stomach and uterus, leading to increased mucus production in the stomach and increased uterine contractions.

Side Effects[edit]

Common side effects of misoprostol include diarrhea, abdominal pain, and nausea. When used for labor induction or abortion, it can cause uterine cramping and bleeding. It is important for patients to be monitored by healthcare professionals when using misoprostol for these purposes.

Contraindications[edit]

Misoprostol should not be used in pregnant women for ulcer prevention due to its uterotonic effects, which can lead to miscarriage. It is contraindicated in individuals with known hypersensitivity to prostaglandins.

Legal and Ethical Considerations[edit]

The use of misoprostol, particularly as an abortifacient, is subject to legal and ethical considerations that vary by country and region. In some areas, its use for abortion is restricted or regulated.

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Related Pages[edit]