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Misoprostol is extensively absorbedand undergoes rapid de-esterification to its free acidwhich is responsible for its clinical activity andunlike the parent compoundis detectable in plasmaThe alpha side chain undergoes beta oxidation and the beta side chain undergoes omega oxidation followed by reduction of the ketone to give prostaglandin F analogs.
The results of clinical studies indicate that Cytotec does not produce hypotension at dosages effective in promoting the healing of gastric and duodenal ulcersNeverthelessCytotec should be used with caution in the presence of disease states where hypotension might precipitate severe complicationse.gcerebrovascular diseasecoronary artery disease or severe peripheral vascular disease including hypertension.
Cytotec should not be used in the third trimester in women with a history of Cesarean section or major uterine surgery because of an increased risk of uterine ruptureCytotec should not be used in ed medication samples. cases where uterotonic drugs are generally contraindicated or where hyperstimulation of the uterus is considered inappropriatesuch as cephalopelvic disproportiongrand multiparityhypertonic or hyperactive uterine patternsor fetal distress where delivery is not imminentor when surgical intervention is more appropriate.
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cytotec causes the uterus to begin to contract and leads to bleeding similar to a normal period in most women.