Mifepristone & Misoprostol Combination Protocol

​

Please note that we provide free consultations by email, contact us.

 

First day:
Swallow one 200mg mifepristone pill. (Mifepristone is the larger pill in the kit or bag.)  

​

36-48 hours later:
Misoprostol is not swallowed. You may put the pills inside your cheeks or under your tongue (whichever method you prefer). Hold them there for 30 minutes without swallowing while your body absorbs the medicine. Then swallow the pills with a drink.

• 8 weeks or less: If your period was 8 weeks or less ago, just use 4 of the 200mcg misoprostol pills. 

• If your period was over 8 weeks, put a second dose in your mouth 4 hours later. 

• More than 11 weeks: If your period was more than 11 weeks ago, use 4 pills of the misoprostol at 24 hours and then 2 more pills 3 hours later, and then 2 more pills 3 hours after that and then 2 more pills every 3 hours until the pregnancy passes.

*In less than 1% of abortion pill usage, aftercare is required for a complication. In aftercare, vaginal use of the pills may be detected. Pills taken by mouth and absorbed then swallowed are undetectable.

​

Misoprostol Only Protocol

We also sell Misoprostol separately. Each one contains 200mcg of miso.

Misoprostol is not swallowed. You may put the pills inside your cheeks or under your tongue (whichever method you prefer). Hold them there for 30 minutes without swallowing while your body absorbs the medicine. Then swallow the pills with a drink.

• First hour (for example, at noon) ~ take four pills by mouth

• Three hours later (for example, at 3pm) ~ take another four pills by mouth

• Three additional hours later (for example, at 6pm) ~ take the final four pills

*In less than 1% of abortion pill usage, aftercare is required for a complication. In aftercare, vaginal use of the pills may be detected. Pills taken by mouth and absorbed then swallowed are undetectable. 

**Miso may be taken to aid in abortion throughout pregnancy. For the International Federation of Obstetrics and Gynecology (FIGO) guidelines, visit FIGO Dosage Chart - ENGLISH.pdf or in Spanish FIGO Dosage Chart - SPANISH.pdf 

 

Pain management

​

For pain management use Ibuprofen or Paracetomol.

After taking Mifepristone vaginal bleeding will start in the following 3-5 days. Bleeding can last 2-6 weeks.

Ultrasound should be made in 7-10 days after taking of Misoprostol.

 

Possible complications

 

1. Dizziness, headache, nausea, vomiting, discomfort, weeknes, fever, diarrea. If you vomited during 1 hour after taking Mifepristone or Misoprostol, you should take the same dose of the pill.

 

If a woman suffers from the early toxicosis, she should be injected Cerucal 2ml intramuscular and eat after 30 minutes. After that she should take a pill.

 

2. In case of severe abdominal pain a patient should take any spasmolytic, such is Nospa. Taking of non-steroid anti-inflammatory medications is prohibited.

 

3. Bleeding after medical abortion is usually heavier than a normal menstruation, that do not demand additional treatment.

 

4. Incomplete abortion. If taking Mifepristone and Misoprostol will not terminate the pregnancy, vacuum aspiration is administered to remove the residues of ovum.

 

Сontraindications

 

- chronic obstructive pulmonary disease
- asthma
- chronic heart disease
- kidney and liver failure
- smoking women older than 35 years who smokes more than 10 cigarettes per day, refers to the relatively limited group
- pathological processes in the blood coagulation system, which may occur as a result of a long and intense bleeding
- severe hypertension is a contraindication for the use of misoprostol.
- nursing mothers need to stop breast-feeding for 7 days from the date of receiving mifepristone.
- spontaneous abortion (miscarriage) during the course is not a contraindication to the complex Mifepristone + Misoprostol. The complex will provide rapid release of the ovum with a decrease in the probability of incomplete abortion.

 

Rehabilitation after medical abortion

 

To prevent hormonal imbalance after medical abortion it is recommended to take monophasic oral contraceptives (such as Marvelon) during the next menstrual cycles. Contraceptives should be taken on the 5th day of the bleeding during medical abortion.