©2018 Pharmacy5in5.com RxTx. Ottawa (ON): Canadian Pharmacists Association; c2018. Medical Abortion; Available from: www.myrxtx.ca Costescu D et al. Medical Abortion. J Obstet Gynaecol Can 2016;38(4):366-89. Soon JA et al. Medications used in evidence-based regimens for medical abortion an overview. J Obstet Gynaecol Can 2016;38(7):636-45. Content by Kelly Grindrod, BScPharm, PharmD, MSc; Ashley Bancsi; Soon JA; Nese Yuksel; Sheila Dunn. Design by Adrian Poon, BA ovulation can happen within 8 days of an abortion can start birth control pills after taking misoprostol can have IUD inserted 7-14 days after misoprostol see abortion provider in 7-14 days to confirm the abortion is complete After the Abortion soaking 2 maxi-pads per hour for more than 2 hrs clots larger than a lemon for more than 2 hrs pain doesn’t improve with medication fever, nausea, diarrhea, or weakness occuring 24 hrs after taking misoprostol Seek Urgent Care If ! Only use pads, not tampons cramping naproxen ibuprofen opioid dimenhydrinate vomiting/nausea loperamide diarrhea Managing Side Effects Won’t see a fetus if less than 8 weeks gestation strong, painful cramping bleeding heavier than a period may pass lemon-sized clots fever over 38°C nausea, headache, dizziness, diarrhea light bleeding 2 weeks 24 hrs 3 hrs within: After misoprostol may have some light bleeding many have no bleeding After mifepristone What To Expect causes cervix to open and uterus to contract to push out pregnancy MISO 200 mcg tablet 4 tablets / 4 comprimes Oral use / Vole orale Swallow remnants with a glass of water Put 2 misoprostol tablets in each cheek pouch for 30 mins 24-48h later causes uterus to shed its lining blocks progesterone in the uterus Take 1 mifepristone tablet with a glass of water MIFE 200 mg tablet 1 tablet / 1 comprime Oral use / Vole orale Start How to Take It Health Canada approves its use for up to 9 weeks Ends up to 98% of pregnancies if used in the first 10 weeks Less effective in later pregnancy Free in most Canadian provinces Oral use / Vole orale MIFEPRISTONE + MISOPROSTOL It Is Highly Effective Medical abortion uses medications instead of surgery to end a pregnancy Medical Abortion 101

Medical Abortion 101 · ovulation can happen within 8 days of an abortion can start birth control pills after taking misoprostol can have IUD inserted 7-14 days after misoprostol

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Page 1: Medical Abortion 101 · ovulation can happen within 8 days of an abortion can start birth control pills after taking misoprostol can have IUD inserted 7-14 days after misoprostol

RxTx. Ottawa (ON): Canadian Pharmacists Association; c2018. Medical Abortion; Available from: www.myrxtx.caCostescu D et al. Medical Abortion. J Obstet Gynaecol Can 2016;38(4):366-89.Soon JA et al. Medications used in evidence-based regimens for medical abortion an overview.J Obstet Gynaecol Can 2016;38(7):636-45.

Content by Kelly Grindrod, BScPharm, PharmD, MSc; Ashley Bancsi; Soon JA; Nese Yuksel; Sheila Dunn. Design by Adrian Poon, BA

ovulation can happen within 8 days of an abortioncan start birth control pills after taking misoprostolcan have IUD inserted 7-14 days after misoprostolsee abortion provider in 7-14 days to confirm theabortion is complete

After the Abortion

soaking 2 maxi-pads per hour for more than 2 hrsclots larger than a lemon for more than 2 hrspain doesn’t improve with medicationfever, nausea, diarrhea, or weaknessoccuring 24 hrs after taking misoprostol

Seek Urgent Care If !

Only use pads, not tampons

cramping

naproxenibuprofen

opioid

dimenhydrinate

vomiting/nausea

loperamide

diarrhea

Managing Side E�ects

Won’t see a fetus if less than 8 weeks gestation

strong, painful crampingbleeding heavier than a periodmay pass lemon-sized clotsfever over 38°Cnausea, headache, dizziness,diarrhealight bleeding2 weeks

24 hrs

3 hrs

within:After misoprostol

may have some light bleedingmany have no bleeding

After mifepristoneWhat To Expect

causes cervix to open and uterusto contract to push out pregnancy

MISO200 mcg tablet

4 tablets / 4 comprimesOral use / Vole orale

Swallowremnantswith a glass of water

Put 2 misoprostol tabletsin each cheek pouch for30 mins

24-48h later

causes uterus toshed its lining