Prophylactic treatment for the control of post partum haemorrhage:
Carboprost Tromethamine (Endoprost) at a dose equivalent to 125 mcg-250 mcg should be given intramuscularly at the delivery of the anterior shoulder of fetus.
Refractory Post Partum Haemorrhage:
Carboprost Tromethamine (Endoprost) as a dose equivalent to 250 mcg should be given by deep intramuscular injection at interval of about 90 minutes. The interval may be reduced if necessary but should not be less than 15 minutes. The total dose should not exceed 2000 mcg (8 vials of 250 mcg).