This drug should not be administered I.V. routinely because of the possibility of inducing sudden hypertensive and cerebrovascular accidents. If I.V administration is considered essential as a lifesaving measure, methylergonovine maleate should be given slowly over a period of no less than 60 seconds with careful monitoring of blood pressure. Intra-arterial or periarterial injection should be strictly avoided.
For routine management after delivery of the placenta; postpartum atony and hemorrhage; subinvolution. Under full obstetric supervision, it may be given in the second stage of labor following delivery of the anterior shoulder.
Chemically, methylergonovine maleate is designated as ergoline-8-carboxamide, 9, 10-didehydro-N-[1-hydroxymethyl) propyl]-6-methyl-, [8β(S)]-, (Z)-2-butenedioate (1:1) (salt). Its structural formula is:
Methylergonovine Maleate | Novel Laboratories, Inc.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
Dosage same as intramuscular. (See WARNINGS.)
Orally
One tablet, 0.2 mg, 3 to 4 times daily in the puerperium for a maximum of 1 week.
The recommended doses of CEDAX Oral Suspension are presented in the table below. CEDAX Oral Suspension must be administered at least 2 hours before or 1 hour after a meal.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
Dosage same as intramuscular. (See WARNINGS.)
Orally
One tablet, 0.2 mg, 3 to 4 times daily in the puerperium for a maximum of 1 week.
Methylergonovine Maleate | Pd-rx Pharmaceuticals, Inc.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
Dosage same as intramuscular. (See WARNINGS.)
Orally
One tablet, 0.2 mg, 3 to 4 times daily in the puerperium for a maximum of 1 week.
Methylergonovine Maleate | Kaiser Foundation Hospitals
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
Dosage same as intramuscular. (See WARNINGS.)
Orally
One tablet, 0.2 mg, 3 to 4 times daily in the puerperium for a maximum of 1 week.
Methylergonovine Maleate | American Health Packaging
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
Dosage same as intramuscular. (See WARNINGS )
Orally
One tablet, 0.2 mg, 3 to 4 times daily in the puerperium for a maximum of 1 week.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2 to 4 hours.
Intravenously
1 mL, 0.2 mg, administered slowly over a period of no less than 60 seconds (SeeWARNINGS.)
Orally
One tablet, 0.2 mg, 3 or 4 times daily in the puerperium for a maximum of 1 week.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
Dosage same as intramuscular. (See WARNINGS.)
Orally
One tablet, 0.2 mg, 3 to 4 times daily in the puerperium for a maximum of 1 week.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
1 mL, 0.2 mg, administered slowly over a period of no less than 60 seconds. (See WARNINGS.)
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.
Intramuscularly
1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.
Intravenously
1 mL, 0.2 mg, administered slowly over a period of no
less than 60 seconds (See WARNINGS.)
Orally
One tablet, 0.2 mg, 3 or 4 times daily in the puerperium for a maximum of 1 week.