How to use misoprostol 200 mg uses. Aug 4, 2022 · Step 2: Take 4 Misoprostol Pills.

Misoprost 200 Tablet Uses. Other patients may need 100 mcg four times a day with food. d. MD; Bhatt, Komal MD; Amico, Jennifer MD, MPH. 1 The addition of Misoprostol . Nausea or stomach cramps may occur. Misoprostol can cause birth defects, miscarriage, premature labor, or rupture of the uterus. It is also used for the management of high blood sugar levels in people with people with high level of cortisol for a prolonged duration (Cushing's syndrome). i. Our aim was to summarize extant data on the effectiveness and safety of regimens using the widely recommended lower mifepristone dose, 200 mg, followed by misoprostol in early pregnancy and to explore potential correlates of abortion failure. It is used also for preventing stomach ulcers while you are under the medication of certain NSAID drugs; especially if you are at a greater risk or have a family medical history of ulcers. [4], [5] Feb 19, 2024 · The regimen for termination of pregnancy is a single dose of mifepristone 200 mg and misoprostol 800 mcg buccally. Use: Reducing the risk of NSAID-induced gastric ulcers in patients at high risk of Jul 30, 2018 · Studies of 200 mcg q. Manufacturer: Sami Pharmaceutical. [4] 4. You can put the pills in your vagina (vaginal), under your tongue (sublingual), or in your mouth between your cheeks and gums (buccal). Typically it will start working within ~1 hour of use, but it can take more. 4,2,6 An oral dose of misoprostol has an 8 minute onset of action and a duration of Misoprostol Tablet ప్రయోజనాలు మరియు ఉపయోగాలు - Misoprostol Tablet Benefits & Uses in Telugu - Misoprostol Tablet prayojanaalu mariyu upayogaalu ఈ క్రింది వాటికి చికిత్స చేయడానికి Misoprostol Tablet The abortion pill process has several steps and usually includes 2 different medicines: mifepristone and misoprostol. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Dr. Pelvic pain and cramping severe. Get medical help right away if you have any very serious side effects, including: fever of 100. Aug 31, 2022 · Breeky tablet is a prescription medicine used as an abortion pill. This medicine can cause uterine contraction and is sometimes used for labor induction and termination of pregnancy. First, you take mifepristone. It works by stopping the body's production of a substance that causes pain and inflammation. The medication usually comes in 200-mcg Misoprost 200 Tablet Uses. Vaginal bleeding severe. 200 mcg orally every 6 hours with food; may be decreased to 100 mcg every 6 hours if higher dose is not tolerated; last dose to be administered at bedtime. If tablets fall out in the first 30 minutes, re-insert them. -Maintenance dose: 100 to 200 mcg orally 4 times a day. Prostaglandins help to protect the lining of your stomach and intestines. This pill stops the pregnancy from growing. Know uses, side effects, dosage Jul 10, 2024 · Zitotec 200mcg Tablet is a medicine used for medical abortion (terminating a pregnancy). Jun 13, 2023 · Misoprostol is used in the treatment of Medical abortion, Post-delivery bleeding. Misoprostol increases contractions of the uterus to cause abortion. You may have cramping on and off for 1 or 2 more days. If you have any of these side effects, you must tell your healthcare provider. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Side Effects. Misoprostol is a synthetic prostaglandin medication used to prevent and treat stomach and duodenal ulcers, induce labor, cause an abortion, and treat postpartum bleeding due to poor contraction of the uterus. Misoprostol is a prostaglandin E1 analog used to reduce the risk of NSAID induced gastric ulcers by reducing secretion of gastric acid from parietal cells. Oct 13, 2023 · Empty your bladder. You can also have an abortion using only misoprostol. After 12 weeks, there is a higher chance of a complication and the medicines are used differently. It is most commonly used with another medication known as mifeprex to terminate pregnancies up to 70 days after the first day of a person’s last period. Jan 1, 1999 · Of the 746 subjects who had no or minimal bleeding before misoprostol, 80% bled within 4 h and 98% within 24 h of using misoprostol. diclofenac 50 mg-misoprostol 200 mcg tablet,immed. If you experience a very heavy vaginal bleeding or if any of these side effects bother you please consult with your gynaecologist. There are a few different