Mifepak

Mifepak is a medication abortion pack containing mifepristone 200 mg and four misoprostol 200 mcg tablets. It is used for medication abortion in an early intrauterine pregnancy, with eligibility depending on gestational age and clinical guidance. Learn more about Mifepak, including its uses, dosage, safety information, and availability, with CD Pharmacy.

What is Mifepak?

The medicine pack has the following features:

• It is effective in expelling pregnancy successfully from the uterus. The pills included in the pack are authentic, safe, and reliable for early abortion.
• You enjoy freedom, confidentiality, and the right to choose over your unplanned pregnancy, with cost-effective treatment at home.
• You have a flexible choice to purchase more than one kit to suit your medication needs, as per the doctor’s recommendation.

Benefits of Mifepak

Know the benefits of the Mifepristone and Misoprostol pill pack:

• Medical abortion with Mifepak has a high success rate of 95-98%.
• It is a non-surgical pregnancy termination without invasive equipment, clinical observation, or anesthesia.
• You can take the pills at home yourself by following the dosage guidelines.
• The pills are delivered in discreet packaging for confidentiality of the user.
• Available on telemedicine platforms and pharmacies, Mifepak makes medication abortion accessible in remote regions.

How Does Mifepak Work?

The action mechanism is as mentioned below:

• Mifepristone acts as a progesterone blocker, which prompts the endometrial lining to shed so that the pregnancy contents do not stay attached to the uterus wall.
• The second medication, Misoprostol, is a prostaglandin E1 analog, which causes uterine contractions. The removed pregnancy portions exit from the womb via heavy vaginal bleeding.
• Misoprostol also dilates and ripens the cervix to let the conception products disperse easily from the uterus.

Dosage of Mifepak

Know the dosage instructions:

• The kit contains two types of medicines. Start with Mifepristone 200mg by consuming it orally with water. After 24 to 48 hours, administer 4 x Misoprostol 200mcg pills.
• You may ingest the Misoprostol 800mcg buccally by placing 4 pills between cheek and gum for 30 minutes. Intake the melted contents thereafter.
• Or, you may sublingually take the medicine by keeping the 4 pills under your tongue for 30 minutes. As these melt, ingest the contents orally.
• Lastly, you may insert the Misoprostol pills inside the vagina by lying down for 30 minutes. The medicine melts and gets absorbed through the vaginal canal.

How to Store Mifepak?

Here are the storage instructions:

• Do not keep the medicine accessible to children and pets.
• Keep the pills in their original blister pack.
• Do not expose the medication to direct sunlight, excessive heat, or moisture.
• Do not store the medicine in hot and humid regions.
• The ideal temperature to keep the medicine is below 77°F (25°C).

Side Effects of Mifepak

Some of the expected and common side effects are:

• The common side effects are nausea, vomiting, headache, breast tenderness, a mild fever for a short time, moderate to intense abdominal pain and cramps, dizziness, and flashes.
• The bleeding from the vagina is heavier after use of Misoprostol, and while the uterus empties. The bleeding turns lighter after the pregnancy termination, and continues as a light flow for 2-6 weeks.
• Seek medical attention in case of complications. These include extreme weakness and dizziness, a fever over 100.4°F (38°C) for more than 24 hours, soaking over 2 large pads every hour for two consecutive hours, foul-smelling vaginal discharge, fainting, or unrelieved pain from taking pain meds.

How to Manage the Mifepak Effects?

Here are some ways to manage the side effects:

• Reduce fever by taking antipyretic medicine, and to restrict nausea or vomiting, use antiemetic medicine. Drink plenty of water and electrolyte solutions.
• Ibuprofen and over-the-counter pain meds, except Aspirin, may reduce abdominal pain and cramps. Apply a hot water bag or heating pad for further relief.
• Simple and nutritious food, light meals, keep the stomach upset from getting worse. Do not drink too many caffeinated beverages or alcohol.
• Avoid tampons and menstrual cups. Use large-sized sanitary napkins to keep track of the bleeding.
• While the bleeding is present, do not lift heavy objects, exercise, douche, or engage in vaginal intercourse.

Interactions of Mifepak

Do not combine Mifepak pills with:

• St. John’s Wort and other unregulated herbal supplements.
• Anticoagulants, corticosteroids, and Rifampin.
• Certain fungal infection meds, phenytoin, dexamethasone, alcohol, and grapefruit juice.
• Ketoconazole, blood thinners, and erythromycin.
• Antiseizure medicines and immunosuppressants.

Contraindications of Mifepak

If you have the following conditions, avoid the medication for pregnancy termination:

• If an intrauterine device for birth control is in place, get it removed before abortion.
• Allergy to Mifepristone and Misoprostol pills.
• If there is an artificial valve for the heart.
• For an ectopic pregnancy (conception outside the uterus).
• Severe heart, kidney, liver disorders, or serious asthma/anemia.

Precautions of Mifepak

Here are the precautions to consider:

• Stay informed about how Mifepak works, its dosage, side effects, follow-up, recovery, and other information before beginning the medical abortion.
• After a couple of weeks from the procedure, check with a clinic for an ultrasound pregnancy test. This would reveal if the uterus has any pregnancy tissue leftover or not.
• During the consultation after ending the pregnancy, take the opportunity to talk about birth control options, recovery, and any other concerns.
• In case of an incomplete termination, the doctor may suggest a surgical abortion or additional Misoprostol use.
• Once sexually active, do utilize birth control, or the risk of an unplanned pregnancy remains. That’s advisable because ovulation may occur as soon as 8 to 11 days after the procedure, while for some menstrual cycles may normalize in 2-6 weeks.