How to use Mifepristone VA
Mifepristone VA (also known as RU 486) is used to terminate a pregnancy in early pregnancy. It is used until the 10th week of pregnancy (up to 70 days after the first day of the last menstruation). Mifepristone blocks a natural substance (progesterone) needed to continue a pregnancy. It is usually used along with another medicine called misoprostol. Mifepristone should not be used if you have a rare abnormal pregnancy outside the uterus (ectopic pregnancy). In this case, it will not lead to an abortion. This can cause the ectopic pregnancy to rupture, leading to very serious bleeding.
How to use mifepristone by mouth
Read the medication guide provided by your doctor before you start using mifepristone. Save the manual for future reference. If you have any questions, please consult your doctor or pharmacist. Read and sign the patient agreement form provided by your doctor. Tell your doctor if you do not understand how to use this medicine or cannot follow the instructions. Mifepristone is only available from your doctor. It is not available in pharmacies.
You must visit the doctor’s office at least 2 times to complete treatment and important examinations. This treatment is done only under the direct supervision of a doctor in a doctor’s office, clinic, or hospital. Be sure to get clear instructions from your doctor about who to call and what to do in an emergency.
Your doctor may want to do an ultrasound to make sure your pregnancy is less than 10 weeks old and not outside the uterus (ectopic).
Take mifepristone by mouth as directed by your doctor, usually once. After taking mifepristone, your doctor should instruct you to wait 24 to 48 hours before taking another medicine (misoprostol) by mouth as a single dose. Medicines may not work if you take misoprostol earlier than 24 hours after taking mifepristone or later than 48 hours after taking mifepristone. Follow your doctor’s instructions carefully. Heavy vaginal bleeding does not mean that the abortion is complete.
Side Effects of Mifepristone VA
Nausea, vomiting, diarrhea, weakness, or dizziness may occur. If these effects last longer than the first 24 hours after taking the second drug (misoprostol), seek immediate medical attention as they may be signs of a serious medical problem.
During treatment, bleeding and spasms are possible. Usually, the symptoms mean that the medicines are working. However, sometimes you may have cramps and bleeding, but you can still be pregnant. You must come to all subsequent visits to the doctor. Nausea and cramps may get worse up to 24 hours after taking the second drug (misoprostol). Your doctor may recommend that you take other medicines to help relieve these symptoms. If any of these effects persist or worsen, tell your doctor or pharmacist immediately.
Precautions Mifepristone VA
Before taking mifepristone, tell your doctor if you are allergic to it, or misoprostol; or to other progestins (such as norethindrone); or if you have any other allergies. This product may contain inactive ingredients that may cause allergic reactions or other problems. Talk to your pharmacist for more details.
This medicine should not be used if you have certain medical conditions or other problems. Check with your doctor before using this medication if you have any of the following conditions: undetected abdominal growth (adnexal mass), certain problems with the adrenal glands (chronic adrenal insufficiency), bleeding problems (such as coagulopathy), certain blood disorders ( hereditary porphyrias), IUD (intrauterine contraception), gestational age more than 10 weeks, a confirmed or possible abnormal pregnancy outside the womb (ectopic pregnancy), not being able to return to the doctor after 7 to 14 days, and not being able to get emergency care within 2 weeks of taking mifepristone.
Missed Dose Mifepristone VA
You must follow the dosing and prescription schedule given by your doctor. If you miss an appointment, contact your doctor immediately.