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methylergonovine (Methergine, Erezingen, Methylergobasin)
Tradename: Methergine.
Indications: post-partum bleeding
Contraindications:
1) pregnancy
2) induction of labor, uterine inertia
3) threatened or spontaneous abortion
Dosage:
1) 0.2 mg IM/IV/PO QID PRN for 2-7 days
2) up to 5 doses IM/IV, then switch to PO
3) 48 hours of treatment generally sufficient
Tabs: 0.2 mg.
Injection: 0.2 mg/mL (1 mL)
Adverse effects:
1) common (> 10%)
- hypertension, headache, seizures
2) less common (1-10%)
- nausea/vomiting
3) uncommon (< 1%)
- chest pain (temporary), dyspnea, hematuria, thrombophlebitis, water intoxication, hallucinations, leg cramps, dizziness, tinnitus, nasal congestion, diarrhea, diaphoresis, palpitations, taste disturbance
General
endocrine agent
Properties
MISC-INFO: elimination route LIVER
KIDNEY
pregnancy-category C
safety in lactation ?
Database Correlations
PUBCHEM correlations
References
- The Pharmacological Basis of Therapeutics, 9th ed.
Gilman et al, eds. Permagon Press/McGraw Hill, 1996
- Kaiser Permanente Northern California Regional Drug
Formulary, 1998
- Deprecated Reference