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Even if you ask for abortion pills by names, such as misoprostol or mifepristone, some medicine sellers may try to sell you counterfeit pills that won't work and may delay you from having an abortion. Safe, effective abortion pills should be: The color white Pills or tablets, NOT capsules Packaged in an undamaged, double-aluminum blister pack, ideally Sold to you by a pharmacy or medicine seller you trust Not expired (an expiration date should be on the package) 9. Can I buy abortion pills without a prescription? Mifepristone and misoprostol can be obtained from a health provider, from pharmacies and medicine sellers, and from the internet. Depending on what country you live in, a prescription may be required to buy mifepristone and misoprostol from a local pharmacy or medicine seller. But the two medications are often sold without a prescription. Misoprostol is typically much easier to buy because it is also used to treat ulcers and to prevent or stop heavy bleeding after childbirth. Mifepristone and misoprostol “combi-packs” and misoprostol alone can be bought from online pharmacies and organizations that support people to self-manage their abortions (see the list in question #10). Misoprostol becomes less effective when the pills are exposed to heat and moisture. For that reason, misoprostol must be sealed in double-aluminum blister packs (aluminum on top and bottom), rather than cardboard or plastic. You are unlikely to find legitimate or effective misoprostol that is being kept in cardboard, plastic, or as loose pills in a bottle. A double-aluminum blister pack should look something like this. Be sure the aluminum is not opened on any side until you are ready to use the pills. 6. How much do the pills cost? The cost of misoprostol varies around the world. But misoprostol is widely available, so it's generally not very expensive. Manufacturers sell the pills to pharmacies for very little cost — less than $0.05 USD (5 cents) per pill. 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You should contact BPAS on our bookings and information line WHATSAPP +27737230265>>(or if you are from Northern Ireland call) to book a telephone consultation and full medical assessment with a trained nurse or midwife who will assess your suitability for treatment. Most women are eligible for NHS-funded treatment and we can discuss whether this applies to you when you call. If treatment is suitable and safe, you will receive abortion pills by post a few days later, or we can book you for an alternative treatment in the clinic. Medical assessment You will have your consultation and medical assessment over the telephone and have opted for remote abortion pill treatment (pills by post). Consent We will explain the known risks and complications of your treatment during your telephone assessment. The risks and complications of this treatment are shown below. Risks and complications of the abortion pill Significant unavoidable or frequently occurring risks These are usually easy to treat and rarely have any long-term health effects: You may see a recognizable pregnancy Unpredictable time to complete the procedure (variable) Side effects of drugs such as nausea, vomiting, diarrhea, headache, dizziness, fever/chills (common) Retained products of conception – where the pregnancy is no longer growing but some of the pregnancy tissue is left behind in the womb (2 in 100) Infection (2 in 1,000) Unpredictable, irregular, or prolonged bleeding after the abortion (variable) Pain during the procedure (common) Pregnancy being significantly later than realized (less than 1 in 1,000). Rarely if a much later pregnancy was not suspected, this may mean the abortion fails, there is more pain or bleeding, or in extreme circumstances a live birth These may require transfer to hospital or surgical procedures, and may have serious long-term health effects : Continuing pregnancy (less than 1 in 100) Hemorrhage – very heavy bleeding (2 in 1,000) Undiagnosed ectopic pregnancy (1 in 7, 000) Psychological problems (variable) Extra procedures that may be necessary Surgical abortion or uterine aspiration (3 in 100) Blood transfusion Laparoscopy or laparotomy – operation to look inside the abdomen Hysterectomy – surgical removal of the womb (2 in 100,000) Death is very rarely linked to abortion treatment (less than 1 in 100,000 for all abortions). Treatment You will receive your treatment package direct from the pharmacy from 1 to 3 days from your telephone consultation (sometimes longer with Bank Holidays). If your package is delayed in the post for a few days you should still take the tablets as directed once they arrive. The package is plain with no indication of its contents, it will be tracked but not signed for. Your pack will contain: Mabon pack containing 1 tablet of mifepristone (step 1) and 4 tablets of misoprostol (step 2) 2 plastic-wrapped misoprostol tablets (step 3) Pregnancy test (step 4) Codeine (only provided if medically suitable) Your chosen contraceptive pills, patches , or rings (if requested and suitable) – you will need to supply your height, weight, and blood pressure reading for patches, pills, and combined hormonal pills. Click for details where to get blood pressure readings STI test – you may also receive a chlamydia and gonorrhea test. Blood affects the results of this test, so it is best to complete this before starting your treatment. Click for details. 