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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Dosage Of Misoprostol Is Advisable To Terminate Pregnancy?

I am 26 years old.have 1 kid with age of 3.5 months.i have my last period on 19th oct,2016 and have done unprotected intercourse with husband on 28th nov.that is during fertility period.now i am very suspicious about my pregnancy. As i am noticing some signs and symptoms in me from few days like, vaginal discharge , sometimes nausea and itching in labia minora and majora both. I have bought ROTEC 200mg (Misoprostol) for abortion but have not taken yet. I want your guidelines. How many tablets of 200mg of ROTEC should i take and how many times in a day? And upto how many days for complete abortion? I have visited to my dr.she recommended just only 2 tablets of rotec once a time for complete abortion. What u will suggest?
Mon, 28 Nov 2016
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General & Family Physician 's  Response
Hi & Welcome.
Since you have consulted a gynecologist and assuming that your pregnancy is intrauterine your gynecologist has prescribed Misoprostol to terminate the pregnancy.

To be more effective in terminating the pregnancy, 4 tablets are recommended to initiate an early abortion, and 4 more may be required for its completion.

Make sure that this procedure should be undertaken under a gynecologist's supervision who is apparently close by and easily accessible to you in case of serious side effects like severe bleeding, cramps, or incomplete abortion.

Place 4 tablets ( 4X200-mcg) in the mouth under the tongue or in the cheek pouch. Hold tablets in the mouth for 20-30 minutes to allow them to dissolve, and then swallow the remaining fragments.

During this process, you may experience bleeding that is somewhat heavier than for a period. Bleeding and uterine contractions (cramping) may begin as quickly as 30 minutes following this step.

If bleeding and contractions do not start within 3 hours, then place 4 more 200-mcg tablets under the tongue or in the cheek pouch and hold them there for 20-30 minutes until they dissolve.

Abortion is generally completed by next 2-3 days but the bleeding can last till 4-5 days in all.

Once the bleeding stops, you should get an transvaginal ultrasound to confirm the completion of abortion.

Hope these answer your queries.
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What Dosage Of Misoprostol Is Advisable To Terminate Pregnancy?

Hi & Welcome. Since you have consulted a gynecologist and assuming that your pregnancy is intrauterine your gynecologist has prescribed Misoprostol to terminate the pregnancy. To be more effective in terminating the pregnancy, 4 tablets are recommended to initiate an early abortion, and 4 more may be required for its completion. Make sure that this procedure should be undertaken under a gynecologist s supervision who is apparently close by and easily accessible to you in case of serious side effects like severe bleeding, cramps, or incomplete abortion. Place 4 tablets ( 4X200-mcg) in the mouth under the tongue or in the cheek pouch. Hold tablets in the mouth for 20-30 minutes to allow them to dissolve, and then swallow the remaining fragments. During this process, you may experience bleeding that is somewhat heavier than for a period. Bleeding and uterine contractions (cramping) may begin as quickly as 30 minutes following this step. If bleeding and contractions do not start within 3 hours, then place 4 more 200-mcg tablets under the tongue or in the cheek pouch and hold them there for 20-30 minutes until they dissolve. Abortion is generally completed by next 2-3 days but the bleeding can last till 4-5 days in all. Once the bleeding stops, you should get an transvaginal ultrasound to confirm the completion of abortion. Hope these answer your queries.