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THE PATIENT SHOULD NOT GIVE Cytotec TO ANYONE ELSECytotec has been prescribed for the patient’s specific conditionmay not be the correct treatment for another personand may be dangerous to the other person if she were to become pregnant.

Prostaglandins such as Cytotec may augment the activity of oxytocic agentsespecially when given less than 4 hours prior to initiating oxytocin treatmentConcomitant use is not recommended

Blood/Coagulationanemiaabnormal differentialthrombocytopeniapurpuraESR increased.

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 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.

Maximum plasma concentrations of misoprostol acid are diminished when the dose is taken with food and total availability of misoprostol acid is reduced by use of concomitant antacidClinical trials were conducted with concomitant antacidhoweverso this effect does not appear to be clinically important.

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