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Misoprostol 0.024 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Misoprostol

Misoprostol 0.024 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, misoprostol, is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat and prevent gastric ulcers, particularly those induced by nonsteroidal anti-inflammatory drugs (NSAIDs). It is also utilized in the management of postpartum hemorrhage and for cervical ripening in obstetric care. The suspension allows for flexible dosing and ease of administration, making it suitable for patients who may have difficulty swallowing tablets.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Misoprostol
Suspension
66fd7b0bdc31c32733aec9f2
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Misoprostol 0.024 mg/mL Oral Suspension is a compounded liquid formulation of misoprostol, a synthetic prostaglandin E1 analog. This medication is designed to provide a homogeneous mixture for oral administration, ensuring uniform distribution of the active ingredient throughout the suspension. Misoprostol works by mimicking the action of naturally occurring prostaglandins in the body, helping to protect the gastric mucosa by increasing bicarbonate and mucus production and decreasing gastric acid secretion.

This formulation is particularly beneficial for patients who have difficulty swallowing tablets or require precise dosing adjustments that are not feasible with commercially available tablet forms. By providing misoprostol in an oral suspension, dosing can be tailored to individual patient needs, enhancing both compliance and therapeutic outcomes.

Misoprostol is primarily used for the prevention of nonsteroidal anti-inflammatory drug (NSAID)-induced gastric ulcers in patients at high risk of complications from gastric ulceration, such as the elderly or those with a history of ulcer disease. It may also be utilized off-label for other indications under physician guidance, such as inducing labor or managing postpartum hemorrhage, although these uses require careful consideration and monitoring due to potential risks.

For patients and prescribers, it is important to note that misoprostol should be taken exactly as directed by a healthcare professional. The usual adult dosage for the prevention of NSAID-induced ulcers is 200 micrograms (0.2 mg) four times a day with food. However, the dosage may be adjusted based on patient tolerance and clinical response. Since this suspension is 0.024 mg/mL, dosing must be accurately measured using an appropriate dosing device to ensure proper administration.

Patients should be counseled on potential side effects, which may include abdominal pain, diarrhea, nausea, flatulence, headache, and dyspepsia. Diarrhea is the most common side effect and is typically dose-related. To minimize this risk, misoprostol should be taken with food, and the dose may be adjusted if necessary. If severe or persistent gastrointestinal symptoms occur, patients should contact their healthcare provider.

A critical precaution is that misoprostol is contraindicated in pregnant women due to its uterotonic effects, which can cause miscarriage, premature birth, or uterine rupture. Women of childbearing potential must have a negative serum pregnancy test within two weeks prior to initiating therapy and use effective contraception during treatment. They should begin misoprostol on the second or third day of their menstrual period to ensure they are not pregnant. If pregnancy occurs during misoprostol therapy, the medication should be discontinued immediately, and the patient should consult their healthcare provider.

Prescribers should monitor patients for adverse reactions and consider potential drug interactions. Caution is advised when combining misoprostol with other medications that may exacerbate its side effects or interact adversely. A thorough patient history and medication review are essential to optimize therapy and minimize risks.

At Bayview Pharmacy, our team of expert compounding pharmacists is dedicated to providing personalized medication solutions to meet individual patient needs. By compounding misoprostol into a 0.024 mg/mL oral suspension, we offer a flexible dosing option for patients requiring customized therapy. We adhere to the highest standards of quality and safety in our compounding practices to ensure that patients receive effective and reliable medications.

If you have any questions or need further information about Misoprostol 0.024 mg/mL Oral Suspension, please reach out to us. Our knowledgeable pharmacists are here to assist both patients and healthcare providers with any inquiries or concerns.

Drug Interactions

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Misoprostol 0.024 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use. Misoprostol is a synthetic prostaglandin E1 analog that is commonly used for its gastroprotective properties, particularly in the prevention of nonsteroidal anti-inflammatory drug (NSAID)-induced gastric ulcers. It is also used in obstetrics and gynecology for cervical ripening and labor induction, as well as for the management of postpartum hemorrhage and medical termination of pregnancy.

When considering the use of Misoprostol 0.024 mg/mL Oral Suspension, it is crucial to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. Misoprostol may interact with other medications, altering their effects or increasing the likelihood of side effects. One significant interaction is with antacids, particularly those containing magnesium. Magnesium-containing antacids can exacerbate the diarrhea commonly associated with misoprostol, so it is advisable to use alternative antacid formulations if needed.

Additionally, misoprostol may interact with other prostaglandin analogs or medications that affect uterine contractility, such as oxytocin. Concurrent use of these agents can lead to increased uterine contractions, which may be beneficial or detrimental depending on the clinical scenario. Therefore, careful monitoring and dose adjustments may be necessary when these medications are used together, especially in obstetric settings.

Patients taking anticoagulants or antiplatelet agents should also be monitored closely, as misoprostol can increase the risk of bleeding. This is particularly important in patients with a history of gastrointestinal bleeding or those undergoing surgical procedures. Healthcare providers should evaluate the risk-benefit ratio in such cases and consider alternative therapies if necessary.

Furthermore, misoprostol may have additive effects with other medications that cause diarrhea or gastrointestinal upset, such as certain antibiotics or chemotherapeutic agents. Patients should be advised to report any severe or persistent gastrointestinal symptoms to their healthcare provider promptly.

For prescribers and patients considering the use of Misoprostol 0.024 mg/mL Oral Suspension, it is essential to review the patient's current medication regimen for potential interactions and to monitor for any adverse effects during treatment. If you have any questions or require further information, please reach out to us at Bayview Pharmacy. We are here to assist you with any concerns regarding this formulation or its use in treating specific disease states.

