Nanoprostol 200mg Tablet is a medicine used for medical abortion (terminating a pregnancy). It is also used for preventing excessive bleeding after delivery. This medicine acts on the uterus and increases its contraction.
Nanoprostol 200mg Tablet is given alone or in combination with some other medicine to attain the maximum benefit. It should be taken with food or as your doctor's advice. It should be taken orally, by swallow the tablets whole with a drink of water. If you experience vomiting within 30 minutes of tablet intake, inform your doctor or take another tablet. The medicine may take 24 hours to show its action and you experience bleeding.
Common side effects of this medicine include infection following abortion, nausea, vomiting, diarrhea, cramps, uterine contractions or cramping, uterine bleeding, heavy bleeding, and fetal malformations. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them. Usually, vaginal bleeding may last for 12 days, inform your doctor if it lasts for more than 12 days or you notice severe abdominal pain.
Before taking this medicine, tell your doctor if you have ever had an ectopic pregnancy, or you are breastfeeding or using an intrauterine device. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. You must avoid strenuous activity like heavy exercise, running, and driving while abortion as it can affect the bleeding. Your doctor may perform an ultrasound or pelvic examination to check for abortion completion.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Nanoprostol
Nausea
Dyspepsia
Vomiting
Flatulence
Constipation
Uterine bleeding
Diarrhea
Cramps
Abdominal pain
How to use Nanoprostol Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nanoprostol 200mg Tablet is to be taken with food.
How Nanoprostol Tablet works
Nanoprostol 200mg Tablet increases contractions of the uterus to cause abortion. It can also prevent post-delivery bleeding due to poor contraction of the uterus.
Safety advice
Alcohol
CAUTION
Caution is advised when consuming alcohol with Nanoprostol 200mg Tablet. Please consult your doctor.
Pregnancy
UNSAFE
Nanoprostol 200mg Tablet is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.
Breast feeding
CAUTION
Nanoprostol 200mg Tablet should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from her body.
Driving
UNSAFE
Nanoprostol 200mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Nanoprostol 200mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Nanoprostol 200mg Tablet is recommended. However, inform your doctor if you have an underlying kidney disease. This medicine may be started with a low dose and then increased with caution by your doctor.
Liver
SAFE IF PRESCRIBED
Nanoprostol 200mg Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Nanoprostol 200mg Tablet may not be needed in these patients. Please consult your doctor.
What if you forget to take Nanoprostol Tablet?
If you miss a dose of Nanoprostol 200mg Tablet, it is likely that the termination will not be fully effective. Talk\nto your doctor if you forget to take Nanoprostol 200mg Tablet.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Nanoprostol 200mg Tablet helps terminate pregnancy when used along with another medicine called mifepristone.
It may also be used to prevent excessive bleeding after delivery.
For pregnancy termination:
Take it no later than 63 days after the first day of your last menstrual period.
Take it 36 – 48 hours after taking mifepristone.
Rest for at least 3 hours after taking the medicine.
If you vomit within 30 minutes of taking the tablet, talk to your doctor immediately, as you may need to take another tablet.
Take it only as prescribed by the doctor. Miscarriages, if incomplete, may result in serious medical complications leading to hospitalization, surgery and possible infertility.
Vaginal bleeding lasting for approximately 12 days may occur after taking this medicine. Inform your doctor immediately if excessive bleeding occurs or if you suffer from severe abdominal pain.
Use caution while driving or doing anything that requires concentration as it can cause dizziness and sleepiness.
It does not affect fertility. Use contraception to avoid pregnancy.
Fact Box
Chemical Class
Prostaglandin Aanalogue
Habit Forming
No
Therapeutic Class
GYNAECOLOGICAL
Action Class
Prostaglandin E1 (PGE1) Analogues- Obstetrics
Interaction with drugs
Taking Nanoprostol with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may exert an additive effect on uterine contractions. Misoprostol may increase the effect of Oxytocin.
Do not consume Misoprostol with Oxytocin. If Misoprostol is es... More
Misoprostol may reduce blood levels and efficacy of the active form of Ibuprofen.
Talk to your doctor if you notice any unusual symptoms.Doctor may monitor your liver function.
Misoprostol may fasten the elimination of Diclofenac leading to reduced efficacy.
Talk to your doctor if you notice any unusual symptoms.Doctor may monitor your blood sugar level.... More
I did medical abortion yesterday I had heavy bleeding and clots . What if the abortion does not take place completely ?
Dr. Suman Rao
Obstetrics and Gynaecology
Wait for a week or 10 days. Generally the bleeding continued for a week. Get an USG done after 2 weeks to check that there is nothing inside the uterus.
plz visit a gyanec in person and get an ultrasound done. abortificients are only prescribed after ultrasound by a registered partitioner in person to avoif its misuse
Do Hot fomentation and Apply Dynapar QPS spray Take Tab Myospas-D twice daily and Cap Nurokind-Gold twice daily and Cap Pansec-DSR once daily empty stomach for 4 days
What is Nanoprostol 200mg Tablet and what is used for?
Nanoprostol 200mg Tablet contains a medicine called Misoprostol. It helps in medical termination of the pregnancy. It is prescribed along with another medicine called Mifepristone. It is only used to terminate a pregnancy which should not be more than 63 days old, counting from the first day of the last menstrual period. It works by increasing the contractions of the uterus. It may also be used in the prevention or treatment of post-delivery bleeding and for cervical ripening.
How and in what dose should I take Nanoprostol 200mg Tablet?
This medicine is administered only in a clinic or healthcare facility under the supervision of a gynaecologist.
What should I expect after taking Nanoprostol 200mg Tablet?
For medical termination of pregnancy: You may experience abdominal cramping, diarrhea, stomach pain, and nausea immediately after taking Nanoprostol 200mg Tablet. You may also have vaginal bleeding within 4 hours of taking Nanoprostol 200mg Tablet. You may also be asked to stay at the clinic or healthcare center for at least 3 hours after taking this medicine. After 14 days of taking Mifepristone (pill you took before Nanoprostol 200mg Tablet) your gynaecologist may run some blood tests or perform ultrasonography to confirm whether pregnancy has been terminated or not.
Can Nanoprostol 200mg Tablet affect my future chances of getting pregnant?
No, studies have shown that this medicine does not impair the fertility of the women. Your future chances of getting pregnant are as equal as of those who have not taken this medicine.
What are the common side effects of taking Nanoprostol 200mg Tablet?
The common side effects of using Nanoprostol 200mg Tablet are abdominal pain, abdominal cramping, nausea, diarrhea, dizziness, uterine contractions, pelvic pain, and shivering. If you experience a very heavy vaginal bleeding or if any of these side effects bother you please consult with your gynaecologist.
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References
Schimmer BP, Parker KL. Contraception and Pharmacotherapy of Obstetrical and Gynecological Disorders. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 1850.
Smyth EM, FitzGerald GA. The Eicosanoids: Prostaglandins, Tromboxanes, Leukotriens, & Related Compounds. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 315.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 927-31.
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Misoprostil. New York, New York: Pfizer; 2012. [Accessed 03 Apr. 2019] (online) Available from: