Angusta
Angusta is a medicine that helps start labor by softening the cervix and causing contractions to help deliver the baby.
Form
tabletti
Strength
25 mikrog
Active Ingredient
Misoprostol
Manufacturer
Norgine B.V.
How to Use
Dosage
The usual dose is 25 micrograms every two hours or 50 micrograms every four hours.
Method
Take this medicine by mouth with a glass of water. Do not break the tablet.
Important
The maximum dose you should take in 24 hours is 200 micrograms. Your midwife or doctor will stop the treatment once you reach this limit or if labor starts earlier.
Possible Side Effects
COMMON
- •Nausea
- •Vomiting
- •Meconium-stained amniotic fluid (baby's first stool in the fluid)
- •Bleeding after birth (more than 500 ml of blood loss)
- •Low Apgar score (a test done on the baby after birth to check their health)
- •Unusual fetal heart rate
- •Womb contracts too strongly, too often, or for too long
- •Diarrhea
- •Chills
- •High body temperature
RARE
- •Dizziness
- •Newborn seizures
- •Lack of oxygen for the newborn (during birth)
- •Blue baby syndrome (newborn's skin and membranes turn blue due to lack of oxygen in blood)
- •Itchy rash
- •Acidosis in the fetus (high acid levels in baby's blood)
- •Placental abruption (placenta separates from the womb before birth)
- •Womb rupture
Important Warnings
- Do not take Angusta if you are allergic to misoprostol or any other ingredients in this medicine.
- Do not take Angusta if your labor has already started.
- Do not take Angusta if your midwife or doctor says your baby is not doing well or is in distress.
- Do not take Angusta if you are already receiving other medicines to speed up or start labor.
- Do not take Angusta if you have had surgery on your cervix or womb before, including a C-section during a past birth.
Show 8 more warnings
- Do not take Angusta if you have an unusual womb shape, like a heart-shaped womb.
- Do not take Angusta if the placenta is covering the birth canal or if you have had unexplained vaginal bleeding after 24 weeks of pregnancy.
- Do not take Angusta if your baby's position in the womb prevents a normal birth.
- Do not take Angusta if you have severe kidney problems.
- Angusta must only be given by trained healthcare staff in a hospital, where you and your baby can be carefully watched.
- Angusta can make your womb contract very strongly. If your contractions become too strong or last too long, or if your doctor or midwife is worried about you or your baby, you will not get more tablets. They may give you other medicines to calm the contractions.
- Wait at least 4 hours after your last Angusta dose before starting oxytocin (another medicine to help labor).
- If you have kidney or liver problems, your dose of Angusta might need to be adjusted.