Misoprostol (Cytotec)

Let us remember that it was women who discovered this drug in the first place, specifically to circumvent the weakness of the health-care system. Let us give them back this powerful tool and get out of their way - Francine Coeytaux & Elisa Wells

Misoprostol (Cytotec)
Misoprostol (Cytotec)

image by: KTSM 9 News

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Misoprostol Is a Game-Changer for Safe Abortion and Maternal Health Care. Why Isn’t it More Widely Available?

Pragmatic Brazilian women first discovered the potential of misoprostol (or Cytoteca, in their parlance) in the 1980s. According to the label on this widely used peptic ulcer drug, it was not to be taken during pregnancy as it could induce bleeding. Living in a country with very restrictive policies and little access to safe abortion services, they recognized the opportunity to circumvent the system and, by word of mouth, spread the word to other women about this easily obtainable pill that could help them safely end an unwanted pregnancy... What began in Brazil as a natural public health experiment has been validated by rigorous clinical studies conducted by international groups such as the…

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 Misoprostol Is a Game-Changer for Safe Abortion and Maternal Health Care. Why Isn’t it More Widely Available?

If we have a cheap and readily available drug that can prevent and treat the two largest causes of maternal mortality worldwide—postpartum hemorrhage and unsafe abortion—why have we not taken more advantage of it?

Mifepristone and misoprostol: Recommended regimen

Mifepristone 200mg orally followed 1-2 days later by misoprostol 800mcg buccally, sublingually or vaginally. The dose of misoprostol can be repeated to achieve abortion success. After 9 weeks gestation, routinely using at least two doses of misoprostol, administered 3-4 hours apart, improves abortion success rates. A combined regimen of mifepristone and misoprostol is effective and safe with abortion success rates over 95%, continuing pregnancy rates around 2% and complication rates of 1-3%.

Misoprostol.org

Use of misoprostol in obstetrics and gynaecology. The correct dosage varies greatly according to gestation, indication and route of administration - using the correct dosage is vital for success and to prevent complications.

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