医薬品リファレンス
Misoprostol
Misoprostol is a medicine in the class gastrointestinal tract. It is used for peptic ulcer.
- 薬効分類: Gastrointestinal Tract
- 効能・効果: peptic ulcer
最終更新日
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要点
- 薬効分類
- Gastrointestinal Tract
- 一般的な剤形
- 錠剤, 溶液
- 一般的な規格
- 200 mcg, 10 g/100 ml, 25 mcg
- 既知の相互作用
- 5 (重大: 1 · 中等度: 4)
- 商品名
- 8
- 国・市場
- 3
何に使われるか
作用のしくみ
Synthetic prostaglandin E analogue parent drug that is rapidly deesterified to misoprostol acid (active metabolite) and replaces protective prostaglandins consumed with therapies that inhibit prostaglandin synthesis; inhibits gastric acid secretion and protects gastric mucosa.
成人の通常用量（添付文書の要約）
NSAID-Induced Ulcer (Prophylaxis): 200 mcg PO q6hr with food; may be decreased to 100 mcg q6hr if higher dose is not tolerated; last dose to be administered at bedtime
妊娠と授乳
- 妊娠
- Unsafe Contraindicated in pregnancy except licensed obstetric uses: it can cause miscarriage, uterine rupture and bleeding, and 1st-trimester exposure is linked to skull, facial, cranial nerve and limb defects. Women who could become pregnant need reliable contraception.
- 授乳
- Safe Converted to an active acid that reaches milk only in very low amounts, and prostaglandins occur naturally in milk. LactMed: amounts are trivial, no special precautions; postpartum use is fine. US label: use with caution.
報告されている副作用
- Headache
- Diarrhea
- Abdominal pain
禁忌
- Pregnancy when used to reduce risk of NSAID-induced ulcers
- Hypersensitivity to misoprostol, prostaglandins, or prostaglandin analogues
注意が必要な方
- Misoprostol may cause birth defects, abortion (sometimes incomplete), premature labor or rupture of the uterus if given to pregnant women.
- Misoprostol should be taken only according to the directions given by a physician.
- For hospital use only if misoprostol were to be used for cervical ripening, induction of labor, or for the treatment of serious post-partum hemorrhage.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (5)
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Misoprostolの完全なモノグラフ（用量、妊娠・授乳、副作用、警告、すべての相互作用）を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- Dosing in older adults
- Pharmacokinetics
- Patient counselling points
- Food interactions
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よくある質問
What is Misoprostol used for?
Misoprostol is a medicine in the class gastrointestinal tract. It is used for Peptic ulcer, Pregnancy termination.
What side effects have been reported with Misoprostol?
Headache, Diarrhea, Abdominal pain.
Can Misoprostol be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. Contraindicated in pregnancy except licensed obstetric uses: it can cause miscarriage, uterine rupture and bleeding, and 1st-trimester exposure is linked to skull, facial, cranial nerve and limb defects. Women who could become pregnant need reliable contraception. Breastfeeding: Safe. Converted to an active acid that reaches milk only in very low amounts, and prostaglandins occur naturally in milk. LactMed: amounts are trivial, no special precautions; postpartum use is fine. US label: use with caution.
What does Misoprostol interact with?
MediHelp lists 5 known interactions for Misoprostol. Major: 1 · Moderate: 4. The most serious include Oxytocin, Aluminum hydroxide / magnesium carbonate, Aluminum hydroxide / magnesium trisilicate.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
