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Generic Misoprostol Information
Introduction
Misoprostol is a prostaglandin‑E1 analogue used primarily to protect the stomach lining in patients taking non‑steroidal anti‑inflammatory drugs (NSAIDs) and to induce uterine contractions for obstetric and gynecological indications. In the United Kingdom it is classified within the Gastro Health medication group because of its well‑established role in preventing NSA‑induced gastric ulceration. The active compound, Misoprostol, is supplied by several manufacturers worldwide and is also employed for cervical ripening, medical termination of early pregnancy, and management of post‑partum haemorrhage.
What is Misoprostol?
Misoprostol is the generic version of the brand name Cytotec, originally developed by G.D. Searle & Co. (now part of Pfizer). The tablet contains the synthetic prostaglandin‑E1 analogue Misoprostol and is marketed in the UK as a prescription‑only medicine for gastric protection and selected obstetric uses. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, delivering the same pharmacologically active ingredient at a lower price point.
How Misoprostol Works
Misoprostol mimics the action of naturally occurring prostaglandin E1 (PGE1). In the gastrointestinal tract it binds to prostaglandin receptors on gastric epithelial cells, stimulating the production of mucus and bicarbonate, which together form a protective barrier against acid injury. It also enhances mucosal blood flow, promoting ulcer healing.
When used in obstetrics, Misoprostol binds to uterine smooth‑muscle prostaglandin receptors, causing coordinated contractions and cervical softening. The rapid onset (30–60 minutes after oral administration) and relatively short half‑life (≈30 minutes) allow for controlled dosing schedules. Renal excretion of inactive metabolites predominates, with minimal accumulation in patients with normal hepatic function.
Conditions Treated with Misoprostol
- Prevention of NSA‑induced gastric ulcers – Recommended for patients who require long‑term NSAID therapy (e.g., chronic osteoarthritis, rheumatoid arthritis) and are at increased risk of ulcer disease.
- Medical termination of early pregnancy (≤ 10 weeks) – Employed in combination with mifepristone to achieve complete uterine evacuation.
- Cervical ripening before surgical procedures – Used to soften the cervix prior to dilation and evacuation, hysteroscopy, or induction of labour.
- Induction of labour (≥ 37 weeks gestation) – Provides an alternative to oxytocin when cervical favourability is low.
- Management of postpartum haemorrhage – Administered intravenously or intramuscularly to stimulate uterine contraction when standard uterotonics are insufficient.
In the UK, the National Institute for Health and Care Excellence (NICE) endorses Misoprostol for NSAID‑related ulcer prophylaxis in high‑risk adults and for obstetric indications where surgical alternatives are unavailable or contraindicated.
Who is Misoprostol For?
- Adults requiring long‑term NSAID therapy who have a history of peptic ulcer disease, are older than 60 years, or are concomitantly using corticosteroids or anticoagulants.
- Women seeking medically‑managed early pregnancy termination under the guidance of a qualified clinician.
- Pregnant individuals at term with an unfavourable Bishop score where cervical ripening is necessary before induction of labour.
- Patients experiencing postpartum haemorrhage when standard uterotonics (oxytocin, ergometrine) have failed to achieve adequate uterine tone.
Misoprostol is not appropriate for:
- Women with known hypersensitivity to prostaglandins or any tablet excipients.
- Patients with active gastrointestinal bleeding, perforated ulcer, or severe cardiac disease (risk of tachyarrhythmia).
- Individuals in the first trimester of pregnancy who are not undergoing a medically supervised termination.
Risks, Side Effects, and Interactions
Common
- Diarrhoea – Occurs in up to 30 % of patients; usually mild and self‑limiting.
- Abdominal cramping – Related to uterine or gastric smooth‑muscle activity.
- Nausea / vomiting – Often transient; may be reduced by taking the tablet with food.
Rare
- Fever and chills – Occasionally reported after obstetric dosing regimens.
- Allergic skin reactions – Rash or urticaria; requires discontinuation if severe.
Serious
- Severe gastrointestinal bleeding – Particularly when used in patients with existing ulcer disease without adequate protective dosing.
- Uterine rupture – Rare but reported in women with prior cesarean section undergoing induction with high‑dose regimens.
- Cardiovascular events – Tachycardia, hypotension, or myocardial ischaemia in patients with underlying heart disease.
Drug–Drug Interactions
- NSAIDs – Co‑ation may increase ulcer risk; Misoprostol is intended to counteract this effect.
- Anticoagulants (e.g., warfarin, DOACs) – Additive risk of bleeding; monitor haemoglobin and gastrointestinal symptoms.
- Corticosteroids – Heightened ulcerogenic potential; consider dose adjustment.
- Mifepristone – Required for medical termination; timing and dosing must be coordinated precisely.
Patients should disclose all current medications, including over‑the‑counter products and herbal supplements, to their healthcare professional before initiating Misoprostol.
Practical Use: Dosing, Missed Dose, Overdose
- Gastric ulcer prophylaxis – 200 µg (one tablet) taken orally four times daily with meals; therapy typically continues for the duration of NSAID use.
