Can I Eat Herbal Medicine After Taking RU486? Risks and Recommendations - Obstetrics and Gynecology

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Taking RU486


I took the second dose of RU486 yesterday, and the nurse at the clinic advised me to avoid traditional Chinese medicine and alcohol to prevent excessive uterine bleeding.
For my health, I would like to order postpartum meals, but some of these meals contain traditional Chinese herbs.
If I start eating them next Monday, will it be safe? Is there a possibility of causing excessive bleeding? Are they suitable for me to eat?

Anqi, 30~39 year old female. Ask Date: 2011/09/16

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: It is more appropriate to consider postpartum meals only after confirming that the miscarriage has been complete and there are no complications.
Thank you!

Reply Date: 2011/09/16

More Info


When considering the use of herbal medicine after taking RU486 (Mifepristone), it is essential to approach the situation with caution and a clear understanding of the potential risks involved. RU486 is a medication used for medical abortion, and it works by blocking the hormone progesterone, which is necessary for maintaining pregnancy. After taking RU486, a second medication, typically misoprostol, is taken to induce contractions and expel the pregnancy tissue.
The advice you received from the clinic staff regarding avoiding herbal medicine and alcohol is prudent. The primary concern is that certain herbs and substances can interact with medications or exacerbate side effects, particularly in the context of a medical abortion. For instance, some herbal remedies may have blood-thinning properties or could stimulate uterine contractions, which may lead to increased bleeding or complications.
In your case, since you have just completed the second dose of RU486, your body is in a sensitive state as it undergoes the process of expelling the pregnancy. Introducing herbal medicine at this time could potentially lead to unpredictable effects. While not all herbal medicines will cause issues, the risk of increased bleeding is a valid concern, especially if the herbs have properties that affect blood coagulation or uterine activity.

Moreover, the concern about excessive bleeding after taking RU486 is significant. While most women experience some bleeding as part of the abortion process, heavy bleeding (defined as soaking through two or more pads in an hour for two consecutive hours) can indicate complications such as incomplete abortion or other medical issues that may require immediate attention. Therefore, it is crucial to monitor your symptoms closely after taking RU486 and to seek medical help if you experience heavy bleeding, severe pain, or other concerning symptoms.

Regarding your plan to start a postpartum meal plan that includes herbal ingredients, it would be wise to consult with a healthcare provider before proceeding. They can provide personalized advice based on your health status and the specific herbs included in the meal plan. If you are considering consuming herbal medicine, it is essential to ensure that it is safe and appropriate for your situation.

In summary, while herbal medicine can have benefits, it is crucial to be cautious after taking RU486. The potential for interactions and complications makes it advisable to avoid herbal remedies until you have fully recovered and received guidance from a healthcare professional. Always prioritize your health and safety by consulting with your doctor or a qualified healthcare provider before making any decisions regarding herbal medicine or dietary changes following a medical abortion.

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