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Suggest Dosage For Mifepristone And Misoprostol

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Posted on Thu, 24 Nov 2016
Question: Hi... my wife has taken mifepristone yesterday night at 8pm IST.. today she has taken two tab of misoprostol....

Post taking mifepristone... after 24hrs gap 2 misoprostol tablet has taken.... then after bleeding started with some stomach and back pain.... is it necessary to take 2 more misoprostol tab which are there in Festone Combi KIT... if yes then what time duration to take those remaining 2 misoprostol tabs.... what medicine to take to control pain... in what situation to visit doctor....
doctor
Answered by Dr. Zenab Tambawala (45 minutes later)
Brief Answer:
Not required

Detailed Answer:
Hi there,
Welcome to HCM,

If after 2 pills of misoprost bleeding has started then no need to worry. The process has started and will be complete soon.

The bleeding will be like a heavy period.

The pain should subside by itself in a couple of hours. No medicine is required.

If bleeding or pain is in excess such that she feels giddy or very weak then see the doctor.

Also see the doctor after 1 weeks to access if the process is complete.

Hope this helps.
Regards.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Zenab Tambawala (51 minutes later)
she bleeding like very heavy period.... how long she will bleed like this.... and there are 2 more misoprostol tab remained in Festone kit... is she need to take those 2 tabs as well.... what are the homeredemies to control the bleeding since there is no doctors nearby now at 3.15am... need urgent reply...
doctor
Answered by Dr. Zenab Tambawala (10 hours later)
Brief Answer:
Hi

Detailed Answer:
Hi,

This is common that after the misoprostol the bleeding is very heavy for 2 days.

But if she is feeling very giddy or if having to use more than 6-7 sanitary napkins per day she needs to be checked by a gynecologist.

If not her bleeding will subside itself.
She can take Mefenemic acid 500mg (Ponstan) for pain.

Its not advisable to take any other medications to decrease the bleeding.

Do not take any more misoprostol as bleeding is already heavy.

Hope this helps.
Regards.





Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
Answered by
Dr.
Dr. Zenab Tambawala

OBGYN

Practicing since :2005

Answered : 837 Questions

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Suggest Dosage For Mifepristone And Misoprostol

Brief Answer: Not required Detailed Answer: Hi there, Welcome to HCM, If after 2 pills of misoprost bleeding has started then no need to worry. The process has started and will be complete soon. The bleeding will be like a heavy period. The pain should subside by itself in a couple of hours. No medicine is required. If bleeding or pain is in excess such that she feels giddy or very weak then see the doctor. Also see the doctor after 1 weeks to access if the process is complete. Hope this helps. Regards.