Abortion Pill Pack Online Dosage Contradictions and side effects
How does the Abortion Pill Pack work to terminate an unwanted pregnancy?
Mifepristone Abortion Pill Pack, which can be taken orally with water, is a prescription as the primary pill while Misoprostol is a secondary one.
Mifepristone blocks a pregnancy hormone, progesterone. The pill in turn widens the cervix to stop developing pregnancy parts. The widening happens because the fetus gets separated from the rupture lining of the uterus that lacks oxygen and requires nutrition.
The second pill, Misoprostol containing 800 mcg (200 mcg each of 4 pills) follows after the Mifepristone pill. Insert these pills below the tongue. They shouldn’t be chewed, crushed, broken, and swallowed. But after 30 minutes it can be taken without water and that too after it completely melts under the tongue.
This medication is a prostaglandin analog which leads to the contractions of the womb. When the uterus contracts, it tries to reveal out or push out the pregnancy remaining. During this, women experience heavy bleeding and cramps for a couple of hours or days.
Thirdly, take Zofran/Ondansetron if you experience symptoms of adverse effects like vomiting or nausea. Consume this tablet at the dosage of 4 mg. As soon as you intake this medication, it avoids some chemicals in your body, which causes vomiting and nausea.
Flexon MR plays a vital role at the end of pregnancy. Contraction of the womb takes place, leading to stomach pain and cramps. This fourthly prescribed medication plays the role of muscle relaxant to avoid pain, discomforts, abdomen spasm.
Finally, if a woman feels heavy bleeding while emptying the womb, loss of blood will be more than the usual periods. So, Ethamsylate 250 mg tablet needs administration to control the bleeding. This tablet minimizes blood loss.
What are the dosages and administrations of the Abortion Pill Pack?
NO 1 Abortion Pill Pack is prescribed to women for the medical termination of intrauterine pregnancy. Abortion can be in the implementation of up to 9 weeks gestation based on the first day of amenorrhea or last menstrual period. For this treatment, pregnancy starting from the first day of amenorrhea in a presumed 28-day cycle is a consideration with ovulation occurring at mid-cycle.
It is essential to determine the duration of pregnancy from menstrual history and by clinical examination. If the period of pregnancy is uncertain, ultra-sonogram (USG) scan is a must. USG is an alternative if there’s a suspicion of ectopic pregnancy.
Before using the kit, removal of an intrauterine device (IUD) is a must. If Abortion Pill Pack fails, pregnancy termination by surgery comes in place to cause intrauterine pregnancy termination.
A gynecologist administers Mifepristone after gestational age assessment of the fetus. In case of negative results, the advice might be to diagnose ectopic pregnancies. The gynecologist should also be able to perform the surgical intervention in cases of severe bleeding or incomplete abortion.
Mifepristone 200 mg consumption after three days follows the oral intake of Misoprostol 800 mcg (4 pills of 200 mcg). A medical professional may administer Misoprostol, or it can also be in self-administration by the woman. If the abortion doesn’t occur in 4 hours after administration of Misoprostol, the second dose of Misoprostol 400 mcg is likely to administer orally.
Usually, the patient using Abortion Pill Pack should return for a follow-up visit after 14 days of administration. The follow-up is to confirm that a complete pregnancy termination has occurred with the help of a clinical examination or USG scan. There is a risk of fetal malformation if the patients have an ongoing pregnancy at this follow-up visit. In such a case, surgical termination might be advisable.
What are the contraindications?
Administration of Abortion Pill Pack is a contraindication in patients who have:
- known history mifepristone and misoprostol allergy
- suspected or confirmed an ectopic pregnancy
- migraine issues
- IUD in place
- chronic adrenal failure
- bleeding disorders
- on anticoagulant or corticosteroid therapy
- inherited porphyria
- severe uncontrolled asthma
Abortion Pill Pack contraindicates if a patient has no adequate access to medical facilities. In turn, she needs emergency treatment in case of an incomplete abortion, blood transfusions, and emergency resuscitation.
What are the warnings and precautions?
Mifepristone is not a recommendation to patients with renal failure, hepatic failure, and malnutrition. The administration of the Abortion Pill Pack must be under the supervision of a certified gynecologist.
Currently, there is no data on the safety and effectiveness of the Abortion Pill Pack in women with chronic diseases such as heart disease, hypertension, liver dysfunction, respiratory or kidney disease, insulin-dependent diabetes, severe anemia, or heavy smoking. Women above 35 years of age who smoke need treatment with great caution.
Patients should be well aware of the Abortion Pill Pack administration and its effects.
Another pregnancy may occur following the termination of pregnancy. So, contraception must be initiated soon after using the Abortion Pill Pack before the woman resumes sexual intercourse.
Please note that clinical examination is imperative to confirm the complete pregnancy termination after the treatment.
In some women, a decrease in hemoglobin concentration, hematocrit, and red blood cell count may occur for those who bleed heavily.
What are the drug interactions?
No specific drug or food interactions with Abortion Pill packs aren’t studied. However, there is a possibility that certain drugs and substances such as ketoconazole, itraconazole, erythromycin, and grapefruit could inhibit the metabolism of mifepristone. Also, dexamethasone, rifampicin, and certain anticonvulsants may induce mifepristone metabolism.
Misoprostol, on the other hand, has not been found to interfere with the effects of aspirin. It does not exert clinical implications for the absorption and antiplatelet effects of aspirin. Drug interaction studies between Misoprostol and several NSAIDs had no clinical effect on ibuprofen, diclofenac, piroxicam, aspirin, naproxen, or indomethacin.
Avoid antacids continuing magnesium during treatment of Abortion Pill Pack, as antacids may cause diarrhea with the interference of Misoprostol.
What are the side effects of the Abortion Pill Pack?
Abortion Pill packs might induce vaginal bleeding and uterine cramping during the process of abortion. Most women who receive Mifepristone, as well as Misoprostol, may report side effects, while others may report more than one such reaction. More than 90 percent of patients say side effects on the third day of the treatment procedure. They face headache , dizziness, pelvic pain on some days Vaginal bleeding and cramping are the main side effects every woman have after an abortion
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