Mifepristone + Misoprostol

Mifepristone + Misoprostol — Uses and Benefits

This combination is used for medical termination of early pregnancy.

WHAT THIS MEDICINE IS USED FOR

• Ending an early intrauterine pregnancy within the time limit advised by the doctor
• Used as an alternative to surgical abortion in eligible women

HOW IT WORKS

• Mifepristone blocks progesterone, the hormone that supports pregnancy, causing the lining of the uterus to break down
• Misoprostol causes the uterus to contract and helps expel the pregnancy tissue
• Both medicines work together to complete the process safely

WHAT IT IS NOT USED FOR

• Not used for pregnancies beyond the gestational limit advised by the doctor
• Not used for ectopic pregnancy (pregnancy outside the uterus)
• Not a form of regular contraception
• Not to be used without confirming pregnancy location and duration through ultrasound

How to Use Mifepristone + Misoprostol

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually mifepristone first followed by misoprostol after the advised gap
• Misoprostol may be taken orally or placed as directed by the doctor (vaginally or under the tongue)
• Follow the exact timing and method your doctor explains, as this affects how well the treatment works
• Do not take extra tablets or repeat doses on your own
• Attend the follow-up visit to confirm the pregnancy has been fully expelled

IF YOU MISS A DOSE

• This is a time-sensitive treatment, so contact your doctor immediately if you miss or delay a dose
• Do not try to adjust the schedule yourself

STORAGE

• Store at room temperature, away from heat, moisture, and direct sunlight
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Mifepristone + Misoprostol — Side Effects

COMMON SIDE EFFECTS

• Vaginal bleeding, sometimes heavy
• Abdominal cramps or pain
• Nausea or vomiting
• Diarrhoea
• Weakness or tiredness

LESS COMMON SIDE EFFECTS

• Headache
• Dizziness
• Mild fever or chills
• Back pain

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Heavy bleeding that soaks more than two sanitary pads per hour for two hours
• Severe abdominal pain not relieved by painkillers
• Fever lasting more than a day or high fever with chills
• Foul-smelling vaginal discharge
• Signs of infection such as persistent fever, weakness, or fainting
• No bleeding at all after taking the medicine

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Mifepristone + Misoprostol — Safety Information and Precautions

This medicine is prescription-only in India and must be used strictly under medical supervision, usually at a registered clinic or hospital.

DO NOT TAKE THIS MEDICINE IF YOU

• Have a confirmed or suspected ectopic pregnancy
• Have an IUD (copper-T) still in place
• Have chronic adrenal failure or are on long-term steroid therapy
• Have a known bleeding disorder or are on blood thinners
• Are allergic to mifepristone or misoprostol

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have anaemia or any bleeding problem
• Have liver or kidney disease
• Have uncontrolled asthma
• Have heart disease
• Are breastfeeding
• Do not have easy access to a hospital in case of emergency

MEDICINES THAT CAN INTERACT

• Blood thinners such as warfarin or heparin
• Long-term corticosteroid medicines
• Other NSAID painkillers, which may be limited around the time of treatment
• Any other medicine you are taking should be discussed with your doctor beforehand

FREQUENTLY ASKED QUESTIONS

Is this treatment painful?

Some cramping and bleeding is expected as the body expels the pregnancy tissue, and your doctor may prescribe pain relief.

How do I know the abortion is complete?

A follow-up visit with ultrasound or clinical check is needed to confirm complete expulsion.

Can I get pregnant again soon after this treatment?

• Yes, ovulation can return quickly, so discuss contraception options with your doctor at the follow-up visit.
• Doctor ya pharmacist se salah lein.