Abortion law is a medication used to induce a miscarriage in the first trimester of pregnancy. Better known as the abortion pill or Mifeprex (mifepristone), RU486 is only available with a prescription.
An FDA-approved method of medical abortion law, Mifeprex is used in combination with Cytotec (misoprostol). First approved in 2000, Mifeprex blocks the hormone progesterone, which is needed for the pregnancy to progress. Cytotec, taken 24 to 48 hours later, is a synthetic prostaglandin that causes uterine contractions (cramps).
This article discusses how to use Mifeprex (RU486). It also details the side effects, precautions, drug interactions, and cost of the abortion pill.
How Do You Use RU486?
Using the Medical abortion involves a three-step process that involves taking two different medicines that work to end a pregnancy. It is important to note that the abortion law is not the same thing as the morning-after pill.
If you choose to use the abortion pill, there are three steps in the process:
- First, you will be given RU486 (mifepristone) to take by mouth. This may be done at a healthcare provider’s office, medical clinic, or at home (if the pills were mailed to you).
- Next, 24 to 48 hours after taking the mifepristone, you will need to take a second medicine by mouth, usually at home. It is called misoprostol. Make sure that your healthcare provider gives you instructions for how and when to take the misoprostol.
- Last, after about two weeks, you will need to follow-up with your healthcare provider. This is very important because your practitioner will make sure that the abortion pills have worked. Your healthcare provider may recommend that you undergo a blood pregnancy test or an ultrasound to make sure you are no longer pregnant.
If the abortion pill didn’t work, your healthcare provider will discuss your options with you. You may need an additional dose of medication or a procedure to complete the abortion.
How It Works
RU486 blocks the progesterone receptors in your body. Progesterone is the hormone responsible for causing the uterine lining to build up and prepare for pregnancy. The mifepristone causes the lining of your uterus to shed—so your pregnancy can no longer continue because the egg will have nothing to stay attached to.
Then, the misoprostol will cause uterine contractions. This allows your uterus to be emptied.
Who Can Use It?
The FDA has approved RU486 for women up to 10 weeks pregnant or up to 70 days after the first day of their last menstrual period. It can be used safely in women of any age, including those under 17 years old.5
RU486 Side Effects
You should expect to feel some side effects after using the abortion pill.1
These can include:
- Cramping
- Nausea
- Vomiting and diarrhea
- Heavy bleeding (there may be large clots in the blood)
- Stomach pain
- Fatigue
- Mild fever or chills on the day you take the misoprostol
If you have severe pain or feel faint, get medical attention. And if you have a fever after the day you take the misoprostol, call your healthcare provider.
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