METHERGIN 10amp. 2 mg. 1 ml.

METHERGIN WHAT IS AND WHAT IT IS USED

Methergin 0,2 mg/ml solution for injection

Metilergometrinat polusinteticheo is a derivative of natural ergoalkaluid ergometrine .
Metergin drug exerts its effects by causing muscle contraction of the uterus.
Metergin used in obstetrics for:
active management of the third stage of labor ( as a means of stimulating the release of the placenta and reduce blood loss ) ;
improving the tonicity of the uterus and control kravoteenieto during and after the third stage of labor , in caesarean or abortion;
treatment of incomplete recovery size uterus lohiometra (enlargement of the uterus due to retention of secretions, blood or tissue residues that can not be eliminated ) and bleeding after birth;
in breast Metergin should be used as a medicine for a second choice when other uterotonitsi as oxytocin , prostaglandins , or their derivatives are ineffective or contraindicated.

Metergin should not be used for the induction or augmentation of labor .

2 . BEFORE YOU TAKE METHERGIN

Do not take Metergin
If you are allergic (hypersensitive) to methylergometrine , argoalkaluidi or any of the other ingredients of the medicine listed in this leaflet. If you think you may be allergic , ask your doctor.
If you are pregnant ;
if you are in first or second stage of labor (before displaying baby's head ) ;
in the presence of very high blood pressure ;
If you suffer from a condition known as pre-eclampsia or eclampsia :
if you have a vascular disease with vascular occlusion , including coronary heart disease ;
if you have an infection (eg milk fever " )
If you suffer from any of these , tell your doctor and do not take Metergin .
Take special care with Metergin
if you have mild or moderate hypertension ;
if you have impaired kidney or liver function ;
If any of these conditions applies to you , tell your doctor before taking Metergin .

Metergin and elderly
Metargin is not intended for use in the elderly .

Metergin and children
Metergin is not intended for use in the elderly .

pregnancy
Metergin not to be administered during pregnancy . Your doctor will discuss with you the potential risks of taking metergin during pregnancy .
Breastfeeding Metergin passes into breast milk and is not recommended during lactation .

Driving and using machines
Metergin may cause dizziness and seizures, and therefore you must be especially careful when driving or operating machinery , mostly at the beginning of treatment.

Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
It is particularly important to tell your doctor if you are taking any of the following :
If you are being treated for infection with drugs called macrolide antibiotics such as erythromycin , clarithromycin, troleandomycin ;
If you are being treated for a yeast infection drugs such as ketoconazole , itraconazole or voriconazole ;
if you are taking medications chat with vasoconstrictor activity , including medicines for migraines such as sumatriptan or containing ergoalkaluid as ergotamine . Metergin may enhance their effects ;
If you are treated with bromocriptine ( medicine used to suppress lactation ) . Concomitant administration with Metergin .
Some anesthetics may reduce the effectiveness of Metergin .

3 . HOW TO TAKE METHERGIN

Carefully follow your doctor's instructions . Do not exceed your recommended dose. Take your medicine exactly as directed by your doctor. Do not change the dosage and discontinuation without consulting your doctor.

How many of you take your medicine
Active management of the third stage of labor : 0.5 to 0.2 mg . ) Was administered slowly intravenously after degeneration of the baby's shoulders at the latest immediately after birth .

At birth under general anesthesia , the recommended dose is 1 ml . ( 0.2 mg).

Improving the tone of the uterus and control blood flow : 1 ml ( 0.2 mg) was administered intramuscularly or 0.5 to 1 ml (0.1 to 0.2 mg ) was slowly intravenously. The dose may be repeated after 2-4 hours, but up to 5 doses per 24 hour interval .

Treatment of fully restoring the size of the uterus and bleeding lohiometra after birth: 0.5 to 1 ml (0.1 to 0.2 mg ) administered intramuscularly or subcutaneously , or three times daily .

Must be administered slowly intravenously, the application time should not be shorter than 60 seconds and close monitoring of blood pressure. Should not be administered peri-arterial or arterial .

If you forget to take Methergin
If you miss a dose, do not take and do not double the next dose and continue your regular dosing schedule .

If you take more than you should Metergin
Symptoms of overdose include nausea , vomiting, elevated blood pressure, low blood pressure, numbness, tingling and pain in the limbs , respiratory depression , seizures , loss of consciousness.
If you accidentally take too many Metergin , contact your doctor. Can nazhdaete medical attention.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4.POSIBLE SIDE EFFECTS

Like all medicines, Metergin can cause side effects, although not everybody gets them. Some uncommon side effects ( less frequent than 1 in every 100 people , but more often than 1 in 1000 ) may be serious .

Contact your doctor immediately :
if you get seizures (convulsions ;
if you have chest pain .
Some very rare events ( less than 1 in 10,000 people) may be serious
Tell your doctor immediately :
if you have unexplained shortness of breath, " cutting " chest pain or clouding of consciousness ;
if you have signs of allergy such as a rapid fall in blood pressure, flushing and / or swelling ;
if you have numbness, tingling in the fingers or toes and pale or cold hands or feet ;
if you have hallucinations;
if you have swelling in place, redness, pain due to clot in a vein ( thrombophlebitis symptoms ) .
 
Other side effects
Common ( less than 1 in every 10 people , but more than 1 in every 100 people): headache , high blood pressure , skin reactions, abdominal pain.
Uncommon ( less than 1 in every 100 people , but more than 1 in 1,000 people ) : dizziness, low blood pressure, nausea , vomiting , profuse sweating.
Rare ( less than 1 in 1,000 people ): ringing in the ears , nasal congestion , diarrhea , muscle cramps .

If any of the side effects gets serious , or you notice other effects not listed in this leaflet , please tell your doctor or pharmacist.

5.KAK TO STORE METHERGIN

Store in the original package to protect from light.
Store in a refrigerator ( 2-8 degrees). Do not freeze .
Do not use after the expiry date stated on the packaging.
Keep out of reach of children.

6 . ADDITIONAL INFORMATION

What does Methergin

Active substance in Metergin is methylergometrine hydrogen maleate .
1 ml. containing 0.2 mg . methylergometrine hydrogen maleate .
Other ingredients are maleic acid , sodium chloride and water for injection.