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Prostaglandins in congenital heart disease—potential for confusion

Published online by Cambridge University Press:  19 August 2008

R. John Madar*
Affiliation:
Departments of Pharmacy, Freeman Hospital, Newcastle-upon-Tyne
Tim J.D. Donaldson
Affiliation:
Departments of Pharmacy, Freeman Hospital, Newcastle-upon-Tyne
Stewart Hunter
Affiliation:
Departments of and Paediatric Cardiology, Freeman Hospital, Newcastle-upon-Tyne
*
Dr. R. J. Madar, Dept of Paediatric Cardiology, Freeman Hospital, High Heaton, Newcastle-upon-Tyne NE7 7DN, UK. Tel. 44-91 284 3111; Fax. 44-91 213 2167.

Extract

the use of prostaglandians in maintaining the patency of the arterial duct in congenital heart disease is well established. Intravenous1-3 and ora12–4 administration has been used, although for acute use intravenous and possibly intraosseous5 routes are favored. Both prostaglandin E1 (alprostadil—ProstinVR: Upjohn)1,4 and prostaglandin E2 (dinoprostone—Prostin E2: Upjohn)2,3 are used for this purpose, although only prostaglandin E1 is licensed for this indication in the United Kingdom. Prostaglandin E1 costs approximately 8 times more than prostaglandin E2 (£56.96 versus £7.43 per vial).

Type
Experience and Comment
Copyright
Copyright © Cambridge University Press 1995

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References

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