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MTP Kit Assisted Abortion – How Many Pills Do You Need?

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.

This entry was posted in Abortion Pills and tagged Abortion pill, Abortion pills, Abortion pills online, Medical Abortion, Mifepristone and misoprostol, MTP Kit, MTP kit online by .
How to Take Mifepristone and Misoprostol Combination Safely?

How to Take Mifepristone and Misoprostol Combination Safely?

Mifepristone and misoprostol are two essential abortion pills for a medication abortion. The combination of the two is a popular alternative to an in-clinic surgical abortion. Medication abortion offers a private and less invasive option for women with intrauterine pregnancy seeking medical termination for an early pregnancy. 

Though easy, the process can be confusing for some users, so, here we are, breaking down the complete medical abortion step by step process, right from how to take mifepristone and misoprostol, to its dosage, side effects, and safety tips.

What is Mifepristone and Misoprostol?

Mifepristone and misoprostol are sets of pills used to end an ongoing pregnancy within 10 weeks of gestation.

Mifepristone: An anti-progesterone medicine that breaks down the endometrial lining by blocking the progesterone hormone, which discontinues the pregnancy.

Misoprostol: This medicine mimics the natural prostaglandins in the body which causes the uterus to contract. The squeezing helps push out the pregnancy contents, similar to birth-giving or menstruation.

Why is the combination used?

When mifepristone and misoprostol are taken together it effectively ends the pregnancy by offering a non-invasive and private alternative to surgical abortion. For a self-managed abortion at home, you can take the abortion pills.

Medical abortion vs. surgical abortion

Abortion pills are used for a medical abortion within 10 weeks gestation, a non-invasive method in private settings, likely your home. However, surgical abortion needs surgery to remove the fetus, a less convenient method. Medical abortion offers a private solution and an easy method to expel the pregnancy.

Importance of taking pills correctly

Taking the right pill, in the right dosage, and at the right time is important. This ensures effectiveness and reduces risks. The mifepristone and misoprostol dosage is 200mg and 200 each of the four pills, respectively. Follow all abortion pill instructions provided by your healthcare provider to prevent complications and make the procedure a success.

How Mifepristone and Misoprostol Work?

Mifepristone and misoprostol are used in combination to end an early pregnancy by blocking progesterone and contracting the uterus to eliminate the pregnancy.
Mifepristone: How it blocks progesterone 

How does mifepristone work? It blocks the effects of progesterone, a hormone responsible for maintaining the pregnancy. This breaks down the endometrial lining and separates the embryo from the uterine wall, making it challenging for the pregnancy to continue. 

How Misoprostol Causes Contractions

As a prostaglandin E1 analog, misoprostol works similarly to the body’s natural prostaglandins. The method of action of misoprostol helps push out the pregnancy tissues by causing contractions in the uterus. Additionally, it dilates and softens the cervix to facilitate a smooth ejection.

Timeline of how the process works

The medical abortion process explained

  • Day 1: Take 200 mg of mifepristone orally and swallow with water.
  • Day 2 or 3: Take four misoprostol pills (each of 200 mcg = 800 mcg).
  • Within 2-4 hours: Cramps and bleeding starts.

For the next few days: The pregnancy passes and the side effects lessen.

Step-by-Step Guide: How to Take Mifepristone and Misoprostol

This will help you to know how and when to take mifepristone and misoprostol.

Step 1: Taking Mifepristone

  • The recommended dosage is mifepristone 200 mg,
  • How to take it: The mifepristone tablet should be taken with water, orally.
  • What to expect after taking it: Most women may experience mild spotting or nausea, and some other common symptoms.

Step 2: Taking Misoprostol

  • When to take misoprostol after mifepristone: This medication has to be taken 24-48 hours after mifepristone.
  • Dosage: Take 4 pills of 200 mcg each, in total 800 mcg.
  • Two methods: Buccal (cheek) or Vaginal insertion:
  • Buccal: Place two tablets in your cheek pockets (between cheek and gum) and hold for 30 minutes, later swallow the remains.
  • Vaginal: Insert the four pills inside the vagina towards the cervix and lie down for 30 minutes to help absorption. 
  • How long to wait for effects: Within 1-4 hours heavy bleeding and cramping will begin.

Make sure you follow this mifepristone misoprostol dosage guide to complete the abortion process effectively. Also, between buccal vs. vaginal misoprostol, choose whichever you are comfortable with. 

What to Expect After Taking the Pills?

Common symptoms: Bleeding, cramps, nausea

  • What happens after taking mifepristone? There are rarely any symptoms until you take misoprostol.
  • Within a few hours of misoprostol, cramps get severe than a period. 

The side effects of abortion pills include nausea, vomiting, chills, diarrhea, and mild fever.

How long does the bleeding last after misoprostol?

Expect heavy bleeding after taking misoprostol, especially for the first 4-6 hours, later it decreases as the pregnancy passes out completely. Do not feel weird if you still see light bleeding after two weeks, that’s common.

How to manage pain and discomfort?

  • Take ibuprofen for pain, however, avoid aspirin.
  • Use a heating pad for discomfort (cramps).
  • Drink fluids for hydration and rest as much as possible.

When to Seek Medical Help?

