Chuyên Luận Dược Thư Y Khoa

Compositon/Ingredients: Misoprostol

Misoprostol is a synthetic substance similar to prostaglandin E1. In the digestive tract, misoprostol has the effect of inhibiting gastric acid secretion, protecting the gastric and duodenal mucosa, and increasing the healing of gastric and duodenal ulcers. The drug reduces gastric acid secretion by direct action on the gastric parietal cells, inhibiting the secretion of basic acid and also when stimulated by food, histamine, pentagastrin, tetragastrin, betazol, NSAIDs, alcohol or caffeine. Misoprostol also inhibits nocturnal gastric acid secretion, but does not reduce the volume of secretion. On the kidneys and genitourinary system: misoprostol increases the amplitude and frequency of uterine contractions, stimulates uterine bleeding and expels part or all of the contents of the uterus in pregnant women pregnancy.

Tư vấn sử dụng thuốc Dược sĩ Alphabet Pharma
Các biệt dược lưu hành (Tên thương mại):
TV Hepatic (60 soft capsules/box)Edsave 20mg (4 tablets/box)Calcium Stella 500mg (20 effervescent tablets/tube)Ceteco Rhumedolfort 650 (100 tablets/box)Bocinor (1.5mg)Cetirizin 10mg Enlie (10 blisters x 10 tablets/box)Paralmax Extra (15 blisters x 12 tablets/box)Bido Panthenol FoamSpray Silver Nano (130g)Alverin 40mg S.Pharm (3 blisters x 10 tablets/box)Vitamin PP 500mg S.Pharm (10 blisters x 10 tablets/box)Vitamin C 500mg S.Pharm (10 blisters x 10 capsules/box)Paracetamol 500mg S.Pharm (10 blisters x 10 tablets/box)Prednisolon 5mg S.Pharm (500 tablets/box)Prednisolon 5mg S.Pharm (10 blisters x 25 tablets/box)Alphachymotrypsin 4200 S.Pharm (20 blisters x 10 tablets/box)Omeprazol 20mg S.Pharm (3 blisters x 10 capsules/box)Davibest 50mg (3 blisters x 10 tablets/box)Zuiver 300mg (3 blisters x 10 tablets/box)Fexofenaderm 180mg (10 blisters x 10 tablets/box)Monbig 7.5mg (200 tablets/box)Sterile dressing changing set Bao ThachMydrin-P (10ml)Calci-D3 Boston (10 blisters x 10 soft capsules/box)Meloxboston 7.5mg (10 blisters x 10 tablets/box)Soluboston 20 (2 blisters x 10 effervescent tablets/box)Infogoss (30 sachets/box)Ozempic 1mg (1 pen/box)Urgo Washproof Large (30 dressings/box)Urgosyval Strong Adhessive (2.5cm x 5m)Urgosyval Strong Adhessive (1.25cm x 5m)Triamcinolone 4mg Brawn (10 blisters x 10 tablets/box)Prolia 60mg (1 pre-filled syringes/box)Artrodar 50mg (3 blisters x 10 capsules/box)Lixiana 30mg (28 tablets/box)Flecaine 100mg Viatris (30 tablets/box)Febustad 40 (3 blisters x 10 tablets/box)Zepilen 1gVolulyte 6% 500ml (20 bags/box)Esserose 450mg (5 blisters x 10 soft capsules/box)Axcel Fusidic Acid-B Cream (15g)Alvextra Skin Hydrating Cream (50g)Distilled Water for Injection Bidiphar 5ml (50 ampoules/box)Distilled Water for Injection Bidiphar 5ml (50 ampoules/box)Methocarbamol 500mg Khapharco (10 blisters x10 tablets/box)Recormon 4000IU (6 pre-filled syringes/box)Recormon 2000IU (6 pre-filled syringes/box)Stadfovir 25 (3 blisters x 10 tablets/box)Deatexniod 210mg (4 blisters x 25 tablets/box)Ginger Lemongrass Tea Premium Ladophar (20 tea bags)Artichoke Tea Ladophar (100 tea bags)Nicoziral Cream (5g)Deca Durabolin 250mg/ml Meditech (10 ampoules/box)Antivic 75 (10 blisters x 10 capsules/box)Paracetamol 500mg VPC white-purple (500 capsules/box)Paracetamol 500mg VPC pink (500 capsules/box)Timo Drop (5ml)Srinron (10g)Bitrepso (10 blisters x 10 tablets/box)Dorotor 40mg (2 blisters x 10 tablets/box)Bé Ho MKP (24 sachets/box)Dexamethason 0.5mg Imexpharm (500 tablets/box)Fefrarovit (10 blisters x 10 soft capsules/box)Lidocain-BFS 200mg 10ml (20 ampoules/box)Cefotaxone 1g (10 vials/box)Alfa-Lipogamma 600 Oral (3 blisters x 10 tablets/box)Bamifen 10mg (6 blisters x 10 tablets/box)Detcincyl (20 blisters x 30 tablets/box)Anafranil 10mg (60 tablets/box)Puyol 200mg (3 blisters x 10 capsules/box)Tydol 500 (10 blisters x 10 tablets/box)Septanest with adrenaline 1/100.000 (50 cartridge/box)Amlodipine Stella 5mg (10 blisters x 10 tablets/box)Candesartan Stada 16mg (2 blisters x14 tablets/box)Triamcinolone 4mg Flamingo (10 blisters x 10 tablets/box)Cao Ích Mẫu OPC (180ml)Tesmon Injection 1ml (10 ampoules/box)Ritalin 10 (20 tablets/box)Desloderma 5 (5 blisters x 10 tablets/box)Loratadin 10mg Imexpharm (2 blisters x 10 tablets/box)BFS-Nicardipin 10mg/10ml (20 ampoules/box)Vitamin E Robinson (10 blisters x 10 softgels/box)Disposable infusion set AF/C GWICLadyBalance (12 viginal tablets/box)Abgalic Fort (6 blisters x 10 tablets/box)GLA 100mg (30 capsules/box)Carbatol-200 (10 blisters x 10 tablets/box)Topralsin (24 capsules/box)Goltakmin Hadiphar (100 capsules/box)Salbutamol 2mg Medic Pharma (1000 tablets/box)Cttprozil 500mg (10 tablets/box)Canesten Cream (20g)Khun Prema Herbal Inhaler (57g)Compound Herb Inhaler Hongthai Brand Formula 2Deworm (4 tablets/box)Dvelinii (3ml)Queitoz-50 (3 blisters x 10 tablets/box)Vintrosin Cold Flu Kid (75ml)Tylenol oral suspension (60ml)Fohepta (400g)Destidin (10 blisters x 10 tablets/box)

