{ "schema_version": 1, "kind": "condition", "id": "miscarriage", "name": "Miscarriage", "category": "chronic", "sources": "Early Pregnancy Loss (Spontaneous Abortion) - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK560521/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD65 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · MSF Medical Guidelines, PARACETAMOL = ACETAMINOPHEN oral", "review_status": "reviewed", "verified_against": "No dose - referral pathway, no medicine given in primary care · Miscarriage - disease-level clinical article (miscarriage-clinical.txt)", "verified_date": "2026-08", "treatments": [ { "id": 1171, "generic": "No drug therapy in primary care (Referral & Advice)", "line": 1, "is_adjunct": false, "form": null, "strength_mg": null, "adult_dose": "Miscarriage is a common pregnancy complication; the GP recognises the presentation (bleeding, cramping, passage of tissue) and refers for ultrasound confirmation and management, which may be expectant, medical, or surgical.", "adult_duration": "Refer, with advice", "dose_source": "No dose - referral pathway, no medicine given in primary care", "rationale": "Miscarriage is a common pregnancy complication; the GP recognises the presentation (bleeding, cramping, passage of tissue) and refers for ultrasound confirmation and management, which may be expectant, medical, or surgical.", "cautions": [ "Heavy bleeding with haemodynamic instability, or signs of infection (fever, foul discharge) after a miscarriage, need emergency referral.", "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.", "RED FLAG - Tell the patient to seek care straight away if the bleeding soaks 1 to 2 pads an hour and keeps up at that rate for 2 hours, if over-the-counter painkillers are not controlling the pain, or if fever, dizziness or light-headedness develops." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [], "condition_id": "miscarriage" }, { "id": 1172, "generic": "Paracetamol", "line": 1, "is_adjunct": true, "form": "oral.solid", "strength_mg": 500.0, "adult_dose": "1 g three or four times a day, never more than 4 g in a day", "adult_duration": null, "dose_source": "MSF Medical Guidelines, PARACETAMOL = ACETAMINOPHEN oral - verbatim: \"Adult: 1 g 3 or 4 times daily (max. 4 g daily)\"", "rationale": "The card sends the woman on for assessment but offers her nothing for the cramping in the meantime, which can be considerable. Paracetamol is the safest analgesic to hand her, costs almost nothing, and does not affect bleeding.", "cautions": [ "Never exceed the daily maximum; overdose damages the liver badly and the early symptoms are mild enough to be missed.", "Check what else she is taking - many Egyptian cold, flu and painkiller boxes already contain paracetamol, and the doses add up.", "Use a lower daily total in a woman with liver disease or who drinks heavily.", "Pain that is severe, one-sided, or comes with shoulder-tip pain, fainting or heavy bleeding is not a job for analgesia - it needs urgent assessment for ectopic pregnancy or haemorrhage." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Not applicable - adults only.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "FEBRIMOL 500 MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 3.5, "pack_count": 20, "unit_price": 0.17, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CETAMOL 500 MG 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MEMPHIS", "price_egp": 8.0, "pack_count": 20, "unit_price": 0.4, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "PARACETAMOL-MUP 500MG B.P. 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MUP", "price_egp": 13.0, "pack_count": 20, "unit_price": 0.65, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CETAL 500 MG 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EIPICO", "price_egp": 24.0, "pack_count": 20, "unit_price": 1.2, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ARKADOLOW 500 MG 30 F.C. TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "UTOPIA", "price_egp": 42.0, "pack_count": 30, "unit_price": 1.4, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "PARAMOL 500MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 38.0, "pack_count": 20, "unit_price": 1.9, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ADOL 500MG 24 CAPLETS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "JULPHAR", "price_egp": 32.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "AUGICETAMIDE 500 MG 20 SACHETS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "AUG PHARMA", "price_egp": 50.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "FEBRIMOL ORAL DROPS 20 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 4.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null }, { "trade_name": "THERA-LO 3.2G/100ML ORAL SUSP. 100 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 5.0, "pack_count": null, "unit_price": null, "strength_mg": 3200.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null } ], "condition_id": "miscarriage" } ] }