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Mifeprex for Abortion

By ,  Mifeprex

Mifeprex, known as Mifepristone in combination with Misoprostol is used for abortion. Mifeprex is an FDA-approved medicine for medical abortion. The abortion pill pack contains Mifepristone and Misoprostol. This can be used up to 9 weeks of pregnancy. According to the FDA, Mifeprex is considered to be safe for abortion when directed by a certified doctor. Mifeprex blocks progesterone, the hormone which is required for pregnancy continuation. In combination with Misoprostol, it leads to a 98% successful abortion. Mifeprex shouldn't be used in case of abnormal pregnancy such as ectopic pregnancy. As this may result in serious bleeding with ectopic pregnancy rupture.  

Brand Name: Mifeprex

Generic: Mifepristone 

Is Mifeprex the same as Contraceptive pills?

No, contraceptive pills prevent pregnancy, whereas combination on Mifeprex and Misoprostol ends the existing pregnancy. Mifepristone and Misoprostol form the abortion pill. 

How to take Mifeprex - Abortifacients?

Mifeprex comes in the form of a tablet that dissolves in the mouth. It is important to follow instructions and guidelines for a successful abortion. Once the patient takes the Mifeprex tablet, after 24-48 hours, 4 tablets of Misoprostol have to be taken orally. After taking Mifeprex followed by Misoprostol, the pregnancy ends with bleeding and the fetus is passed from the uterus within 2-24 hours. There are chances that abortion may not happen if Misoprostol is missed or taken sooner than 24 hours after taking Mifeprex or later than 48 hours. The patient must follow the instruction carefully. Heavy bleeding after taking Misoprostol doesn't conclude abortion. Getting confirmation from the doctor is required. 

Side Effects of taking Mifeprex

After taking Mifeprex the patient may suffer from nausea, vomiting, weakness, dizziness, and diarrhea. The abortion pills start working when second medicine - Misoprostol is taken after 24-48hrs (Post taking Mifeprex).

  • Heavy bleeding
  • Cramping
  • Vomiting & nausea
  • Diarrhea
  • Fever <= 100 degrees F

In case, the patient shows allergic reactions like rashes, hives, itching, swollen tongue, and breathing difficulties, immediate medical assistance is to be given to the patient. 

Heavy bleeding like the requirement of 2 pads in an hour should decrease within 3 hours after the bleeding starts. If heavy bleeding continues for more than 12 hours, the patient should be taken to the doctor immediately. However, the bleeding and spotting may continue for the next 15-20 days. 

If the patient has a high fever, more than 100 degrees F or has a heavy heartbeat, dizziness, and abdominal pain for more than 12 hours, then the patient needs immediate medical assistance. 

Bleeding and cramping are part of the abortion process, but heavy bleeding doesn't mean abortion is successful. 2-3 follow-ups and scanning are important to confirm abortion. 

Conclusion

Taking Mifeprex alone without Misoprostol doesn't result in abortion. The abortion pills include both Mifepristone and Misoprostol. For the successful termination of pregnancy, the patient must follow the doctor's instructions. Mifeprex is regulated under REMS (Risk Evaluation and Mitigation Strategy) by the FDA. Hence, it is available only at the clinic or hospitals. It is sold at medical stores only with a prescription. It is recommended to consume Mifeprex with a doctor's consultation.