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Suggest Dosage Of Mifepristone And Misoprostol To Avoid Pregnancy

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Posted on Thu, 12 Feb 2015
Question: I am 9 weeks pregnant. How to use (a kare) combipack of mifepristone 200 mg and 4 misoprostol 200 mcg tablets to avoid pregnancy. Please reply soon its urgent. I had sex on 25th october and took i pill on 26th. but it seems it didn't work. Now they told me to swallow mifepristone in empty stomach with black tea and swallow others tablets in the duration of 12 hours. please suggest if any other means or correct means to take the tablets or if i have to change the tablets also. I can't go for surgical.
doctor
Answered by Dr. Manisha Jain (11 minutes later)
Brief Answer:
kit available only on prescription

Detailed Answer:
Hello mam, thanks for trusting health care magic.
Firstly I would like to suggest you that it is not safe to take the MTP pill yourself without consulting a gynecologist.
At most places it is not an over the counter drug and is available only on prescription but if you already have prescription and procured the kit then it has a specific pattern of intake
Kit consists of one large tablet to be taken at once and then after 48 hours of that take the rest of the tablets In kit which are four in number.
After taking full kit, abortion occurs anytime between 6 hours to 5 days.
But in few patients there can be an incomplete abortion or excessive bleeding per vaginum and in that case you have to visit a gynecologist.
I hope I have answered your question but in case you have other questions I will be happy to help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (10 minutes later)
Thankyou for you prompt response doctor....

I already have the kit.Please tell me the procedure. i have my family with me. but can't go outside right now. Should i swallowed the mifepristone right now or in the morning in empty stomach with black tea. what about the other four tablets. how to take them . time interval and whether to take orally or vaginally.
doctor
Answered by Dr. Manisha Jain (3 minutes later)
Brief Answer:
take them with interval of 48 hours

Detailed Answer:
Take mifepristone orally just now as no relation with empty stomach and black tea.
Then after 48 hours take rest four tablets vaginally and then rest in bed for an hour or so so that vagina absorbs the drug properly.
Hope everything will be fine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (13 minutes later)
Thankyou very much Mam.... I will take everything according to you. But is it possible if i swallow the rest of the 4 tablets or keep it in mouth under the tongue. What is the difference in result if I take it Vaginally or swallow it. Also can I take brufen for pain..... And how I will get sure about the abortion.
doctor
Answered by Dr. Manisha Jain (30 minutes later)
Brief Answer:
vaginal is better

Detailed Answer:
Yes they can be taken by mouth.
Benefits of vaginal is better site specific delivery and avoids nausea vomiting to some extent as compared to oral route.
Yes brufen can be taken for pain.
Passage of piece of flesh and decrease in amount of active bleeding is indirect evidence of complete abortion but definite when uterus is seen empty in a scan done after 15 days of abortion.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (23 days later)
Hi XXXXXXX Mam. How r U. Hope u r doing good. Thanks for your valuable answers.
My question is after taking all medication all went like you said. For 4 days I bleed and Passage of piece of flesh came out. After some days bleeding also decreased and stopped. But after few days it again started. Although it is little like 4 5 drops a day. But still it continues. Is there any problem?? I didn't have any side effects like fever and vomiting.'Please suggest whether i have to take any medicine or antibiotics (Suggest name Please). For how many days i will bleed. And when will my next period begin. And when can i have sex again???
doctor
Answered by Dr. Manisha Jain (4 hours later)
Brief Answer:
tablet misoprostol advised

Detailed Answer:
It is most likely due to some left over products of conception inside uterus.
So take tablet misoprostol 400 mg tomorrow morning and then there will be some bleeding and pain in lower abdomen for a day or two.
After that also in case you keep on bleeding (though unlikely) then get an ultrasound done and in in that case you may need to visit a gynecologist for completion of evacuation process.
You can resume your sexual activity once you stop bleeding.
And this time use proper protection and have safe sex.
All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (2 days later)
Please suggest how to take misoprostol. orally or vaginally. Although i don't want to take it again because of the bleeding and pain.Although i do not bleed whole day. it happened when i getup after some hours. And one more thing, that i use to exercise and I exercised with jumping rope few days back and bleeding started after that. i immediately stopped exercise. And what about the antibiotics whether it is necessary to take them. if yes pl suggest the name. And when will my next normal period begin?????????????
doctor
Answered by Dr. Manisha Jain (2 hours later)
Brief Answer:
Take misoprostol as advised

Detailed Answer:
Hello dear,

Don't be so anxious.

Full evacuation of uterus is very important otherwise this irregular spotting might confuse you about your periodic cycle and thus you may get irregular periods along with chronic infection and pain.

Take misoprostol as advised and preferably vaginally but in case you are hesitant then take it sublingually.

There is no need of antibiotics as yet.

You can carry on with exercise as per your previous schedule and calibre as it has no much effect on the abortion process.

Hope for the best.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Manisha Jain (2 days later)
hello mam...
i was abt to take the medicine misoprostal as you advised but from yesterday i am having heavy bleeding with spotting also... it seems like periods but there is also spotting. if it is my normal period whether i should still take the misoprostol (vaginally). when will all this end????whether it will cause any side effects. please suggest further course of action...

thanks reply soon please
doctor
Answered by Dr. Manisha Jain (11 hours later)
Brief Answer:
take misoprostol

Detailed Answer:
Take the tablet misoprostol as advised and along with that take tablet tranexemic acid 500 mg thrice a day for 3 days and you will be relieved of bleeding episode.
From next cycle onwards start oral pills so that you have good contraception and thus relieved from unwanted pregnancy.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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Suggest Dosage Of Mifepristone And Misoprostol To Avoid Pregnancy

Brief Answer: kit available only on prescription Detailed Answer: Hello mam, thanks for trusting health care magic. Firstly I would like to suggest you that it is not safe to take the MTP pill yourself without consulting a gynecologist. At most places it is not an over the counter drug and is available only on prescription but if you already have prescription and procured the kit then it has a specific pattern of intake Kit consists of one large tablet to be taken at once and then after 48 hours of that take the rest of the tablets In kit which are four in number. After taking full kit, abortion occurs anytime between 6 hours to 5 days. But in few patients there can be an incomplete abortion or excessive bleeding per vaginum and in that case you have to visit a gynecologist. I hope I have answered your question but in case you have other questions I will be happy to help.