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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can MTP Kit Cause Vomiting And Weakness?

Hi Im 32 years with 70 kg. I took mtp kit 3 days back and bleeding has been just for one day now bleeding is not there but feeling very weak and continously vomiting tendency, nothing like to eat or drink and also feeling vertigo tendency please suggest
Fri, 15 Apr 2016
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General & Family Physician 's  Response
Hi,
Thanks for the query. I understand your question.
MTP kit has two type of medicines Out of then Mifepristone is to be taken on day one followed by 2 pills of Misoprostol vaginally/ orally after 48 hours. failing any response 2 more pills are to be repeated after 24 hours.
* Have you followed the same way.. if there is no bleeding after 3 days of the course, you need consultation of a gynecologist & exclude extrauterine pregnancy.
* The vomiting feeling you have may come from gastric irritation by the high dose pills taken on an empty stomach. & weakness & vertigo follows the vomiting./ May be due exaggerated pregnancy symptoms OR unaffected tubal pregnancy.
** In all you do need an urgent consultation of a gynecologist . get examined/ USG scanning will help in confirming her findings & diagnosis.
This will follow specific management for the diagnosis.
Thanks,

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OBGYN Dr. Nishikant Shrotri's  Response
Hallow Dear,

I hope you have taken MTP kit tablets by Gynaecologist's advice since inadvertent use of these medicines may cause failure.

Since you had just a little bleeding for one day which has stopped, the possibilities are:

1. You have aborted completely : The bleeding might have passed white clot (tissue) if you have aborted. If so, you need not worry.
2. The medicines might have failed to terminate the pregnancy.
3. You could have aborted incompletely: This possibility is very remote one since incomplete abortion bleeding would not stop.

Ultrasonography will clarify the situation.

If the medicines have failed., you have two options:
1. Repeat the MTP kit for one more time with the advice of a Gynaecologist only. If this also fails or if it is incomplete abortion or else:
2. Go for surgical evacuation of the uterus by MVA aspiration or other technique.

These medicines cause developmental abnormalities of the baby; hence if they fail to abort, pregnancy should not be continued. It should then be terminated in either of the methods mentioned above.

MTP kit medicines - Mifepristone and Misoprostol do cause gastrointestinal disturbance and vomiting. However, nausea and vomiting due to continuation of pregnancy also may be considered. Pantoprazole and Dramamine will give you relief if nausea and vomiting is quite unbearable.

However, your priority should be ultrasonography to find out the status of the pregnancy before you take any action or decision.

I hope this gives you message.

Dr. Nishikant Shrotri
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Can MTP Kit Cause Vomiting And Weakness?

Hi, Thanks for the query. I understand your question. MTP kit has two type of medicines Out of then Mifepristone is to be taken on day one followed by 2 pills of Misoprostol vaginally/ orally after 48 hours. failing any response 2 more pills are to be repeated after 24 hours. * Have you followed the same way.. if there is no bleeding after 3 days of the course, you need consultation of a gynecologist & exclude extrauterine pregnancy. * The vomiting feeling you have may come from gastric irritation by the high dose pills taken on an empty stomach. & weakness & vertigo follows the vomiting./ May be due exaggerated pregnancy symptoms OR unaffected tubal pregnancy. ** In all you do need an urgent consultation of a gynecologist . get examined/ USG scanning will help in confirming her findings & diagnosis. This will follow specific management for the diagnosis. Thanks,