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Cytotec / Cytolog is a form of abortion pills, which comprises the drug called Misoprostol used to avert pregnancy of 11-12 weeks. Its intake process seems to be vaginally and orally, which needs to be practised within 72 hours of a sexual deed. One has a choice to take the drug virginally or orally. 

Misoprostol is proposed for therapeutic abortion, it’s an alternative to surgical abortion. One can easily abort an unwanted pregnancy. The main boon of using this therapeutic abortion is being cheaper, easier, less persisting & less risk of scarring & devotion linked with surgical abortion.

GUIDELINES FOR PREGNANCIES UP TO 12 WEEKS:

 Step 1: 

• Four 200-mcg tablets (or their equivalent) are to be placed in mouth pouch or on the tongue then hold the tablets in the mouth for next 20-30 minutes to allow them to dissolve, and swallow the remaining fragments.
• You may experience excessive bleeding than for a normal period. You should have a supply of thick sanitary napkins on hand.
• Bleeding and uterine contractions (cramping) may begin as quickly as 30 minutes following this first step. If bleeding and contractions do not start within 3 hours, then follow the next step.
• If you don’t feel that the pregnancy has been terminated or it’s not clear that whether the pregnancy has been terminated after the first dose—for example, if the embryonic sac is not visible on the sanitary pad, or if the cramping continues then you need to follow next step.

Step 2: 

Four more 200-mcg tablets are to be taken again as per the step one until they dissolve in the mouth. The results will be seen in the next two to four hours.

Step 3: 

Step 3 is to be followed with third dose f the pregnancy has not been terminated three hours after using the second set of pills and bleeding; take four more 200 mcg tablets of misoprostol.

Normally the majority of pregnancies up to 12 weeks duration are terminated within hours of the first administration of misoprostol and more than three-quarters of women experience an abortion within the first 24 hours, although sometimes it takes longer time. If unsuccessful, the entire process may be repeated.

GUIDELINES FOR PREGNANCIES OF 13-20 WEEKS: 

Misoprostol alone can also be used for second-trimester abortions, the chances of serious complications such as uterine rupture or haemorrhage may rise as pregnancy advances. In case of medical emergency keep the aid ready.

Step 1:

Instead of four put two 200-mcg tablets under the tongue or in the cheek pouch. The second-trimester pregnancies require lower doses of misoprostol for termination of pregnancy because at this point of pregnancy the uterus is more sensitive to the drug. Overdoses at this stage may be proved more dangerous. Need to wait three hours before taking another dose.

Repeat Doses: Insert two more 200-mcg tablets under the tongue or in the cheek pouch every 3 hours.

In case of any emergency or complication seek help from the doctor.

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Side Effects

· The patient may feel Nausea or stomach cramps. 

· Menstrual problems or irregularities, unusual/heavy vaginal bleeding.

· Diarrhea is common with misoprostol and usually occurs about two weeks after you start taking it, and lasts for about a week.

· Severe dizziness, decreased urination, mental/mood changes, muscle weakness, slow/irregular heartbeat.

· The patient may experience chills and fever lasting more than 24 hours after the last dose of misoprostol, it is the indication that an infection may be present which requires treatment with antibiotics; or Severe abdominal pain that lasts more than 24 hours after taking the medicine.

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DISPOSING OF THE MEDICINE

After use, place the ring in the foil pouch in which it has been packed before use or use polybags and dispose of in the waste. Do not flush it or throw it in openly and keep it out of reach of children.

NURSING MOTHERS

There are no reports found about the adverse effects of misoprostol in breast-feeding infants of mothers taking misoprostol. It is advisable to exercise caution when misoprostol is administered to a nursing woman.

PRECAUTIONS TO BE TAKEN

Before taking any kind of medicine it is advisable to consult your doctor and give your doctor a brief history of your medical condition. The guidance of the doctor can save the users from further infections and interactions of medicines on the body.

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