- Medical termination (≤ 10 weeks) – 200 µg Misoprostol taken orally, sublingually, or buccally 24–48 hours after a 200 mg dose of mifepristone; repeat dosing may be required per protocol.
- Cervical ripening – 25–50 µg administered vaginally every six hours, up to a maximum of four doses, under clinical supervision.
- Induction of labour – 25 µg vaginally every six hours; dosing may be escalated to 50 µg if cervical response is inadequate.
- Post‑partum haemorrhage – 600–800 µg administered intramuscularly or intravenously as a single dose; repeat dosing only under specialist direction.
Missed dose – For ulcer prophylaxis, take the missed tablet as soon as remembered unless it is near the time of the next scheduled dose; do not double‑dose. For obstetric protocols, follow the specific clinical schedule; a missed dose may require re‑evaluation by the supervising clinician.
Overdose – Symptoms may include severe diarrhoea, abdominal pain, uterine hyperstimulation, or hypotension. Seek emergency medical care immediately. No specific antidote exists; management is supportive and symptomatic.
Precautions – Avoid alcohol while taking Misoprostol, as it may exacerbate gastric irritation. Food can reduce gastrointestinal discomfort but does not affect obstetric absorption significantly. Patients with renal impairment should be monitored, although dose adjustment is rarely required.
Buying Misoprostol from Our Online Pharmacy
Misoprostol can be purchased from our online pharmacy in the UK with a focus on safety, affordability, and discretion.
- Affordable pricing – We source the generic product directly from licensed manufacturers, offering prices close to the original cost of production.
- Verified quality – Every batch is supplied by GMP‑certified facilities and undergoes independent laboratory testing for potency and purity.
- Guaranteed delivery – Discreet packaging is used for all orders; standard delivery arrives within 7 days (express) or approximately 3 weeks via regular airmail for remote locations.
- Online‑only access – Our pharmacy broker service collaborates with overseas licensed pharmacies, allowing patients who cannot obtain the medication through traditional channels to receive a reliable supply.
By choosing our service, patients receive a trustworthy, cost‑effective alternative to brand‑name tablets while maintaining privacy and regulatory compliance.
FAQ
-
Is Misoprostol available in both brand‑name and generic forms in the UK?
Yes. The original brand‑name product is Cytotec, while generic versions contain the identical active ingredient Misoprostol and are typically less expensive. -
Does Misoprostol require refrigeration?
No. Tablets should be stored at controlled room temperature (15‑30 °C) away from moisture and direct sunlight. -
What does the tablet look like?
Generic Misoprostol tablets are usually white, round, film‑coated, and marked with the dosage strength (e.g., 200 µg). Specific imprint details may vary by manufacturer. -
Can Misoprostol be safely imported for personal use in the UK?
Personal import of a three‑month supply for a legitimate medical need is permitted under UK law, provided the medication is for personal use and not for resale. -
Are there differences in formulation between regions (EU vs. US)?
The active substance is identical, but excipients such as lactose or magnesium stearate may differ. These variations rarely affect therapeutic outcomes but can be relevant for individuals with specific allergies. -
How long can Misoprostol tablets be kept after opening the bottle?
Misoprostol tablets are moisture‑sensitive; once the container is opened, they should be used within six months, assuming they have been stored correctly. -
Is there a risk of false‑positive drug tests after taking Misoprostol?
Misoprostol does not contain substances that trigger standard drug‑screening assays, so it does not cause false‑positive results for common illicit drugs. -
What historical event led to the discovery of Misoprostol?
Misoprostol was synthesized in the 197s during research into prostaglandin analogues for gastric protection. It received FDA approval in 1988 for NSAID‑induced ulcer prevention. -
How does Misoprostol compare with other ulcer‑preventive agents such as ranitidine?
Unlike H₂‑receptor antagonists, Misoprostol actively stimulates mucus and bicarbonate secretion, offering a mechanistically distinct protective effect. However, its gastrointestinal side‑effect profile (diarrhoea) is more pronounced. -
Can Misoprostol be used in patients with lactose intolerance?
Some generic formulations contain lactose as an inactive ingredient. Patients with severe intolerance should request a lactose‑free version or verify excipient content with the supplier.
Glossary
- Prostaglandin‑E1 (PGE1) analogue
- A synthetic compound that mimics the activity of natural prostaglandin‑E1, influencing smooth‑muscle tone and secretion in various organs.
- Bishop score
- A numerical system (–13) used to assess cervical readiness for labour induction; higher scores indicate a more favourable cervix.
- Gastro‑protective agent
- A medication that reduces the risk of gastric mucosal injury, commonly used alongside NSAIDs to prevent ulcer formation.
- Half‑life
- The time required for the plasma concentration of a drug to decrease by 50 %; for Misoprostol it is approximately 30 minutes.
⚠️ Disclaimer
The information provided about Misoprostol is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Misoprostol for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.