Syntometrine 1 ml Injection
Clinical Summary
Quick overview from the medicine insert
Indication
Active management of third stage of labour and prevention/treatment of postpartum haemorrhage.
Dosage (summary)
1 ml intramuscularly after delivery of the shoulder or immediately after delivery of the child.
Onset of Action / Duration
Onset: 7 mins, Duration: Not specified
Special Populations
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Contraindicated during pregnancy and first two stages of labour; excreted in breast milk, may suppress lactation.
Key Drug Interactions
- CYP3A4 inhibitors
- Vasoconstrictors
- Prostaglandins
Contraindications
- Hypersensitivity
- Pregnancy
- Uterine inertia
- Severe toxaemia
- Hypertension
- Cardiac disease
Common side effects
- Hypertension
- Dizziness
- Nausea
- Vomiting
- Headache
Counselling Points
- Avoid driving or operating machinery
- Monitor for dizziness and hypotension
- Report any adverse reactions
Serious warnings
- Anaphylaxis in latex allergy
- Potentially arrhythmogenic
- Caution in coronary artery disease
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