Is It Safe to Take Four Hiccup Pills at Once During Miscarriage?

Issues with taking Hiccup medication?

I am undergoing a medical abortion and have already started bleeding, so the doctor only prescribed me Misoprostol.
The medication bag states to take four tablets immediately, but I found online that most people only take three at a time.
Is it normal to take four tablets at once? If I start experiencing pain after taking them, can I take pain medication right away? I'm feeling very anxious about taking them.

Weiwei, 20~29 year old female. Ask Date: 2017/03/26

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I used medication for a miscarriage, and since I am already experiencing bleeding, the doctor only prescribed Cytotec for me.
The medication bag states to take four tablets immediately, but I found online that most people only take three tablets at a time.
I would like to know if taking four tablets at once is also normal? If I start experiencing pain after taking them, can I take pain relievers immediately?
Answer: The FDA-approved medication for miscarriage, mifepristone, is indicated for use within 49 days of pregnancy.
According to FDA reports, the recommended regimen involves taking 600 mg of mifepristone orally, followed by 400 mcg of misoprostol (Cytotec) 48 hours later, with a success rate of 92% for miscarriage.
The Cytotec tablets contain 200 mcg of Misoprostol per tablet, so taking two tablets at once is sufficient.
Taking three or four tablets at once would be considered an increased dosage.

Reply Date: 2017/03/26

More Info

When it comes to the use of medication during a miscarriage, particularly regarding the administration of Hiccup pills (likely referring to a medication used to manage symptoms associated with miscarriage), it is crucial to follow the guidance provided by your healthcare provider. In your case, since your doctor has prescribed you to take four pills at once, it is important to adhere to their instructions, as they are familiar with your specific medical history and condition.

The concern about taking four pills at once stems from the potential for side effects and the effectiveness of the medication. While you may have found information online suggesting that three pills are the maximum dosage, it is essential to recognize that dosages can vary based on individual circumstances, including the type of medication, the severity of symptoms, and the specific medical situation. If your doctor has prescribed four pills, it is likely because they believe this dosage is appropriate for your case.

Regarding the onset of pain after taking the medication, it is common for individuals to experience cramping or discomfort as the body begins to expel tissue during a miscarriage. If you find that the pain becomes significant, it is generally acceptable to take over-the-counter pain relief, such as ibuprofen or acetaminophen, unless your doctor has advised otherwise. However, it is always best to consult with your healthcare provider before taking any additional medications to ensure that there are no contraindications based on your current treatment plan.

It is also important to monitor your symptoms closely. If you experience severe pain, heavy bleeding, or any other concerning symptoms, you should seek medical attention immediately. Miscarriages can vary significantly in their presentation, and while some women may experience mild symptoms, others may require more intensive medical intervention.

In summary, if your doctor has instructed you to take four Hiccup pills at once, it is safe to do so as per their guidance. You can take pain relief medication if needed, but always check with your healthcare provider first. Remember to keep an eye on your symptoms and reach out for medical help if anything feels abnormal. Your health and safety are the top priority during this challenging time.

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