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The patient information leaflet, provided by the manufacturer of Misoprostol (Pfizer), does say that the most common "Clinical Adverse Reaction" was abdominal pain and diarrhea, but this is for the dosage prescribed to individuals using this medication for the treatment of ulcers, and occurred in about 13% (average) of study participants. When this drug is given in early pregnancy, your dosage and adverse reactions may be different.

I would assume that you would experience some heavy bleeding with or without the drug, as your body completes the process of miscarriage. I would also expect some abdominal cramping with or without the drug (similar to menstrual cramping) for the same reason, with or without the drug.

I believe there is a time limit in which you can begin taking the drug, so that would be your biggest deciding factor. If you choose the expectant management process, and this is incomplete, then would you have the option of taking the drug, or would that no longer be an option for you, and you would need to go through with the more intrusive uterine aspiration. Again, we can not decide for you, and it depends on your comfort level, as well as your specific condition. Every woman's body reacts differently, but it is great to read what other women experienced. I just wanted to give you some questions that you might want answered to help you decide.

It sounds like you would like to go the "natural" route, and stay away from the uterine aspiration (if possible). The questions to ask your doctor:
1. Is there a time limit in which I can decide to take the Misoprostol?
2. If I take the Misoprostol, is there less of a chance of requiring the uterine aspiration?
3. If I choose the expectant management, is there more of a chance of requiring the uterine aspiration, or would I then be able to choose the Misoprostol?

Does this help you at all?

July 11, 2010 - 5:07pm

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