Mifepristone and Misoprostol: Medical Use of abortion in Dubai, Safety legal perspectives
What are Mifepristone – Misoprostol ?
Mifepristone is prescribed in combination with misoprostol to terminate pregnancies that are fewer then 70 days along. it functions by blocking the hormones necessary for maintaining the uterine lining .without these hormones, the uterus is unable to sustain the pregnancy, leading to the expulsion of its contents but meet online doctors.
in addition Mifepristone and Misoprostol, === mifepristone is used to help manage high blood sugar (hyperglycemia) resulting from elevated cortisol levels (hypercortisolism) in patients with Cushing syndrome who also have type 2 diabetes, particularly when surgery has failed or is not an option.
Before You Use This Medicine
Before starting any medication, its important to consider both the potential benefits and the possible risks of Mifepristone and Misoprostol. This is something you and your doctor should evaluate together. For this particular medicine, the following factors should be taken into account:
Allergies
Lot your doctor know if you’ve ever experienced any unusual or allergic reactions to this medication or others. It’s also important to inform your healthcare provider’ make sure to read the label ingredients carefully.
Pediatric Use
So far, studies have not shown any specific concerns that would prevent the use of Mifepristone and Misoprostol tablets in pregnant individuals under 17 year of age.
However, the effects of mifepristone tablets have not been thoroughly studies in children overall, and their safety and effectiveness in this population have not been fully established.
geriatric use
There is currently no data available on how age age many affect use of mifepristone tablets in older adult. no specific issues related to age have been reported ,but appropriate studies have not yet been done in the geriatric population.
Breastfeeding
There isn’t enough reliable research to determine the potential risks to a nursing infant this medication is used during breastfeeding. Carefully consider the possible benefits and risks before taking this medication if you are breastfeeding.
Drug Interactions
Some medications should not be taken together under any circumstances. In other situations, two drugs may be used together despite the possibility of interactions though adjustments in added precaution might be necessary.
If you’re taking this medicine, it’s crucial to inform your healthcare provider about all other medications you are using. The following list includes drugs that may interact with this medicine, selected for their potential importance. However, this list may not cover all possible interactions.
Using this medication alongside any of the listed drugs is generally not advised. Your doctor may choose to avoid this medication or adjust your current prescriptions as needed.
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Acalabrutinib
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Axitinib
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Bosutinib
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Brigatinib
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Cobimetinib
Medicines That Are Usually Not Recommended, But May Be Necessary
These medications may still be used with caution. Your doctor may adjust the dose or frequency to manage any potential interactions.
Examples include:
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Abiraterone Acetate
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Abiraterone Acetate, Micronized
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Adagrasib
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Alfuzosin
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Alpelisib
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Amiodarone
Proper Use of Mifepristone: Guidelines for Patients
For Pregnancy Termination with Mifepristone
if you are using mifepristone tablets for medical abortion , its essential to follow all guidelines precisely . make sure to:
- understand the mifepristone REMS program requirements.
- read the mifepristone medication guide provided with your prescription .if you dint received it ,ask your pharmacist.
- consult your healthcare provider if you have any questions about the medication or the process.
Treatment Schedule
- first day : take one 200 mg mifepristone tablets 0rally.
- second day : take four 200 mg misoprostol tablets (subtotal 800mg). place two tablets in each pouch for 30 minutes , swallow any remnants with water afterward.
Important: Misoprostol must be taken no earlier than 24 hour and no later than 48 hours after mifepristone.
What to Expect
- Most patients will pass the pregnancy within 2 to 24 hours after taking misoprostol.
- Expect cramping and bleeding, which may continue for about 2 weeks.
- A follow up visit is required within 7 to 14 days of taking mifepristone. Your doctor will confirm that the pregnancy has ended completely.
- In some cases, a surgical abortion may still be necessary if:
- The pregnancy is not fully terminated.
- Tissue remains in the uterus after treatment.
For Blood Sugar Control (Crushing’s Syndrome)
If you’re prescribed mifepristone to manage high blood sugar due to Cushing’s syndrome, follow your doctor’s directions strictly.
- Take exactly as prescribed do not increase or decrease the dose without medical advice.
- Take the tablet whole do not split, crush, or chew it.
- Always take the medicine with food to improve absorption and reduce stomach upset.
- Avoid grapefruit and grapefruit juice during treatment, as it can interfere with how the medication mifepristone Dosing Instruction.
For Pregnancy Termination (<70 Days Gestation)
- Adults and females age
- 17 and under
- Day 1:200 mg mifepristone (oral dose)
- 24_48 hours later:800 mcg misoprostol (4 tablets of 200 mcg), placed in the cheeks for 30 minutes. Not recommended for children Mifepristone and Misoprostol.
For Hyperglycemia Due to Cushing’s Syndrome
- Adults:
- Start with 200 mg once daily.
- The doctor may increase the dose gradually.
- Maximum recommended dose: 1200 mg /day.
Pediatric dosage must be determined by a doctor.
Missed Dose
- If you miss a dose, take it as soon as you remember.
- If it’s almost time for your next dose, skip the missed dose do not double u
Storage and Safety
Store at room temperature, in a sealed container, away from heat, moisture, and light.
- Do not freeze.
- Keep out of children’s reach.
- Do not use expired or unneeded medication.
- Ask your pharmacist or healthcare provider how to properly dispose of unused medicine.
Mifepristone and Misoprostol in here =+966 dubai we provide with calling clinic
By following these guidelines and maintaining communication with your healthcare provider, you ensure safe and effective use of mifepristone for either pregnancy termination with Mifepristone and Misoprostol or Cushing’s syndrome management.