Indications

  • Reducing the risk of nonsteroidal anti-inflammatory agent-induced gastric ulcer.
  • Short-term treatment of active duodenal ulcer and active benign gastric ulcer.
  • Maintenance therapy following healing of gastric ulcer to reduce ulcer recurrence.
  • Adjunct to mifepristone for the medical termination of intrauterine pregnancy according to the “National Guideline on reproductive health care services” issued together with the Minister of Health’s Decision No. 4128 / QD-BYT dated July 29, 2016.

Contraindications

Pregnant women and women planning a pregnancy.

Allergic to misoprostol or other prostaglandins or any component of the drug.

For indications for mifepristone support during pregnancy termination:

  • Absolute contraindications:
  • Mitral valve stenosis, embolism and history of embolism.
  • Adrenal gland disease.
  • Blood coagulation disorders, using anticoagulants.
  • Anemia (severe and moderate).
  • Confirmed or suspected ectopic pregnancy.
  • Pregnant at the old surgical wound in the uterus.
  • Vegetable with comb teeth.

Relative contraindications:

  • Long-term treatment with systemic steroids.
  • Are acute genital tract infections.
  • Genital deformities.
  • Scarring of uterus with caution.

Dosage and administration

Adults:

  • Prevention of NSAID-induced ulcers: 200mcg 4 times daily, reduce doses to 100mcg 4 times daily in patients who do not tolerate the usual dosage.
  • Gastric ulcer: 100 – 200mcg 4 times daily for 8 weeks.
  • Duodenal ulcer: 100 – 200mcg 4 times daily or 400mcg twice daily for 4 – 8 weeks.
  • Support mifepristone in abortion: In accordance with “National Guideline on reproductive health care services” issued together with Decision No. 4128 / QD-BYT dated July 29, 2016 of the Minister of Health.

Precaution

  • Caution in patients with pre-existing cardiovascular disease, enteritis, patients prone to dehydration.
  • Self-use of abortion pills can be life-threatening, please follow the instructions of the treating physician and National guidelines on reproductive health care services specified in Decision No. 4128/QD-BYT dated July 29, 2016 of the Minister of Health.
  • Misoprostol should not be used by nursing women.
  • Patients should be cautious when driving or operating machinery because misoprostol may cause dizziness.

Storage

Store at temperature below 30°C, protect from light.

Medicines containing compositon Misoprostol

100 sản phẩm
TV Hepatic (60 soft capsules/box)

TV Hepatic (60 soft capsules/box)

120,000đ / Box
Edsave 20mg (4 tablets/box)

Edsave 20mg (4 tablets/box)

80,000đ / Box
Ceteco Rhumedolfort 650 (100 tablets/box)

Ceteco Rhumedolfort 650 (100 tablets/box)

95,000đ / Bottle
Bocinor (1.5mg)

Bocinor (1.5mg)

8,000đ / Box
Bido Panthenol FoamSpray Silver Nano (130g)

Bido Panthenol FoamSpray Silver Nano (130g)

135,000đ / Bottle
Prednisolon 5mg S.Pharm (500 tablets/box)

Prednisolon 5mg S.Pharm (500 tablets/box)