Complications of medical abortion are rare, but there’s still a 1% chance of them happening. Before you begin with the medical abortion process, check out for these signs of incomplete abortion or an infection:

  • If you continuously soak more than two pads in an hour for 2-3 hours, seek medical help.
  • If pain relievers do not help, check with your healthcare provider, extreme pain can be a sign of incomplete abortion.
  • A mild fever is normal, but if you have a persistent fever of more than 100°C, it can be an infection and you should seek medical attention.
  • No bleeding even after taking misoprostol tablets is one of the signs of incomplete abortion.
  • If you feel the side effects have worsened contact a healthcare provider to rule out any serious issues. 

Safety Tips & Precautions

Follow these abortion pill safety tips for safe, effective, and private medical termination of pregnancy.

Who should not take mifepristone and misoprostol? 

  • Women with an ectopic pregnancy should avoid abortion with pills.
  • If you have an IUD (intrauterine device) in place (remove it to take the pills).
  • Certain medical conditions (kidney, liver, & heart) or severe anemia. 

Avoiding alcohol and certain medications

You should know what to avoid after taking abortion pills before taking them. It’s crucial to know the interaction certain medications can interact with the effectiveness of abortion pills. Avoid alcohol and smoking. Do not take medication like blood thinners and aspirin as they can disrupt the absorption of pills or fail them. 

Importance of follow-up check-up
Once you complete the process by following the correct mifepristone and misoprostol dosage guide, it’s essential to visit a healthcare provider for a follow-up check-up to confirm the abortion and check for any signs of incomplete abortion or infection.

Conclusion

Medication abortion with mifepristone and misoprostol is an effective and safe way for the termination of pregnancy, only when abortion pill instructions are followed correctly. By understanding how to take Mifepristone and Misoprostol, knowing when to take Misoprostol after Mifepristone, and recognizing signs of incomplete abortion, a safe experience with medical abortion is assured. Before taking these medications for the best guidance, make sure you have consulted a healthcare provider.

This entry was posted in Abortion Pill Information, Uncategorized and tagged Abortion pills, Medical Abortion, medical abortion step by step, Mifepristone and misoprostol, mifepristone and misoprostol dosage, Mifepristone: How it blocks progesterone, Misoprostol: How it induces contractions by .
Abortion by Only Taking Mifepristone?

Abortion by Only Taking Mifepristone? Know the Process and Risks

Recently updated on March 21st, 2025 at 05:21 am

Only taking mifepristone cannot dispel the pregnancy from the uterus, misoprostol is also important. Mifepristone is a widely used abortion pill in combination with misoprostol. It works by blocking the progesterone hormone needed to sustain the pregnancy. It separates the pregnancy from the endometrial lining and forces it to discontinue. 

However, many people wonder, can mifepristone be used alone for a medical abortion, or is misoprostol necessary to terminate a pregnancy?

Can I take only Mifepristone for abortion?

Only taking mifepristone is the first step of a medical abortion, followed by misoprostol. When you take mifepristone it weakens the pregnancy and halts its development, preparing it for the exit. But, if you do not take misoprostol, your body won’t be able to push out the pregnancy contents as there will be no uterine contractions. Hence, it is essential to take misoprostol after taking mifepristone alone for the termination of pregnancy.

Mifepristone uses are not limited to medical abortion, it is also effective for managing miscarriages, mostly incomplete ones, Cushing’s syndrome treatment, and uterine fibroid management. Your healthcare provider can suggest mifepristone for these conditions too.

What Happens If You Perform Abortion With Only Taking Mifepristone?

If you are only taking mifepristone for termination of pregnancy, you cannot complete the abortion. And you can witness:

Mild cramps and bleeding

Incomplete or failed abortion

Pregnancy symptoms are still there

Continuation of pregnancy

Abortion cannot be completed by taking only mifepristone, misoprostol is essential. If that happens, you may need a medical intervention or surgical process, which is time-consuming and expensive. If you have performed an abortion with only mifepristone, consult your healthcare professional for next steps.

Why is Misoprostol Necessary After Only Taking Mifepristone?

Misoprostol is administered 24 to 48 hours after mifepristone alone for termination of pregnancy. It causes the uterus to contract, resulting in cramping and bleeding, which expels the pregnancy tissue. Without misoprostol, the abortion could be incomplete, increasing the risk of complications.

Risks of Only Taking Mifepristone Without Misoprostol

There are certain complications of taking mifepristone alone for termination of pregnancy and not taking misoprostol after. Without misoprostol, the abortion will be incomplete, and you may have to choose a different method. If you want a medical abortion, make sure to take the right dosage and follow the proper prescription. You can find the MTP kit dose online to get the correct combination of abortion pills.

Is Abortion Pill One Day Treatment Possible?

Many people think that with abortion pills, they can complete an abortion in one day, but that’s not possible. You start the process with mifepristone and take misoprostol after waiting for 24-48 hours. Your body takes time to expel the pregnancy from the uterus and will take a few days. An abortion pill one day treatment is not common, as the process usually requires more time.

Conclusion:

Only taking mifepristone is not a reliable method of medical abortion. If you want to end a pregnancy safely and effectively, you need to take both mifepristone and misoprostol. If you have taken mifepristone alone and do not know what to do next, immediately seek medical advice. 
If you require the right and exact medication, you can verify the MTP kit dose online to assure and receive an effective solution.

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