Misoprostol is used either alone or in conjunction with an other medication (mifepristone or methotrexate) for medical abortions as an alternative to surgical abortion.Medical abortion has the advantage of being less invasive, and more autonomous, self-directed, and discreet. It is preferable to users because it feels more “natural,” as the drugs induce a miscarriage. It is also more easily accessible in places where abortion is illegal.The World Health Organization provides clear guidelines on the use, benefits and risks of misoprostol for abortions.
In some countries misoprostol is available in pharmacies and it might be a better option to do an abortion with misoprostol alone. To terminate a pregnancy up to 10 weeks, a woman needs 10 pills of misoprostol.
Cytotec, like the vast majority of drugs, has potential adverse effects. The Summary of Product Characteristics for Misoprostol lists adverse effects and potential dangers of the drug. When you buy Cytotec for use in the field of reproductive health, different doses and routes are used. Thus the severity of side effects may differ from those mentioned in the Summary of Product Characteristics.
Cytotec is currently approved by the Food and Drug Administration for the prevention and treatment of gastric ulcers resulting from chronic administration of nonsteroidal anti-inflammatory drugs. Cytotec has been extensively studied in reproductive health, and is widely recommended for the treatment of missed and incomplete miscarriages, the induction of abortion, and cervical preparation before uterine instrumentation, induction of labour and postpartum haemorrhage prophylaxis and treatment.
When used for abortion woman should buy at least 12 pills of 200 mcg Misoprostol. One pill of Cytotec should contain 200 micrograms of Misoprostol. Look for the dosage of Misoprostol on the package, usually the tablets contain 200 mcg but other dosages do exist. If the pills do not contain 200 micrograms of Misoprostol, recalculate the number of pills so that the same total amount of Misoprostol is used. Using Cytotec (or Misoprostol) alone to cause an abortion will be successful 99% of the time. If it is not effective the first time, you can try again after 3 days. The information is based on research by the World Health Organization.
The World Health Organization announced the inclusion of misoprostol to its Model List of Essential Medicines based on its proven safety and efficacy for the treatment of incomplete abortion and miscarriage. The judgment was made by an expert committee that evaluated available evidence, which includes several guidelines and numerous randomized and comparative clinical trials for this indication.
The proposal was submitted by Gynuity Health Projects based on the following evidence and considerations:
The recommended doses for treatment of incomplete abortion and miscarriage are:
Millions unsafe abortions occur annually, resulting in the deaths of 50 000 women, nearly all in developing countries. Increasing access to life-saving treatment for complications of unsafe abortion is a pressing public health priority.
Misoprostol (Cytotec) is an effective means to save a woman’s life after she experiences complications from miscarriage or unsafe abortion and considered an essential medicine by the World Health Organization for management of incomplete abortion and miscarriage.
The best and safest way a woman can do an abortion herself until the 12th week of pregnancy is with the use of medicine called Misoprostol (also known as Cytotec, Arthrotec, Oxaprost, Cyprostol, Mibetec, Prostokos or Misotrol). If you live in a country where there is no access to safe abortion services and you would like to obtain a medical abortion with Misoprostol, please read this.
Cytotec for medical abortion works best in the first 12 weeks of pregnancy. After that, there is an increased risk of a complication and need for medical attention. A woman should make sure she is pregnant. She can do a pregnancy test or have an ultrasound.
To cause an abortion, a woman must put 4 pills of of 200 micrograms (in total 800 mcg) Cytotec under the tongue. Do not swallow the pills (at least until 30 minutes after putting the tablets under the tongue).
After 3 hours she should put another 4 pills of Cytotec under the tongue.
After 3 hours she should put another 4 pills of Cytotec under the tongue again for a third time. Do not swallow.
Some brand names for Cytotec are, Arthrotec, Oxaprost, Cyprostol, Prostokos and Misotrol. Sometimes it is sold over the counter without a prescription, or sometimes a prescription is required. It is less likely that one would need a prescription for Misoprostol.