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Pregnancy and birth (hospital use)

Methylergometrine

Also sold as: Methergine

Prescription neededPregnancy and birth (hospital use)
Comes as:TabletInjection

Usual adult dose

Given only after the baby and placenta are delivered, to control bleeding: 0.2 mg into the muscle by a health worker, repeated if needed. Tablets: 0.2 mg three times a day for a few days, as prescribed.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • vomiting
  • headache
  • stomach cramps
  • high blood pressure

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • chest pain
  • severe headache
  • cold or numb hands and feet

Do not take it, or take care, if

  • Pregnancy and labour before the baby is born
  • High blood pressure or pre-eclampsia
  • Heart disease or poor circulation
  • Taking clarithromycin, erythromycin or similar medicines

Interactions

Medicines that can react with this one.

Serious3 medicinesDo not take these together unless your doctor says so.
  • Clarithromycin

    Clarithromycin raises methylergometrine levels and can cause dangerous narrowing of blood vessels.

  • Erythromycin

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

very high blood pressure

Erythromycin raises methylergometrine levels and can cause dangerous narrowing of blood vessels.

  • Sumatriptan

    Both narrow blood vessels; do not use within 24 hours of each other.

  • Oxytocin
  • Misoprostol
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.