Pill abortion is a safe and effective method of terminating a pregnancy, but the right medications must be used.
There are numerous counterfeit and low-quality abortion pills on the market. Here are ten frequently asked questions and answers to help you find the right pills.
Mifepristone and misoprostol are the two medications used in pill abortion. They can be used together, or misoprostol can be used alone, to safely and effectively empty the uterus by initiating a miscarriage-like process.
Misoprostol is slightly less effective when used alone, but it is still very safe. Because mifepristone is not widely available, this method is widely used.
Mifepristone inhibits the activity of progesterone (a hormone required for pregnancy maintenance) in the uterus and softens the cervix, allowing the pregnancy to be removed more easily.
Misoprostol causes the uterus to contract and push the pregnancy out. This is similar to what happens when a woman miscarries.
When both medications are available, mifepristone is administered first, followed by misoprostol 1-2 days later. Mifepristone is always taken orally.
Misoprostol is dissolved in the mouth, either between the cheek and gums or under the tongue. You do not need to take misoprostol vaginally, and no one should ever insert it for you.
Mifepristone is only available in a small number of countries worldwide. Check www.medab.org to see if it is available in your country.
Mifepristone is frequently packaged with misoprostol and sold as a combined product intended solely for abortion.
Misoprostol is more widely available, less expensive than mifepristone, and easier to obtain from pharmacies and medicine sellers around the world.
Misoprostol, in addition to being used to induce abortion, is also used to treat ulcers and to prevent or treat heavy bleeding after childbirth, making it easier to obtain without a prescription.
Mifepristone and misoprostol are both available as tablets or pills. Misoprostol pills have a distinct six-sided shape, but this is not always the case.
Mifepristone is typically taken as a round, white pill. These medications are not legal if they are sold in capsule form. (A capsule is a shell or container that usually contains a medication and is made of gelatin.)
When mifepristone is available, it is usually sold in a “combi-pack” with misoprostol. Combi-packs are rarely counterfeit and should resemble this.
A “blister pack” is a method of pharmaceutical packaging in which individual pills are sealed in a “bubble” between two layers of material. Blister packs are commonly made from cardboard, plastic, and aluminum.
When misoprostol pills are exposed to heat and moisture, their effectiveness decreases.
Misoprostol must therefore be packaged in double-aluminum blister packs (aluminum on top and bottom) rather than cardboard or plastic. It is unlikely that you will find legitimate or effective misoprostol stored in cardboard, plastic, or as loose pills in a bottle.
A double-aluminum blister pack should resemble this. Ensure that the aluminium is not opened on any side until the pills are ready to be used.
Misoprostol prices vary from country to country. However, because misoprostol is widely available, it is generally not very expensive.
The pills are sold to pharmacies for a very low price — less than $0.05 USD (5 cents) per pill. A recent study found that the highest sales price was $2 USD per pill.
Misoprostol is typically a low-cost option for women seeking an abortion.
Of course, some pharmacists or medicine sellers may take advantage of misoprostol seekers and attempt to overcharge for the pills.
You can ask people you trust if they know how much the pills should cost where you live, or you can look up local prices on the internet. But keep in mind that misoprostol should not be expensive.
Pre-packaged mifepristone and misoprostol combi-packs are only available in a few countries (less than 30), and they are less likely to be sold without a prescription.
If you live in a low- or middle-income country where combi-packs are available, prices are almost certainly controlled, and a combi-pack should cost less than $20 USD.
Mifepristone and misoprostol are available from a healthcare provider, pharmacies, and online pharmacies.
Depending on where you live, you may need a prescription to purchase mifepristone and misoprostol from a local pharmacy or medicine seller. However, the two medications are frequently sold without a prescription.
Because it is also used to treat ulcers and to prevent or stop heavy bleeding after childbirth, misoprostol is typically much easier to obtain. Online pharmacies and organisations that help people self-manage their abortions sell mifepristone and misoprostol “combi-packs” and misoprostol alone.
Abortion pills that are safe and effective should be: NOT capsules, but pills or tablets. Ideally, packaged in an undamaged, double-aluminum blister pack. Not expired if purchased from a reputable pharmacy or medicine seller