CARBOPROST TROMETHAMINE

Background and Date of Approval

Carboprost tromethamine, a synthetic prostaglandin, received U.S. FDA approval in 2019. The medication is indicated for treatment of postpartum haemorrhage resulting from uterine atony (loss of uterine muscle tone following childbirth) in women. Administration is not self-directed; dosage determination and ongoing health monitoring remain the responsibility of the treating physician, who will assess individual patient circumstances and medical history.

Uses

Carboprost tromethamine is used for postpartum hemorrhage (stop the excessive bleeding in women who have just given birth)

How is it administered?

Inform your doctor about any prescribed medications, over-the-counter medicines, nutritional or vitamin supplements, and herbal products you take or have taken before the treatment. Certain medications may interact with carboprost tromethamine and can cause undesirable side effects.

Side Effects

The common side effects that are experienced while you are on the treatment with Carboprost tromethamine diarrhea, nausea, vomiting, increased body temperature, headache, flushing, hot flushes, chills, cough, uterine bleeding, and potential complications such as retained placenta or membranes, as well as endometritis.

Warnings

Consult your doctor if you are allergic to carboprost tromethamine or any ingredients, and inform your doctor if you have acute pelvic inflammatory disease. Consult your doctor if you are planning to get pregnant or think you may be pregnant or while breastfeeding because it is contraindicated for pregnant women.

Precautions

The safety and effectiveness of children and the elderly are not established. They are also contraindicated for patients with heart, liver, lung, and kidney problems, diabetes, jaundice, anemia, problems in blood pressure, and epilepsy.

Word of Advice

Inform your doctor if you are taking carboprost tromethamine alongside any prescription or non-prescription medicines. As this drug may exacerbate cardio-pulmonary problems, your doctor will monitor your health status and provide supplemental oxygen if necessary. Patients with a history of allergic reactions should disclose this to their doctor.

References

Pfizer Limited, Electronic Medicines Compendium (EMC), [Revised on May 2022] [Accessed on 7 Oct 2023], https://www.medicines.org.uk/emc/product/3828/pil Pfizer, US Food and Drug Administration, [Revised on Dec 2013], [Accessed on 28th Sep 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/050141s237lbl.pdf KD Tripathi, Essentials of Medical Pharmacology, Prostaglandins, Leukotrienes and Platelet activating factor, 7th edition, 2013, 189.

Frequently Asked Questions

Can I drink alcohol while taking carboprost tromethamine?

No, it is not recommended to drink alcohol when you are under treatment. It may cause undesirable side effects. So, it is advised to consult your doctor.

Can I take carboprosttromethamine if I have a history of allergies?

Inform your doctor that you are allergic to carboprost tromethamine or any antibiotic before starting medicine.

Can I take carboprost tromethamine if I have kidney problems?

No, taking carboprost tromethamine for patients with kidney problems is not recommended. Inform your doctor if you have a history of kidney disorder.

Can I take carboprost tromethamine if I am pregnant?

Carboprost tromethamine is contraindicated for pregnant women and may cause harm to the unborn baby. Notify your healthcare professional if you are pregnant or planning to have a baby think you may be pregnant.

What are the precautions I need to take while taking carboprost tromethamine?

Inform your doctor if you have heart, liver, lung, and kidney problems, diabetes, jaundice, anemia, blood pressure problems, and epilepsy. Patients with cardiovascular problems should be cautious while taking the medicine.

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Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS