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Should The Dosage Of Cytolog Be Repeated After Vomiting?

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Posted on Thu, 12 Feb 2015
Question: My wife is 4 weeks 4 days pregnant and we wanted to terminate it by medical abortion. As per doctor's suggestion took mefigest 200mg yesterday and cytolog 4 tablets today after breakfast soon after that she vomited (within 15mins) now it's been 6 hours and bleeding is minimal. Should we go for a second dose of cytolog if it doesn't bleed? Please suggest.
doctor
Answered by Dr. Aarti Abraham (48 minutes later)
Brief Answer:
Yes, dose should be repeated.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
If you vomit within 4 hours of taking the tablets, the dosage needs to be repeated .
Has the abortion been conducted under medical guidance ?
Was an ultrasound scan done before starting the tablets ?
ALso, yes you should take the second dose of Cytolog, irrespective of whether she bleeds or not, as there is a risk of incomplete abortion.
Do not take all 4 tablets together - there is high chance of vomiting.
Take 2 tablets first ( vaginally if orally is difficult ) then 2 more tablets after 12 hours.
Do NOT self conduct this procedure as there are life threatening risks such as uncontrolled bleeding, infection, failed abortion , undiagnosed ectopic pregnancy etc.
All the best.
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (10 minutes later)
Thank you for the response . Abortion process was conducted under medical assistance ..scan was done one day before
doctor
Answered by Dr. Aarti Abraham (7 minutes later)
Brief Answer:
Yes, please repeat dosage.

Detailed Answer:
Yes, then please repeat the dosage of Misoprostol, as if you do not take it, there are chances of incomplete abortion or failed abortion.
Take care.
After taking the tablets, bleeding will ensue within 24 - 48 hours anytime.
It should be heavy ( like a heavy menstrual period ) , with cramps and passage of blood clots or white / gray fleshy mass.
It can last for a few days, and then spotting can continue upto 2 weeks.
A follow up ultrasound scan is a must after 15 days to ensure that the process was complete.
After the abortion, contraception ( birth control ) should be used consistently.
Take care.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Should The Dosage Of Cytolog Be Repeated After Vomiting?

Brief Answer: Yes, dose should be repeated. Detailed Answer: Hello Thanks for writing to us with your health concern. If you vomit within 4 hours of taking the tablets, the dosage needs to be repeated . Has the abortion been conducted under medical guidance ? Was an ultrasound scan done before starting the tablets ? ALso, yes you should take the second dose of Cytolog, irrespective of whether she bleeds or not, as there is a risk of incomplete abortion. Do not take all 4 tablets together - there is high chance of vomiting. Take 2 tablets first ( vaginally if orally is difficult ) then 2 more tablets after 12 hours. Do NOT self conduct this procedure as there are life threatening risks such as uncontrolled bleeding, infection, failed abortion , undiagnosed ectopic pregnancy etc. All the best. Please feel free to discuss further.