Rectal cytotec is the new methergin! It can be given both after a vaginal delivery or C/S for the treatment of PPH when pitocin isn't enough. Methergin has the side effect of increasing blood pressure and hemobate has side effects to terrible to even mention
High dose pitocin is the first drug of choice for PPH, but when that is not enough rectal cytotec usually does the trick. Cytotec for the induction of labor is 25-50mcg, however rectal cytotec for PPH is 400-800mcg. It is very effective!