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About MISOPROSTOL

MISOPROSTOL is prostaglandins belongs to a group of medicines known as ‘Abortifacient’ and ‘Antiulcer agents’. It is primarily used in medical abortion and post-delivery bleeding. It is also used to treat gastric ulcers. Medical abortion is a procedure in which medicine is used to terminate a pregnancy. It is effectively causing abortion if performed in the first 70 days of pregnancy. Vagina bleeding occurs, and if it does not stop, please inform your doctor as it might require medical supervision. A gastric ulcer is a gap in the lining of the stomach decomposed by the acidic digestive juices which are produced by the stomach cells.

MISOPROSTOL is a prostaglandin that increases the womb’s (uterus) contraction and dilates the cervix, thereby expelling the pregnancy. Thus, MISOPROSTOL together cause termination of pregnancy and must be used one after the other for medical abortion. It can also prevent post-delivery bleeding due to poor contraction of the uterus.

Take MISOPROSTOL as prescribed by your doctor. You are advised to take MISOPROSTOL for as long as your doctor has prescribed it for you depending on your medical conditions. You may experience menorrhagia (heavy menstrual bleeding), nausea, vomiting, diarrhea, uterine contractions, and stomach cramp. Most of these side effects of MISOPROSTOL do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

MISOPROSTOL should not be stopped abruptly without consulting the doctor as it may lead to incomplete abortion. Inform your doctor before starting MISOPROSTOL if you have or ever had an allergy to MISOPROSTOL. If you have taken oxytocin, then inform your doctor before using MISOPROSTOL. If you are pregnant or trying to become pregnant, inform your doctor because it may cause a miscarriage, premature birth, or birth defects. If you are breastfeeding, then immediately inform your doctor as it may give your baby diarrhea.

 

Uses of MISOPROSTOL

Medical abortion, Gastric ulcers.

Medicinal Benefits

MISOPROSTOL is prostaglandins belongs to a group of medicines known as ‘Abortifacient’ and ‘Antiulcer agents’. It is primarily used in medical abortion and post-delivery bleeding. It is also used to treat gastric ulcers. MISOPROSTOL is a prostaglandin that increases the womb’s (uterus) contraction and dilates the cervix, thereby expelling the pregnancy. Thus, MISOPROSTOL together cause termination of pregnancy and must be used one after the other for medical abortion. It can also prevent post-delivery bleeding due to poor contraction of the uterus.

Directions for Use

Take MISOPROSTOL orally with a glass of water. Always take this MISOPROSTOL exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. You should take MISOPROSTOL with food and at bedtime. Take MISOPROSTOL usually 2 times a day. Treatment will generally last for 4 weeks but may be extended up to 8 weeks.

Storage

Store in a cool and dry place away from sunlight

Side Effects of MISOPROSTOL

  • Menorrhagia (heavy menstrual bleeding)
  • Nausea
  • Vomiting
  • Diarrhea
  • Uterine contractions
  • Stomach cramp

In-Depth Precautions and Warning

Drug Warnings

MISOPROSTOL should not be stopped abruptly without consulting the doctor as it may lead to incomplete abortion. Inform your doctor before starting MISOPROSTOL if you have or ever had an allergy to MISOPROSTOL. If you have taken oxytocin, then inform your doctor before using MISOPROSTOL. If you have heart disease, low or high blood pressure, inflammatory bowel disease then talks to your doctor. If you are pregnant or trying to become pregnant, inform your doctor because it may cause a miscarriage, premature birth, or birth defects. If you are breastfeeding, then immediately inform your doctor as it may give your baby diarrhea.

Drug Interactions

Drug-Drug Interaction: MISOPROSTOL interacts with medicines induced for labor pain (Dinoprostone), antacid (magaldrate), mineral supplement (magnesium carbonate, magnesium oxide), medicines for constipation (magnesium hydroxide), blood pressure-lowering pills (quinapril).

Drug-Food Interaction: Avoid grapefruit juice while taking MISOPROSTOL.

Drug-Disease Interaction: MISOPROSTOL should be not given in patients with heart disease, and diarrhea.