105,000đ / Bottle
Monbig 7.5mg (200 tablets/box)

Monbig 7.5mg (200 tablets/box)

51,000đ / Bottle
Sterile dressing changing set Bao Thach

Sterile dressing changing set Bao Thach

50,000đ / Sachet
Mydrin-P (10ml)

Mydrin-P (10ml)

70,000đ / Bottle
Infogoss (30 sachets/box)

Infogoss (30 sachets/box)

117,000đ / Box
Ozempic 1mg (1 pen/box)

Ozempic 1mg (1 pen/box)

4,800,000đ / Box
Urgosyval Strong Adhessive (2.5cm x 5m)

Urgosyval Strong Adhessive (2.5cm x 5m)

31,000đ / Roll
Urgosyval Strong Adhessive (1.25cm x 5m)

Urgosyval Strong Adhessive (1.25cm x 5m)

21,000đ / Roll
Prolia 60mg (1 pre-filled syringes/box)

Prolia 60mg (1 pre-filled syringes/box)

5,600,000đ / Box
Lixiana 30mg (28 tablets/box)

Lixiana 30mg (28 tablets/box)

1,680,000đ / Box
Flecaine 100mg Viatris (30 tablets/box)

Flecaine 100mg Viatris (30 tablets/box)

500,000đ / Box
Zepilen 1g

Zepilen 1g

35,000đ / Box
Volulyte 6% 500ml (20 bags/box)

Volulyte 6% 500ml (20 bags/box)

3,500,000đ / Package
Axcel Fusidic Acid-B Cream (15g)

Axcel Fusidic Acid-B Cream (15g)

75,000đ / Tube
Alvextra Skin Hydrating Cream (50g)

Alvextra Skin Hydrating Cream (50g)

83,000đ / Box
Recormon 4000IU (6 pre-filled syringes/box)

Recormon 4000IU (6 pre-filled syringes/box)

2,995,000đ / Box
Recormon 2000IU (6 pre-filled syringes/box)

Recormon 2000IU (6 pre-filled syringes/box)

1,440,000đ / Box
Artichoke Tea Ladophar (100 tea bags)

Artichoke Tea Ladophar (100 tea bags)

85,000đ / Sachet
Nicoziral Cream (5g)

Nicoziral Cream (5g)

15,000đ / Tube
Timo Drop (5ml)

Timo Drop (5ml)

45,000đ / Bottle
Srinron (10g)

Srinron (10g)

10,000đ / Tube
Bé Ho MKP (24 sachets/box)

Bé Ho MKP (24 sachets/box)

58,000đ / Box
Cefotaxone 1g (10 vials/box)

Cefotaxone 1g (10 vials/box)

160,000đ / Box
Anafranil 10mg (60 tablets/box)

Anafranil 10mg (60 tablets/box)

500,000đ / Box
Cao Ích Mẫu OPC (180ml)

Cao Ích Mẫu OPC (180ml)

36,000đ / Bottle
Tesmon Injection 1ml (10 ampoules/box)

Tesmon Injection 1ml (10 ampoules/box)

270,000đ / Box
Ritalin 10 (20 tablets/box)

Ritalin 10 (20 tablets/box)

2,500,000đ / Box
BFS-Nicardipin 10mg/10ml (20 ampoules/box)

BFS-Nicardipin 10mg/10ml (20 ampoules/box)

1,850,000đ / Box
Disposable infusion set AF/C GWIC

Disposable infusion set AF/C GWIC

6,000đ / pieces
LadyBalance (12 viginal tablets/box)

LadyBalance (12 viginal tablets/box)

275,000đ / Box
GLA 100mg (30 capsules/box)

GLA 100mg (30 capsules/box)

350,000đ / Box
Topralsin (24 capsules/box)

Topralsin (24 capsules/box)

30,000đ / Bottle
Goltakmin Hadiphar (100 capsules/box)

Goltakmin Hadiphar (100 capsules/box)

30,000đ / Bottle
Cttprozil 500mg (10 tablets/box)

Cttprozil 500mg (10 tablets/box)

31,000đ / Tablet
Canesten Cream (20g)

Canesten Cream (20g)

53,000đ / Tube
Khun Prema Herbal Inhaler (57g)

Khun Prema Herbal Inhaler (57g)

33,000đ / Bottle
Deworm (4 tablets/box)

Deworm (4 tablets/box)

108,000đ / Box
Dvelinii (3ml)

Dvelinii (3ml)

44,000đ / Bottle
Queitoz-50 (3 blisters x 10 tablets/box)

Queitoz-50 (3 blisters x 10 tablets/box)

140,000đ / Box
Vintrosin Cold Flu Kid (75ml)

Vintrosin Cold Flu Kid (75ml)

45,000đ / Bottle
Tylenol oral suspension (60ml)

Tylenol oral suspension (60ml)

29,000đ / Bottle
Fohepta (400g)

Fohepta (400g)

230,000đ / Box