You may need surgery or other medical care. Also seek immediate medical attention if you have continued heavy bleeding, which may be a sign of an incomplete abortion or other serious medical problem. Seek immediate medical attention if you have abdominal pain or feel sick (for example, if you have nausea, vomiting, diarrhea, weakness) more than 24 hours after taking the second drug ( misoprostol), even if you do not have a fever.
You may have a very serious infection even if you do not have a fever. Seek immediate medical attention if you experience symptoms such as severe abdominal pain, fainting, fast heartbeat, fever lasting more than 4 hours. If you go to the emergency room or visit another health care professional, show them the Medication Guide so they know you are having a medical abortion. Your doctor must give you clear instructions regarding whom to call and what to do in case of an emergency (such as severe bleeding, infection). If you live in Canada or any other country, consult your doctor and pharmacist for your country's regulations. These requirements apply in the United States. Only doctors enrolled in the program may prescribe and give this medication. This medication is available only through a restricted program called the Mifepristone Shared REMS Program. Read the Medication Guide, read and sign the Patient Agreement, and consult your doctor if you have any questions.
Rarely, serious medical problems can occur when a pregnancy ends (for example, due to medical abortion with medications including mifepristone, surgical abortion, miscarriage), including sometimes fatal infections and bleeding.
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