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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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After How Many Hours Should Misoprostol Be Taken?

Taken one tablet of mifepristone. After how many hours should misoprostol be taken? Hello sir my wife has taken one tablet of mifepristone 200mg after how many hr she has to take misoprostol 200mcg If she start bleeding in mifepristone then also we have to take misoprostol if yes then how tablet she have to take
Tue, 29 Mar 2016
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OB & GYN Specialist 's  Response
Hello,

Thanks for writing to us.

She must undergo medical abortion under the guidance of gynecologist, which will be helpful in emergency situation. Not to take those medicine by herself without doctor's prescription.

1) By procedure, at first, She needs to take Tab Mifepristone or Mifegest 200mg (ideally 600mg) on D1, after 48 hrs take 2 Tab Misoprostol 200mg in the morning and other 2 tabs need to insert inside vagina by doctor.

2) She may need double dose sometimes if proper bleeding DOESN'T start within 72 hrs. Soon after taking Tab Misoprostol, abdominal cramp and vaginal bleeding start within 7 days and next period may be earlier/delayed.

3) Post pill abortion, she must do a USG lower abdomen to check retained bits/ conceptional products if any and may need D &C to complete abortion.

4) Practice safe sex by using safe period/OCP/ other methods to prevent unwanted pregnancy.

Hope, it helps for you. Be well. Good luck.
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After How Many Hours Should Misoprostol Be Taken?

Hello, Thanks for writing to us. She must undergo medical abortion under the guidance of gynecologist, which will be helpful in emergency situation. Not to take those medicine by herself without doctor s prescription. 1) By procedure, at first, She needs to take Tab Mifepristone or Mifegest 200mg (ideally 600mg) on D1, after 48 hrs take 2 Tab Misoprostol 200mg in the morning and other 2 tabs need to insert inside vagina by doctor. 2) She may need double dose sometimes if proper bleeding DOESN T start within 72 hrs. Soon after taking Tab Misoprostol, abdominal cramp and vaginal bleeding start within 7 days and next period may be earlier/delayed. 3) Post pill abortion, she must do a USG lower abdomen to check retained bits/ conceptional products if any and may need D &C to complete abortion. 4) Practice safe sex by using safe period/OCP/ other methods to prevent unwanted pregnancy. Hope, it helps for you. Be well. Good luck.