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Prostoglandins E

A dinoprostone (prostaglandin E2) vaginal insert that ripens the cervix before labour.

Clinical information

Common uses

  • cervical ripening at or near term before induction of labour

Common side effects

  • overly frequent contractions (uterine tachysystole)
  • fetal distress

Cautions

  • hospital use by trained obstetric staff only
  • not after a previous caesarean or uterine surgery
  • not with unexplained vaginal bleeding or fetal distress

Interactions

  • oxytocin — never together; remove insert 30 minutes before

Pregnancy: used at term to start labour, under hospital care

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, Cervidil (dinoprostone) vaginal insert label (Ferring), setid f3bc9031-0620-4a50-b440-f661cadfeb1d (accessed 2026-08-16)

Approved brands & formulations1

Brand nameDosage formStrengthImporterCategory
Prostoglandins EParenteral ( Injection )prostoglandin E1 0.5mg/ml in alcohol,prostoglandin E2 1mg/mlMFDA designated importers with Pre Authorization approval before importhospital
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