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Magnesium-containing antacids should be avoided during treatment with misoprostol as this may worsen the misoprostol-induced diarrhoea.

Misoprostol is rapidly metabolized in the mother to misoprostol acidwhich is biologically active and is excreted in breast milkThere are no published reports of adverse effects of misoprostol in breast-feeding infants of mothers taking misoprostolCaution should be exercised when misoprostol is administered to a nursing woman.

Cytotec 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.

Stop taking misoprostol and seek emergency medical attention if you experience an allergic reactiondifficulty breathingclosing of the throatswelling of the lipstongueor faceor hives

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