How many pills do I need to buy? If you have access to both mifepristone and misoprostol, you will need 1 mifepristone pill of mg and at least 4 misoprostol pills of mcg each.
If you are 10—12 weeks pregnant, you may need to take 1 or 2 extra doses 4 or 8 extra pills of misoprostol to finish the abortion process. If you have access to misoprostol only, you will need at least 12 misoprostol pills of mcg each if you are less than 13 weeks pregnant.
Safe, effective abortion pills should be:. Mifepristone and misoprostol can be obtained from a health provider, from pharmacies and medicine sellers, and from the internet. Depending on what country you live in, a prescription may be required to buy mifepristone and misoprostol from a local pharmacy or medicine seller.
But the two medications are often sold without a prescription. Misoprostol is typically much easier to buy because it is also used to treat ulcers and to prevent or stop heavy bleeding after childbirth. Reliable, evidence-based information on how to safely self-manage an abortion with pills can be found on the websites of these organizations:.
Reliable, evidence-based information that gives women control over their own bodies and reproductive choices. How to buy abortion pills that are safe and effective. More information on how to self-manage an abortion with pills. What medications can be used safely for an abortion with pills? What is the difference between mifepristone and misoprostol?
What do abortion pills look like? What does mifepristone combined with misoprostol look like? How much do the pills cost? How can I know if the pills are real and not counterfeit? Safe, effective abortion pills should be: The color white Pills or tablets, NOT capsules Packaged in an undamaged, double-aluminum blister pack, ideally Sold to you by a pharmacy or medicine seller you trust Not expired an expiration date should be on the package. Under this REMS, the products are only available to be dispensed in certain healthcare settings, specifically, clinics, medical offices and hospitals, by or under the supervision of a certified prescriber.
They are not available in retail pharmacies and are not legally available over the Internet. Cramping and vaginal bleeding are expected effects of the treatment regimen. The possible side effects are described in the Adverse Reactions section of the labeling and in the Medication Guide for Mifeprex. This information applies equally to the approved generic version of Mifeprex, which generally has the same labeling as Mifeprex.
It is not uncommon for the FDA to receive reports of serious adverse events for prescription drugs after they are approved. The FDA has received reports of serious adverse events in women who took Mifeprex. As of December 31, , there were reports of 24 deaths of women associated with Mifeprex since the product was approved in September , including two cases of ectopic pregnancy resulting in death; and several cases of severe systemic infection also called sepsis , including some that were fatal.
The adverse events cannot with certainty be causally attributed to mifepristone because of concurrent use of other drugs, other medical or surgical treatments, co-existing medical conditions, and information gaps about patient health status and clinical management of the patient.
A summary report of adverse events that reflects data through December 31, is here. The FDA has reviewed this information and did not identify any new safety signals. The FDA intends to update this summary report on an annual basis or as appropriate. As with all approved drugs, when the FDA receives new information regarding adverse events, the agency reviews the new information and, as appropriate, takes necessary action, including providing updates to healthcare providers and their patients so that they have information on how to use the drug safely.
All providers of medical abortion and emergency room healthcare practitioners should investigate the possibility of sepsis in women who are undergoing medical abortion and present with nausea, vomiting, or diarrhea and weakness with or without abdominal pain.
These symptoms, even without a fever, may indicate a serious infection. Strong consideration should be given to obtaining a complete blood count in these patients. Significant leukocytosis with a marked left shift and hemoconcentration may be indicative of sepsis. This information applies equally to Mifeprex and the approved generic version of Mifeprex.
It is possible for a woman to become pregnant again soon after a pregnancy ends. If a woman who has terminated a pregnancy does not want to become pregnant again, she should start taking appropriate precautions after the pregnancy ends. A woman should consult with her healthcare provider regarding any specific questions she may have.
Mifepristone for termination of pregnancy has been approved in France since , and also is approved in the United Kingdom, Sweden, and approximately 60 other countries. Manufacturers, distributors, and retailers establish the prices.
Additionally, the FDA has no input into or legal control over whether an insurance company does or does not cover the cost of a drug. Ninety three women reported experiencing any symptom for which they were advised to seek medical advice, and, of these, 87 sought attention. None of the five women who did not seek medical attention reported experiencing an adverse outcome.
There are a couple of caveats with the paper, though: The data were self-reported, which means women may not have always accurately recounted their experiences. And the study may not reflect the full picture of women using the service. Of those, 1, confirmed using the medications, and follow-up information was available for 1, There are seven states that have criminal statutes that directly prohibit self-managed abortion.
Abortion rights advocates have argued these are illegitimate and unconstitutional. Prosecutors in a few other states have interpreted their fetal harm and fetal homicide laws in ways that also restrict self-managed abortions. I asked Adams how often women have faced legal action in this country as a result of self-administering abortions. She said at least 21 people have been arrested — and some imprisoned — for ending their own pregnancy or helping another person do so.
Every case was different , but most commonly, women were turned in by doctors after seeking medical care following a self-induced abortion, or by friends and family who knew about their plans. Adams thinks the total number of people arrested is likely much higher than the cases SIA knows about.
So that brings us to the final question: Should women who need an abortion turn to this new service? As long as that continues, or worsens, self-managed abortions, even by mail, are here to stay. Our mission has never been more vital than it is in this moment: to empower through understanding. Financial contributions from our readers are a critical part of supporting our resource-intensive work and help us keep our journalism free for all.
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By choosing I Accept , you consent to our use of cookies and other tracking technologies. Abortions by mail are available now in the US. Reddit Pocket Flipboard Email. A misoprostol tablet, when used with mifepristone or methotrexate, can induce an abortion. Are mail order abortions safe?
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