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pIf you are pregnantdo not take this medication to reduce the risk of stomach ulcers due to aspirin or other related drugsnon-steroidal anti-inflammatory drugs-NSAIDs such as ibuprofenAlsoif you are of childbearing agedo not use this drug to reduce the risk of ulcers from NSAIDs unless you are at high risk of having an ulcer or ulcer complications./ppCan cause birth defectsabortionpremature birth or uterine rupture in pregnant womenFor women of childbearing potentialnegative serum pregnancy test within 2 weeks before starting therapybegin on 2 nd or 3 rd day of next menstrual periodmaintain contraception during therapygive oral and written warnings on risks in pregnancyCardiovascular diseaseInflammatory bowel diseaseDehydrationLabordeliveryNursing mothers./ppShould 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./ppCytotec should not be used in the third trimester in women with a history of Cesarean section or major uterine surgery because of an increased risk of uterine ruptureCytotec should not be used in cases where uterotonic drugs are generally contraindicated or where hyperstimulation of the uterus is considered inappropriatesuch as cephalopelvic disproportiongrand multiparityhypertonic or hyperactive uterine patternsor fetal distress where delivery is not imminentor when surgical intervention is more appropriate./ppIf the patient has questions about or problems with Cytotecthe physician should be contacted promptly./p

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