Labor and delivery:

Indications for PREPIDIL:

Ripening an unfavorable cervix in pregnant women at or near term.


See full labeling.


Not applicable.


Where oxytocics or prolonged uterine contractions are inappropriate, including: history of cesarean section, major uterine surgery, presence of cephalopelvic disproportion, difficult labor, traumatic delivery, 6 or more previous term pregnancies, nonvertex presentation, hyperactive or hypertonic uterine patterns, fetal distress where delivery is not imminent. Ruptured membranes. Placenta previa or unexplained vaginal bleeding. When vaginal delivery is not indicated. Concomitant oxytocics.


For hospital use only when immediate intensive care and acute surgical facilities can be provided. Avoid contact with skin. Monitor uterine activity, fetal status, cervix. History of/or asthma. Glaucoma or increased intraocular pressure. If hypersensitivity reaction is suspected, remove Prepidil gel if possible. Renal or hepatic dysfunction. Pregnancy (Cat.C).

Pharmacologic Class:

PGE2 oxytocic.


Potentiates oxytocics. Oxytocin: a dosing interval of 6–12hrs is needed, if used following Prepidil administration.

Adverse Reactions:

Maternal: Uterine rupture, uterine contraction abnormality, GI upset, back pain, warm feeling in vagina, fever, premature rupture of membranes. Fetal: Heart rate abnormality, fetal depression, fetal acidosis. Amnionitis and intrauterine fetal sepsis associated with extra-intrauterine administration.

How Supplied:

Prefilled-syringe applicator (w. catheters)—5