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Prepidil

Side Effects & Drug Interactions
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SIDE EFFECTS

PREPIDIL Gel is generally well-tolerated. In controlled trials, in which 1731 women were entered, the following events were reported at an occurrence of ≥ 1%:

Adverse Reaction

PGE2 (N = 884)

Control* (N = 847)

Maternal

N (%)

N (%)

Uterine contractile abnormality

58 (6.6)

34 (4.0)

Any gastrointestinal effect

50 (5.7)

22 (2.6)

Back pain

27 (3.1)

0 (0)

Warm feeling in vagina

13 (1.5)

0 (0)

Fever

12 (1.4)

10 (1.2)

Fetal

Any fetal heart rate abnormality

150 (17.0)

123 (14.5)

Bradycardia

36 (4.1)

26 (3.1)

Deceleration

   

Late

25 (2.8)

18 (2.1)

Variable

38 (4.3)

29 (3.4)

Unspecified

19 (2.1)

19 (2.2)

*placebo gel or no treatment

In addition, in other trials amnionitis and intrauterine fetal sepsis have been associated with extra-amniotic intrauterine administration of PGE2. Uterine rupture has been reported in association with the use of PREPIDIL Gel intracervically. Additional events reported in the literature, associated by the authors with the use of PREPIDIL Gel, included premature rupture of membranes, fetal depression (1 min Apgar < 7), and fetal acidosis (umbilical artery pH < 7.15).

DRUG ABUSE AND DEPENDENCE

No drug abuse or drug dependence has been seen with the use of PREPIDIL Gel.

DRUG INTERACTIONS

PREPIDIL Gel may augment the activity of other oxytocic agents and their concomitant use is not recommended. For the sequential use of oxytocin following PREPIDIL Gel administration, a dosing interval of 6-12hours is recommended.

Brand Name: Prepidil
Generic Name: Dinoprostone cervical
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