Drug-Drug Interactions Checker List:

  • DINOPROSTONE
  • MAGALDRATE
  • MAGNESIUM HYDROXIDE
  • QUINAPRIL
  • MAGNESIUM CARBONATE
  • MAGNESIUM OXIDE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Alcohol is known to cause excessive dizziness and if taken along with MISOPROSTOL and increase uterine bleeding.

    • Safety Warning

      Pregnancy

      unsafe

      MISOPROSTOL is used for medical abortion. If taken in pregnancy, it can lead to abortion.

    • Safety Warning

      Breast Feeding

      unsafe

      MISOPROSTOL should not be taken if breastfeeding as it may pass through the milk to the baby.

    • Safety Warning

      Driving

      caution

      Dizziness has been reported after taking MISOPROSTOL. Be cautious when driving or operating machinery until you know how the MISOPROSTOL affects you.

    • Safety Warning

      Liver

      caution

      MISOPROSTOL to be taken with caution, especially if you have a history of Liver diseases/conditions. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Kidney

      caution

      MISOPROSTOL to be taken with caution, especially if you have a history of Kidney diseases/conditions. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Children

      unsafe

      MISOPROSTOL is not recommended for children below 18 years.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Keep your weight under control with body mass index (BMI) 19.5-24.9.
    • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
    • Avoid intake of acid or heartburn triggering foods or drinks like onions, peppermint, chocolate, caffeinated beverages, citrus fruits or juices, tomatoes, and high-fat and spicy foods.
    • Quitting smoking and not drinking alcohol is the best strategy to lower the risk of any complication.
    • Avoid chronic stress and physical exercise like running as it might increase vaginal bleeding.
    • Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
    • Get an ultrasound done to check if the abortion is done completely to avoid any unwanted complications.
    • Try to include heart-healthy omega 3 fatty acid containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

    Special Advise

    • Get an ultrasound done to check whether medical abortion is done completely to avoid any unwanted complications.
    • Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
    • Rest for at least 3 hours after taking the medicine

    Patients Concern

    Disease/Condition Glossary

    Medical abortion: It is a procedure in which medicine is used to terminate a pregnancy. It is effectively causing abortion if performed in the first 70 days of pregnancy. Vagina bleeding occurs, and if it does not stop, please inform your doctor as it might require medical supervision. Having a medical abortion is a very emotional decision. You should be mentally prepared for all the risks a surgical absorption could lead to, like incomplete abortion, heavy and prolonged bleeding (may last up to 30 days), fever, digestive system discomfort fever. Also, if the medication does not work, it can lead to an unwanted ongoing pregnancy, leading to fetal defects. So, to avoid any complications, keep in regular touch with your doctor and do as advised.

    Gastric ulcers: A gap in the lining of the stomach decomposed by the acidic digestive juices which are produced by the stomach cells. Ulcer formation is related to H. pyloridus bacteria in the stomach, anti-inflammatory medicines, and smoking cigarettes. 

    FAQs

    Can MISOPROSTOL disturb my future chances of getting pregnant?

    No, studies have shown that this MISOPROSTOL does not damage the fertility of the women. Your future chances of getting pregnant are as equal as those who have not taken this MISOPROSTOL.

    What should I suppose after taking MISOPROSTOL?

    For medical termination of pregnancy, you may experience diarrhea, abdominal cramping, nausea, and stomach pain, and immediately after taking MISOPROSTOL. You may also have vaginal bleeding within 4 hours of taking MISOPROSTOL. You may also be asked to stay at the clinic at least 3 hours after taking this MISOPROSTOL. After 14 days of taking MISOPROSTOL (pill you took before MISOPROSTOL), your gynecologist may run some blood tests or perform ultrasonography to check whether pregnancy has been terminated or not.

    What happens if I overdose?

    If you take too many tablets, contact your doctor or accident and emergency department straight away.

    Can I take MISOPROSTOL in more than the recommended dose for complete abortion?

    No, MISOPROSTOL should be taken in the dose and duration as advised by the doctor. If you take it in more than the recommended dose, it might cause unpleasant side effects like excessive uterine or vaginal bleeding.

    What should I avoid while taking MISOPROSTOL?

    Ask your doctor before using an antacid and use only your doctor's advice. Some antacids can enhance your risk of diarrhea while you are taking MISOPROSTOL.

    Available Medicines for

    MISOPROSTOL