the Dosage of Hicquai for Obstetric Concerns - Obstetrics and Gynecology

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I would like to inquire about the usage of Hiccup medication?


Hello, Doctor.
Due to the issue of fetal atrophy, the doctor prescribed me three days' worth of Hiccup tablets, to be taken one tablet after each meal.
I don't feel any effects at all.
I checked online and found that the recommended dose is two tablets at a time.
Should I return to the original hospital to ask the doctor to increase the dosage? I really do not want to undergo surgery and would like to know what the maximum dosage of Hiccup tablets is per dose or per day.
Thank you, Doctor.

Miss Yan, 30~39 year old female. Ask Date: 2022/03/04

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the medication is used for indications not specified in the prescribing information for abortion.
It is recommended that you discuss this with the prescribing physician.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/03/04

More Info


Hicquai, known generically as misoprostol, is a medication commonly used in obstetrics and gynecology for various purposes, including the prevention of gastric ulcers in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs) and for medical management of miscarriage or abortion. It is also utilized for cervical ripening before labor induction.
In your case, it appears that your physician has prescribed Hicquai due to concerns related to a missed miscarriage (萎縮胎). The typical dosage for misoprostol can vary depending on the specific indication and the clinical scenario. For medical abortion, the usual regimen may involve taking multiple doses, often higher than what you have been prescribed. However, the exact dosage and frequency should always be determined by a healthcare professional based on individual circumstances.

You mentioned that your doctor prescribed one tablet after each meal for three days, which is a relatively low dose. The standard dosing for misoprostol in the context of obstetric use can range from 200 to 800 micrograms, depending on the indication. For instance, in cases of medical abortion, higher doses are often used, and the medication may be administered multiple times over a specific period.
It is crucial to follow your doctor's instructions regarding medication dosage. If you feel that the prescribed dosage is insufficient or if you are not experiencing the expected effects, it is essential to communicate this with your healthcare provider. They can assess your situation, consider your medical history, and determine whether an adjustment in dosage is appropriate.
Regarding your concern about the maximum dosage, it is important to note that while misoprostol is generally considered safe when used as directed, taking more than the recommended dose can lead to increased risks of side effects, including gastrointestinal issues (such as diarrhea, abdominal pain, and nausea) and potential complications related to uterine contractions.
In summary, while it is understandable to seek clarity on the dosage of Hicquai, it is vital to consult with your physician before making any changes to your medication regimen. They are best equipped to provide guidance tailored to your specific health needs and to ensure your safety throughout the process. If you are feeling uncertain or anxious about your treatment, do not hesitate to reach out to your healthcare provider for further discussion and reassurance.

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