ways to take misoprostol. It's essential to use this medication under the guidance of a healthcare professional to ensure safety and effectiveness. c,2 (1st Trimester) 800mcg vaginally 3-hrly (x2) or 600mcg sublingual 3-hourly (x2) Give 2 doses and leave to work for 1-2 weeks (unless heavy bleeding or infection) Incomplete abortion. For an abortion up to 13 weeks of pregnancy the recommended dosage to have available is 3 sets of 800mcg of misoprostol (a total of 2400mcg, or 12 pills). This page details information about the combination of Mifepristone and Misoprostol for an abortion with pills. Misoprostol (Cytoheal 200) 200 mg tablet is a prostaglandin analog used to treat ulcers in the stomach and duodenum. Mifepristone is an anti-hormone (anti-progestogen) that blocks the action of progesterone, a hormone that a woman needs to continue being pregnant. Low-dose mifepristone followed by vaginal misoprostol was highly effective Single Maximum Dose: 200 mcg Dosage Form: टैबलेट Dosage Route: In stock alternatives of Zitotec (based on Misoprostol (200 mg)) Diarrhea. Insert them as far as you can. Do not take more or less of it or take it more Mar 30, 2023 · 1 INDICATIONS AND USAGE. Jul 1, 2024 · The recommended adult oral dose of Cytotec for reducing the risk of NSAID-induced gastric ulcers is 200 mcg four times daily with food. Each vaginal tablet of misoprostol contains 0. Within 24 to 48 hours after taking mifepristone, you will apply four tablets in total of another medication called misoprostol buccally (between the gum and cheek) by placing two tablets in each cheek pouch for 30 minutes, then swallowing the remaining content with water or another Sep 22, 2023 · Arthrotec is supplied as delayed-release tablets containing 50 mg diclofenac sodium and 200 mcg misoprostol or 75 mg diclofenac sodium and 200 mcg misoprostol. For pregnancies between 9-13 weeks gestation, you can also use the Unwanted-Kit dosage of 1 pill of Mifepristone (200mg) and 8 pills of Misoprostol (1600mcg). Tell your doctor if you become pregnant. If you can only access Misoprostol, please see this guide. ear congestion. Taking misoprostol will help prevent you from getting ulcers in your stomach and the part of your intestines next to your stomach, which is called the duodenum. with ibuprofen, all showed reduction of the rate of significant endoscopic injury from about 70–75% on placebo to 10–30% on misoprostol. For oral dosage form (tablets): For termination of pregnancy (70 days or less) taken together with misoprostol: Adults—200 milligrams (mg) as a single dose on Day 1. However, misoprostol is also safe and effective to May 8, 2022 · Misoprostol (Cytotec) is a prostaglandin. Jul 9, 2024 · The common side effects of using Mtp Kit are abdominal pain, abdominal cramping, nausea, diarrhea, dizziness, uterine contractions, pelvic pain, and shivering. Background: The dose of mifepristone approved by most government agencies for medical abortion is 600 mg. difficulty with swallowing. Missed abortion. Nausea, uterine cramps, vomiting, diarrhoea, dizziness, and in some cases uterine bleeding may occur. This medicine acts on the uterus and increases its contraction. Nov 30, 2022 · Usual Adult Dose for Duodenal Ulcer. On day 1, a 200 mg tablet of mifepristone is administered in a single oral dose. It prevents ulcers caused by diclofenac by protecting the stomach lining and decreasing stomach The observed power to detect this difference in misoprostol-placebo comparison using the Wilcoxon rank sum test at 0. Children—Use and dose must be determined by your doctor. Store below 25°C. Many people using this medication do not have serious side effects. Posology . They are typically in a hexagon shape. . difficulty with moving. Between 24 to 48 hours after mifepristone, you will take the second medicine called misoprostol. Mifepristone tablets, 200 mg is indicated, in a regimen with misoprostol, for the medical termination of intrauterine pregnancy through 70 days gestation. Misoprostol effects were assessed by 1) cervical resistance, 2) ease of performing the endometrial biopsy, 3) success rate of obtaining an Oct 1, 2022 · Recommendation: Mifepristone 200mg orally followed 1-2 days later by misoprostol 800mcg buccally, sublingually or vaginally. November 2021. 