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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Procedure To Take The Misoprostol 200mg Pill?

My OB Doc proscribed me misoprostol 200mg tab which I take orally one followed by another after 8 hours, proscribed because my baby's heart beat stopped at 7.4 weeks gestation. I took the first pill at 11am, I will take the second at 7pm, how long before I should expel the pregnancy?
Mon, 2 Mar 2015
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General & Family Physician,  's  Response
Welcome
On taking the pills, you would have heavy bleeding with cramps, expulsion of a fleshy mass within 24 - 48 hours, which might continue for a week , or more. If you vomit the pills, repeat dosage is required. There is always 4 % chance of failure, in which case , you will need surgical abortion. Risks such as severe bleeding, infection, hypotension, fainting , incomplete abortion etc are present, so please do not attempt to do anything on your own without consulting your doctor.
After completing the course of medical abortion pills, a follow up visit and ultrasound scan after 15 days is compulsory to document that the abortion was complete and there is nothing retained inside the uterine cavity.
Please use reliable method of contraception in future to avoid risk of abortion. There are various regimens for use of these medications. The second dose of misoprostol tablets is a must, you have to take the set of two tablets the second time around. There is no harm in taking them orally instead of vaginally, both ways work fine. It is NOT recommended to do what you did, or plan to do, without consulting a gynaecologist first.
Take care.
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What Is The Procedure To Take The Misoprostol 200mg Pill?

Welcome On taking the pills, you would have heavy bleeding with cramps, expulsion of a fleshy mass within 24 - 48 hours, which might continue for a week , or more. If you vomit the pills, repeat dosage is required. There is always 4 % chance of failure, in which case , you will need surgical abortion. Risks such as severe bleeding, infection, hypotension, fainting , incomplete abortion etc are present, so please do not attempt to do anything on your own without consulting your doctor. After completing the course of medical abortion pills, a follow up visit and ultrasound scan after 15 days is compulsory to document that the abortion was complete and there is nothing retained inside the uterine cavity. Please use reliable method of contraception in future to avoid risk of abortion. There are various regimens for use of these medications. The second dose of misoprostol tablets is a must, you have to take the set of two tablets the second time around. There is no harm in taking them orally instead of vaginally, both ways work fine. It is NOT recommended to do what you did, or plan to do, without consulting a gynaecologist first. Take care.