Can you take Dinoprostone topical with Misoprostol?
1 drug interaction and 7 additional warnings found for the following 2 drugs:
- dinoprostone topical
- misoprostol
Drug interactions
Major drug interactions
Major:
miSOPROStol dinoprostone topical
Applies to: misoprostol and dinoprostone topical
Using dinoprostone topical together with miSOPROStol is generally not recommended.
Combining these medications may overstimulate the uterus and potentially cause tear or rupture, particularly if the cervix is not adequately dilated.
Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact.
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Therapeutic duplication warnings
Therapeutic duplication is the use of more than one medicine from the same drug category or therapeutic class to treat the same condition.
It can be intentional, when combining drugs with similar actions adds demonstrated therapeutic benefit — or unintentional, such as when a patient sees multiple prescribers or fills prescriptions at more than one pharmacy, which can lead to adverse effects.
Duplication:
Prostaglandin abortifacients
The recommended maximum number of medicines in the 'prostaglandin abortifacients' category to be taken concurrently is usually one. Your list includes two medicines belonging to the 'prostaglandin abortifacients' category:
- dinoprostone topical
- misoprostol
Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.
Food/lifestyle interactions
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Disease interactions
6 potential interactions Applies to: 6 conditions, including Asthma, Hypotension, Inflammatory Bowel Disease, Dehydration, and Cardiovascular Conditions and Disorders.
Asthma
Moderate:
dinoprostone topical
Dinoprostone topical has a moderate potential interaction with Asthma.
The use of dinoprostone may be associated with bronchospasm, decreased pulmonary blood flow, and/or increased pulmonary arterial pressure. Dinoprostone induces contraction of smooth muscle, including smooth muscle of the respiratory tract. Therapy with dinoprostone should be administered cautiously in patients with asthma, or history of childhood asthma, even in the absence of asthma attacks in adulthood.
Cardiovascular Conditions and Disorders
Moderate:
misoprostol
miSOPROStol has a moderate potential interaction with Cardiovascular Conditions and Disorders.
Caution should be employed when administering misoprostol to patients with preexisting cardiovascular disease.
Dehydration
Moderate:
misoprostol
miSOPROStol has a moderate potential interaction with Dehydration.
Diarrhea may occur in up to 40% of patients receiving misoprostol. Misoprostol should be administered cautiously in patients with underlying conditions such as inflammatory bowel disease and dehydration. Careful monitoring during therapy is recommended.
Glaucoma/Intraocular Hypertension
Moderate:
dinoprostone topical
Dinoprostone topical has a moderate potential interaction with Glaucoma/Intraocular Hypertension.
Caution should be exercised when administering dinoprostone topical in patients with a history of glaucoma.
Hypotension
Moderate:
dinoprostone topical
Dinoprostone topical has a moderate potential interaction with Hypotension.
Therapy with dinoprostone should be administered cautiously in patients with a history of hypotension.
Inflammatory Bowel Disease
Moderate:
misoprostol
miSOPROStol has a moderate potential interaction with Inflammatory Bowel Disease.
Diarrhea may occur in up to 40% of patients receiving misoprostol. Misoprostol should be administered cautiously in patients with underlying conditions such as inflammatory bowel disease and dehydration. Careful monitoring during therapy is recommended.
More resources
dinoprostone topical
A total of 6 drugs are known to interact with dinoprostone topical.
- Dinoprostone topical is in the drug class uterotonic agents.
- Dinoprostone topical is used to treat the following conditions:
misoprostol
A total of 15 drugs are known to interact with misoprostol.
- Misoprostol is in the drug class miscellaneous GI agents.
-
Misoprostol is used to treat the following conditions:
- Abortion (off-label)
- Cervical Ripening (off-label)
- Duodenal Ulcer
- Gynecological Conditions (off-label)
- Labor Induction (off-label)
- NSAID-Induced Ulcer Prophylaxis
- Postpartum Bleeding (off-label)
- Stomach Ulcer
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.