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Rarely if a much later pregnancy was not suspected, this may mean the abortion fails, there is more pain or bleeding, or in extreme circumstances a live birth These may require transfer to hospital or surgical procedures, and may have serious long-term health effects: Continuing pregnancy (less than 1 in 100) Hemorrhage – very heavy bleeding (2 in 1,000) Undiagnosed ectopic pregnancy ( 1 in 7,000) Psychological problems (variable) Extra procedures that may be necessary Surgical abortion or uterine aspiration (3 in 100) Blood transfusion Laparoscopy or laparotomy – operation to look inside the abdomen Hysterectomy – surgical removal of the womb (2 in 100,000) Death is very rarely linked to abortion treatment (less than 1 in 100,000 for all abortions). Treatment You will receive your treatment package direct from the pharmacy from 1 to 3 days from your telephone consultation (sometimes longer with Bank Holidays). If your package is delayed in the post for a few days you should still take the tablets as directed once they arrive. The package is plain with no indication of its contents, it will be tracked but not signed for. Your pack will contain: Mabon pack containing 1 tablet of mifepristone (step 1) and 4 tablets of misoprostol (step 2) 2 plastic-wrapped misoprostol tablets (step 3) Pregnancy test (step 4) Codeine (only provided if medically suitable) Your chosen contraceptive pills, patches, or rings (if requested and suitable) – you will need to supply your height, weight, and blood pressure reading for patches, pills, and combined hormonal pills. Click for details where to get blood pressure readings STI test – you may also receive a chlamydia and gonorrhea test. Blood affects the results of this test, so it is best to complete this before starting your treatment. Click for details. This medication is used to prevent stomach ulcers while you take NSAIDs (eg, aspirin, ibuprofen, naproxen), especially if you are at risk for developing ulcers or have a history of ulcers. Misoprostol helps to decrease your risk of serious ulcer complications such as bleeding. This medication protects your stomach lining by lowering the amount of acid that comes in contact with it. This medication is also used in combination with another drug (mifepristone) to end a pregnancy (abortion). How to use Cytotec This medicine comes with a patient information leaflet. Read it carefully. If you have any questions about this drug, ask your doctor, nurse, or pharmacist. Dosage is based on your medical condition and response to therapy. If you are taking this drug to prevent stomach ulcers, take it by mouth usually four times a day, after meals and at bedtime to minimize diarrhea, or as directed by your doctor. If you are taking this medication for abortion, take it by mouth exactly as directed by your doctor. If you are using this medication to start labor, your healthcare professional will insert it into your vagina. Avoid taking antacids that contain magnesium while using misoprostol because they may make diarrhea it causes worse. If you need an antacid, consult your doctor or pharmacist to help you choose a product. For ulcer prevention, continue to take this drug for as long as you take NSAIDs. Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day. Inform your doctor if your condition persists or worsens. Next You Might Also Like Digestive Disorders Center Timeline of Liver Donor Recovery How to Treat a Crohn's Flare Ulcerative Colitis: Problem Foods to Avoid Eating Well With the Pancreatic Condition EPI Can You Change Your Gut Bacteria? View More Related Links List Cytotec side effects by likelihood and severity Who should not take Cytotec? What should I know regarding pregnancy, nursing, and administering Cytotec to children or the elderly? What conditions does Cytotec treat? What is Cytotec? Cytotec reduces stomach acid and helps protect the stomach from damage that can be caused by taking a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others. Cytotec is used to prevent stomach ulcers during treatment with aspirin or an NSAID. Cytotec may also be used for purposes not listed in