05 level of significance is 89%. Your health care provider may recommend that you lie down for about 30 minutes after you insert the misoprostol. if you are not able to find 8 pills of Misoprostol, please get in touch with our counselors. Here’s the misoprostol dosage information for this use. So people who take NSAIDs have a higher risk Stay Happi Mifepristone 200 Mg + Misoprostol 200 Mcg Tablet एक पत्ते में 1 टैबलेट ₹56 ₹8130% छूट दवा देखें Elata 6. Shortness of breath. Buy Zitotec 200 MCG Tablet Online. After 9 weeks gestation, routinely using at least two doses of misoprostol, administered 3-4 hours apart, improves abortion success rates. 1- A woman should put 4 pills of 200 micrograms (in total 800 mcg) misoprostol under the tongue. Strength: Breeky 200 mcg Jul 9, 2024 · Complete Hemogram (CBC & ESR) Miso 200mcg Tablet is used in the treatment of Medical abortion,Post-delivery bleeding. Jul 21, 2023 · The use of vaginal misoprostol according to the gestational age is recommended for uterine evacuation in case of fetal death: at 13-26 weeks, 200 mcg every 4-6 hours; at 27-28 weeks, 100 mcg every 4-6 hours; and over 28 weeks, 25 mcg every six hours. Drug = Misoprostol. 200 mcg orally 4 times a day after meals and at bedtime. Please try to lie down for at least 30 minutes to ensure the tablets don’t come out of your vagina. Most people don’t feel anything after taking the mifepristone. This is followed 2 days later by 800 micrograms (mcg) (four-200 mcg tablets) of misoprostol as a single dose placed in the cheeks. This medicine is available only with your doctor's Do not use this medicine if the box or the blisters show signs of damage. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position. Doses of 25 to 200 mcg q. Take misoprostol exactly as directed. Misoprostol may cause birth defects, abortion (sometimes incomplete), premature labor or rupture of the uterus if given to pregnant women. Aug 4, 2022 · Step 2: Take 4 Misoprostol Pills. Disrupted menstrual cycle. Swelling of face, lips, eyelids, tongue, hands, and feet severe. Misoprostol is similar to naturally made protective substances in your body, called prostaglandins. [11] Jan 12, 2023 · For this purpose, the usual dosage is 200 mcg four times per day. Misoprostol is used to decrease the chance of having stomach ulcers in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs) including aspirin. Push the four misoprostol tablets one at a time up into the vagina as far as you can using your finger. The Beeky tablet is used to induce periods, induce labor pains, treat ulcers, etc. 2 DOSAGE AND ADMINISTRATION. A woman will need 12 pills of 200 micrograms each. Buy Mifegest 200 MG Tablet Online. The tablets are measured in micrograms (mcg). The mifepristone tablet is swallowed whole. Feb 1, 2019 · This medicine may cause diarrhea, stomach cramps, or nausea in some people. 4 degrees F (38 degrees C) or Jan 16, 2024 · Studies of 200 mcg q. It is strictly used under medical supervision for the prescribed clinical condition. 4 vaginal tablets of 0. Pharmacodynamics. It is advised to take this medication only after taking medical help. It is also used for preventing excessive bleeding after delivery. Studies of 200 mcg q. Misoprostol comes in four 200 µg tablets. Do not swallow the pills for at least 30 minutes until the tablets are dissolved! Adults—200 micrograms (mcg) four times a day with food. Stomach pain. Without this hormone, the lining of the uterus (womb) breaks down as it does during a menstrual period and In 2000, the FDA approved medication abortion using 600 mg of oral mifepristone, a progesterone antagonist, with 400 µg of oral misoprostol 48 hours later for pregnancies up to 49 days of gestation. Misoprostol comes as a tablet to take by mouth. Nov 8, 2021 · Time your doses so that they line up with breakfast, lunch, and supper. If you experience a very heavy vaginal bleeding or if any of these side effects bother you please consult with your gynecologist. 5 hours after medication ingestion in the misoprostol group. Do not hesitate to inform your doctor if you are facing any of the above. Drug Class: Prostaglandin. Forty-two nonpregnant women aged 35–77 years were randomized to a prospective, double-blind study to receive either 400 μg oral misoprostol or placebo 3 hours before office endometrial biopsy. dizziness. Remember that this medication has been prescribed because your doctor has You must use effective birth control while using misoprostol and for at least 1 month after your last dose. The common side effects of using Misoprost 600 Tablet are abdominal pain, abdominal cramping, nausea, diarrhea, dizziness, uterine contractions, pelvic pain, and shivering. Hypovolemia (low blood volume)—Use with caution. The World Health Organization recommends two regimens for safe and effective medication abortion care throughout pregnancy: (1) misoprostol on its own, and (2) mifepristone in combination with misoprostol. 