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How To Use Combipack Of Mifepristone And Misoprostol Tablets?

Posted on Thu, 18 Jun 2015

Question: my GF got pregnant its confirmed that is 5 weeks from the 1st day of last periods, we have got b care combipack of mifepristone and misoprostol tablets, now how should she have this, we have been told by our family member who had this before t have each tablets(total 5) in 7 hours durations and two days there would be heavy clot bleeding etc and then 3 days normal bleeding, but we are confused as we are getting many such advices, not in possition to go back to XXXXXXX as well, can you please help, but in our case we cant come to XXXXXXX can you pls advice how this medicines should be had, what food she can consume, i will be always there with her, how many days bleeding will be there? pls help us out...CAN THIS BE SWALLOWED OR KEPT UNDER TONGUE AND CHEWED?

Answered by Dr. Richa Agarwal (34 minutes later)

Brief Answer:
She can swallowed them with water.

Detailed Answer:
Hello dear,

Thanks for trusting us about your health care.
I can understand your concern here.
The abortion pills can only be taken under supervision because she may needs medical help anytime during consumption.
These drugs may sometimes cause severe bleeding, infection and incomplete abortion.
She should go for ultrasound scan before taking abortion pills to confirm the site and size of pregnancy.
You should not take these tablets in UAE because they are banned there.

But if you are planning for it then the doses are as follows -

Day one- one tablet of mifepristone orally with some water in the early morning.
Day three- one tablet in the morning and one in the evening and repeat next day.

Misoprostol can be taken orally or vaginally.

Bleeding will starts in 4-6 hrs. after taking misoprostol and continue till 7-10 days.

Hope it is useful, feel free to ask more questions.
Good luck.
Regards.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Richa Agarwal (3 hours later)

thank you very much for your advise...so you mean to say the below is incorrect

1st tablet--mifepristone Eveninf 7 pm thursday
2nd/3rd--Misoprostol next day morning 7 am(excatly after 12 hours)-Friday
4th/5th-Misoprostal after 12 hours ie 7 pm.-Friday

This is how one of my cousin who had here was telling, am confused and hence asking you again and again.

My GF is strong and telling she would manage it alone in her house(PG), but why i am asking is because i am bit worried and cant come to XXXXXXX aswell but for sure the ultrasould will be done in 15 days.Do i need to buy any kind of glucose powder or any such kinds.Again i am sorry to keep distrubing, hope you understand our situation.In anycase hope this thing is getting solved soon without any issues and than we would for sure see you in person in our marriage.

Answered by Dr. Richa Agarwal (16 hours later)

Brief Answer:
The abortion pills can only be taken under supervision.

Detailed Answer:
Hello dear,

Sorry for the long delay in my response.
This method is not incorrect, some people take it like this but I prefer my method for my patients.
Yes, you can buy glucose water if she required you can give it to her.
You are not bothering me, I am here to help you always.
So please ask me what you want to ask.
I can understand your situation very well and worried about her health.
So take care of her.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (4 hours later)

Good morning doctor....will she know if the bleeding is more? or is there any other way to look this?again is there any home remedy for this heavy bleeding or it is normal in case of abortion? She asked me ask you for how many days there would be heavy bleeding, tomorrow and day after she is having off, would she be needing more days leave? In any case she shifted to next residential building from her office yesterday, so that she doesnt have to travel etc...

Secondly if she have 1st tablet which is 1st tablet--mifepristone, bleeding will start from then, how does it works, does she has to be completely in bed or she can be comfortable in home, watching TV etc,hope she can walk, talk etc during the course of medication,

how does the balance 4 tablets work, would it be painful for many days or would be like normal 5-6 days monthly periods....

JUST very concerned and tensed hence i am asking all this...as first i want to be confident and only then i can stand strong with her, which she would be requiring..Thank you...

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
Bleeding starts after mesoprostol intake.

Detailed Answer:
Hello dear,

The bleeding usually starts 4-6 hrs.after taking mesoprostol and initially when the product expel the bleeding is more and heavy bleeding occur till the whole product of conception come out from uterus.
Once the product comes out bleeding slow down and bleeding can continue till 7-10 days.
During intake of pills she should stay at home because during heavy bleeding she should avoid travelling.
She should take healthy nutritional diet,drink a lot of water,take rest and keep herself calm and cool.
So if her product come out then there is no need of further leave.
Hope I have answered all your questions but if I have missed something let me know about it.
You are asking so many questions in one query, so maybe I missed some.
Sorry for that.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (4 hours later)

Sorry doctor....normally in how many days the product comes out..
secondly what ever the case...she has to complete the full five tablets correct me please..thanks

Answered by Dr. Richa Agarwal (14 minutes later)

Brief Answer:
Product comes out in 1-2 days after taking mesoprostol.

Detailed Answer:
Hello dear,

Please don't be sorry, I can understand your situation but with so many questions at a time possibility of some of information can left.
Products will come out in 1-2 days after taking mesoprostol but in some cases it may come out early or delayed.
Yes,in any cases she has to take all 5 tablets to complete the process.
Is she took the tablet, please update us for the same and we are always here to help you.
So do not worry and take care of her.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (24 minutes later)

Thank you doctor...yes for sure i will contact you...is it only an online forum or i can get your telephone number aswell for anything required urgently...just asking please dont take it otherwise...thanks...

Answered by Dr. Richa Agarwal (3 hours later)

Brief Answer:
You can contact me directly also.

Detailed Answer:
Hello dear,

You are always welcome.
You can contact me directly through healthcaremagic or you can talk to me through healthcaremagic.
I am always here to help you.
Hope to hear from you soon.
Good luck.
Take care.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (2 hours later)

Doctor thanks she had the first tablet, she is normal and will sleep now, will it pain now?Hope there wont be any problem while sleeping?Either way i would be next to her and i am not sleepy aswell...
i have got lots of fruit and she would have proper diet aswell....

Can she use V WASH if she has irritation?

Thanks

Answered by Dr. Richa Agarwal (5 hours later)

Brief Answer:
No there is no pain hopefully.

Detailed Answer:
Hello dear,

Sorry for the delay in my response.
I feel relaxed as you are there to look after her.
No, usually there is no pain after taking mifepristone, so hopefully shshe sleep well.
Yes she can use V- wash.
Do not take much stress, everything will be fine.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar