Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0027497 (nausea)
 23,468 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Prostaglandins have found clinical applications in: 1) termination of midtrimester pregnancy; 2) induction of labor; 3) menstrual regulation; and 4) control of postpartum hemorrhage. In abortion, prostaglandins (PGs) are used to bring about rapid dilatation of the cervix and diminished flow of the utero-placental blood. They are administered via intravenous, intra- and extra-amniotic, vaginal, and intramuscular routes, and are considered to be the most efficient and safest abortifacient known. Common side effects (nausea, diarrhea, phlebitis, fever, chills and rigors, hypotension, chest pains) can be controlled by simultaneous use of drugs such as Diazapan, Squil, Stemetil, Eskazil, and Lomotil. In cases of induction of labor (e.g., intrauterine fetal death or missed abortion), PGs have a success rate of 85-98%, with minor side effects. Although PGs are used to regulate menstruation, accompanying side effects make their use for this purpose almost unacceptable. In addition, their role in controlling postpartum hemorrhage has been found to be insignificant. A clinical trial of 341 healthy pregnant women who had abortion using PGs is briefly described.
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PMID:Clinical uses of prostaglandins in human reproduction. 30 21

A multicentre trial was conducted to compare Lomotil and Imodium in the treatment of acute non-specific diarrhoea in general practice. A total of eighty-three patients contributed to the study and were randomly allocated to one of the two treatments. No statistically significant differences were found betwwen the drugs in their efficacy and speed of action in alleviating diarrhoea or in their palliative effect on nausea/vomiting and abdominal pain when present.
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PMID:A comparison of lomotil and imodium in acute non-specific diarrhoea. 33 Feb 91

A group of 71 women between 11-20 weeks of gestation who desired termination of pregnancy and had no contraindications for prostaglandin (PG) administration were given complete physical and gynecological examinations; hemoglobin was estimated and urinalysis was done. They were then given orally 2 tablets of Lomotil (diphenoxylate HCl 2.5 mg + atropine sulphate 0.025 mg) and 1 tablet of Stemetil (Prochlorperazine 5 mg). They were then given 15 (S) 15 methyl PGF2alpha intravenously at the dose level of 1 mcg/min. 61 subjects (85.9%) aborted within 30 hours. At regular intervals pulse rate, blood pressure, uterine pain, nausea, vomiting, diarrhea, temperature, and respiratory rate were measured and any other side effects were recorded. The mean induction abortion interval was 15.65 hours, the mean number of episodes of vomiting and diarrhea was 0.9 and 0.6 respectively. This study compared well with the intramuscular route of administration with a higher rate of complete abortions and lower rate of side effects. The latter is explained on the basis of smaller amounts of the drug being infused at a slower rate. Disadvantages include confinement to bed, discomfort, and need of constant supervision. Compared with intraamniotic and extraamniotic case studies, the latter are invasive procedures while the intravenous method is not. Also, the intravenous route allows for adjusted drug dosage and stopping the procedure in the event of an undesirable reaction.
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PMID:Midtrimester abortion with intravenous administration of 15 methyl prostaglandin F2 alpha. 612 31

This study evaluated the clinical efficacy, safety, and side effects of intramuscular administration of 15(S) methyl F2 alpha for midtrimester pregnancy termination. 25 healthy women, generally in the 14-6th weeks of pregnancy, were given repeated doses of 250 mcg of 15(S) followed by 300-600 mcg at 2-3 hour intervals, depending upon the uterine contractions and side effects. In addition, 15 women were given Lomotil tablets before prostaglandin administration to counteract gastrointestinal side effects. The mean required dosage of prostaglandin was 2.3 mg. The induction-abortion interval was 5-10 hours in 32%, 11-15 hours in 52%, 16-20 hours in 8%, and 21-25 hours in 8%, with a mean abortion time of 13.04 hours. 23 women (92%) has complete and spontaneous abortion. Women treated with Lomotil experienced fewer episodes of vomiting and diarrhea. Other side effects included nausea in 40% of cases, cough in 12%, and fever in 16%. These side effects were mild and well tolerated by the patients, however. It is concluded that serial intramuscular injection of prostaglandin 15(S) methyl F2 alpha is an effective method for midtrimester abortion. In view of the minimal blood loss and asepsis associated with this method, it is particularly suitable for centers where blood transfusion facilities are inadequate.
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PMID:Intramuscular administration of 15(S) methyl prostaglandins F2 alpha for midtrimester abortion. 638 10