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MIFEPRISTONE & MISOPROSTOL COMBIPACK

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Mifepristone is an oral tablet that when used in regimen with Misoprostol tablets, ends a pregnancy gestation that is 10 weeks or less.

  • Mifepristone works by blocking progesterone, a hormone needed to sustain pregnancy, which stops the pregnancy from progressing.
  • Misoprostol then softens the cervix and triggers uterine contractions, leading to the expulsion of the pregnancy.Generic name: misoprostol systemicDrug class: miscellaneous GI agentsHow it works: This medication causes the uterus to contract and expel the pregnancy. It is often used in combination with mifepristone. But can also be used on its own.

    Dose:

    • Early Pregnancy Loss: 800 mcg intravaginally once; a second dose may be given if there is no response to the first dose no sooner than 3 hours after the first dose, and usually within 7 days
    • Incomplete Abortion: 600 mcg orally once
    • Missed Abortion: 800 mcg intravaginally OR 600 mcg sublingually once; the dose may be repeated every 3 hours for 2 additional doses
    • Pain medications should be provided.
    • Patients that are Rh(D) negative and unsensitized: Rh(D)-immune globulin should be given within 72 hours of administration of the initial dose.
    • Follow-up treatment should be made within 7 to 14 days to ensure complete expulsion has occurred.
    • If treatment fails, patients may opt for expectant management or suction curettage.
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What is the Abortion Pill?

The abortion pill is a combination of two medications: Mifepristone and Misoprostol. These medications work together to end an early pregnancy. Mifepristone blocks the hormone progesterone, which is needed to sustain a pregnancy. Misoprostol causes the uterus to contract, leading to the expulsion of pregnancy tissue.

Why Choose the Abortion Pill?

Many people prefer the abortion pill because it allows them to complete the process in the privacy and comfort of their own home. Since a medication abortion is similar to a natural miscarriage, it can feel more “natural” and less invasive than a surgical procedure. This option provides control over the timing a setting, making it a preferred choice for those who want a more private experience.

How to Get the Abortion Pill Online

The Planned Parenthood Direct app provides access to the abortion pill in select states: Hawaii, Illinois, Maryland, Minnesota, and Washington. The service is easy to use:

  1. Start with the App: Download the Planned Parenthood Direct app, create an account, and begin your online visit. You’ll answer a few medical questions and consult with a licensed clinician.
  2. Receive your Prescription Kit: If you’re eligible, your prescription kit will be shipped overnight. The kit includes Mifepristone (if prescribed), Misoprostol, ibuprofen (for pain, if prescribed), nausea medication (if prescribed), and an at-home pregnancy test to confirm the abortion was successful.
  3. Follow Up Care: Your health and safety are our top priorities. If medically necessary, in-clinic follow-up care is available. You’ll also have access to a dedicated support line for any questions or concerns during the process.

What to Expect

After taking the abortion pill, you may experience cramping and bleeding as your body expels the pregnancy tissue. These symptoms are a normal part of the process. Most people feel well enough to return to their usual activities the day after their medication abortion, but it’s important to listen to your body and rest if needed. For more information on what to expect, click here.

The effectiveness of the abortion pill depends on how far along you are in your pregnancy and how the medications are taken. When both Mifepristone and Misoprostol are used, the abortion pill is effective in 87 to 99 out of 100 cases. If you’re prescribed Misoprostol only, it works in 85 to 95 out of 100 cases. Your clinician will determine the best treatment for you.

Cost and Availability

The cost of the abortion pill service through Planned Parenthood Direct starts at $200. This is a self-pay service, and the price includes the prescription kit, overnight shipping, and access to our support line. Please note that this service is only available in states where it is legally permissible and has been enabled within the Planned Parenthood Direct app.

Shipping Details: 

  • Monday – Thursday: Requests submitted before 1 PM Eastern are shipped the same day.
  • Friday – Sunday: Requests will be shipped on the next business day. Please note that weekend delivery is not available.

Choosing to end a pregnancy is a deeply personal decision, and Planned Parenthood Direct is here to support you every step of the way. Our medication abortion service provides a safe, effective, and private option for those who are seeking the abortion pill online. If you’re located in Hawaii, Illinois, Maryland, Minnesota or Washington, you can easily access this service though our downloading the Planned Parenthood Direct app.

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