HOW TO USE ABORTION PILLS
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Medication abortion pills are safe and effective. They work 94-99% of the time. These same medications are used to treat a miscarriage.
Mifepristone + Misoprostol
Confirm you are pregnant by taking a home pregnancy test. Read it at the exact time so you get a correct result.
Calculate how far along you are. Use a pregnancy calculator or count from the first day of your last period to see how pregnant you are. Pregnancy is measured by counting the weeks and days since your last period started.
• MIFEPRISTONE: 1 pill / 200 mg
• MISOPROSTOL: 4 – 16 pills / 200 mcg each
(Check table below for exact amount of pills needed).
For pain medication, choose EITHER of the options below.
• IBUPROFEN (Advil / Motrin) / 800 mG
• NAPROXEN (Aleve) / 500 mG
If you are allergic to either Ibuprofen or Naproxen, or if you want additional pain medication, use:
• ACETAMINOPHEN (Tylenol) / 1000 mg
Swallow Mifepristone with water. (If you have difficulty swallowing pills it is safe to split or crush the mifepristone pill and swallow all the pieces.)
You may or may not start bleeding or have cramps, but most people do not feel much. If you do experience cramps, you can take pain medication at any time.
If you throw up within 30 minutes after swallowing mifepristone, call your provider or the hotline.
About 10-20% of people start bleeding before the next step, so keep some pads with you just in case. Even if you bleed and think you have passed the pregnancy, it is important to continue with the misoprostol.
wait 24 - 48 hours
Swallow pain medication with water. Choose ONE of the options below:
IBUPROFEN (Advil / Motrin) 800 mG / Every 8 hours
NAPROXEN (Aleve) 500 mG / every 12 hours
If you are allergic to Ibuprofen or Naproxen, or if you need extra pain relief, use:
ACETAMINOPHEN (Tylenol) 1000 mG / every 8 hours
If needed, use nausea medication like Dimenhydrinate (Dramamine), Diphenhydramine (Benadryl), or Ondansetron (Zofran). Anti-nausea and pain medication can be taken at the same time.
You can continue to take pain medication or anti nausea medication as needed throughout the process. Vitamin B6 with ginger or mint tea can also help. A heating pad, warm shower, bath, or walking around can help with cramps as well.
Take Misoprostol in ONE of these 2 ways. (See table below to know the specific method based on time since last period).
For Mouth
Place the pills inside each cheek or under your tongue.
Hold them in your mouth for 30 minutes to absorb. Avoid eating, drinking, or talking during this time.
Swallow whatever remains of the pills.
For Vagina
Put the pills in your vagina (about one finger length in).
Lie down for 30 minutes as your body absorbs the medicine. It is ok if the pills fall out after 30 minutes. You can throw them away if this happens.
time since last period
Use Misoprostol in ONE of these ways:
• Put 4 pills in the cheeks for 30 minutes,
• OR Put 4 pills under your tongue for 30 minutes,
• OR Put 4 pills in your vagina for 30 minutes.
Use Misoprostol in ONE of these ways:
• Put 4 pills in the cheeks for 30 minutes,
• OR Put 4 pills under your tongue for 30 minutes,
• OR Put 4 pills in your vagina for 30 minutes.
Wait 4 hours, then use 4 more pills of Misoprostol the same way.
Use Misoprostol in ONE of these ways:
• Put 2 pills in the cheeks for 30 minutes,
• OR Put 2 pills under your tongue for 30 minutes,
• OR Put 2 pills in your vagina for 30 minutes.
Wait 3 hours, then use 2 more pills of Misoprostol the same way.
Repeat 2 pills every 3 hours until pregnancy passes.
Misoprostol only
Confirm you are pregnant by taking a home pregnancy test. Read it at the exact time so you get a correct result.
Calculate how far along you are. Use a pregnancy calculator or count from the first day of your last period to see how pregnant you are. Pregnancy is measured by counting the weeks and days since your last period started.
• MISOPROSTOL:
12 – 16 pills / 200 mcg each
(Check table below for exact amount of pills needed).
• IBUPROFEN (Advil / Motrin) / 800 mg
• NAPROXEN (Aleve) / 500 mg
• ACETAMINOPHEN (Tylenol) / 1000 mg
Swallow pain medication with water. Choose ONE of the options below.
IBUPROFEN (Advil / Motrin) 800 MG / Every 8 hours
NAPROXEN (Aleve)
500 mG / every 12 hoursACETAMINOPHEN (Tylenol)
1000 mg / every 8 hours
If needed, use nausea medication like Dimenhydrinate (Dramamine), Diphenhydramine (Benadryl), or Ondansetron (Zofran). Anti-nausea and pain medication can be taken at the same time.
You can continue to take pain medication or anti nausea medication as needed throughout the process. Vitamin B6 with ginger or mint tea can also help. A heating pad, warm shower, bath, or walking around can help with cramps as well.
Take Misoprostol in ONE of these 2 ways. (See table below to know the specific method based on time since last period).
For Mouth
Place the pills inside each cheek or under your tongue.
Hold them in your mouth for 30 minutes to absorb. Avoid eating, drinking, or talking during this time.
Swallow whatever remains of the pills.
For Vagina
Put the pills in your vagina (about one finger length in).
Lie down for 30 minutes as your body absorbs the medicine. It is ok if the pills fall out after 30 minutes. You can throw them away if this happens.
time since last period
Use Misoprostol in ONE of these ways:
• Put 4 pills in the cheeks for 30 minutes,
• OR Put 4 pills under your tongue for 30 minutes,
• OR Put 4 pills in your vagina for 30 minutes.
Use Misoprostol in ONE of these ways:
• Put 4 pills in the cheeks for 30 minutes,
• OR Put 4 pills under your tongue for 30 minutes,
• OR Put 4 pills in your vagina for 30 minutes.
Wait 4 hours, then use 4 more pills of Misoprostol the same way.
Use Misoprostol in ONE of these ways:
• Put 2 pills in the cheeks for 30 minutes,
• OR Put 2 pills under your tongue for 30 minutes,
• OR Put 2 pills in your vagina for 30 minutes.
Wait 3 hours, then use 2 more pills of Misoprostol the same way.
Repeat 2 pills every 3 hours until pregnancy passes.
