Eclampsia is a common complication of preeclampsia patients and can be life-threatening for both the mother and the fetus. Hence, timely intervention and appropriate management of this detrimental condition are extremely crucial. Eclampsia is described as the occurrence of generalized convulsions in patients with preeclampsia. Magnesium sulfate (MgSO) is the drug of choice for treating and preventing eclampsia. This review aims to study and analyze the available literature on the pathogenesis of eclampsia, the pharmacology of MgSO, and its effectiveness in the management of eclampsia. Other proposed treatments and their comparative study with MgSO are also discussed. Additionally, we examine the data regarding the impact of eclampsia, its public health burden, and the cost-effectiveness of MgSO. One of the major drawbacks associated with the use of MgSO in low-income countries has been the cost of treatment and the lack of resources. We have analyzed the trials that have proposed alternate treatment regimens which could shape new guidelines to resolve these issues. For this review, we extensively studied abstract and full-text articles from multiple databases. This article discusses the pathophysiology of eclampsia, the pharmacology of MgSO, the issues surrounding eclampsia management, and how MgSO benefits these patients.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451518PMC
http://dx.doi.org/10.7759/cureus.17322DOI Listing

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