Abortion in Egypt is only allowed if the health of the mother is at risk, or in cases of severe fetal anomalies. But often in these cases, even women don’t have access to an abortion because doctors refuse to provide it. Photo Album:Misoprostol brands available in Egypt
cytotec tablet is misoprostol product by pfizer_U.K.
What is abortion pills -medical abortion
A lot of people assume that abortion is a surgery, which can sound intimidating but it can actually be as simple as taking a few pills. Medical abortions are less invasive, safer, and more private than surgical abortions. What’s more, is putting a woman’s destiny, quite literally, in their own hands.
A combination of drugs, Mifepristone (drug developed in France in 1980, under the name RU468), and Misoprostol (drug used to treat gastric ulcer), together known as the abortion pill, which allows women to self administer abortions in their own homes away from the judgment of the world.
ABORTION WITH SELF-ADMINISTERED MISOPROSTOL
Because Mifepristone is a registered abortion drug, its sale and use are not permitted in Egypt. In contrast, Misoprostol is an anti-ulcer medication that is registered by Egyptian health authorities under the following trade name (Misotac, Misoprost local generics).N.B. Misoprostol brand (Cytotec is not registered in Egypt).
Research has found that Misoprostol used alone is about 85 percent successful in inducing abortion when used as recommended. Although Misoprostol alone is less effective than when combined with Mifepristone, but Misoprostol offers a safe and accessible alternative for women who have no other option.
Although Misoprostol is registered in Egypt (trade name Misotac, Misoprost, Cytotec), but ,according to ministry of health regulations , Misoprostol Not intended for sale in community pharmacies. Misoprostol is for hospitals use only and this is declared on the external packaging of the medicine and printed on the strips of the product. Therefore, Misoprostol pills are not available in public community pharmacies.
Misoprostol Abortion Medication In Egypt Misotac Cytotac Misoprost
Before Misoprostol
The following are important information; you need to know before starting Misoprostol:
How to use Misoprostol to terminate your (up to 12 weeks) pregnancy?
Step 1
Insert four 200-mcg tablets deeply into the vagina OR in the mouth under the tongue or in the cheek pouch. If tablets are placed under the tongue or in the cheek pouch, hold in the mouth for 20-30 minutes to allow them to dissolve, and then swallow the remaining fragments.
Use large (thick) sanitary pads. Mini pads or tampons should not be used.
Bleeding and uterine contractions (cramping) may begin half an hour following this first step and will almost always start within the first 12 hours.
Bleeding itself does not mean that an abortion has occurred.Close inspection of the sanitary pad or other receptacle may reveal whether the pregnancy has been terminated. This will be difficult to detect in very early stages of pregnancy, however, because the embryonic tissue is indistinguishable from the normal clotting of menstrual blood. For example, six weeks into pregnancy (that is, six weeks from the first day of the last menstrual period), the embryonic sac is only about the size of a short grain of rice. By the eighth week it is more visible, about the size of a kidney bean. For terminations from 10-12 weeks, the fetus is 30 mm to 8 cm in length (1+ to 3+ inches) and it will be very clear when it has passed.
If it is not clear that the pregnancy has been terminated (for example, if the embryonic sac is not visible on the sanitary pad or if cramping continues and has not begun to subside), go to Step 2.
Step 2
If tablets were administered vaginally in Step 1, insert four more 200-mcg tablets of misoprostol deep into the vagina three to 12 hours after the first administration.
If tablets were administered by mouth in Step 1, place four more 200-mcg tablets under the tongue or in the cheek pouch three hours after the first administration and hold them there for 20-30 minutes until they dissolve. The shorter time interval between steps for tablets in the mouth is needed to achieve the same effectiveness as vaginal administration at longer intervals but may cause more side effects.
Step 3
If the pregnancy has not been terminated after using the second set of pills and bleeding, insert four more 200 mcg tablets of misoprostol 3 to 12 hours after the second vaginal administration or three hours after the second administration by mouth.
The majority of pregnancies up to 12 weeks duration are terminated within hours of the first administration of Misoprostol. Generally, more than three-quarters of women experience an abortion within the first 24 hours, although it sometimes takes longer.
If unsuccessful, the entire process may be repeated after 72 hours from the dose in the third step.
