00:00مسoprostyle is a synthetic substance that mimics the effects of natural prostaglandins
00:04in the body.
00:06Although its original use was for treating and preventing stomach ulcers, it is well
00:10known for its effect on the uterus, where it stimulates contractions and helps to soften
00:15and dilate the cervix.
00:17The drug is on the World Health Organization's list of essential medicines.
00:21مسoprostyle is available under different brand names, each with its own distribution
00:26and availability characteristics.
00:28Among these brand names, Cytotec is the most famous and original global brand.
00:33This drug is manufactured by Pfizer and is not produced locally in Egypt.
00:38Because it is unofficially imported, its price is volatile and the probability of it being
00:43counterfeit is high.
00:45The available local alternatives are Misotac and Misoprost.
00:49Misotac is manufactured by Sigma for pharmaceutical industries and is mainly distributed to government
00:54hospitals.
00:55Misoprost is produced by Chemifarma and its circulation is limited to official medical
01:01channels.
01:02Both local drugs are not sold in public pharmacies which makes them susceptible to counterfeiting
01:07on the black market.
01:09When using the medication, it is very important to ensure its effectiveness, especially since
01:15its distinguishing between genuine and counterfeit, is difficult without laboratory testing.
01:20The symptoms of the drug's effectiveness begin with a slight increase in temperature and
01:25chills within one to two hours of use.
01:28After that, uterine contractions similar but stronger than menstrual cramps appear within
01:33three hours.
01:34Finally, bleeding begins within four to six hours and becomes heavier with blood clots.
01:40If these symptoms do not appear, especially contractions and bleeding, but drug is likely to be counterfeit
01:47or expired, it should be known that the drug's success rate ranges between 85% and 90%, which
01:54means there is a natural failure rate of up to 15%.
01:58In case of failure, symptoms such as contractions and fever may appear without sufficient bleeding,
02:04which could lead to continued pregnancy or an incomplete miscarriage.
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02:13This content is for educational purposes and does not substitute for professional medical
02:17advice.
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