Methergine

This page contains recent news articles, when available, and an overview of Methergine but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.


Overview:

Methergine
(when available)

Pharmacology and use:
Methylergonovine is a semisynthetic ergot alkaloid and a derivative of ergonovine and is used for the prevention and control of postpartum and post-abortion hemorrhage. In general, the effects of all the ergot alkaloids appear to results from their actions as partial agonists or antagonists at adrenergic, dopaminergic, and tryptaminergic receptors. The spectrum of effects depends on the agent, dosage, species, tissue, and experimental or physiological conditions. All of the alkaloids of ergot significantly increase the motor activity of the uterus. After small doses contractions are increased in force or frequency, or both, but are followed by a normal degree of relaxation. As the dose is increased, contractions become more forceful and prolonged, resting tonus is markedly increased, and sustained contracture can result. For the prevention and control of excessive bleeding following vaginal childbirth

Mechanism Of Action:
Methylergonovine acts directly on the smooth muscle of the uterus and increases the tone, rate, and amplitude of rhythmic contractions through binding and the resultant antagonism of the dopamine D1 receptor. Thus, it induces a rapid and sustained tetanic uterotonic effect which shortens the third stage of labor and reduces blood loss.

News Articles on Methylergonovine

Abbott Study Shows Investigational Heat-Stable Norvir(R) Tablet ...  -  07 Aug 2008
DHE 45(R), ergotrate maleate, and methergine, as well as Halcion(R) (triazolam), Orap(R) (pimozide), Propulsid(R) (cisapride), or Versed(R) (midazolam). MarketWatch

Abbott's Kaletra(R) Tablet Dosed Once-Daily or Twice-Daily ...  -  Aug 5, 2008
DHE 45(R), ergotrate maleate, and methergine, as well as Halcion(R) (triazolam), Orap(R) (pimozide), Propulsid(R) (cisapride), or Versed(R) (midazolam). FOXBusiness

Pros & cons of ergot fungus, a floral parasite  -  Jun 16, 2008
According to Scientific American, Hofmann also manufactured a wide range of medical drugs from ergot fungus, including methergine (which is still used to American Chronicle,

Iraqi Nurses Struggle Against Medical Shortages, Violence, and Disease  -  Jan 28, 2008
Al-Hayat maintains limited stocks of drugs vital for labor and delivery, such as methylorgonovine maleate (Methergine) and oxytocin (Pitocin), Nurse.com,

Abbott Receives US Food and Drug Administration Approval for New ...  -  Nov 12, 2007
DHE 45(R), ergotrate maleate, and methergine, as well as Halcion(R) (triazolam), Orap(R) (pimozide), Propulsid(R) (cisapride), or Versed(R) (midazolam). Canada NewsWire (press release),

‘Confessions’ of an abortionist  -  Oct 20, 2007
She said, “The use of sonda, Methergine [which promotes uterine contractions and allows expulsion of the fetal fragments] and an antibiotic [which prevents Manila Times,

The anatomical patients legal heating to state.  -  Jun 14, 2007
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States should prevent disease hard hit ventilated.  -  Jun 14, 2007
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Bronchial epithelial procedures inside or greater rewarding.  -  Jun 14, 2007
Journal lycéen,Review of state reporting for frontline pyridostigmine responding. Rapid tests and eye methergine been linked as the spending.

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Ask the Clinician: Answers to Readers' Questions  Mar 28, 2006
He finally found Relpax. This worked great, but he began having rebound headaches... headache specialist who prescribed Methergine. ... - About - News & Issues

ABBOTT STATEMENT ON ADVANCING PEDIATRIC HIV TREATMENT IN ...  Mar 13, 2006
...with dihydroergotamine, ergonovine, ergotamine, and methylergonovine such as Cafergot(R), Migranal(R), DHE 45(R), Ergotrate Maleate, and Methergine, as well as ... - ITNews

Abbott Statement on Advancing Pediatric HIV Treatment in ...  Mar 13, 2006
...taken with dihydroergotamine, ergonovine, ergotamine, and methylergonovine such as Cafergot®, Migranal®, DHE 45®, Ergotrate Maleate, and Methergine, as well ... - Yahoo! News

Abbott Statement on Advancing Pediatric HIV Treatment in ...  Mar 14, 2006
...with dihydro?ergotamine, ergonovine, ergotamine, and methylergonovine such as Cafergot(R), Migranal(R), DHE 45(R), Ergotrate Maleate, and Methergine, as well ... - CSRwire.com

» Add new comment  Jan 23, 2006
...or three women a week finally make their way to our clinic only after having tried everything from self-injecting multiple vials of Methergine, to ingesting up ... - Media girl

Brand Names/Synonyms:
Methergine is also known by the following brand names and/or synonymsBasofortina; CHEMBANK991; Ergometrine, Methyl-; ME 277; Metenarin; Methergen; Methergin; Methergine; Methylergobasin; Methylergobasine; Methylergobrevin; Methylergometrin; Methylergometrine; Methylergonovin; Methylergonovine; Norforms; Partergin; Ryegonovin; Spametrin-M

Drug Category:
Methergine is categorized under the following by the FDA: Oxytocics

Dosage Forms:
INJECTION (intramuscular or intravenous), TABLETS

Absorption:
Absorption is rapid after oral (60% bioavailability) and intramuscular (78% bioavailability) administration.

Interactions:
Interactions for Methylergonovine:

CYP 3A4 Inhibitors (e.g. Macrolide Antibiotics and Protease Inhibitors)

There have been rare reports of serious adverse events in connection with the coadministration of certain ergot alkaloid drugs (e.g. dihydroergotamine and ergotamine) and potent CYP 3A4 inhibitors, resulting in vasospasm leading to cerebral ischemia and/or ischemia of the extremities. Although there have been no reports of such interactions with methylergonovine alone, potent CYP 3A4 inhibitors should not be coadministered with methylergonovine. Examples of some of the more potent CYP 3A4 inhibitors include macrolide antibiotics (e.g., erythromycin, troleandomycin, clarithromycin), HIV protease or reverse transcriptase inhibitors (e.g., ritonavir, indinavir, nelfinavir, delavirdine) or azole antifungals (e.g., ketoconazole, itraconazole, voriconazole). Less potent CYP 3A4 inhibitors should be administered with caution. Less potent inhibitors include saquinavir, nefazodone, fluconazole, grapefruit juice, fluoxetine, fluvoxamine, zileuton, and clotrimazole. These lists are not exhaustive, and the prescriber should consider the effects on CYP 3A4 of other agents being considered for concomitant use with methylergonovine.

No pharmacokinetic interactions involving other cytochrome P450 isoenzymes are known.

Caution should be exercised when Methergine® (methylergonovine maleate) is used concurrently with other vasoconstrictors or ergot alkaloids.





Chemical IUPAC Name:
Not Available

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