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How Is Misoprostol Tablet Taken?

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Posted on Wed, 10 Dec 2014
Question: Hi My wife has taken Mifeprin 1 tablet orally today morning at 7am and swallowed it with water. We were instructed to take Misoprostol 2 tabs after 24 hours and followed by another 2 tablets within 3 hours. Should they be taken orally or inserted vaginally. If they are to be kept under the tongue for how long? Please advice..
doctor
Answered by Dr. Manisha Jain (6 minutes later)
Brief Answer:
Vaginal insertion

Detailed Answer:
Hello, thanks for trusting health care magic.
Misoprostol should be taken vaginally and then she should lie down for rest for an hour.
Take care and 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 (18 minutes later)
Thank you for your prompt response appreciate you advice.

Should all 4 taken at once vaginally or as instructed 7am 1st 2 tablets and 10 am next 2 tablets? So far she didn't come across any form of bleeding. When does bleeding start?

And what is the recommended pregnancy period for the aforementioned medication to work?

Look forward to hearing from you.

Thanks
doctor
Answered by Dr. Manisha Jain (40 minutes later)
Brief Answer:
till 63 days of pregnancy

Detailed Answer:
Yes she can take all four tablets together but its better if she takes 2 at 7 and next after 3 hours because they are better absorbed that way.
They work best till 63 days (9 weeks) of pregnancy.
She can start bleeding anytime after 4-6 hours of misoprostol intake.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (42 hours later)
She has taken medication yesterday (17th Nov) as per the instructions received and within 1 hour (around 9am) she started to bleed. But today morning the bleeding has stopped. And there wasn't excessive bleeding, yet quite equalant to menstrual cycle. Additionally she had continuous back pain till today morning. Is this normal? She has been pregnant for 6 weeks.

Kindly advice.
doctor
Answered by Dr. Manisha Jain (4 minutes later)
Brief Answer:
repeat ultrasound after 15 days

Detailed Answer:
Hi, it is common to have backache after abortion.
Wait for 3-5 days for the symptoms to subside.
Get a transvaginal ultrasound after 15 days and that will tell us about the completion of abortion.
Take care.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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How Is Misoprostol Tablet Taken?

Brief Answer: Vaginal insertion Detailed Answer: Hello, thanks for trusting health care magic. Misoprostol should be taken vaginally and then she should lie down for rest for an hour. Take care and in case you have other questions i will be happy to help.