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How Is Cytotec Taken For Termination Of Pregnancy?

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Posted on Thu, 23 Apr 2015
Question: What's the best way to use cytotec?

I asked 3 drs and everyone has another technique
doctor
Answered by Dr. Kathy Robinson (46 minutes later)
Brief Answer:
are you using it for stomach protection?

Detailed Answer:
Hello and thank you for your question.
There are many uses for cytotec. The most common one is for the prevention of gastric ulcers in patients using NSAIDs (non-steroidal anti-inflammatory drugs) long term. To be used for this cause the customary dosing is 200 mcg 4 times a day with food. If not tolerated due to side effects like diarrhea the dose may be decreased to 100 mcg four times a day with food. The last dose of the day should be taken at bedtime.
It is also used for medical termination of pregnancy, cervical ripening, prevention of postpartum hemorrhage, treatment of incomplete or missed abortion, but dosing and administration is different for each of these other indications.
Regards,
Dr. Robinson
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Kathy Robinson (55 minutes later)
No I am using it for miscarriage how to use it pls
doctor
Answered by Dr. Kathy Robinson (6 minutes later)
Brief Answer:
requires 3 visits to your doctor

Detailed Answer:
Thanks for your follow up.
For termination of pregnany Mifeprex (brand name of cytotec used for termination of pregnancy in US) consists of 3 office visits. The patient must read medication guide and sign patient agreement prior to treatment:

Day 1 (mifepristone administration): 600 mg (three 200 mg tablets) taken as a single dose under physician supervision

Day 3 (misoprostol administration): Patient must return to the health care provider 2 days following administration of mifepristone; unless abortion has occurred (confirmed using ultrasound or clinical examination): Misoprostol 400 mcg (two 200 mcg tablets); Note: Patient may need treatment for cramps or gastrointestinal symptoms at this time

Day 14 (post-treatment exam): Patient must return to the health care provider ~14 days after administration of mifepristone; confirm complete termination of pregnancy by ultrasound or clinical exam. Surgical termination is recommended to manage treatment failures.

These guidelines are from UptoDate.com a service used by US physicians for up to date treatment recommendations.
Regards,
Dr. Robinson
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Kathy Robinson (59 minutes later)
What about only cytotec without mifeprex? How can we use it I am only 2 weeks pregnant
doctor
Answered by Dr. Kathy Robinson (20 hours later)
Brief Answer:
not recommended

Detailed Answer:
Hello and thanks for your question.
It is not recommended to be used in any way other that what I have stated above.
Dr. Robinson
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
Dr.
Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3535 Questions

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How Is Cytotec Taken For Termination Of Pregnancy?

Brief Answer: are you using it for stomach protection? Detailed Answer: Hello and thank you for your question. There are many uses for cytotec. The most common one is for the prevention of gastric ulcers in patients using NSAIDs (non-steroidal anti-inflammatory drugs) long term. To be used for this cause the customary dosing is 200 mcg 4 times a day with food. If not tolerated due to side effects like diarrhea the dose may be decreased to 100 mcg four times a day with food. The last dose of the day should be taken at bedtime. It is also used for medical termination of pregnancy, cervical ripening, prevention of postpartum hemorrhage, treatment of incomplete or missed abortion, but dosing and administration is different for each of these other indications. Regards, Dr. Robinson