Abortion pills can be used to end a pregnancy at home through a self-managed process. With the right information and support, this can be a safe and private option. The steps you need to follow depend on which medicines you have and how many weeks pregnant you are.
- If you have mifepristone and misoprostol, you need 1 mifepristone pill of 200 mg, followed by 4 to 8 misoprostol pills of 200 mcg each, depending on the weeks of pregnancy.
- If you have misoprostol only, you need 12 pills of 200 mcg each.
It's also helpful to have pain relief, such as ibuprofen, and medicine for nausea on hand.
Mifepristone is swallowed. Misoprostol can be taken in three ways: vaginally (inserted into the vagina), buccally (placed between the cheek and gums), or sublingually (placed under the tongue). In settings such as the Philippines, where abortion is legally restricted, privacy may be a concern. Buccal and sublingual use is preferable as it avoids leaving pill fragments in the vagina, which could be a concern in some circumstances.
Below, you'll find full guides for both methods, along with videos and downloadable PDFs. These resources cover important safety checks and contraindications, recommended doses, how to use the pills, what to expect, warning signs, and care after an abortion.
Mifepristone and Misoprostol
Step 1:
- Swallow 1 mifepristone pill with water.
- Wait 24 to 48 hours.
Step 2:
- Place 4 misoprostol pills under your tongue and keep them there for 30 minutes.
- After 30 minutes, you can drink some water to swallow any leftover bits.
Tip: Take a painkiller 30 minutes before using misoprostol to help with the pain and side effects.
If you are 9–13 weeks pregnant:
- Take a second dose of 4 misoprostol pills, 4 hours after the first dose, in the same way.
If you are less than 9 weeks pregnant:
- A second dose is usually not needed.
- If you do not begin bleeding, or if the bleeding is lighter than your normal period within 24 hours of taking misoprostol, take a second dose of 4 misoprostol pills.
Misoprostol alone
Step 1:
- Take 800 mg of ibuprofen.
- Wait 30 minutes
Step 2:
- Place 4 misoprostol pills under your tongue and keep them there for 30 minutes.
- After 30 minutes, you can drink some water to swallow any leftover bits.
- Wait 3 hours
Step 3:
- Place another 4 misoprostol pills under your tongue for 30 minutes.
- After 30 minutes, you can drink some water to swallow any leftover bits.
- Wait 3 hours
Step 4:
- Place another 4 misoprostol pills under your tongue for 30 minutes.
- After 30 minutes, you can drink some water to swallow any leftover bits.