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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Taking Mifepristone & Misoprostol Within The Duration Of 48 Hours Be Safe?

Hi, I have 5 weeks pregnancy.. i have taken 4 pills of misoprostol.... after going to the pharmacist, she has told me that i have to take mifepristone pills then after 36 to 48 hours i will have to take misoprostol pills again. Will that work? or is it going to couse some problems to me?
posted on Fri, 14 Mar 2014
Twitter Tue, 7 Apr 2020 Answered on
Twitter Fri, 10 Apr 2020 Last reviewed on
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General & Family Physician,  's  Response
Hi,

Because of high risk of severe bleeding, abdominal cramps, infection or incomplete abortion it is not advisable to take these medications without consulting a gynecologist. The risk of bleeding will be much more if the pregnancy is outside the uterine cavity (ectopic pregnancy).

The doctor will advise you to take 200 mg of mifepristone orally this will work to separate placenta from its attachment, it also softens the cervix and increases uterine contractions to allow the uterine contents to pass. Then you will have to take 400 mcg misoprostol orally usually within 48 hours of taking mifepristone. It will to cause uterine contractions so that the products of conception are expelled. Cramping and bleeding often start 2 to 4 hours after you take the pills which can last for hours indicative of abortion. Abortion can be confirmed by doing an ultrasound.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali, General & Family Physician
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Will Taking Mifepristone & Misoprostol Within The Duration Of 48 Hours Be Safe?

Hi, Because of high risk of severe bleeding, abdominal cramps, infection or incomplete abortion it is not advisable to take these medications without consulting a gynecologist. The risk of bleeding will be much more if the pregnancy is outside the uterine cavity (ectopic pregnancy). The doctor will advise you to take 200 mg of mifepristone orally this will work to separate placenta from its attachment, it also softens the cervix and increases uterine contractions to allow the uterine contents to pass. Then you will have to take 400 mcg misoprostol orally usually within 48 hours of taking mifepristone. It will to cause uterine contractions so that the products of conception are expelled. Cramping and bleeding often start 2 to 4 hours after you take the pills which can last for hours indicative of abortion. Abortion can be confirmed by doing an ultrasound. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician