Misotrol for Abortion: Everything You Need to Know

There are many different types of abortion pills on the market and availability is different around the world. Misotrol is among the most common of these pills. Whether you are concerned about how Misotrol works, pricing, dosage or where to get it, we hope this guide will be useful. If you have additional questions, please contact our counselors, and we will be happy to support.

What is the Misotrol Abortion Pill?

Misotrol is a pill used for abortion in pregnancies up to 11 weeks. It is a prostaglandin medication, which means it causes softening and dilation of the cervix and uterine contractions when used during pregnancy. It is produced by the Pfizer pharmaceutical company. [1]

How Does Misotrol Work for Abortions?

Misotrol works by softening and dilating the cervix, and it also causes the uterus to contract. All of these actions help to expel the pregnancy. Typically it will start working within ~1 hour of use, but it can take more. [2]

Dosage of Misotrol

Typically Misotrol comes in pills of 200mcg, and the recommended dosing varies based on how far along the pregnancy is.

For pregnancies under 9 weeks gestation, the recommended Misotrol dosage is 2 sets of 800mcg (a total of 1600mcg, or 8 pills).

For pregnancies between 9-11 weeks gestation, the recommended Misotrol dosage to have available is 3 sets of 800mcg (a total of 2400mcg, or 12 pills). [1]

To find more about the abortion with pills protocol using Misotrol only, visit this page.

What is the Misotrol Dosage for under 6 Weeks Pregnant?

For pregnancies 6 weeks or less, the recommended Misotrol dosage is 2 sets of 800mcg (a total of 1600mcg, or 8 pills). In some cases, it is also recommended to have an extra set of 800mcg (4 pills). [1]

What is the Misotrol Dosage for under 9 Weeks Pregnant?

For pregnancies under 9 weeks gestation, the recommended Misotrol dosage is 2 sets of 800mcg (a total of 1600mcg, or 8 pills). In some cases, it is also recommended to have an extra set of 800mcg (4 pills). [1]

What is the Misotrol Dosage for 9 to 11 Weeks Pregnant?

For pregnancies between 9 to 11 weeks gestation, the recommended Misotrol dosage to have available is 3 sets of 800mcg (a total of 2400mcg, or 12 pills). [1]

Price of Misotrol

The price of Misotrol is often quite low, but it will vary depending on geographic location. Different countries have different laws about abortion, and this can also affect the price of Misotrol. It is possible that in countries with legal restrictions on abortion, the price of Misotrol without a prescription could be more costly.

There are organizations that will ship the pills for a donation, you can check out Women on Web and Women Help Women for more information about obtaining the pills. [5]

How to Take Misotrol

safe2choose recommends using Misotrol under the tongue (or sublingually). The best way to do this is to place the 4 pills (each 200mcg) of Misotrol directly under the tongue (sublingually), and let the tablets dissolve there for 30 minutes. After 30 minutes, any remaining tablets can be washed down and swallowed with water.

3 hours after the first dose (800mcg) of Misotrol, the next dose should be repeated in the same manner. If a third dose is indicated by the protocol, it should be performed 3 hours after the second dose. [1]

Side Effects of Misotrol

When used for abortion, the intended effects of Misotrol are to cause abdominal cramping and bleeding. In addition to these effects, it is possible to experience side effects including nausea, vomiting, diarrhea, fevers, and chills.

Typically these symptoms are limited to 24 hours. [3]

What Does Misotrol Abortion Pills Look Like?

Misotrol 200mcg tablets are small, white, hexagonally shaped pills. They are scored in the center and will have “searle” and/or “1461” imprinted onto them. [4]

How to Get Misotrol Abortion Pills?

The availability of Misotrol abortion pills is variable depending on geographic location. Misotrol is also indicated for stomach ulcers, so it can sometimes be found over-the-counter without a prescription. If this is the case, the Misotrol is likely to be located near the stomach medications in your local pharmacy. If they are not found there, it is likely that it requires a prescription at the pharmacy.

This website may be useful in finding out the accessibility of Misotrol in your location [5], or you can get in touch with our counselors, and they will be able to help you locate a trustworthy provider near you.

Authors:

by the safe2choose team and supporting experts at carafem, based on the 2020 recommendations by The National Abortion Fund (NAF) and the 2019 recommendations by Ipas.

The National Abortion Federation is the professional association of abortion providers in North America.

carafem provides convenient and professional abortion care and family planning so people can control the number and spacing of their children.

Ipas is the only international organization solely focused on expanding access to safe abortion and contraceptive care


Sources

[1] Ipas. (2019). Clinical Updates in Reproductive Health. L. Castleman & N. Kapp (Eds.). Chapel Hill, NC: Ipas. Retrieved from: https://ipas.azureedge.net/files/CURHE19-april-ClinicalUpdatesInReproductiveHealth.pdf

[2] Uptodate. Misoprostol as a single agent for medical termination of pregnancy. Retrieved from: https://www.uptodate.com/contents/misoprostol-as-a-single-agent-for-medical-termination-of-pregnancy?search=cytotec&source=search_result&selectedTitle=2~117&usage_type=default&display_rank=1#H2428459676

[3] Allen R, O’Brien BM. Uses of Misoprostol in Obstetrics and Gynecology. Rev Obstet Gynecol. 2009;2(3):159–168. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760893/

[4] Uptodate. Misoprostol: drug information. Retrieved from: https://www.uptodate.com/contents/misoprostol-drug-information?search=cytotec&source=panel_search_result&selectedTitle=1~117&usage_type=panel&kp_tab=drug_general&display_rank=1#F197173

[5] Women On Waves. Map Countries. Retrieved from: https://www.womenonwaves.org/en/map/country

Last updated on 04/09/2020

We are staying available to support you with your abortion during COVID-19.

We are closely monitoring the situation of coronavirus globally and will keep updating our information and services.

We advise our readers to:

  1. Read our latest blog post on abortion and COVID-19
  2. Follow WHO safety guidelines on COVID-19
  3. Contact our counselors