Emergency Drugs · Ergot alkaloid uterotonic
Methylergometrine
Dose
200 mcg IM (or slow IV in emergency), repeat q2–4 h, max 5 doses.
Use
Second-line uterotonic for atonic PPH.
Monitoring
BP before each dose — contraindicated in hypertension/pre-eclampsia.
Side effects
- • Hypertension
- • Vomiting
- • Coronary vasospasm
- • Headache
Always confirm dose against your local formulary / BNF before prescribing.
