Epidocin (Valethemate Bromide)
Primary Indication
Epidocin is used to accelerate cervical dilatation during labor, thereby shortening the first stage of labor in both primigravidas and multiparous women. 1
Mechanism and Clinical Application
Valethemate bromide (marketed as Injection Epidosin) functions as an antispasmodic agent that facilitates cervical dilatation during uncomplicated labor. 1
Evidence for Efficacy
- A study of 500 patients (250 primigravidas and 250 multiparas) demonstrated that Epidosin significantly reduced the duration of the first stage of labor in both groups without major side effects. 1
- The medication can be safely administered under nursing staff supervision during active labor. 1
Patient Selection
Appropriate Candidates
- Primigravidas experiencing uncomplicated labor 1
- Multiparous women with uncomplicated labor 1
- Patients with cervical dystocia that may prolong labor and adversely affect fetomaternal wellbeing 1
Clinical Context
The importance of addressing cervical dystocia is critical, as prolonged labor can negatively impact both maternal and fetal outcomes. 1
Administration Considerations
- The medication is administered as an injection during active labor 1
- Supervision by nursing staff is required during administration 1
- The drug is specifically indicated for uncomplicated labor scenarios 1
Safety Profile
The available evidence indicates that Epidosin can be used safely without major side effects when administered appropriately in the labor setting. 1 However, its use should be restricted to uncomplicated labor cases under proper medical supervision. 1