2mg each) vaginally in a single dose. The recommended dosage varies based on how far along the pregnancy is. These medications, when used correctly, successfully terminate 80-95% of pregnancies without the need for surgical Nov 30, 2022 · Cytotec may cause serious side effects. You can expect moderate to heavy bleeding with passage of clots. Yes, Misoprost is safe to use, if taken in a prescribed amount for a specified time as advised by the doctor. The other ingredients are: Jan 20, 2023 · Usual Adult Dose for Abortion. Approximately a 3-fold increased risk of malformations was reported in pregnancies exposed to misoprostol during the first trimester, compared to a control group incidence of 2%. Nausea, heartburn, gas, upset stomach, drowsiness, and dizziness may also occur. 1 Dosing Regimen - For purposes of this treatment, pregnancy is dated from the first day of the last menstrual period. 2. However, few side effects are observed such as abdominal pain, nausea, and vomiting. Warnings. Common side effects of Cytotec may include: diarrhea and stomach pain. 21 However, there is excellent evidence of efficacy up to 63 days of gestation using the regimens of 200 mg of mifepristone orally followed by Misoprost 200 Tablet Uses. e. Misoprostol has been studied for early pregnancy loss. 6. These effects will usually disappear within a few days as your body adjusts to the medicine. It is also used in the prevention of stomach ulcers associated with nonsteroidal anti-inflammatory drugs and childbirth-related concerns such as induction of labour and medical termination of pregnancy. Misoprostol, a prostaglandin E1 analogue, reduces the need of suction dilation and curettage (D&C) by up to 60% and shortens the time to completion compared with placebo. They’ll slowly break down, and your body will absorb the medicine through the skin in your vagina or mouth. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). By day 7, 95% of women had a complete abortion. This medicine works by helping the stomach protect itself against acid damage, and decreases the amount of acid produced by the stomach. Side effects were acceptable in 85% of subjects, and 94% found the procedure acceptable. feeling unusually cold. Contents of the pack and other information What Medabon contains Each tablet of mifepristone contains 200 mg mifepristone. May cause anaphylactic reaction. before swallowing the remnants with water. Sep 12, 2022 · Mifepristone blocks the effects of progesterone, a natural female hormone that is needed for the pregnancy to sustain. This is not a complete list of side effects and others may occur. View Misoprostol’s uses, side-effects, drug interactions, expert advice and user FAQs only on 1mg. [2] What is the Cytotec Dosage? Typically each Cytotec pills contain 200mcg of misoprostol. If there is more than an hour to go before your next dose, take a missed dose as soon as you remember. Should take therapy for duration of therapy. It acts like your body's natural prostaglandins, which are chemicals that help protect the stomach to prevent injury and ulcers. In addition, significantly (P <. It is primarily used to prevent ulcers caused due to non-steroidal pain medication. Remember that this medication Misoprost 200 MCG Tablet is used for medical abortion and treat post delivery bleeding. ** These pills can be found in other shapes and forms depending on the country. The effect of the Mifepristone tablets, 200 mg and misoprostol regimen on the breastfed infant or on milk production is unknown. Remember that this medication has been prescribed because your Studies of 200 mcg q. Zitotec 200mcg Tablet is given alone or in combination with some other medicine to attain the maximum benefit. and delayed release Color: white Shape: round Imprint: AN 436 This medicine is a white, round, film-coated, tablet imprinted with "G 0029" and "75". Unknown whether drug is safe for use in women with severe anemia. Doses of 25–200 mcg q. Must be corrected first before using this medicine. reduced aspirin-induced