What are the instructions for doing a medical abortion with mifepristone and misoprostol?


  • How should I take Mifepristone and Misoprostol?

    These instructions are for a pregnancy that is up to 12 weeks (84 days), counting from the first day of the last menstrual period (LMP). The evidence suggests that mifepristone plus misoprostol are very safe and effective to 12 weeks. After 12 weeks, there is a higher chance of a complication and… Leggi di più »

  • What if I don’t take misoprostol after 24 hours?

    Misoprostol should be used approximately 24-48 hours after swallowing the mifepristone for best results.  However, research has shown that misoprostol can be used with success in the first trimester if taken from 8 hours up to 72 hours after mifepristone.  25 Leggi di più »

  • How should I use misoprostol after the mifepristone?

    Buccal use: 24h after using mifepristone women are advised to use misoprostol between the cheek and gums, let it dissolve and swallow the remains 30 minutes later. Women are advised to use the pills buccally (in the cheek) because the side effects (like nausea, vomiting, diarrhea, abdominal pain… Leggi di più »

  • What happens if I vomit after taking the pills?

    If a woman has a lot of nausea and is worried about vomiting up the pills, she can take a medicine that treats vomiting and nausea (called antiemetic medicine ) before she uses the medicines. It is advisable to either take domperidone or metaclopramide as these medicines won’t interfere with the… Leggi di più »

  • Can I use painkillers? When?

    Ibuprofen is the most effective painkiller to use during a medical abortion and does not have any influence on the abortion.  27,28, 29  Ibuprofen can be taken after or before using the misoprostol.  Acetaminophen (paracetamol) or NSAIDs such as naproxine can also be used but are less effective… Leggi di più »

  • Should I use antibiotics?

    To take an antibiotic as a prophylactic is not recommended. The risk of infection with medical abortion is very low (less than 1%).  1,30     Leggi di più »