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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

blocks progesteronein the uterus

Take 1 mifepristone tabletwith a glass of waterMIFE

200 mg tablet

1 tablet / 1 comprimeOral use / Vole orale

StartHow to Take It

Health Canada approves its use for up to 9 weeks

Ends up to 98% of pregnanciesif used in the first 10 weeksLess e�ective in later pregnancyFree in most Canadian provinces

Oral use / Vole orale

MIFEPRISTONE+ MISOPROSTOL

It Is Highly E�ective

Medical abortion uses medications instead of surgery to end a pregnancyMedical Abortion 101