CALL US WITH ANY QUESTIONS AT 313-538-2020
The misoprostol you received in your take-home bag is the second step to completing your medication abortion.
Misoprostol causes uterine contractions and bleeding that will expel your pregnancy. Follow the directions below for the dosing method agreed upon with your counselor:
★ 30 minutes prior to administering the misoprostol we recommend taking
1 meclizine pill (for nausea) and 1 ibuprofen 800 (for discomfort)
VAGINAL (preferred method): 24 to 72 hours after taking the mifepristone, wash and thoroughly dry the provided applicator. Wash your hands thoroughly, put 4 misoprostol tablets into the applicator and place the pills high into the vagina, close to the cervix. Try to stay off your feet for an hour following insertion. The FDA recommends waiting at least 24 hours for the best chance of success.
BUCCAL: 24 to 48 hours after taking the mifepristone, dissolve 4 tablets of misoprostol buccally (between your cheeks and lower gums) for 30 minutes. Then take a small sip of water and swallow any remaining pill fragments.
SUBLINGUAL: 24 to 48 hours after taking the mifepristone insert 4 tablets of misoprostol sublingually (underneath your tongue) and keep them there for 30 minutes. Then take a small sip of water and swallow any remaining pill fragments.
★ If bleeding has not occurred within 48 hours of the first dose of misoprostol, repeat the misoprostol dose, using up the remaining 4 misoprostol tablets.
★ Patients over 9 weeks will insert the 4 remaining misoprostol tablets 4 hours after first dose.
WHAT CAN I EXPECT TO HAPPEN NEXT?
FOR PAIN / DISCOMFORT:
Please remember that you should start to feel better each day after the abortion. Feeling sick, having abdominal pain/discomfort, diarrhea, nausea, vomiting, fever, chills or weakness more than 24 hours after taking the misoprostol could indicate that you are developing a serious infection. Call Scotsdale Women’s Center at (313) 538-2020 right away if you develop any of these symptoms.