this medication guide. Warnings Cytotec can cause birth defects, premature birth, uterine rupture, miscarriage, or incomplete miscarriage, and dangerous uterine bleeding. Do not use this medicine if you are pregnant. If you are able to become pregnant, you will need to have a negative pregnancy test before starting this treatment. You will also need to use effective birth control to prevent pregnancy during treatment. Before taking this medicine You should not use Cytotec if you are allergic to Cytotec or other prostaglandins, or if you are pregnant. To make sure Cytotec is safe for you, tell your doctor if you have: inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), or other intestinal problems; heart disease; or if you are dehydrated. FDA pregnancy category X. Cytotec can cause birth defects, premature birth, uterine rupture, miscarriage, or incomplete miscarriage, and dangerous uterine bleeding. Do not use this medicine if you are pregnant. Use effective birth control to prevent pregnancy while you are using this medicine, and for at least 1 month after your treatment ends. If you are able to become pregnant, you will need to have a negative pregnancy test before you start taking Cytotec. Treatment with this medicine should begin on the second or third day of your menstrual period. Stop taking this medicine and tell your doctor right away if you become pregnant during treatment. It is not known whether misoprostol passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breastfeeding a baby. How should I take Cytotec? Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Do not share this medicine with another person. Cytotec is usually taken with meals and at bedtime. Follow your doctor's instructions. You may have nausea, stomach cramps, or diarrhea while taking this medicine, especially during the first few weeks after you start taking Cytotec. These symptoms usually last for about a week. Call your doctor if you have severe nausea, stomach pain, or diarrhea lasting longer than 8 days. Read all medication guides or patient instructions provided with this medicine each time you receive a new supply. Store at room temperature away from moisture and heat. Detailed Cytotec dosage information What happens if I miss a dose? Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? MTP Kit (Mifepristone + Misoprostol) PDFSHARE Prescribing Information Overview Related Resources For the use of Gynaecologists only Warning Product is to be used only under the supervision of a service provider and in a medical facility as specified under MTP Act 2002 and MTP Rules 2003. Qualitative and Quantitative Composition Each pack contains 5 tablets: A. 1 Mifepristone Tablet Each uncoated tablet contains: Mifepristone…200 mg B. 4 Misoprostol Tablets Each uncoated tablet contains: Misoprostol…200 mcg Dosage Form and Strength Mifepristone tablet for oral use and misoprostol tablets for vaginal use. Clinical Particulars Therapeutic Indication MTP Kit is indicated for the medical termination of intrauterine pregnancy of up to 63 days gestation based on the first day of the last menstrual period. Posology and Method of Administration MTP Kit is indicated for the medical termination of intrauterine pregnancy of up to 63 days of gestation. For purposes of this treatment, pregnancy is dated from the first day of the last menstrual period in a presumed 28-day cycle with ovulation occurring at mid-cycle. The duration of pregnancy may be determined from menstrual history and by clinical examination. An ultrasonographic should be used if the duration of pregnancy is uncertain, or if ectopic pregnancy is suspected scan. Any intrauterine device (IUD) should be removed before treatment with mifepristone and misoprostol begins. Pregnancy termination by surgery is recommended in cases when MTP Kit fails to cause termination of intrauterine pregnancy. Mifepristone may be administered by or under the supervision of a Gynaecologist, able to assess the gestational age of an embryo and to diagnose ectopic pregnancies. The Gynaecologist must also be able to provide surgical intervention in cases of incomplete abortion or severe bleeding or have made plans to provide such care through others and be able to assure the patient access to medical facilities equipped to provide blood transfusions and resuscitation, if necessary. The dosage is mifepristone 200 mg orally followed 1 – 3 days later by misoprostol 800 mcg (4 tablets of 200 mcg) vaginally. The misoprostol may be administered by a health care provider or self-administered by the woman. For women at 49 – 63 days of gestation, if abortion has not occurred 4 hours after administration of misoprostol, a second dose of misoprostol 400 mcg (2 tablets of 200 mcg) may be administered vaginally or orally (depending upon preference and amount of