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Cytotec can induce or augment uterine contractionsVaginal administration of Cytotecoutside of its approved indicationhas been used as a cervical ripening agentfor the induction of labor and for treatment of serious postpartum hemorrhage in the presence of uterine atonyA major adverse effect of the obstetrical use of Cytotec is uterine tachysystole which may progress to uterine tetany with marked impairment of uteroplacental blood flowuterine rupturerequiring surgical repairhysterectomyand/or salpingo-oophorectomyor amniotic fluid embolism and lead to adverse fetal heart changesUterine activity and fetal status should be monitored by trained obstetrical personnel in a hospital setting.

PATIENTS MUST BE ADVISED OF THE ABORTIFACIENT PROPERTY AND WARNED NOT TO GIVE THE DRUG TO OTHERS.

CytotecMISOPROSTOLADMINISTRATION TO WOMEN WHO ARE PREGNANT CAN CAUSE BIRTH DEFECTSABORTIONPREMATURE BIRTH OR UTERINE RUPTURE.

Renal impairmentAvailable evidence indicates that no adjustment of dosage is necessary in patients with renal impairment.

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