Misoprostol guidelines for pregnancies of 13-20 weeks
Although Misoprostol alone can also be used for second-trimester abortions, the chances of serious complications such as uterine rupture or hemorrhage rise as pregnancy advances.Ready access to emergency care in a medical facility is essential, and women should not attempt an abortion alone. They must also be prepared for the passing of a fetus and placenta at this stage.
When bleeding and contractions begin, it is advisable to go to a hospital and report a miscarriage. The hospital may perform a surgical procedure—manual vacuum aspiration or D&C—to complete the process if it does not occur naturally. Women should wipe the vagina clean of all pill fragments (which can last for days) before going to the hospital. In countries where abortion is highly restricted by law, hospital personnel may be required to report all induced abortion attempts to legal authorities.
Step 1
Insert only two (not four) 200-mcg tablets in the vagina.The termination of second-trimester pregnancies require lower doses of Misoprostol because the uterus is more sensitive to the drug. Overdoses at this stage of pregnancy are dangerous.
Repeat Doses
Administer only two 200-mcg tablets every 3 hours up to a maximum of five applications. These repeat doses (if needed) may be inserted under the tongue or in the cheek cavity if heavy bleeding makes it difficult to insert tablets vaginally.
About half of women with pregnancies of 13-20 weeks experience an abortion within 10-15 hours of the first vaginal administration of Misoprostol, with 80-90 percent of women completing the abortion within 24 hours and most of the remainder within 72 hours.
Misoprostol side effects
Bleeding and uterine contractions (cramping) are the intended effects of using Misoprostol for inducing an abortion. Cramping will be stronger than for an ordinary menstrual period and may be painful. Non-steroid anti-inflammatory pain medication such as ibuprofen may be taken without interfering with the Misoprostol. Bleeding will be heavier and more prolonged than for a normal period: up to a week, in most cases, often with continued spotting until menstruation resumes in four to six weeks. These effects will be more pronounced in pregnancies of longer duration.
Chills and fever are common side effects but are transient.High fever is less common but can occur and usually disappears within a few hours as do nausea, vomiting, and diarrhea.
Women should seek medical attention if they experience any of the following side effects after taking Misoprostol:
Women should not take Misoprostol if they have a known allergy to Misoprostol.
WHERE TO BUY MISOPROSTOL
In Egypt, You CAN NOT get Misoprostol (Cytotec or Misotac or Misoprost) from community pharmacies. Misoprostol products not intended for sale in community pharmacies, according to Egyptian MOH regulations, Misoprostol is for hospitals use only.
Can I get abortion pills through international organizations? Women on web and Women on waves ,both are international organizations concerned with women’s right to access to safe abortion. Their online services enable women around the world to access abortive medicines. However, due to the restrictions imposed by customs on the entry of medicines, shipments do not reach women in Egypt. In addition, the arrival of shipments takes at least 10 to 15 days, while most women who want to end their pregnancy need these drugs quickly. Summary: If you are living in Egypt, the online services offered by international organizations are not practical.
Although abortion pills (Mifeprostone Misoprostol combination) can be purchased through Women on Web in the Netherlands (http://www.womenonweb.org), Shipment to Egypt cannot be .delivered due to customs complications in releasing medicines.
How do I get Misoprostol in Egypt: Click the next link, you will be redirected to another page(Egypt- Safe abortion Pill and non-judgmental support), at (How do I get the abortion pills) section.
Related PDF
Misotac tablet Patient Information Leaflet.
Cytotec tablet Patient Information Leaflet.
Misoprost tablet Patient Information Leaflet.
Related articles
- Abortion Pills in Egypt.
- Cytotec tablets- Misoprostol in Egypt.
- Safe early medical abortion in Egypt.
- Egypt: access to safe abortion procedure.
- Misoprostol guidelines
- Misoprostol Photo Album.
References
For more information on medical abortion, consult these web sites:
How to get high quality (original) abortion pills- Arabic Information
Disclaimer: Some women choose to terminate their pregnancies early for various reasons, we believe that all women anywhere, have the right to have safe abortion options, and we work to provide facts and information related to abortion drugs such as what should be taken into account in advance before using drugs How to get high-quality abortion pills, how to use them safely, what you can expect and when to seek medical help when needed. Our mission is to educate women about the information needed to pass the process of early termination of pregnancy safely and securely. We have made every effort to ensure the accuracy of the information on this page, but this content is subject to change from time to time, and the authors of the site will not accept any responsibility for the accuracy of the information provided at any time. Ref:G02AD06 .
