A-kare combipack also known as Abortion Kare is considered as the complete abortion kit
What does 1 A-kare consist of?
In this A-kare , you will get 1 pill of Mifepristone and 4 pills of Misoprostol. The mifepristone pills are of 200 mg strength each whilst the misoprostol pills are of 200 mcg (micrograms) each. The total strength of Misoprostol pills is 800 mcg.
How many A-kare do I require to terminate pregnancy in the first trimester?
You will require 1 A-kare if you are 5 weeks pregnant or lesser and in case your pregnancy has exceeded 5 weeks you may need 2 A-kare Kits.
How do these abortion pills work?
The Mifepristone pills are the synthetic pills that blocks an important hormone, the progesterone hormone, and the Misoprostol pills create contractions in the uterus and which causes dilation due to which the complete fetal tissue gets expelled out through vaginal discharge or bleeding.
How to take the doses of A-kare ?
If your pregnancy age is till 5 weeks or lesser then should start your 1st dose with the single mifepristone pill. After this pill is taken you will have to wait for 24 to 48 hours then you should take 2nd dose that will consist of 2 doses of Misoprostol pill, later, you should take the 3rd dose which will again be of 2 doses of Misoprostol pills.
These mifepristone pills are to be taken orally with glass of water and the Misoprostol pill are to be taken buccally i.e by keeping them in the cheek pouch for 30 minutes and allowing them to dissolve with saliva. After half an hour of taking the misoprostol pills, you can take a glass of water and gulp down the remaining medicine. Please ensure you do not chew or break the pills and let them dissolve on their own.
If you have already completed and are over 5 weeks of pregnancy then you may need to two MTP Kits and repeat the procedure twice
When should these pills not be taken?
You should avoid taking the Misoprostol and Mifepristone pills if you are allergic to any of the key abortion ingredients in mifepristone and / or misoprostol.
The A-kare does not work if your pregnancy is ectopic, hence we always suggest you to get an ultrasound sound and confirm your pregnancy type before using Mifegest Kit. Use abortion pills for safe abortion only when your pregnancy is uterine.
Usage of these abortion pills below 18 years of age is not allowed or not advisable or take them when you have someone you can trust with you so that they could help you in a situation where you need help. If your are above 35 years then it is recommended that you should take the doctor’s advice and only then you should take these abortion pills.
Make sure if you are taking abortion pills at a place that is nearest to a health clinic so that you can go there in case of emergency.
Do not take these pills if you are suffering from any heart related diseases like cardiovascular disorder, angina or other issues like severe anemia, chronic adrenal failure, inherited porphyria or have any bleeding disorders or any intrauterine disorder.
What are the side-effects to be encountered?
Side effects include bleeding, nausea, diarrhea and stomach cramps which are higher than the normal menses. Some. A list of side-effects that women who have undergone abortion are: headache, dizziness, fatigue, back pain, uterine hemorrhage, vaginitis, anxiety, leukorrhea, sinusitis, fainting, asthenia, leg pain, syncope.
In case of no bleeding occurs or incomplete abortion takes place, a further surgical abortion is highly recommended, but one this method is done you should not continue the pregnancy as this can be dangerous for the mother and this can lead to invalid birth in future. This may even cause birth defects in the child.
What are the drug interactions of this A-kare?
Mifepristone – Although the mifepristone has not shown any specific drug interaction according to the nature and metabolism of the drug, it is quite possible that medicines like ketoconazole, itraconazole, erythromycin, and grapefruit juice may hamper the work of mifepristone and increase the level of serums in the mifepristone. Further anticonvulsants may decrease the serum levels and hamper the mifepristone metabolism.
Misoprostol – Misoprostol has also not shown any high-end contraindications but if any kind of oxytocin treatment is taken then misoprostol can extend its functionality if taken within 4 hours.
No serious side-effects have been reported in case of abortion with Mifepristone and Misoprostol but in case if it is overdosed it may lead to acute signs of adrenal failure.
In case women under doses herself then it can lead to the problem of fetal malformation or birth defects.
Adverse effects of processes like hospitalization, blood transfusion, ongoing pregnancy, or any major complications have not yet been reported if the dosage structure is maintained as prescribed.
How to confirm abortion?
You can take an ultrasound test to confirm whether your abortion was successful after 2 weeks of the procedure and after 4 weeks you can undergo urine test using pregnancy kit to confirm your abortion. Do not undertake ultrasound before 2 weeks or urine test before 4 weeks as it may give you a skewed report.
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