Prepidil
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%:
| PGE2 (N = 884) | Control* (N = 847) | |
| N (%) | N (%) | |
|
Uterine contractile abnormality | 58 (6.6) | 34 (4.0) |
|
Any gastrointestinal effect | 50 (5.7) | 22 (2.6) |
| 27 (3.1) | 0 (0) | |
|
Warm feeling in vagina | 13 (1.5) | 0 (0) |
| 12 (1.4) | 10 (1.2) | |
|
Fetal | ||
|
Any fetal heart rate abnormality | 150 (17.0) | 123 (14.5) |
| 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.
Generic Name: Dinoprostone cervical
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