Medication Concerns During Medical Abortion: What You Need to Know - Obstetrics and Gynecology

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Medication-related issues


I took the first dose of medication for a medical abortion on July 15 and plan to take the second dose on the morning of July 17.
Currently, I am experiencing severe nausea, bloating, and chest tightness with difficulty breathing.
During this time, I have taken Wakamoto.
I would like to know if taking Kascoal 40mg, Iwell gastric tablets, or Biotase would affect the efficacy of the medication.
Thank you.

Patricia, 30~39 year old female. Ask Date: 2021/07/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2021/07/16

More Info


When undergoing a medical abortion, it is crucial to be aware of how various medications can interact and affect the process. Based on your description, you are experiencing nausea, bloating, and chest discomfort after taking the first dose of the abortion medication. You are also considering taking additional medications such as Kascoal (40mg), Iwell, and Biotase, and you are concerned about their potential impact on the effectiveness of the abortion process.

Firstly, it is important to understand that medical abortion typically involves two sets of medications: mifepristone and misoprostol. Mifepristone is taken first to block the hormone progesterone, which is necessary for the pregnancy to continue. After 24 to 48 hours, misoprostol is taken to induce contractions and expel the pregnancy tissue. The timing and adherence to these medications are critical for the abortion to be effective.

Regarding the medications you mentioned:
1. Kascoal (40mg): This medication is often used to relieve symptoms of indigestion and bloating. It primarily works by reducing gas and discomfort in the gastrointestinal tract. While it may help alleviate your bloating and discomfort, it is unlikely to interfere with the effectiveness of the abortion medications.

2. Iwell: This is typically a digestive aid that may help with symptoms of nausea and upset stomach. Similar to Kascoal, it is not expected to affect the abortion process directly. However, if you are experiencing significant nausea, it is essential to consult with your healthcare provider before taking any additional medications.

3. Biotase: This medication is generally used to support digestive health and may help with symptoms of bloating and discomfort. Again, it is not likely to interfere with the abortion medications.

While these medications may provide symptomatic relief, it is essential to be cautious about taking any additional medications without consulting your healthcare provider, especially during a medical abortion. The primary concern is ensuring that the abortion process is completed effectively and safely.

If you are experiencing severe symptoms such as persistent nausea, vomiting, chest discomfort, or difficulty breathing, it is crucial to seek medical attention immediately. These symptoms could indicate a more serious reaction or complication that needs to be addressed by a healthcare professional.

In summary, while the medications you mentioned are unlikely to interfere with the effectiveness of the abortion process, it is always best to consult with your healthcare provider before taking any additional medications during this time. They can provide personalized advice based on your specific situation and ensure that you receive the appropriate care and support throughout the process. Remember, your health and safety are the top priority, so do not hesitate to reach out for help if you have concerns.

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