Mariprist Combipack

The Mariprist pack contains 1 mifepristone tablet and 4 misoprostol tablets. The mifepristone is taken first, followed by the misoprostol tablets 24-48 hours later.

The misoprostol will be just as effective if you put them under the tongue or in the vagina. The pills dissolve faster under the tongue and can be viewed as being more private.
You may have fewer side effects if you take the misoprostol vaginally. However, if you are experiencing any bleeding from the vagina, you should not take the tablets vaginally.

Cramping and bleeding may begin as quickly as 30 minutes after taking the 4 misoprostol pills. However, bleeding usually begins within 3-4 hours of using misoprostol. The bleeding should be similar to or heavier than your normal menstrual period. These are signs the abortion is working.

If you haven't bled or had cramps since taking Mariprist, or you are still experiencing signs of pregnancy such as nausea, breast tenderness, etc. you may still be pregnant. A healthcare provider can perform a pelvic examination or ultrasound to be sure.

There is a slight risk of birth defects in the event of an on-going pregnancy following misoprostol use. The risk is estimated at less than 1%.

You can have sex as soon as the bleeding has stopped, and you feel ready. Remember that you can get pregnant again soon after an abortion, so you will need to use contraception if you want to avoid pregnancy.