This document provides instructions for using mifepristone and misoprostol pills to terminate a pregnancy. It outlines the two-step regimen, with the first step involving taking one mifepristone pill followed by the second step of taking four misoprostol pills buccally 24-48 hours later. The document describes expected bleeding and cramping, signs that medical attention may be needed, and follow-up care after the procedure.

1. Using combination of Mifepristone
and Misoprostol abortion pills
If you are having abortion with
Mifepristone and Misoprostol
pills, this guide is for you!
Before you take the pills:
 Make sure you do not suffer from heart/ liver/ kidney disease
 If you have IUD in place, you must get it removed
 If you are taking corticosteroids for long term, avoid medication
abortion
 Avoid the pills if you have bleeding problem or suffer from high
blood pressure or adrenal failure
 If you are breast feeding during the time of medical pregnancy
termination, make sure to put off breast feeding after you have
taken misoprostol pills as it can cause the baby to have diarrhea. If
you can, for the safer side, just don’t breastfeed during the entire
course of procedure.

2. Generaltipsfora smootherprocedure:
 Drink plenty of water throughout the
whole procedure
 Eat only light food stuffs before you
take the pills to avoid nausea
 Most women do fine, while in rare
case there may be a need for medical
attention. So make sure you have
access to emergency medical help in
case you need it.
 Misoprostol causes a lot of bleeding
and cramps therefore make sure you
have a comfortable place where you
can take the pills.

3. Medical Abortion Regimen
The abortion pill procedure needs one abortion pill kit which has both
the medications.
Step 1 - Take 1 tablet of Mifepristone [ 200 mg]
Most women don’t feel anything after taking this medication, while
others bleed lightly and start cramping. Do not worry if you start to bleed
after the first dosage. Make sure you take Misoprostol even if start
bleeding heavily after taking Mifepristone.
Step 2 – Take 4 tablets of Misoprostol [ 200 mcg each] buccally
You can take the second medication 24-48 hours of taking Mifepristone
pills.

4. How to use Misoprostol buccally?
 Take a sip of water to make your mouth
moist
 Take the four Misoprostol pills and put them
in your cheek pouches [ 2x2]
 Let the pill sit for at least 30 minutes to
dissolve naturally. After that swallow the
residue of the pills.
 The pills’ taste is chalky rather than bitter, so
it is possibly to keep the tablets in mouth for
half an hour.
Note – Even though vaginal administration
of Misoprostol ispossible, buccal route is more recommended as
with buccal there is no chance of leftover pills residue, as is the case
with vaginal route.

5. What happens next?
Most women start to bleed and cramp within
1-2 hours of taking the second dosage of pills.
These symptoms are good, as they show that
the pills are working effectively.
How much bleeding and cramping is normal?
 Depending upon the time of your gestation
and other factors, you may bleed likewise.
 For some women cramping is strong – much
heavier than regular menstrual period, while
for others the bleeding is just to the amount
of a regular period.
 You may pass blood clots of the size of a
lemon in the first few hours of taking
Misoprostol, if you are bleeding heavily.
 Many women start bleeding 4-5 hours. It is
normal to feel nausea, diarrhea, weakness,
fever, chills while you pass the pregnancy.
 It is entirely normal to continue light bleeding
for 3-4 weeks following the procedure.

6. Be cautioned and seek medical care –
 If you don’t bleed followed by severe pain in your shoulders
[particularly the right one]. This may be a sign of ectopic pregnancy
[when the pregnancy is situated outside the uterus]. While this is
rare, it needs immediate medical attention.
 If you soak throughout a large pad in an hour or less and then it is
prolonged for more than two hours.
 If you feel sick and have a high temperature for more than 24 hours
after taking the second dosage from MTP Kit
 If you are in extreme pain which cannot be subdued by painkillers

7. Follow up care
 You can have an ultrasound around 2
weeks following the procedure to make
sure you have completed the procedure
successfully.
 Medical abortion is a gradual process;
therefore, pregnancy remains does not
mean you had an incomplete procedure.
You will continue to shed the remaining
conception parts over weeks. Unless you
show signs of complications, you had a
successful pregnancy termination.
 If test with a pregnancy test kit, make sure
you wait for 4 weeks following the
procedure. As the HCG hormone [ which is
detected by the home pregnancy test]
takes at least 3-4 weeks to disappear from
the body even if the pregnancy
terminated, you will have to wait for that
time period.
Get in touch if you haveadditional questions:
customersupport@abortionpillx.com