Your doctor has prescribed a medication called Cytotec (also known as Misoprostol) to help your body begin the miscarriage process. There are a few things we would like you to know about this medication and what to expect from the process.

• Cramping and bleeding should be expected with the use of Cytotec. If you are worried about pain, please talk to your doctor about pain medications. Prescriptions can be given to help control pain.
  
  
• You should read the instructions on your prescription bottle about how much and how often to use your medication. The dose can vary depending on the situation.
  
  
• Insert the Cytotec tablet(s) into the vagina with your finger. Push the tablet as high into the vagina as you can.
  
  
• Cramping and bleeding may start soon, or it may take several hours. If bleeding does not start after 6-8 hours there will be instructions (on your prescription bottle) to repeat the dose.
  
  
• You should expect heavy bleeding for about 1 or 2 hours. Some women describe it as "flooding" bleeding. Many women find it easier to sit on the toilet or stand in the shower during this time. You should use sanitary napkins (maxi pads). Do not use tampons.
  
  
• If you notice any of the following syptoms, you should go the the emergency room for treatment:
• Heavy bleeding that lasts for more than 2 hours
• Dizziness, weakness, or fainting
• Irregular heartbeat or palpitations
• Shortness of breath
• Fever (a temp of 100.4F or higher on the thermometer)
• Severe pain

If you use Cytotec and do not have bleeding within 24 hours, do not feel that you passed the pregnancy tissue, or have other concerns call your doctor for an appointment right away. Otherwise, after passing the miscarriage at home you should follow-up in the office with your doctor within about 1-2 weeks for further care.