Product image of Methergin® (Methylergometrine Maleate) supplied by GNH India

Methergin®

Active Ingredient:
Methylergometrine Maleate
Origin:
EU

Methergin® (Methylergometrine Maleate)

Methylergometrine Maleate, the active ingredient in Methergin®, is an ergot alkaloid presented as an injectable solution for intramuscular, intravenous use. It is employed to prevent and treat postpartum hemorrhage and to manage uterine atony in women after delivery.

GNH India supplies Methergin® as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Essential Pharma Limited

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Indications & Clinical Uses

Methylergometrine Maleate acts as a uterotonic agent to address bleeding complications related to childbirth.

  • Postpartum hemorrhage (prevention): induces uterine contraction to reduce bleeding risk.
  • Postpartum hemorrhage (treatment): restores uterine tone to stop active bleeding.
  • Uterine atony: promotes smooth‑muscle contraction to achieve hemostasis.

How It Works

  • Methylergometrine Maleate acts as a partial agonist at serotonin (5‑HT2) and dopamine receptors in uterine smooth muscle, leading to increased intracellular calcium and sustained uterine contraction, thereby facilitating hemostasis after delivery.

Side Effects

Methylergometrine Maleate may cause a range of adverse reactions.

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Headache: transient cranial discomfort.
  • Hypertension: temporary rise in blood pressure.
  • Flushing: brief skin redness.

Serious or Rare Side Effects

  • Coronary vasospasm: severe chest pain requiring immediate care.
  • Myocardial ischemia: reduced heart blood flow.
  • Pulmonary edema: fluid accumulation in lungs.
  • Seizures: convulsive episodes.
  • Anaphylaxis: life‑threatening allergic reaction.

Precautions & Warnings

Methergin® requires careful consideration of patient health status before use.

  • Pregnancy: limit use to postpartum period; avoid during active pregnancy unless benefits outweigh risks.
  • Breastfeeding: exercise caution as the drug may be excreted in milk.
  • Cardiovascular disease: contraindicated in uncontrolled hypertension or coronary artery disease.
  • Drug interactions: monitor when combined with vasoconstrictors or antihypertensives.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Methylergometrine Maleate can interact with several medication classes.

Major Interactions (Avoid)

  • Potent vasoconstrictors (e.g., ergotamine): risk of severe vasospasm.
  • Monoamine oxidase inhibitors: potential hypertensive crisis.
  • Other ergot alkaloids: additive uterine contraction effects.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: may blunt blood‑pressure lowering.
  • Beta‑blockers: possible enhanced bradycardia.
  • Serotonergic drugs: risk of serotonin syndrome.

Frequently Asked Questions

Methergin® is used primarily to prevent and treat postpartum hemorrhage and to manage uterine atony after delivery. By stimulating strong uterine contractions, it helps reduce excessive bleeding and supports the return of the uterus to its normal size.

Methylergometrine maleate acts as a partial agonist at serotonin (5‑HT2) and dopamine receptors in the uterine smooth muscle. This activation raises intracellular calcium levels, leading to sustained uterine contraction, which promotes clot formation and reduces postpartum bleeding.

The specific dose of Methergin® is determined by the prescribing clinician based on the patient’s condition, weight, and response. Dosing regimens are individualized and should follow local clinical guidelines and the prescriber’s judgment.

Methergin® is intended for use after delivery; it is not recommended during active pregnancy. While limited data exist on excretion in breast milk, caution is advised for breastfeeding mothers, and the benefits should be weighed against potential risks.

To order Methergin®, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed), and import documentation.

The most common alternative uterotonic is oxytocin, which also induces uterine contraction but via oxytocin receptors. Methylergometrine maleate provides a longer‑lasting contraction and is useful when oxytocin alone is insufficient, though it carries a higher risk of hypertension and vasospasm.

Methergin® should be stored below 25 °C, in its original packaging, and protected from moisture. Keep the vial out of direct sunlight and avoid freezing. Follow standard aseptic techniques when preparing for intramuscular or intravenous administration.

Methergin® is administered by a healthcare professional via intramuscular or intravenous injection. The route, injection site, and rate of administration are determined by the clinician according to the clinical situation and patient response.

Serious risks include coronary vasospasm, severe hypertension, myocardial ischemia, pulmonary edema, seizures, and anaphylactic reactions. Immediate medical attention is required if any of these symptoms develop during or after administration.

Methergin® is contraindicated in patients with uncontrolled hypertension, known coronary artery disease, severe liver or kidney impairment, and in those with a history of hypersensitivity to ergot alkaloids. It should also be avoided in women who are still pregnant.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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