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CERVAGEM 1MG PESSARY
Archived from the seminar on 7 Private In very risky cases, consolidate hypotension and coronary grains with subsequent myocardial credits have been linked.
Requires specialist initiation of prescribing.
Prescribing to be continued by the specialist until stabilisation of the dose is achieved and the patient has been reviewed. Amber Initiated medicines must meet criteria: Prescribing to be continued by specialist until stabilisation of the dose is achieved and the patient had been reviewed. Patient remains under the care of specialist ie not discharged as occasional specialist input may be required. Amber Patient Retained medicines must meet criteria: Non-specialist prescribing in primary care may follow according the RAG criteria.
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Medicines designated as requiring Shared Care require on-going input datlng both Specialist and Primary Care clinicians and patients should not be discharged from Specialist care. Where prescribing and monitoring are required under shared care, it is implicit that the responsibility for both of these tasks rests with the prescriber. A Shared Care Agreement will always be available for Shared Care medicines and this document will include a Shared Care Agreement pro-forma which will be completed by all involved clinicians. This pro-forma will record agreement to take on defined aspects of care e.
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Patients with the following diseases have not been studied: Adequate follow-up of the procedure is essential to ensure that the termination process has been completed as the embryopathic effects of On,ine have not been determined. CERVAGEM pessaries should not be used for the induction of labour or cervical softening at term as foetal effects have not been ascertained. Vaginal bleeding and mild uterine pain, similar to menstrual pain, may occur in the interval between the administration of the pessary and surgery, especially if this interval is prolonged beyond the recommended 3 hours. Nausea, vomiting, loose stools or diarrhoea may occur but are rarely severe enough to require treatment.
However, standard anti-emetic or anti-diarrhoeal agents may be administered if required. Other reported side-effects include headache, muscle weakness, dizziness, flushing, chills, backache, dyspnoea, chest pain, palpitations and mild pyrexia.
Uterine rupture has been reported on rare occasions, most commonly in multiparous women with a history of uterine surgery. In very rare cases, severe hypotension and coronary spasms with subsequent myocardial infarctions have been reported. If you get any side effects, talk to your doctor, pharmacist or nurse.
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