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Avoid taking antacids that contain magnesium while using misoprostol because they may make the diarrhea it causes worseIf you need an antacidconsult your doctor or pharmacist to help you choose a product.
Hepatic impairmentCytotec is metabolised by fatty acid oxidising systems present in organs throughout the bodyIts metabolism and plasma levels are therefore unlikely to be affected markedly in patients with hepatic impairment.
Women of childbearing potential using Cytotec to decrease the risk of NSAID-induced ulcers should be told that they must not be pregnant when Cytotec therapy is initiatedand that they must use an effective contraception method while taking Cytotec.
Should the patient wish to continue with her pregnancy after exposure of misoprostol in uteroa careful ultrasound scan monitoring of the pregnancywith special attention to the limbs and head must be carried out.
Female patients must meet the following four requirements in order to use this drug1test negative for pregnancy within two weeks before starting treatment2use effective birth control to prevent pregnancy3receive oral and written warnings on the dangers of using misoprostol while of childbearing age and the risks of possible birth control failure4start taking misoprostol only on the second or third day of the next normal menstrual period.
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