Misotrol Pills for Medical Abortion

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.

Understanding the Misotrol Pill

Misotrol is a pill used for abortion in pregnancies up to 13 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]

Mechanism of Action for Abortion

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]

Misotrol Recommended Dosages

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 9-13 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.

Dosage for Under 13 Weeks of Pregnancy

For pregnancies that are 13 weeks or less, the recommended Misotrol dosage is 3 sets of 800mcg (a total of 2400mcg, or 12 pills of 200 mcg each) [1]

Cost Considerations

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]

Misotrol Administration Guidelines

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]

Potential Side Effects

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]

Appearance of the Misotrol Pills

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]

Acquiring the Misotrol

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 2023 recommendations by Ipas and the 2022 recommendations by the WHO.

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.

WHO is a specialized agency of the United Nations responsible for international public health.

[1] Ipas. (2023). Clinical Updates in Reproductive Health. E. Jackson (Ed.). Chapel Hill, NC: Ipas. Retrive from: https://www.ipas.org/wp-content/uploads/2023/09/Ipas-Clinical-Updates-in-Reproductive-Health-CURHE23b.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