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Cytotec Drug Card

Cytotec (misoprostol) is being prescribed to a 69kg patient to prevent gastric mucosal injury from concurrent aspirin use. The standard dose is 200mcg PO 4 times daily with meals and at bedtime. Side effects include headaches, abdominal pain, diarrhea, and nausea. The patient should take the full course of therapy as directed and avoid alcohol or foods that may increase GI irritation.

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195 views

Cytotec Drug Card

Cytotec (misoprostol) is being prescribed to a 69kg patient to prevent gastric mucosal injury from concurrent aspirin use. The standard dose is 200mcg PO 4 times daily with meals and at bedtime. Side effects include headaches, abdominal pain, diarrhea, and nausea. The patient should take the full course of therapy as directed and avoid alcohol or foods that may increase GI irritation.

Uploaded by

Ben
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Trade Name: Cytotec

Generic Name: misoprostol

Pt Weight: 69kg

Classification: Antiulcer/Cytoprotective
Indications:
1. Prevention of gastric mucosal injury from NSAIDs, including aspirin, in high-risk patients
(geriatric patients, debilitated patients, or those with a history of ulcers).
2. With mifepristone for termination of pregnancy.
Why is your patient taking this drug? Prevent gastric mucosal injury from concurrent aspirin
use
Standard doses and routes: PO: (Adults) Antiulcer 200 mcg 4 times daily with or after meals
and at bedtime, or 400 mcg twice daily, with the last dose at bedtime. If intolerance occurs, dose
may be to 100 mcg 4 times daily.
Patient Dose: 200mcg
Adverse Reactions & Side Fx:

Patient/Family Teaching:

CNS: headache
GI: abdominal pain, diarrhea, constipation, dyspepsia,
flatulence, nausea, vomiting
GU: miscarriage, menstrual disorders

1. Instruct patient to take


medication as directed for
the full course of therapy,
even if feeling better. Take
missed doses as soon as
possible unless next dose
is due within 2 hr; do not
double doses. Emphasize
that sharing of this
medication may be
dangerous.
2. Advise patient not to share
misoprostol with others,
even if they have similar
symptoms; may be
dangerous.
3. Inform patient that diarrhea
may occur. Health care
professional should be
notified if diarrhea persists
for more than 1 wk. Also
advise patient to report
onset of black, tarry stools
or severe abdominal pain.
4. Advise patient to avoid
alcohol and foods that may
cause an increase in GI
irritation.

Contraindications: Hypersensitivity to prostaglandins


Nursing Implications: Drug causes modest decrease in basal
pepsin secretion
Lab Test Considerations: None reported

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