mucosal injury and bleeding. Show more. 3 Place 4 Misoprostol pills. Mifepristone comes as a tablet to take by mouth. However, if vaginal bleeding does not stop, it is an emergency and you need to Misoprost 200 Tablet Uses. You will take one tablet of mifepristone once on the first day. Maintenance dose: 100 to 200 mcg orally 4 times a day. मिसोप्रोस्ट 200 टैबलेट को चिकित्सीय गर्भपात,डिलीवरी के बाद खून Nov 16, 2017 · Zitotec 200 MCG Tablet is an effective antiulcer medication used to prevent the secretion of acid in the stomach. [3] Wash your hands. It’s normal to have some bleeding and spotting for several weeks after your abortion. Generic: Misoprostol. Know uses, side effects, dosage, contraindications, substitutes, benefit, interactions, purpose, drug Mifepristone comes as a tablet to take by mouth. To avoid possibility of diarrhea, dosing may be initiated at 100 mcg every 6 hours and increased by 100 mcg/day every 3 days until Jun 17, 2024 · Each tablet of mifepristone contains 200 mg mifepristone. com. Do not use Arthrotec if you are pregnant. 200mg of mifepristone (one tablet) is taken in a single oral dose, followed 36 to 48 hours later, by the administration of misoprostol 800 micrograms (i. 1. Dehydration or. with ibuprofen, all showed reduction of the rate of significant endoscopic injury from about 70 to 75% on placebo to 10 to 30% on misoprostol. * Get in touch with our counselors to discuss an alternative if you are allergic to Ibuprofen. Mifepristone blocks the effects of progesterone, a natural female hormone that is needed for the pregnancy to sustain. of misoprostol with tolmetin and naproxen, and of 100 and 200 mcg q. The other ingredients are: mifepristone tablet; silica, colloidal anhydrous, maize starch, microcrystalline cellulose (E460), povidone K30, and magnesium stearate (E470b). Vedprakash Verma MBBS, MD , Cardiology. View Miso 200mcg Tablet (strip of 4. Sep 1, 2020 · Vaginal, oral, and sublingual misoprostol in single doses of 600 to 800 mcg are equally effective for promoting completed abortion in patients with an incomplete first-trimester spontaneous Apr 10, 2022 · Tablets. The use of misoprostol at an initial dose of 25 mcg vaginally every 4-6 hours is recommended Sep 1, 2023 · On day one: 200 mg of mifepristone taken by mouth 24 to 48 hours after taking mifepristone: 800 mcg of misoprostol taken buccally (in the cheek pouch), at a location appropriate for the patient Jan 18, 2019 · मिफेप्रिस्टोन (Mifepristone) और मिसोप्रिस्टोल (Misoprostol) गर्भपात की गोली Mar 28, 2023 · difficult, burning, or painful urination. Maximum doses: diclofenac 225 mg/day; misoprostol 200 mcg/dose and 800 mcg/day Comments:-For patients who experience intolerance, diclofenac 75 mg-misoprostol 200 mcg or diclofenac 50 mg-misoprostol 200 mcg orally twice a day may be used, however these regimens are less effective in preventing ulcers. Keep them under your tongue for 30 minutes. Jul 9, 2024 · Mifeprin 200 mg/200 mcg Kit is a combination of two medicines: Mifepristone and Misoprostol, which causes abortion. The dose of misoprostol can be repeated to achieve abortion success. It is usually taken 4 times a day, after meals and at bedtime with food. Mifepristone tablets, 200 mg and certain other medicines may affect each other if they are used together. Without this hormone, the lining of the uterus (womb) breaks down as it does during a menstrual period and stops the growth of the pregnancy. You put them between your top lip and gum (in your cheek pouch). May increase risk for stomach or bowel bleeding. Jun 22, 2023 · Your clinician may recommend taking 600–800 micrograms (mcg) of oral misoprostol (Cytotec) to treat a missed miscarriage during the first trimester. A medication abortion can be performed with Mifepristone and Misoprostol in succession or with Misoprostol alone. May 24, 2024 · The usual dosage for a medical abortion is 200 mg of mifepristone on Day 1, followed 24 to 48 hours later by 800 mcg misoprostol taken buccally (see below). It belongs to the class of prostaglandins and contains misoprostol as an active ingredient. A Kare tablet combikit contains two active medications: mifepristone and misoprostol. You will need to have a negative pregnancy test Misoprostol is a medication that increases the contraction of the uterus which dilates the cervix. Children—Use is not recommended. However, check with your doctor if the diarrhea, cramps, or