The timing of when you administer your medication is important. If your pregnancy is of 10 weeks gestation, you will need to come into the clinic to take your medications.
- Step 1 – You will swallow the first medicine (mifepristone) with water
- Step 2 – 1 to 2 days later you will take the second medicine (misoprostol)
- And also, Step 3 – 3 to 4 hours after the first dose of misoprostol, you will take another dose
You will then pass the pregnancy at home.
Step 1 – Mifepristone
Swallow the mifepristone tablet with water.
You may have nausea or vomiting after swallowing the mifepristone. But If you do vomit, you should still use the misoprostol as outlined below. Please telephone if you have any concerns or if you vomit within 30 minutes of swallowing the mifepristone.
Most women do not have bleeding or pain until they take the second medication (misoprostol). Bleeding can occur after taking mifepristone, but it is usually light. If bleeding does happen, you should still use the misoprostol and may wish to consider placing it between your cheek and gum. Contact us if you have any concerns.
Step 2 and 3 – Misoprostol
Misoprostol tablets are placed in the vagina or between the cheek and gum. See below for more detail.
Misoprostol (the second medication) causes strong, painful cramps and heavy bleeding.
Instructions for using misoprostol (second medication)
You will have 6 tablets of misoprostol.
Step 2 – misoprostol
Use 4 tablets placed either in your vagina or between your cheek and gum.
Into the vagina
Insert 4 tablets as high as possible in the vagina; the exact location is not important, only that they do not fall out. You can do this while lying down, squatting or standing with one leg up – whatever is most comfortable for you.