How to Use Abortion Pills

Mifepristone & Misoprostol Combination Protocol

First day:
Swallow one 200mg mifepristone pill. (Mifepristone is the larger pill in the kit or bag.)  

36-48 hours later:
Misoprostol is not swallowed. You may put the pills inside your cheeks or under your tongue (whichever method you prefer). Hold them there for 30 minutes without swallowing while your body absorbs the medicine. Then swallow the pills with a drink.

• 8 weeks or less: If your period was 8 weeks or less ago, just use 4 of the 200mcg misoprostol pills. 

• If your period was over 8 weeks, put a second dose in your mouth 4 hours later. 

• More than 11 weeks: If your period was more than 11 weeks ago, 36 hours after taking the mifepristone, take 2 misoprostol. Take 2 more misoprostol pills 3 hours later, and continue to take 2 misoprostol pills every 3 hours until the pregnancy passes. 
  For detailed directions and information on what to expect from 11-16 weeks, click here.

• More than 16 weeks:  If your period was more than 16 weeks ago, please reach out to the provider in your state for directions and accompaniment.

Misoprostol pills vary based on manufacturer. Miso from a trusted source will contain 200mcg of miso regardless of its appearance. 

In less than 1% of abortion pill usage, aftercare is required for a complication. In aftercare, vaginal use of the pills may be detected. Pills taken by mouth and absorbed then swallowed are undetectable. 

Misoprostol Only Protocol

The kit or bag will contain 16 misoprostol pills. Each one contains 200mcg of miso.

Misoprostol is not swallowed. You may put the pills inside your cheeks or under your tongue (whichever method you prefer). Hold them there for 30 minutes without swallowing while your body absorbs the medicine. Then swallow the pills with a drink.

For 11 weeks or less, follow these directions:

• First hour (for example, at noon) ~ take four pills by mouth

• Three hours later (for example, at 3pm) ~ take another four pills by mouth

• Three additional hours later (for example, at 6pm) ~ take the next four pills

• If you feel the pregnancy has not passed, you may take one more dose of four three hours later.

Miso may be taken to aid in abortion throughout pregnancy. If your period was more than 16 weeks ago, please reach out to AccessPills@proton.me for directions and accompaniment.

Misoprostol pills vary based on manufacturer. Miso from a trusted source will contain 200mcg of miso regardless of its appearance. 

In less than 1% of abortion pill usage, aftercare is required for a complication. In aftercare, vaginal use of the pills may be detected. Pills taken by mouth and absorbed then swallowed are undetectable. 

 See Ipas Guidelines in English and Spanish

 For the International Federation of Obstetrics and Gynecology (FIGO) updated guidelines, visit
 FIGO Dosage Chart Mife & Miso