Table of Contents
Mifepristone + Misoprostol
200mg + 200mcg
1 + 4 tablets in strip
10 to 15 working days
MTP kit is a complete abortion kit used for early abortion in women. This abortion kit consists of two drugs, mifepristone and misoprostol, prescribed for women in early pregnancy or within 9 weeks of gestation.
It is available in a combination pack containing 1 tablet of Mifepristone 200mg and 4 tablets of Misoprostol 200mcg.
It is a medical abortion that requires the oral administration of tablets. These medications are given to you when you visit the clinic.
It works by blocking the effects of progesterone, increasing uterine contractions and causing miscarriage. The abortion process is completed within 3-4 days. See a doctor two weeks later.
What is MTP Kit?
MTP Kit is a combination of two medicines used for abortion (abortion). The drug blocks the action of progesterone, a female hormone needed to maintain pregnancy and induce uterine contractions, further promoting abortion.
How does MTP Kit works?
MTP kit works by blocking the effects of progesterone by separating the placenta from the endometrium. It softens the cervix and increases uterine contractions to ease the passage of uterine contents.
The contents of the uterus are usually blood clots that pass through the vagina when bleeding begins.
For a 7-week pregnant woman, the receptacle looks like a fine grain of rice. For a 9-week pregnant woman, the receptacle looks like a bean.
You will need to have an ultrasound after 2 weeks to see if the abortion is complete.
What should I do before taking an MTP kit (abortion kit)?
Before taking an abortion drug, you meet with your nurse, doctor, or health center staff to find out if abortion is the right decision for you and what your abortion options are.
There are tests and tests, and an ultrasound scan may be able to determine at what stage of pregnancy.
Your nurse or doctor will let you know if there is anything else you need to do to prepare for an abortion. They will give you written instructions on how to take your medicine.
Access to compassionate professionals throughout the process. If you have any questions or concerns, you can get a number that you can call 24/7.
Bleeding and cramps will increase after taking the second medicine, so plan ahead to make the process more comfortable. You can be at home or in a comfortable place to rest.
You can also ask for help if you need someone you can trust (or someone nearby).
Buy maxi towels, food, books, movies and other things you want to spend your time with or hot compresses for cramps. Make sure you have painkillers. However, do not take aspirin as it can increase bleeding.
What are uses of MTP kit?
In medical abortion
MTP kits are used to induce a miscarriage in early pregnancy. Used up to the 10th week of pregnancy (from the first day of the last menstruation up to 70 days later). This drug effectively blocks a natural female hormone called progesterone, which is needed to continue pregnancy. Use only as directed by your doctor.
Abortion – The MTP kit is used at the end of a woman’s pregnancy (within 9 weeks).
MTP kit Composition
Mifepristone (200mg) + Misoprostol (200mcg)
How to use MTP kit?
MTP kit, you must first take one 200 mg mifepristone tablet. After taking this pill, you can return to your normal routine and continue.
The next step is to take 4 tablets of misoprostol 200mcg (oral or vaginal, depending on your choice). These are taken within 72 hours.
However, after taking mifepristone, you can wait 24 hours before taking 4 tablets of misoprostol. Bleeding can last for 6-8 hours (or 12 hours in some cases).
You will feel nauseous and need to rest for another 24 hours. Take painkillers and anti-nausea medications before consuming misoprostol to help manage discomfort and pain during the process.
Take this medicine at the dose and for the duration recommended by your doctor. Please check the label before use. The MTP Kit should be taken with food.
The MTP kit consists of 1 Mifepristone and 4 Misoprostol. Mifepristone should be taken orally with water. Thereafter, you should take 4 misoprostol tablets within 72 hours. Your doctor will tell you when to take it.
Misoprostol can be taken orally or vaginally. For oral administration, 4 tablets should be placed in the cheek pocket. Do not ingest immediately.
Place two misoprostol pills on one side of the mouth and the other two on the other side of the mouth (behind the teeth, in the cheek pocket). Wait for the content to dissolve.
After 25-30 minutes, swallow the rest of the tablet. Bleeding usually begins within the first 4 hours. Keep menstrual pads handy as the bleeding will be heavier than usual.
For intravaginal administration, it is necessary to lie down and insert 4 tablets into the vagina. If the pill falls off before the bleeding starts, reinsert it.
If the pill falls after the bleeding starts, don’t worry, most medications are now dissolved.
See your doctor two weeks later to see if a miscarriage has occurred. To avoid severe cramps and abdominal pain, doctors may recommend taking ibuprofen tablets 1 hour before taking misoprostol.
If you forget a dose: Take this medicine as prescribed by your doctor. Therefore, there is no chance of missing a dose.
Overdose: This drug is usually taken in the presence of a doctor. However, your doctor recommends taking the pills home, and if you suspect an overdose, contact your doctor right away.
Tell your doctor before taking MTP kit.
If you are allergic to misoprostol or other medications.
If you are taking oxytocin.
If you have irritable bowel syndrome (IBS).
If you have heart disease.
If you have intestinal diseases.
If you suffer from diseases such as diabetes, high blood pressure or angina pectoris.
If you ever have a history of stroke, heart attack.
MTP kit side effects
Common side effects of Abortion pill are:
- Heavy menstrual bleeding
- Chills or hot flushes
- Pelvic pain
In case you soak two sanitary pads or more within two hours or experience any side-effects for long, contact your doctor immediately.
Interaction with other Drugs
- Antibiotics such as erythromycin
- Antifungals such as ketoconazole
- Corticosteroids such as dexamethasone
- HIV Protease inhibitors such as indinavir and ritonavir
Interaction with alcohol
Alcohol can increase the chances of having side effects. The consumption of alcohol must be absolutely avoided.
