avoid drinking alcohol or eating heavy meals on the day you take the misoprostol, the days afterwards you can eat and drink as you like.
You will need 12 tablets with 200 mcg of Misoprostol each.
Follow these steps:
Put 4 pills of Misoprostol (200 mcg) under your tongue and keep the tablets there for at least 30 minutes,. You can swallow your saliva, but avoid eating or drinking while the tablets are dissolving. After 30 minutes, you can spit out any remaining bits of pill (especially when you used the medicines called oxaprost or arthotec).
3 hours later put 4 pills of Misoprostol (200 mcg) under your tongue and keep the tablets there for at least 30 minutes,.
3 hours later put 4 pills of Misoprostol (200 mcg) under your tongue and keep the tablets there for at least 30 minutes,
It is important to use the second and third doses of misoprostol even if you are already bleeding and think the abortion already occurred. These doses will help make sure the process is complete and make it less likely that you will need any sort of medical attention.
If a woman uses Arthrotec to induce an abortion, she should let the 4 tablets dissolve under her tongue until the outer mantle is dissolved (half an hour). She should spit out the inner hard tablet. The inner tablet is diclofenac, a painkiller and it is better not to swallow the inner tablets.
What to expect?
Usually bleeding starts after 4-6 hours after the first dose of misoprostol, but it can start as early as after one hour but sometimes only after 12-24 hours. You may experience pain, cramping, bleeding that is heavier than a menstruation, with blood clots. The longer the length of the pregnancy, the stronger the cramps and bleeding will be.
Women can also have nausea, vomiting, diarrhea, and chills as normal effects of the misoprostol.
As the abortion completes, the cramps and the bleeding will gradually diminish.
It is normal for the bleeding to get lighter and to slowly diminish over a period of 1-4 weeks, or even longer. The first menstruation should come 4-6 weeks after the abortion, though it can take even longer. You should use menstrual pads, do not use tampons.
After 3 weeks, take a pregnancy test to confirm that the pregnancy has ended.
If you did not bleed, or only had very little bleeding after using the medicines or the pregnancy test is still positive after 3 weeks, please go to local doctor to get an ultrasound. It is possible that:
If you did not have chills, cramps, fever, pain or nausea, you probably used pills that were not misoprostol but fake.
Misoprostol alone is approximately 90 % effective and does not always cause an abortion. If you are sure that you have real misoprostol, you can try again after 3 days.
The pills have been taken in a wrong way.
You have an ectopic pregnancy, which is a pregnancy outside of the uterus. Misoprostol will not work in this case and you should see a doctor IMMEDIATELY. A sign for this is increasing pain in one side of the lower abdomen.