An MTP Kit is a renowned medication pack that helps self-initiate a pill-assisted abortion. Each pack contains a single pill of Mifepristone 200mg and four pills of Misoprostol 200mcg. You may need more than one kit to end the pregnancy. The number of abortion pills you need depends on how far along in the pregnancy. For a pregnancy within 4 weeks, usually one MTP Kit is fine.

•  For pregnancies over 4 weeks and up to 12 weeks, you may need extra 2 kits or more.
• To assess the number of medicines required, you can speak with a healthcare professional.
• What remains constant is 1 Mifepristone pill. But you may need additional Misoprostol pills – somewhere between 4 to 12 pills.

Here, we will take you through the MTP Kit abortion procedure, the pill dosage, how many Misoprostol pills you need to end a pregnancy, and other details.

How to Obtain MTP Kits for Medical Abortion?

Let’s start by understanding various ways you can access MTP Kit pills. Normally, you can buy MTP Kit online as it is more cost-effective than purchasing the medicines from an offline store. However, you can also obtain Mifepristone and Misoprostol pills from verified healthcare centers and stores in your area.

• Places where physical clinics and outlets are hard to find that cater abortion pills, retail pharmacies over the internet are ideal alternatives.
•  You can also contact telehealth services or telemedicine providers that have the option for medical abortion kits and pills.
• These may not only allow you to order MTP Kit online but also access consultation virtually for pre-assessment and understanding about the procedure.
• Depending on the virtual care provider, you can get a doctor’s slip for the abortion pills, advice on how to conduct the procedure at home in safety, aftercare tips, etc.

How to Self-Initiate Abortion With an MTP Kit?

As discussed, if you are using just one MTP Kit, you will have a total of 5 pills with you (1 x Mifepristone and 4 x Misoprostol pills). Here is how to start a medical abortion.

1.       Administering Mifepristone 200mg: Take one Mifepristone orally with water without crushing or breaking the medicine. Mifepristone is an oral progesterone blocker. Its role is to stop the pregnancy. It detaches the products of conception from the implantation site by shedding the endometrial lining.

2.      Using Misoprostol 800mcg: Secondly, wait for 24 to 48 hours. Then you can take 4 x Misoprostol pills together either inserting under the tongue or in the cheek pouches as they melt for 30 minutes. Ingest the melted contents after this duration. Or, you may put the pills in the vagina by laying down and resting for half an hour. The medicine melts and gets absorbed in the body through the vaginal canal.

3.      Extra Misoprostol Pills: If vaginal bleeding after 4 x Misoprostol pills 200mcg does not start within 4 to 6 hours, you may take another dose of 2 x Misoprostol 200mcg pills. Thereby if the bleeding does not begin within another 8 to 10 hours, you can take the next two extra pills. This way, you can take up to 5 additional doses with each dose containing 2 Misoprostol pills.

Can I Order More Than One MTP Kit?

If you intend to get more than one MTP Kit, you can do so. Not every provider may have the facility to offer multiple MTP Kits, but this should not be a problem when ordering from retail pharmacies or virtual outlets. Usually, people prefer taking 2 to 3 MTP Kits to attain 8 to 12 Misoprostol pills.

Then there are combo packs, where you can take 1 MTP Kit with extra Misoprostol pills (8 to 10 extra pills). Check with the outlet the types of MTP Kit deals available and select the one feasible for your needs to complete the requirement for extra dosage. Even if you have more than one Mifepristone pill, make sure you do not have more than 200mg pill at once.

How Do I Prevent MTP Kit Overdose?

Make sure you take only the recommended dose of MTP Kit as per your pregnancy weeks. A doctor can guide you about it, or the number of extra Misoprostol dose directions – follow that. If there is no bleeding at all, even after taking enough abortion pills – visit a doctor and seek a health assessment.

But do not exceed the recommended extra Misoprostol pill dose. Do keep in mind to start the procedure with the Mifepristone pill. Give at least a 24 to 48 hours gap before you begin with Misoprostol pills. Do not take more than 4 Misoprostol pills at once. Give enough time in between the next extra dose for the vaginal bleeding.

Frequently Asked Questions

Here are some FAQs about MTP Kit pregnancy termination:

1.       How many abortion pills does an MTP Kit contain?

A single MTP Kit contains 5 pills in total. It has the primary abortion pill i.e. Mifepristone 200mg. Then you have 4 Misoprostol pills. Each pill has 200mcg strength, thus a total Misoprostol 800mcg is what you get.

2.       How many MTP Kits do I need to terminate a pregnancy?

You may need 2 to 3 MTP Kits to end a pregnancy, depending on the number of pregnancy weeks you are at. It is always good to keep an extra MTP Kit handy in case there is a need for an additional Misoprostol dose.

3.       How many extra abortion pills can I take?

While one Mifepristone pill is sufficient no matter if the pregnancy is even at 12 weeks, you may need additional Misoprostol pills in some cases. The minimum quantity of Misoprostol is 4 pills. Over that you may require 4 to 8 more pills depending on the vaginal bleeding’s commencement.

4.       How do I take Mifepristone and Misoprostol pills?

You can Mifepristone orally without breaking, chewing or crushing the 200mg pill. Take orally with water by swallowing the pill. Misoprostol can be taken buccally or sublingually by mouth, or inserted vaginally 4 pills at once.

5.       When should I not use MTP Kit pills?

Make sure you do not have an allergy to MTP Kit pill contents. Also, medical abortion is not suitable if the pregnancy is ectopic, over 12 weeks, or you have contraindications such as severe kidney/liver disorders, bleeding disorders, on long-term corticosteroid therapy, uncontrollable blood pressure, etc.