Uses / Indications:
Medical termination of a pregnancy that has been in the uterus for up to 63 days (9 weeks).
It is occasionally used, under supervision, to treat a missing or incomplete miscarriage.
You shouldn't use it as a regular birth control pill because it's not one.
Pregnancy interaction:
The MT Pill Tablet should not be taken if you are pregnant and do not want to end the pregnancy.
It is specifically used to end an early pregnancy by stopping the hormones that keep it going and causing contractions in the uterus.
It should not be utilized for ectopic pregnancy, which is when the embryo implants outside of the uterus.
A doctor must certify full termination after taking the drug with an ultrasound or a clinical evaluation.
Do not use during a wanted pregnancy because it can hurt the fetus or cause an incomplete abortion and other problems.
If the termination isn't complete, surgery may be needed to remove the fetus.
Expert advice:
You should only use MT Pill if a trained gynecologist is watching you.
Before usage, check to see how long you've been pregnant (≤ 9 weeks).
Take the first tablet (Mifepristone) by mouth as indicated. Then, after 36 to 48 hours, take Misoprostol (typically 4 tablets in the cheek pouch or vaginally, as directed).
You should expect to have cramps and bleed after taking Misoprostol. This means the drug is functioning.
If you have too much bleeding, stomach pain, or an incomplete abortion, you should be able to get to a hospital.
Don't give yourself medicine. Using it wrong can lead to serious problems including significant bleeding or infection.
Do not have sex until your doctor says you are fully healed and the abortion is complete.
You must come back for a follow-up visit after 14 days to be sure the pregnancy has ended.
Side Effects:
Some common side effects are
Cramps or pain in the stomach
Heavy bleeding from the vagina (for a short time)
Feeling sick and throwing up
Diarrhea
Feeling weak or dizzy
Pain in the head
Chills or fever
Side effects that are serious but not common:
Bleeding that lasts for more than 10 days or is quite heavy
Feeling faint or very dizzy
Infection of the pelvis
Incomplete abortion (tissue left in the uterus)
If you have extreme pain, bleeding that doesn't stop, or signs of infection (fever, foul-smelling discharge), you need to visit a doctor at once.
How to use:
Step 1: With the help of a doctor, take one mifepristone pill (200 mg) by mouth with water.
Step 2: Take four misoprostol tablets (200 mcg each) as directed, either in the cheek or in the vagina, after 36 to 48 hours.
After taking misoprostol, you should rest because cramping and bleeding normally start within a few hours.
Bleeding might last anywhere from 10 to 14 days.
Go to a follow-up appointment within two weeks to be sure the abortion is over.
Don't take the MT pill:
If you suffer from an ectopic pregnancy, severe anemia, bleeding issues, or chronic adrenal failure, avoid taking the MT Pill.
Do not take the MT Pill without first obtaining an ultrasound or medical guidance to confirm the length of the pregnancy.
How it works:
The MT Pill Tablet has:
Mifepristone (200 mg) is a progesterone antagonist that stops the hormone that keeps a pregnancy going. This breaks down the lining of the uterus and separates the embryo.
Misoprostol (200 mcg) is a prostaglandin analogue that causes the uterus to contract, which helps to push the pregnancy tissue out of the vagina.
Together, they safely and effectively end early pregnancy without surgery.
Faq for medicine:
Q1. Is it safe to take the MT pill at home?
Only with a doctor's approval and after determining the duration of the pregnancy is it acceptable to take the MT Pill at home. Medical supervision is necessary to handle problems like severe bleeding or an incomplete abortion.
Q2. How long does it take for the MT pill to work?
After taking misoprostol, bleeding normally starts 2 to 6 hours later and can last for 7 to 10 days.
Q3. Does the MT pill hurt?
As the uterus pushes out the tissue, cramping and pain in the abdomen are frequent. If you need them, your doctor may prescribe you painkillers.
Q4. How will I know when the abortion is over?
After 14 days, you need to see your doctor for an ultrasound to confirm that the abortion is complete. Bleeding that doesn't stop or pain in the abdomen may mean that the ejection wasn't complete.
Q5. Can taking the MT pill impair your ability to have children in the future?
If you use the MT pill the right way and under the direction of a doctor, it won't harm your ability to have children in the future. After your periods return to normal, you can get pregnant again.
Q6. Is it okay to use the MT pill for missed periods without knowing if I'm pregnant?
No. Before taking the MT pill, you need to confirm that you are pregnant with a pregnancy test or ultrasound.
Q7. What should I not do after taking the MT pill?
Don't have sex until your doctor says you're better.
Don't use tampons; instead, use sanitary pads to keep track of your bleeding.
Stay away from hard work and alcohol.
Medicine interaction:
Big interactions:
Corticosteroids (e.g., Dexamethasone, Prednisolone): May change how Mifepristone works.
Anticoagulants (Warfarin, Heparin): Raise the chance of bleeding.
Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Could make misoprostol less effective.
Antifungal drugs like ketoconazole and itraconazole may raise the levels of mifepristone.
Some antibiotics, including erythromycin and rifampicin, change how drugs are broken down in the body.
Stay away from alcohol while you're getting treatment because it can make your stomach hurt and make you dizzy.
Before starting the MT pill, always tell your doctor about any drugs, herbal products, or supplements you are using.