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Use of Misoprostol in Abortion, after Mifepristone

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I would like to ask how to use misotropol 200 mg ( 4 tablets) for abortion, should I take them vaginally or orally and after howw many hours from taking mifgestrone (200mg)

Category: OBGYN

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Category: Infertility Specialist
 26 Doctors Online

Thanks for writing to with your health concern.

There are various different regimens that exist for the use of abortion pills.
One common one is to take 2 pills of Misoprostol 24 hours after the pill of mifepristone ( vaginally ) and then 2 more ( orally ) after another 24 hours ( 48 hours after mifepristone ).

That said, I would hope you have consulted a doctor before pill intake.
The pregnancy must be confirmed and dated by a gynaecologist, as these pills work within a very narrow time frame.

Next, correct dosage and schedule of drugs must be taken.
A follow up scan after 15 days is a must, to ensure that abortion was complete.
IF these steps are not followed, risks such as incomplete abortion , uncontrolled vaginal bleeding, infection, undiagnosed ectopic pregnancy etc exist.
After intake of either mifepristone or misoprostol, bleeding with spotting can start anytime within 24 - 48 hours, heavy bleeding with cramps should be expected for a few days, and spotting can continue for 15 days.

Also, if you vomit the tablets within 4 hours of consumption, please repeat the dosage.
Try not to take painkillers unless pain / cramps are extreme, you can take a hot water bottle to bed.

Take care.
Please feel free to discuss further.

Patient replied :

I am in a country where abortion is prohibited, and we have only these four tablets of misoprostol, I checked on the net and found the highest successful abortion is when u use 800mg of misoprostol vaginally, do u think I should go for that, or do it gradually as per ur advice. If 4 pills vaginally ,shall we make it after 24 or 48 hours of the mipfristrone. Will bleeding be more in this case of 800mg all together, is it more effective

A warm welcome from Doctor Spring.

I have already explained the regimen and timings to you.
I strongly advocate against using them without consulting a doctor, you are placing yourself at great risk. There can be a lot of complications such as very heavy bleeding, there are more chances of infection, it can be extremely painful hampering your daily routine.

Hence i advise you to consult a specialist and then proceed. Its your life. That's why you have to be extremely careful.

Thanks again,
Doctor Spring

Dr. Aarti Vazirani
Category: Infertility Specialist
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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