Mode of action
Myometrial action:
- 500 mcg of ergometrine I.V. results in a uterine contraction within 40 sec which lasts 30 min
- I.M. injection results in a contraction within 6 min
- intrauterine injection may be employed if post-partum haemorrhage has resulted in peripheral shutdown
- the combination of Syntocinon (5 U) with ergometrine (500 mcg) - called Syntometrine - is also used in the management of post-partum haemorrhage
If uterine tone is still inadequate, a SINGLE repeat dose of 500 mcg is permitted. No more than 1000 mcg may be given.
Vasoconstrictive action:
- ergometrine may cause a dangerous increase in blood pressure in those who are already hypertensive
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