How Does it Work

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Misoprostol 0.024 mg/mL Oral Suspension is a liquid dosage form designed to deliver the active ingredient, misoprostol, in a uniform and consistent manner. Misoprostol is a synthetic prostaglandin E1 analog, which means it mimics the action of naturally occurring prostaglandins in the body. Prostaglandins are compounds that have various roles, including the protection of the stomach lining, induction of labor, and regulation of inflammation.

In the context of gastrointestinal health, misoprostol is primarily used to prevent and treat gastric ulcers, particularly those induced by nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs can inhibit the production of protective prostaglandins in the stomach, leading to increased gastric acid secretion and reduced mucus production, which can result in ulcer formation. Misoprostol works by stimulating the production of mucus and bicarbonate, enhancing the stomach's natural defenses against acid, and promoting healing of the gastric lining. Additionally, it reduces gastric acid secretion, further protecting the stomach lining from damage.

For patients with specific conditions requiring the induction of labor or management of postpartum hemorrhage, misoprostol's uterotonic properties are utilized. It causes the uterus to contract, which can help initiate labor or control bleeding after childbirth. The oral suspension form allows for flexible dosing and ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or require precise dose adjustments.

The liquid suspension ensures that misoprostol is evenly distributed throughout the medium, providing a homogeneous mixture that can be easily measured and administered. This is particularly important for achieving the desired therapeutic effect while minimizing the risk of side effects.

For prescribers, it is important to consider the specific needs of each patient when determining the appropriate dosage and administration schedule. The oral suspension form offers flexibility in dosing, which can be tailored to the individual patient's condition and response to treatment. As with any medication, it is crucial to monitor patients for any adverse effects and adjust the treatment regimen as necessary.

If you have any questions or require further information about Misoprostol 0.024 mg/mL Oral Suspension, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Other Uses

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Misoprostol 0.024 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring that the active ingredient is uniformly dispersed throughout the liquid medium. While Misoprostol is primarily known for its use in preventing gastric ulcers in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs), inducing labor, and managing postpartum hemorrhage, this formulation may have other potential applications that are worth considering for both patients and prescribers.

One of the notable off-label uses of Misoprostol is in the management of incomplete or missed miscarriages. In such cases, Misoprostol can be used to induce uterine contractions to help expel the remaining tissue, thereby reducing the need for surgical intervention. This can be particularly beneficial for patients seeking a non-invasive option. Additionally, Misoprostol has been explored for its potential use in cervical ripening before surgical procedures, such as hysteroscopy or dilation and curettage, to facilitate easier and safer access to the uterine cavity.

Another area where Misoprostol has shown promise is in the treatment of chronic constipation and bowel preparation before colonoscopy. Its ability to stimulate intestinal motility can be advantageous in these scenarios, providing an alternative to traditional laxatives. Furthermore, Misoprostol's role in reducing the risk of NSAID-induced enteropathy, a condition characterized by small intestinal damage due to prolonged NSAID use, is being investigated. By promoting mucosal protection, Misoprostol may help mitigate the gastrointestinal side effects associated with long-term NSAID therapy.

For patients with certain gynecological conditions, such as cervical stenosis or Asherman's syndrome, Misoprostol may be used to soften and dilate the cervix, facilitating easier access for diagnostic or therapeutic procedures. Additionally, there is ongoing research into the potential use of Misoprostol in the management of heavy menstrual bleeding, where its uterotonic properties could help reduce menstrual blood loss.

It is important for both patients and prescribers to be aware of these potential off-label uses and to consider the benefits and risks associated with Misoprostol 0.024 mg/mL Oral Suspension in these contexts. As with any medication, the decision to use Misoprostol for these alternative purposes should be based on a thorough evaluation of the patient's medical history, current condition, and treatment goals. If you have any questions or require further information about the use of Misoprostol in these or other contexts, please do not hesitate to reach out to us.

Frequently Asked Questions

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What is Misoprostol 0.024 mg/mL Oral Suspension used for?

Misoprostol 0.024 mg/mL Oral Suspension is typically used to prevent stomach ulcers, induce labor, or manage postpartum hemorrhage. It is important to use this medication under the guidance of a healthcare professional.

How should I store Misoprostol Oral Suspension?

Store the Misoprostol Oral Suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use and keep it out of reach of children.

How do I take Misoprostol Oral Suspension?

Shake the bottle well before each use to ensure the ingredients are evenly distributed. Measure the prescribed dose using a proper measuring device or spoon, and take it by mouth as directed by your healthcare provider.

Can I take Misoprostol Oral Suspension with food?

Yes, Misoprostol Oral Suspension can be taken with or without food. However, taking it with food may help reduce the risk of stomach upset.

What should I do if I miss a dose of Misoprostol Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Misoprostol Oral Suspension?

Common side effects may include diarrhea, abdominal pain, nausea, and headache. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

Can pregnant women use Misoprostol Oral Suspension?

Misoprostol is contraindicated in pregnant women for the prevention of stomach ulcers due to its potential to cause miscarriage or birth defects. It should only be used during pregnancy under strict medical supervision for specific indications such as labor induction.

Is Misoprostol Oral Suspension safe for children?

The safety and efficacy of Misoprostol Oral Suspension in children have not been established. It should only be used in pediatric patients if prescribed by a healthcare professional.

Can I drink alcohol while taking Misoprostol Oral Suspension?

It is advisable to avoid alcohol while taking Misoprostol Oral Suspension, as alcohol can increase the risk of stomach irritation and may exacerbate side effects.

What should I do in case of an overdose of Misoprostol Oral Suspension?

If you suspect an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe dizziness, drowsiness, or difficulty breathing.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Misoprostol 0.024 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Four times daily