How long misoprostol work

It may help to take pain medication around 30 minutes before the misoprostol. Bleeding may be lighter, while cramping may not feel so severe. Other side effects like fever or nausea should also disappear. It may take a couple of days for you to get back into your normal routine, as the process can make you tired. Be sure to tell your healthcare provider any concerns you have. Around 4 to 6 weeks after your abortion, your period should return. Be aware that your body can start to ovulate around 3 weeks after taking the medication, meaning you can become pregnant once again.

Your healthcare provider may also physically check the cervix and uterus, perform lab tests to check for the pregnancy hormone , and perform an ultrasound to determine whether the abortion pill worked.

Avoid taking an at-home test too soon after an abortion, as the pregnancy hormone may still linger in your body. You may be able to take another dose of the abortion pill, or you may need a surgical abortion instead. All-Options and Exhale offer various forms of free support, including over-the-phone counseling and a confidential text line.

Lauren Sharkey is a U. She has also written a book profiling young female activists across the globe and is currently building a community of such resisters. Catch her on Twitter. The short answer? Also known as the morning-after pill, Plan B is a form of emergency contraception…. Four patients presented to the emergency department and received intravenous fluids; 2 for delayed excessive bleeding and 2 for vomiting and dehydration. One patient experienced a panic attack and another reported extreme irritability similar to premenstrual syndrome.

The results of the acceptability questionnaire are shown in Table 6. Approximately three quarters found the associated pain acceptable. The only major difference between groups was in the percentage who found the waiting time to complete abortion acceptable. Patients clearly preferred the shortest waiting time possible. The results of the 2 logistic regression analyses are shown in Table 7. Women who had experienced 1 or more prior live births were more likely to find pain acceptable odds ratio [OR], 2.

Variables found to influence overall acceptability were acceptability of waiting OR, 4. Younger women found the procedure somewhat more acceptable OR, 0. A regimen that requires misoprostol to be given in an office setting 2 days after mifepristone, followed by 4 hours of observation, as currently occurs in France and as occurred in the Population Council's multicenter trial in the United States, 3 is unnecessarily restrictive and creates scheduling and additional cost barriers to women.

These findings mean that clinics that offer mifepristone administration only on Monday through Wednesday can now offer it Monday through Friday, even if they wish to observe patients taking both drugs and remain closed on weekends. The logistic regression analyses have the advantage over bivariate analyses of simultaneously controlling for the effects of several variables on pain and overall acceptability.

Patients who had had a prior live birth found the pain associated with the procedure more acceptable, which is likely related to prior dilatation of the cervix due to childbirth. While the day of misoprostol administration did not affect the overall acceptability of the procedure, patients assigned to take misoprostol 3 days after mifepristone were more likely to take the misoprostol earlier than assigned.

They were also significantly less likely to characterize the waiting interval to complete abortion as acceptable. This study also provides additional information about the safety and acceptability of home administration of misoprostol. No interventions were required within 4 hours or during the time that the standard protocol requires patients to be observed. These results are consistent with the safety noted with home administration of misoprostol in our other published trials involving patients 4 , 8 , 10 and the US experience with methotrexate for abortion.

Although 40 patients 1. The standard reasons to monitor patients in the office after misoprostol have been to identify any medical complications and to provide emotional support to the patient throughout the process. Complications are rare during these initial 4 hours and do not appear to warrant requiring women to spend time under medical supervision. Most patients prefer the privacy of their homes. Home use of misoprostol also has the advantage of reducing the costs of treatment by decreasing the number of office visits and eliminating the most lengthy visit.

The safety of medical abortion with mifepristone has been consistent in studies worldwide. This trial used geographically diverse clinical sites in the United States and found no differences in safety. Patients who want or need additional medical supervision should have the option of using misoprostol in the clinical setting.

Patients will need advice about and access to pain medications. Clinicians should expect telephone calls from women using misoprostol at home. That adverse effects were common yet acceptable to our patients likely reflects the success of detailed counseling and provision of information.

In our study, patients preferred the shortest regimen. On September 28, , the US Food and Drug Administration approved mifepristone trade name, Mifeprex for the termination of intrauterine pregnancy at 49 days' gestation or less from the beginning of the last menstrual period.

Labeling does not include clinical monitoring after taking misoprostol, but does include ensurance of access to medical facilities should adverse reactions occur. Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue. Table 1. Table 2. Table 3. Women who are Rh D negative should receive Rh D -immune globulin within 72 hours of the first misoprostol administration.

Follow-up is important after misoprostol administration. Advise patients to follow up with their OB-GYN within 7 to 14 days for an ultrasound to ensure the complete passage of tissue. December 8, Early pregnancy loss. Published May Accessed November 28, Mayo Clinic. In this case, abortion will not occur and the ectopic pregnancy may suddenly break, resulting in very serious bleeding.

Before treatment, your health care professional must make sure your pregnancy is not outside the womb ectopic , and check how long you have been pregnant. Read the Patient Information Leaflet provided by your health care professional before you start using this product. If you have any questions, ask your health care professional. Read and sign the consent form and Patient Information Card provided by your health care professional and keep the Patient Information Card with you while using this product and until your health care professional tells you that your abortion is complete.

Take mifepristone by mouth as directed by your health care professional, usually as a single dose. Swallow the mifepristone with a glass of water. After taking mifepristone, wait 24 to 48 hours, then take the misoprostol as a single dose. To take the misoprostol, place the tablets between your cheeks and gums and allow to dissolve for 30 minutes.

If there are still some tablet pieces left in your mouth after 30 minutes, swallow them with a glass of water. Plan to rest for 3 hours after taking the misoprostol tablets. The medications may not work as well if you take misoprostol sooner than 24 hours after taking mifepristone or later than 48 hours after taking mifepristone.

Carefully follow your health care professional's directions. Heavy vaginal bleeding does not mean that an abortion is complete. Be sure you know who to call and what to do in case of emergency. Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your health care professional says you may do so safely. Grapefruit can increase the chance of side effects with mifepristone.

Breast tenderness, headache, nausea, vomiting, diarrhea, tiredness, or dizziness may occur. If nausea, vomiting, diarrhea, or weakness last longer than 24 hours after taking the second drug misoprostol , get medical help right away.

Bleeding and cramping are expected during this treatment. Vaginal bleeding usually starts a few hours after taking the misoprostol. These symptoms usually mean the drugs are working. However, sometimes you can have cramps and bleeding and still be pregnant. You must keep all of your follow-up visits so your health care professional can check if abortion is complete.

Nausea and cramping may get worse in the first 24 hours after you take the second drug misoprostol. Your health care professional may direct you to take other medication s to help with these symptoms. Bleeding and spotting usually last about 11 days and may be much heavier than a normal period. Rarely, this bleeding may need to be stopped by surgery. Get medical help right away if you bleed enough to soak through 2 thick, full-size sanitary pads each hour for 2 hours in a row, or if you are worried about heavy bleeding.