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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Misoprostol 400mg Medication Be Repeated?

Hi! I have taken mifepristone table 48 hrs back as was advise by my gynecologist and now I have taken Misoprostol 400mg ( i.e., 2 tablets of 200 mg) medicine 20 min back ..post that I had done vomiting .. what should I do ? Should I take Misoprostol 400mg medicine again
Mon, 27 Jun 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern
Ideally mifepristone is followed by 400 ug misoprostol vaginally/orally by gynecologist and 400 ug misoprostol repeated after 4 hour if required.
But it should be taken under observation of gynecologist to prevent risk of complication and failure.
As you had vomiting, you an take 400 ug misoprostol after 3-4 hour but under supervision of gynecologist. You have to put it vaginally to prevent vomiting again and for successful abortion. Bleeding will start 30-40 minutes after last dose and bleeding will stop after 3-4 days as abortion process is complete. Follow up visit at 7th day and USG should be done after 14 days to check successful abortion. Rest for 48 hours, analgesic , proper pelvic hygiene, nutritional diet with iron supplements should be advisable after treatment.
Hope this may help you
Best regards
Dr, Sagar
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Should Misoprostol 400mg Medication Be Repeated?

Hello dear Understand your concern Ideally mifepristone is followed by 400 ug misoprostol vaginally/orally by gynecologist and 400 ug misoprostol repeated after 4 hour if required. But it should be taken under observation of gynecologist to prevent risk of complication and failure. As you had vomiting, you an take 400 ug misoprostol after 3-4 hour but under supervision of gynecologist. You have to put it vaginally to prevent vomiting again and for successful abortion. Bleeding will start 30-40 minutes after last dose and bleeding will stop after 3-4 days as abortion process is complete. Follow up visit at 7th day and USG should be done after 14 days to check successful abortion. Rest for 48 hours, analgesic , proper pelvic hygiene, nutritional diet with iron supplements should be advisable after treatment. Hope this may help you Best regards Dr, Sagar