PREGNANCY-BIRTH Messages for February, 2002: Re: Use of Cytotec alone as abortifacient

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Re: Use of Cytotec alone as abortifacient

From: Richard Chudacoff, MD, FACOG (anonymous@obgyn.net)
Sat, 16 Feb 2002 14:45:01 -0600 (CST)

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In reply to: James: "Use of Cytotec alone as abortifacient"

At Sat, 16 Feb 2002, James wrote: >
>A close friend of mine is from, and lives in Mexico. She has decided to
>terminate her preganancy of 5 weeks and does not have access, due to
>legality, of any safe clinical form of abortion. She has decided to use
>the over the counter ulcer medicine cytotec, containing the active
>ingredient Misoprostol and is not sure of the dosage. I have known
>other women in Mexico to take this drug vaginally at doses of about 400
>micrograms every 3-4 hours until terminated...up to a certain maximum.
>Similarly, I have read many medical journal reports and studies that
>suggest up to three 800 microgram doses every 24 hours. Both these
>procedures followed by a medical checkup to ensure termination and
>proper evacuation of the foetus.
>
>My question is which of these methods would be more effective and safer?
>I realize that there is no certainty with this method but it is
>basically her only recourse due to unavailability of
>proffesionally-staffed abortion clinics or any other type of abortion
>medication such as RU486.
>
>I would greatly appreciate someone's opinion on this or an account of a
>previous experience with cytotec used alone for this purpose.
>
>Thanks

you ask a difficult question, it is they're not a lot of studies using Misoprostol alone. Most studies used either Methotrexate or Mifepristone (RU-486). The European literature suggests 100 micrograms of Misoprostol has a 90 percent success rate. Note that all studies use of a maximum date of 42 days from the time of last menstrual period.

-- Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PLLC Sugar Land, TX

Note: opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

**Thank you for understanding :).**

Next message: Richard Chudacoff, MD, FACOG: "Re: COULD I BE PREGNANT OR AM I GOING MAD?!"
Previous message: Julie: "Old Wive'sTale?!?!???"
In reply to: James: "Use of Cytotec alone as abortifacient"

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