7.

Drugs used in Obstetrics, Gynaecology and Urinary Tract Disorders

7.1 Drugs used in obstetrics

7.1.1 Prostaglandins and oxytocics

carboprost (obs & gynae only)

dinoprostone (PG E2) (obs & gynae and neonatology only)
ergometrine maleate (obs & gynae only)
misoprostol (obs & gynae only)
oxytocin (obs & gynae only)
oxytocin with ergometrine (obs & gynae only)

7.1.1.1 Ductus arteriosus

alprostadil (Neonatal directorate only)

indometacin (Neonatal directorate only)

7.1.2 Mifepristone

mifepristone

7.1.3 Myometrial relaxants

ritodrine (see BNF caution)

salbutamol (iv only)
terbutaline (iv only)

7.2 Treatment of vaginal and vulval conditions

7.2.1 Preparations for vaginal atrophy

estriol (Ortho-Gynest)
estrogens, conjugated (Premarin cream)

7.2.2 Anti-infective drugs

acetic acid (Aci-Jel)

clotrimazole
econazole
miconozole
nystatin
povidone-iodine (Betadine pessaries)
sulphonamides, mixed (Sultrin cream)
For oral antifungal preps, see 5.2

7.3 Contraceptives
7.3.1 Combined oral preps
-20 microgram
-30 microgram

Mercilon
Microgynon 30
Cilest

Emergency contraception
7.3.2 Progestogen-only contraceptives

Levonelle 1500

7.3.2.1 Oral progestogen-only contraceptives

norethisterone (Micronor, Noriday)

7.3.2.2 Parenteral progestogen-only contraceptives

medroxyprogesterone acetate (Depo-Provera)

Implanon (only following termination)

7.4 Drugs for genitor urinary disorders

7.4.1 Drugs for urinary retention

bethanecol (Obs & Gynae and Urology only)

carbachol (Obs & Gynae and Urology only)
distigmine (Obs & Gynae and Urology only)
tamsulosin MR (Urology only)

For other alpha blockers see 2.5.4

7.4.2 Drugs for urinary frequency, enuresis and
incontinence

duloxetine (Obs & Gynae and Urology only)

flavoxate
oxybutynin
propantheline
tolterodine including MR (Elderly care and Urology only - second line use
for patients intolerant of oxybutynin)

trospium (second line use only - for patients intolerant of oxybutynin)

solifenacin (third line use for prescribing by urology and gynaecology
consultants only)

potassium citrate
7.4.3 Drugs used in urological pain
7.4.4 Bladder instillations and urological surgery

Maintenance of indwelling urinary catheters

7.4.5 Drugs for impotence

sodium hyaluronate bladder instillation (Urology only)

chlorhexidine
glycine
sodium chloride 0.9%
Solution G
alprostadil (Urology consultants only)
papaverine (Urology consultants only)
phentolamine (Urology consultants only)
sildenafil (Urology consultants only)
tadalafil (Urology consultants only)
yohimbine (Urology consultants only)