We know during this time you may have many questions and concerns and we are here to help you in any way we can.

We have given you the following prescription:

Cytotec 200mcg: Insert 4 tablets (800mcg) vaginally, repeat in 8 hours, not to exceed 3 doses

Cytotec is a synthetic prostaglandin that in pregnancy induces cervical effacement and uterine contractions at all gestational ages, thereby facilitating uterine evacuation. The potency of cytotec’s effect, however, varies with gestational age, as well as with route of administration, dose, dosing interval, and cumulative dose.

Along with the prescription for Cytotec you should have received prescriptions for Norco 5-325mg and Ibuprofen 800mg to help with pain caused by the Cytotec as it dilates your cervix and causes uterine contractions. If you have not received these prescriptions please let us know prior to starting the Cytotec.

Common side effects of Cytotec include diarrhea and nausea/vomiting.

Possible complications include:

• Fever that persists for more than 24 hours
• Abdominal/Pelvic pain that you would rate at 7-10/10, that is not relieved with pain mediation
• Prolonged or excessive bleeding (soaking through a pad in under an hour)

If you have any of the above complications you need to be assessed in the Emergency Room.

Reasons to not repeat Cytotec dosing:

• If you have passed tissue
• If you are bleeding and soaking through a pad in under an hour

If you have any questions or concerns during this time please feel free to call us and talk to a nurse at 801-374-1801.

We like to follow up with you in office 2 weeks after taking the medication. Please call our office to schedule an appointment if you have not already done so.