If you are still pregnant, your healthcare provider will talk with you about a surgical procedure to end your pregnancy. The chance of birth defects if the pregnancy is not ended is unknown. Talk with your healthcare provider.
Before you take Mifeprex, you should read this Medication Guide and you and your healthcare provider should discuss the benefits and risks of your using Mifeprex. Mifeprex is used in a regimen with another prescription medicine called misoprostol, to end an early pregnancy.
Early pregnancy means it is 70 days 10 weeks or less since your last menstrual period began. Mifeprex is not approved for ending pregnancies that are further along. Mifeprex blocks a hormone needed for your pregnancy to continue.
When you use Mifeprex on Day 1, you also need to take another medicine called misoprostol 24 to 48 hours after you take Mifeprex, to cause the pregnancy to be passed from your uterus. The pregnancy is likely to be passed from your uterus within 2 to 24 hours after taking Mifeprex and misoprostol. When the pregnancy is passed from the uterus, you will have bleeding and cramping that will likely be heavier than your usual period.
About 2 to 7 out of women taking Mifeprex will need a surgical procedure because the pregnancy did not completely pass from the uterus or to stop bleeding. Who should not take Mifeprex? Some women should not take Mifeprex. Do not take Mifeprex if you: Your healthcare provider may do a clinical examination, an ultrasound examination, or other testing to determine how far along you are in pregnancy.
It must be taken out before you take Mifeprex. Ask your healthcare provider if you are not sure about all your medical conditions before taking this medicine to find out if you can take Mifeprex. What should I tell my healthcare provider before taking Mifeprex? Before you take Mifeprex, tell your healthcare provider if you: Mifeprex can pass into your breast milk. The effect of the Mifeprex and misoprostol regimen on the breastfed infant or on milk production is unknown.
Mifeprex and certain other medicines may affect each other if they are used together. This can cause side effects. How should I take Mifeprex? Follow the instruction below on how to take Mifeprex and misoprostol: Take 1 Mifeprex tablet by mouth. Your healthcare provider will either give you or prescribe for you 4 misoprostol tablets to take 24 to 48 hours later. Place 2 misoprostol tablets in each cheek pouch the area between your teeth and cheek — see Figure A for 30 minutes and then swallow anything left over with a drink of water or another liquid.
The medicines may not work as well if you take misoprostol sooner than 24 hours after Mifeprex or later than 48 hours after Mifeprex. Misoprostol often causes cramps, nausea, diarrhea, and other symptoms. Your healthcare provider may send you home with medicines for these symptoms. Figure A 2 tablets between your left cheek and gum and 2 tablets between your right cheek and gum. Follow-up Assessment at Day 7 to You must follow-up with your healthcare provider about 7 to 14 days after you have taken Mifeprex to be sure you are well and that you have had bleeding and the pregnancy has passed from your uterus.
If your pregnancy continues, the chance that there may be birth defects is unknown. When should I begin birth control? You can become pregnant again right after your pregnancy ends. If you do not want to become pregnant again, start using birth control as soon as your pregnancy ends or before you start having sexual intercourse again.
What should I avoid while taking Mifeprex and misoprostol? Do not take any other prescription or over-the-counter medicines including herbal medicines or supplements at any time during the treatment period without first asking your healthcare provider about them because they may interfere with the treatment.
Ask your healthcare provider about what medicines you can take for pain and other side effects. What are the possible side effects of Mifeprex and misoprostol? Mifeprex may cause serious side effects. Cramping and vaginal bleeding are expected with this treatment. Usually, these symptoms mean that the treatment is working. But sometimes you can get cramping and bleeding and still be pregnant. This is why you must follow-up with your healthcare provider approximately 7 to 14 days after taking Mifeprex.
If you are not already bleeding after taking Mifeprex, you probably will begin to bleed once you take misoprostol, the medicine you take 24 to 48 hours after Mifeprex.
Bleeding or spotting can be expected for an average of 9 to16 days and may last for up to 30 days. Your bleeding may be similar to, or greater than, a normal heavy period. You may see blood clots and tissue. This is an expected part of passing the pregnancy. If possible, it is good to have 8 Misoprostol pills total 4 extra just in case you need them. If the pills you are getting have different dosages of mg and mcg, you will need to recalculate so you can get and use the correct amount of medication.
If you have any questions or something is not clear to you, please do not hesitate to contact us. We are here to support you throughout your abortion process. How to use Mifepristone and Misoprostol? Swallow the Mifepristone pill with water. If you throw up in the first hour 60 minutes after swallowing Mifepristone, it is likely that the pill will not work.
Wait hours after swallowing Mifepristone. You may choose to wait 24 hours, 48 hours, or anywhere inbetween this time frame. There is no difference in regards to the effectivity, so you may choose within that time frame what is most convenient for you. Take mg of Ibuprofen 1 hour before using Misoprostol. This step is not required, but we highly recommend it.
Ibuprofen will reduce the intensity of the cramps and help you manage the possible side effects of Misoprostol such as headache, fever and chills. Place 4 Misoprostol pills under your tongue sublingual. It is very important that the pills remain under your tongue for 30 minutes. In these 30 minutes the pills will be absorbing into your system. After 30 minutes you may drink water to wash down what remains of the pills.
If you vomit during the 30 minutes that the Misoprostol pills are under your tongue, it is likely they will not work. In this case, it is necessary to immediately repeat step 4.
If you vomit after the pills have been under your tongue for 30 minutes, there is no need to repeat step 4 as the pills have already absorbed into your system. If 3 hours have passed since you used Misoprostol and you have not had any bleeding or the bleeding has been lighter than your normal period, the best thing to do is use more misoprostol. You do not need to use extra Misoprostol pills if you started bleeding like your period or more within 3 hours after using the first 4 pills.
Place 2 pills of Misoprostol under your tongue. They must remain there for 30 minutes.
This is an expected part of passing the pregnancy. The most common side effects of Mifeprex treatment include: The two dose groups did not differ significantly on any of these baseline characteristics. The misoprostol of mifepristone was not related to the occurrence of side effects. Contact us Thank you for visiting our website. Mifeprex blocks a hormone needed for your pregnancy to continue. Your healthcare provider may send you home with medicines for these symptoms. What should I tell my healthcare provider before taking Mifeprex? Take this Medication Guide with you. How to use Mifepristone and Misoprostol? Mifepristone addition, women could not participate in the study if they were heavy smokers defined as having smoked 10 or more cigarettes per day over the prior two yearswere using an IUD, were breastfeeding or had a known or suspected ectopic pregnancy. What is the most important information I should know about Mifeprex? A total of 1, dose of misoprostol and mifepristone, women were randomly assigned to one of two treatment regimens. Counsel patients to seek immediate medical attention if they experience prolonged heavy and bleeding following a medical abortion.
© Copyright 2017 Dose of misoprostol and mifepristone :: – History of allergy to mifepristone, misoprostol, or other prostaglandins (allergic reactions including anaphylaxis, angioedema, rash, hives including waiting, taking another dose of misoprostol, or having a surgical procedure to empty your uterus. When should I ..