nausea is severe and/or does not stop after a week. dehydration --dizziness, confusion, feeling very thirsty, less urination. Most of these side effects of Gestapro tablet go away with time. Comment: Treatment should be taken for the duration of non-steroidal anti-inflammatory drug (NSAID) therapy. Summary: Misoprostol is a medication that is used to terminate pregnancies. May 20, 2022 · Please reach out if you have any feedback on the translation. (200 mcg each) under the tongue (sublingually). Bleeding and cramping generally begins within 3-4 hours of using misoprostol, but can begin as quickly as 30 minutes following the first step. If this dose cannot be tolerated, a dose of 100 mcg can be used. [10] [11] It is taken by mouth when used to prevent gastric ulcers in people taking nonsteroidal anti-inflammatory drugs (NSAID). Sometimes the tablets come out when your bleeding starts or if you are up and about. Not only do NSAIDs lower the amount of prostaglandins within the stomach area, but the medication itself can cause stomach injury. Brand MIFEPREX: Day One: 200 mg mifepristone (MIFEPREX) orally as a single dose; Day Two or Three: 800 mcg misoprostol buccally 24 to 48 hours after the first dose of mifepristone (Two 200 mcg misoprostol tablets should be placed in each cheek pouch [the area between the cheek and gums] for 30 minutes and then swallow any remnants with water or another liquid). fever. 5 Tablet एक पत्ते में 90 टैबलेट ₹39 ₹56 30% छूट METHODS. Brand. Your doctor may have to lower the dose of misoprostol you are taking. Allergic skin reaction severe. The Misoprost 200 tablet, specifically, is primarily used for the prevention of NSAID-induced gastric ulcers and for inducing medical abortion as part of a combination therapy. Dec 8, 2017 · Here are 5 things pharmacists should know about misoprostol for early pregnancy loss management: 1. May 24, 2024 · Usual Adult Dose for NSAID-Induced Ulcer Prophylaxis: 200 mcg orally 4 times a day after meals and at bedtime. Call your doctor at once if you have: severe ongoing stomach discomfort or diarrhea; or. Jan 9, 2024 · Studies of 200 mcg q. Take a missed dose as soon as possible and stay on schedule. Prega News Pregnancy Test Kit. 05) more patients had the adverse side effect of uterine cramping at 1. Using your finger, push the misoprostol tablets up into the vagina one at a time. ) Cytotec should be taken for the duration of NSAID therapy as prescribed by the physician. 2 mg misoprostol. On days 2 or 3, four 200 mcg misoprostol tablets should be placed in the buccal pouch, resulting in a total dose of 800 mcg. Within 24 to 48 hours after taking mifepristone, you will apply four tablets in total of another medication called misoprostol buccally (between the gum and cheek) by placing two tablets in each cheek pouch for 30 minutes, then swallowing the remaining content with water or another Does oral administration of misoprostol before IUD insertion decrease the risk of failed insertion in women who have never delivered vaginally? Corbin, Cresandra E. Have a small snack or a glass of milk with your last pill of the day. 0 tablets) uses, composition, side-effects, price, substitutes, drug interactions, precautions, warnings, expert advice and buy online at best price on 1mg. Heart surgery (eg, coronary artery bypass graft [CABG])—Should not be used to relieve pain right before or after the surgery. Nov 16, 2017 · Mifegest 200 MG Tablet is a synthetic steroid used for the termination of an early pregnancy. Geriatric. 3,13,14 Misoprostol is also used to manage miscarriages and used alone or in combination with mifepristone for first trimester abortions. 800mcg sublingually 3-hrly or vaginally/buccally every 3-12hrs (2-3 doses) Ideally used 48h after mifepristone 200mg. The misoprostol tablets are taken buccally. Misoprostol induces uterine contractions and is associated with abortion, premature birth, foetal death and foetal malformations. difficulty with breathing. (See Clinical Pharmacology: Clinical studies. Wash your hands. Take the last dose of the day at bedtime. May cause chills. Misoprostol is in a class of medications called prostaglandins. Author Information. It works by emptying the uterus and it may cause cramping and bleeding—similar to a miscarriage. are taking medicines, including prescription and over-the-counter medicines, vitamins, and herbal supplements. he ml zh wd vr ya ke qf wu av