MTP kit Storage instructions
MTP kit tablets must be stored correctly and safely in their original packaging.
Keep the pill away from direct sunlight, moisture and sunlight.
Keep the pill away from children.
After opening the package, store the remaining tablets in a closed container.
Do not take after the expiration date.
- CYTOTEC 200 MCG (MISOPROSTOL)
- RU-486 (Mifepristone)
When should I not take these medicines?
Abortion medications are a safe option for ending a pregnancy in the first 12 weeks, but they are generally not the right option for everyone. Therefore, do not use the MTP kit if you have any of the following:
Ectopic pregnancy-An ectopic pregnancy that implants outside the womb and can only be treated by a doctor.
Chronic adrenal or liver failure.
You are infected with HIV-If you are infected with HIV, you may be at increased risk of infection during the abortion process. Therefore, before using an abortion drug, you should use antibiotics at the same time and contact your doctor.
STI-If you have a sexually transmitted disease such as gonorrhea, you should see a doctor.
IUD is installed-Intrauterine device must be removed before taking abortion medication.
Porphyria: Hereditary disorders such as porphyria affect the ability of the blood to carry oxygen to organs and tissues.
How to confirm abortion?
A follow-up appointment is recommended to ensure the abortion is complete. You can go to the nearest clinic where a medical professional will perform a quick examination, blood test or ultrasound.
What are the essential precautions you should follow after the abortion procedure?
If possible, plan to rest a day or two after the abortion. There are certain precautions you should take after the abortion:
Do not do strenuous exercise for the first week.
Avoid inserting anything into the vagina for 2-3 weeks (including tampons, sex toys, etc.).
Avoid stimulating the nipples to reduce breast discharge.
Most symptoms usually disappear after 24 hours. Plan to take it slow and let your body guide you.
Are there any possible complications I need to watch out for?
It is common to wonder if everything is okay. Although there is nothing to worry about, however, there are some things to watch out for after your abortion.
Signs of possible complications include:
Fever above 101°F up to or for more than 24 hours.
Heavy bleeding that won’t stop – soak two or more pads in one hour for 2 hours straight.
Nausea, vomiting or diarrhea that lasts more than 24 hours.
Nasty vaginal discharge.
Severe pain or cramping that does not go away even with medication.
Persistent pregnancy symptoms after 2-4 weeks.
If you experience any of these things, contact your doctor immediately. These signs may indicate that further treatment is needed.
Is there a difference between medical abortion and the abortion pill?
The abortion pill is sold under different names. However, medical abortion is the same as the abortion pill.
How do you feel about drug abortion?
For most people, abortion feels like an early miscarriage. You can have:
Lots of stomach cramps and pain
Very severe bleeding with a large blood clot (contact your nurse or doctor if you do not bleed within 24 hours of taking the second drug, misoprostol).
Stomach pain and vomiting (a doctor or nurse may give medicines to relieve nausea)
make you dizzy
Mild fever (99-100 ° F) or chills on the day of taking misoprostol (if you have a fever after the day of taking your misoprostol tablets, contact your doctor or health center immediately).
What Happens During an Abortion?
The abortion pill process involves several steps and includes two different medications.
First, take a pill called mifepristone. This medicine prevents the progression of pregnancy. Some people may feel nauseous or start bleeding after taking mifepristone, but this isn’t common.
Your doctor or nurse can also give you antibiotics to take to prevent infection.
The second drug is called misoprostol. Misoprostol should be taken immediately or up to 48 hours after taking the first tablet. Your doctor or nurse will tell you when and how to take it.
This medicine causes cramps and bleeding and empties the uterus.
For most people, cramping and bleeding usually begin 1 to 4 hours after taking misoprostol. When this happens, it’s normal to see large blood clots (up to the size of a lemon) or a mass of tissue.
It’s a bit like having a very intense crisis period, and the process is very similar to an early miscarriage. (If no bleeding occurs within 24 hours of taking the second drug, misoprostol, contact your nurse or doctor.)
Seizures and bleeding can last for hours. Most people walk through pregnant tissue in 4-5 hours, but it can take longer. After the pregnancy tissue comes out, cramping and bleeding slow down.
Intermittent seizures may occur for another 1-2 days.
To relieve spasms, you can take pain relievers such as ibuprofen about 30 minutes before taking the second drug, misoprostol. If your doctor or nurse gives you a nausea medicine, you can also take a nausea medicine. Don’t take aspirin. Bleeding can increase.
Abnormal bleeding and bleeding usually occur in the weeks following an abortion. You can use the best sanitary pad, tampon or menstrual cup.
However, your nurse or doctor may recommend using the tampon for the first few days after the abortion so that you can monitor how much bleeding you have.
The final step is follow-up by the nurse or doctor. You can return to the health center for an ultrasound or blood test. Alternatively, call your nurse or doctor after taking a home pregnancy test.
These tests ensure that the abortion is working and that you are in good health.
In the unlikely event that the abortion doesn’t work and you are still pregnant, your doctor or nurse will discuss your options with you. Another drug or clinical treatment may be needed to complete the abortion.
How Do Abortion Drugs Affect My Period?
It usually bleeds intermittently for several weeks after a miscarriage. You can use the best sanitary pad, tampon or menstrual cup.
However, your nurse or doctor may recommend using the tampon for a few days after the abortion so that you can monitor how much bleeding you have.
The abortion causes a new menstrual cycle and should return to normal menstruation 4-8 weeks after the abortion.
How long can you have sex after an abortion?
You can have sex when you are ready to do it.
If I take an abortion drug, can I breastfeed?
Medicines included in abortion medications can be transferred to breast milk. However, it is usually a small amount that shouldn’t affect the baby. You can speak to your nurse or doctor.
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