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Cytotec can induce or augment uterine contractionsVaginal administration of Cytotecoutside of its approved indicationhas been used as a cervical ripening agentfor the induction of labor and for treatment of serious postpartum hemorrhage in the presence of uterine atonyA major adverse effect of the obstetrical use of Cytotec is uterine tachysystole which may progress to uterine tetany with marked impairment of uteroplacental blood flowuterine rupturerequiring surgical repairhysterectomyand/or salpingo-oophorectomyor amniotic fluid embolism and lead to adverse fetal heart changesUterine activity and fetal status should be monitored by trained obstetrical personnel in a hospital setting.

See boxed WARNINGSCytotec may endanger pregnancymay cause abortionand thereby cause harm to the fetus when administered to a pregnant womanCytotec may produce uterine contractionsuterine bleedingand expulsion of the products of conceptionAbortions caused by Cytotec may be incompleteIf tramadol 150mg. a woman is or becomes pregnant while taking this drug to reduce the risk of NSAID-induced ulcersthe drug should be discontinued and the patient apprised of the potential hazard to the fetus.

If you are taking this medication for abortiontake it by mouth exactly as directed by your doctor.

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