Dosage Schedule In MTP Kit

Dosage of Misoprostol

Misoprostol is a medication that one might need to use in various situations, notably for gastric ulcers, certain gynaecological conditions or during the process of medical abortion. However, the dosage and method of intake vary depending on the condition it is being used for.

• For Medical Abortion: In the case of medical abortions, misoprostol is typically used in combination with another medication called mifepristone. You must take it under a doctor’s supervision.
• For Gastric Ulcers: If you are taking misoprostol for gastric ulcers, caused by nonsteroidal anti-inflammatory drugs, the usual dose is 200 µg four times a day.
• For Gynaecological Conditions: When used to treat gynaecological conditions like cervical ripening or labour induction, misoprostol is usually given in a hospital setting. The dosage may vary, but it’s commonly 25 µg (intravaginal), repeated every 3-4 hours. Only a doctor can administer this dose.

It is important to note that:

• It might be recommended to take it with food to minimise possible side effects like diarrhoea.
• The tablet should not be crushed or split; swallow it whole with water.

Do not self-medicate with misoprostol or adjust your dose without consulting with your doctor. Overdosing can lead to severe adverse effects like excessive bleeding, shock, or even death in rare cases.

Underdosing, on the other hand, might lead to incomplete treatment or failure of the medical procedure it was intended for. If you miss a dose, take it as soon as you remember unless it is nearly time for your next dose. In such a case, skip the missed dose; never take a double dose to make up for it.

While misoprostol is an effective medication for various conditions, it is essential that you use it responsibly and under the guidance of a doctor.

Usual Adult Dose Of Mifepristone And Misoprostol For MTP

It is important to understand that different methods and medications can be used, depending on the stage of pregnancy, for terminating a pregnancy. We will specifically focus on mifepristone and misoprostol, two medicines commonly used for medical abortions in India.

• Mifepristone, often known as RU-486, is typically used first. This medicine works by blocking the hormone progesterone, which is needed for pregnancy to continue. The usual dose for mifepristone is a single oral dose of 200 mg.
• Misoprostol is employed next. It causes the uterus to contract and expel the pregnancy. The regular adult dosage is 800 mcg (four 200 mcg tablets), administered buccally (in the cheek pouch) or intravaginally, approximately 24 to 48 hours after taking mifepristone.

These dosages are suggestions based on general practices and may differ depending on individual cases and doctors’ recommendations. Here are a few crucial points that you should remember:

• Always take these medicines under the supervision of a qualified medical professional.
• After taking these medicines, expect bleeding and cramping to occur, as they are signs that the medication is working.
• Follow-up appointments with your doctor are necessary to ensure that the abortion has been completed and that you are well.

While these drugs are usually effective, it’s important to note that they might cause side effects such as nausea, vomiting, diarrhoea, or fever, which usually last less than a day. Although rare, serious complications can occur. Hence, it is critical you consult your doctor before taking these drugs.

In conclusion, mifepristone and misoprostol are commonly used medications for inducing abortion in adults. However, their usage must be under strict medical supervision to ensure safety. It is important to have an open and honest dialogue with your doctor before making such decisions.

Medications That Can Interact With An MTP Kit

MTP kits are carefully formulated to safely and effectively terminate an early pregnancy. However, it’s crucial to understand that these medications can potentially interact with other drugs, impacting their effectiveness or leading to adverse reactions. Here’s a list of potential interactions:

• Corticosteroids: Mifepristone may lessen the effects of corticosteroids. If you are taking medication for conditions like asthma or arthritis, speak to your doctor first.
• Antifungal Medication: Antifungal drugs such as ketoconazole and itraconazole can increase mifepristone levels in your body, which could lead to more side effects.
• HIV Medication: Some antiretroviral drugs used for HIV treatment can also affect the levels of mifepristone in your body.
• Blood Thinners: If you are on blood-thinning medication (anticoagulants), you need to be careful as mifepristone could enhance their effect, leading to excessive bleeding.
• Certain Antibiotics: Certain types of antibiotics, like erythromycin and clarithromycin, can also increase the mifepristone levels in the body.
• Seizure Medication: Anticonvulsants such as phenytoin or carbamazepine might decrease the effectiveness of mifepristone.
• St John’s Wort: This herb often used in dietary supplements can also diminish the effectiveness of mifepristone.

It is important to tell your doctor about all medications and supplements you are currently taking before using an MTP kit. These include prescription drugs, over-the-counter medications, herbal products, vitamins and even certain foods.

Precautions After Using An MTP Kit

MTP kits, containing mifepristone and misoprostol, are commonly used in India to safely terminate pregnancies under the supervision of a qualified doctor. However, it is essential to take certain precautions after using an MTP kit. These steps can help avoid complications and ensure your well-being.

• Stay Hydrated: Due to the likely occurrence of bleeding post-termination, it is crucial to keep yourself well-hydrated. Make sure to drink plenty of fluids like water, fresh fruit juices or oral rehydration solutions.
• Regular Health Check-ups: You should immediately consult your doctor if you have foul-smelling discharge, you experience severe pain or if bleeding continues for more than two weeks. It is also advisable to schedule regular follow-up appointments with your doctor to monitor your recovery process.
• Balanced Diet: Eating a balanced diet rich in iron, vitamins, and minerals can aid your body’s recovery. Include green leafy vegetables, fruits, lean proteins and whole grains in your meals.
• Rest and Relaxation: Experiencing fatigue after medical termination is common. Hence, adequate rest is vital. Avoid heavy physical activities and ensure you have sufficient sleep every night.
• Avoid Sexual Intercourse: Until your doctor gives you the green signal, it is best to avoid any sexual activity. This reduces the risk of infection and helps the healing process.
• Medication Follow-up: If you have been prescribed any medication by your doctor post-termination, ensure that you follow the prescribed dosage instructions accurately.

Potential side effects such as stomach cramps, fever, nausea, and diarrhoea may occur after taking mifepristone or misoprostol from an MTP kit. If these symptoms persist or become severe, seek immediate medical attention.

Emotional well-being is just as important as physical health during this time. This can be a challenging period, and you may experience a range of emotions. Do not hesitate to seek support from trusted loved ones or professional counselling services if needed.

In conclusion, while MTP kits are a safe method for pregnancy termination under medical supervision, remember that your body needs care and time to recover thereafter. Following these precautions after using an MTP kit can ensure a smoother and safer recovery process. Always stay in touch with your doctor for any concerns or queries you might have during this period. Your health and well-being should always be your top priority.