How many cytotec tablets will be effective

Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. More in Pubmed Citation Related Articles.

Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. He modified the administrative procedure by adding 3 drops of water with misoprostol. However, the size of the study was small and no control group was included.

We therefore conducted a randomized trial to evaluate the use of misoprostol with and without water in medical abortion up to 9 weeks of gestation. We showed that there was an apparent but not significant trend towards achieving higher complete abortion rate when water was added to misoprostol in medical abortion up to 9 weeks of pregnancy. However, this did not reach statistical significance and the difference was less than that estimated from previous results Carbonell et al.

Moreover, the inconvenience of repeated administration of vaginal misoprostol compares unfavourably with the mifepristone—misoprostol regimen. Further studies may be worthwhile in this group of women. All the women who withdrew from the study did so after the second dose of misoprostol. This was probably related to the relatively long treatment protocol. This information is useful in counselling in the future. There is an increasing awareness among both the general public and the medical profession of the need to incorporate patients' preferences into medical decision making.

The acceptability of any method of treatment will influence the degree to which it is used by consumers, with important implications for health care planners McNeil et al. Therefore, we included the patients' views on acceptability in this study. The reasons for patients choosing medical abortion in this study were very similar to those of the previous study. The worry about surgical complications remained the major concern prompting patients to choose a medical rather than a surgical method of abortion.

The side-effects produced by misoprostol were minimal, transitory and comparable between the treatment groups. Pain was the most common physical symptom and was well tolerated. There was no difference in the incidence and intensity of pain between treatment groups. In the previous study Tang et al. This was largely due to the high failure rate and inconvenience related to frequent visits. Overall, about one-fifth of the patients commented that the frequency of visits was higher than expected.

Unacceptable side-effects, including prolonged bleeding and pain, also contributed to the preference for a surgical method in the future, if necessary. We conclude that the use of misoprostol alone either with or without water added is not recommended for medical abortion up to 9 weeks of pregnancy because of the high failure rate and low acceptability by patients. Further study focusing on the medical abortion up to 7 weeks may be worthwhile.

Bugalho, A. Contraception , 53 , — Carbonell, J. Contraception , 55 , — Creinin, M. JAMA , , — Safety and efficacy. Farell, R. Heisterberg, L. A prospective study assessing the role of postabortal pelvic inflammatory disease and prophylactic antibiotics. Hausknecht, R. Ho, P. Koopersmith, T. McNeil, B. Ngai, S. Norman, J. Lancet , , — Roger, M.

Lancet , ii , — Tang, G. Contraception , 48 , — Winikoff, B. Contraception , 54 , — World Health Organization Termination of early human pregnancy with RU mifepristone and the prostaglandin analogue sulprostone: a multicentre, randomized comparison between two treatment regimens. Oxford University Press is a department of the University of Oxford.

It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Misoprostol is typically much easier to buy because it is also used to treat ulcers and to prevent or stop heavy bleeding after childbirth. Reliable, evidence-based information on how to safely self-manage an abortion with pills can be found on the websites of these organizations:.

Reliable, evidence-based information that gives women control over their own bodies and reproductive choices. How to buy abortion pills that are safe and effective. More information on how to self-manage an abortion with pills. What medications can be used safely for an abortion with pills?

What is the difference between mifepristone and misoprostol? What do abortion pills look like? What does mifepristone combined with misoprostol look like? How much do the pills cost? How can I know if the pills are real and not counterfeit?

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.

Can I buy abortion pills without a prescription? Where can I find more information on abortion with pills? Reliable, evidence-based information on how to safely self-manage an abortion with pills can be found on the websites of these organizations: Safe2Choose: www. The cost of pills ranges from approximately 40 USD to 75 USD depending on dosage; prices are listed on the website in pesos. TelAbortion sends abortion pills as part of a US-based study into the effective delivery of telemedicine abortion.

The price of this service may vary from state to state and person to person. Women Help Women provides various contraception options and mifepristone and misoprostol to people living in countries with restricted or no access to legal abortion. The United States is not on the list of supported countries, but residents of other countries can complete a confidential consultation online to evaluate if they are eligible to receive the medical abortion pills for a donation.

English, Spanish, French, German, and others.