Misoprostol (Cytotec®) for Dogs and Cats

Overview of Misoprostol for Dogs and Cats

Misoprostol, also known by the brand name Cytotec®, is used to prevent and treat stomach ulcers for dogs and cats. It can also be used to induce abortion in dogs with unwanted pregnancies.
Normally, the stomach produces gastric acid to assist in digestion. Under certain conditions, however, this acid can injure the lining (mucosa) of the stomach. The result can be stomach ulcers or erosions (“scratches”) in the stomach lining. Ulcers are also a common consequence of treatment with some drugs, especially NSAID drugs, such as aspirin.
When there is a risk of ulcer formation, there are a number of ways to heal the stomach or protect the lining. These anti-ulcer treatments can be classified as antacids (Maalox®), H2 blockers (Pepcid AC®), proton pump blockers (Prilosec®) and prostaglandin analogs, such as the drug misoprostol.
Misoprostol inhibits stomach acid secretions and has a protective effect on blood flow and the lining of the stomach wall.
Misoprostol is a prescription drug and can only be obtained from a veterinarian or by prescription from a veterinarian.
This drug is not approved for use in animals by the Food and Drug Administration but it is prescribed legally by veterinarians as an extra-label drug.

Misoprostol is used to prevent and treat stomach ulcers.
It is especially helpful in treating and preventing ulcers caused by the administration of non-steroidal anti-inflammatory drugs (NSAIDs).
It is also used to induce abortion. Therefore special care needs to be taken when used on breeding pets.
Some therapeutic benefit has been found when used to treat dogs with allergies or allergic dermatitis.

While generally safe and effective when prescribed by a veterinarian, misoprostol can cause side effects in some animals.
Misoprostol should not be used in animals with known hypersensitivity or allergy to the drug.
Misoprostol should not be used in pregnant animals, due to the potential for causing abortion.
Little information is available on the use of misoprostol in cats. For this reason, use in cats is not recommended.
Misoprostol may interact with other medications. Consult with your veterinarian to determine if other drugs your pet is receiving could interact with misoprostol. Such drugs include certain antacids.
The most commonly reported adverse effects are vomiting, diarrhea and abdominal pain.
Typically, adverse effects are transient and resolve quickly.
Pregnant women should be very careful when handling misoprostol as the drug can induce uterine contractions or labor.

Medication should never be administered without first consulting your veterinarian.
Please note – Misoprostol is dosed in micrograms, no milligrams.
Misoprostol is commonly dosed at 1 to 2 mcg per pound (2 to 5 mcg/kg) three to four times daily.
Give with food.
Pregnant women should avoid handling Misoprostol as it can cause miscarriage.
The duration of administration depends on the condition being treated, response to the medication and the development of any adverse effects. Be certain to complete the prescription unless specifically directed by your veterinarian. Even if your dog or cat feels better, the entire treatment plan should be completed to prevent relapse.