bleeding) ). The patient should return for a follow-up visit approximately 14 days after the administration of mifepristone. This visit is very important to confirm by clinical examination or ultrasonographic scan that a complete termination of pregnancy has occurred. Patients who have an ongoing pregnancy at this visit have a risk of fetal malformation resulting from the treatment. Surgical termination is recommended to manage medical abortion treatment failures. the treatment procedure is contraindicated if a patient does not have adequate access to medical facilities equipped to provide emergency treatment of incomplete abortion, blood transfusions, and emergency resuscitation during the period from the first visit until discharged by the administering health care provider. Mifepristone also should not be used by any patient who may be unable to understand the effects of the treatment procedure or to comply with its regimen. Special Warnings and Precautions for Use General In the absence of specific studies, mifepristone is not recommended in patients with: Renal failure Hepatic failure Malnutrition The administration of mifepristone must be under the supervision of a qualified Gynaecologist. The use of mifepristone is assumed to require the same preventive measures as those taken prior to and during surgical abortion to prevent rhesus immunization. There are no data on the safety and efficacy of mifepristone in women with chronic medical conditions such as cardiovascular, hypertensive, hepatic, respiratory, or renal disease; insulin-dependent diabetes mellitus; severe anemia or heavy smoking. Women who are more than 35 years of age and who also smoke 10 or more cigarettes per day should be treated with caution because such patients were generally excluded from clinical trials of mifepristone. Although there is no clinical evidence, the effectiveness of mifepristone may be lower if misoprostol is administered more than 2 days after mifepristone administration. Patients with prosthetic heart valves or who have had one previous episode of infectious endocarditis should receive appropriate prophylactic antibiotic treatment. A physical examination must be performed by a qualified trained medical professional in a woman who has undergone genital mutilation to exclude any anatomical obstacles to medical abortion. During clinical trials, pregnancies occurred between embryo expulsion (abortion) and the response of menses. To avoid potential exposure of a subsequent pregnancy to mifepristone, it is recommended that unprotected sexual intercourse be avoided until the appearance of the first menses after the abortion. Reliable contraception should commence as soon as the termination of the pregnancy has been confirmed, or before the woman resumes sexual intercourse. Information for Patients Patients should be fully advised of the treatment procedure and its effects. Each patient must understand: the necessity to combine treatment with prostaglandin to be administered at a second visit, 1 to 3 days after administration of mifepristone the necessity of completing the treatment schedule, including a follow-up visit approximately 14 days after taking mifepristone in order to check for complete expulsion that vaginal bleeding and uterine cramping probably will occur that prolonged heavy vaginal bleeding is not proof of a complete abortion that if the treatment fails, there is a risk of fetal malformation that medical abortion treatment failures are managed by surgical termination the steps to take in an emergency situation, including precise instructions and a telephone number that she can call if she has any problems or concerns Laboratory Tests Clinical examination is necessary to confirm the complete termination of pregnancy after the treatment procedure. Changes in quantitative human chorionic gonadotropin (hCG) levels will not be decisive until at least 10 days after the administration of mifepristone. A continuing pregnancy can be confirmed by ultrasonographic scan. The existence of debris in the uterus following the treatment procedure will not necessarily require surgery for its removal. Decreases in hemoglobin concentration, hematocrit, and red blood cell count occur in some women who bleed heavily. Hemoglobin decreases of more than 2 g/dL occurred in 5.5% of subjects during the French clinical trials of mifepristone and misoprostol. Clinically significant changes in serum enzyme (serum glutamic oxaloacetic transaminase, serum glutamic pyruvic transaminase, alkaline phosphatase, gamma-glutamyltransferase ) activities were rarely reported. Precautions for Use In case of doubted acute adrenal failure, dexamethasone administration is recommended. 1mg of dexamethasone antagonizes a dose of 400mg of mifepristone. 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