Cytotec 200 mcg (Misoprostol) Tablets

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Cytotec 200 mcg, also known as Misoprostol is an oral medication used to prevent NSAID (Nonsteroidal Anti-inflammatory Drugs) -associated gastric ulcers and cause an early abortion in women in their first trimester pregnancy. It is used in combination with Mifepristone (also known as RU-486) for the termination of pregnancy in women who are no more than nine weeks pregnant. It increases the contractions (by opening the cervix) caused by Mifepristone to empty the uterus and avoid surgical intervention. For the treatment of gastric ulcers, it works by lowering the amount of acid to prevent the lining of the stomach. For the termination of pregnancy, four tablets are given to you by the doctor which are needed to be taken either orally or vaginally. The abortion process gets completed within 7-10 days. It can take anywhere around 3 months to reduce the risk of gastric ulcers provided that the doctor’s prescription is followed.

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Active IngredientMisoprostol
Manufacturer Zydus Cadila
Brand Generic
Type Abortion

How Cytotec 200 mcg (Misoprostol) Works

Cytotec 200 mcg or Misoprostol is a synthetic prostaglandin that reduces the risk of stomach ulcers in patients getting treated with NSAIDs. It works by lowering the amount of acid produced in the stomach, thereby protecting the lining of the stomach. Prostaglandins are basically chemicals that are made within the organs of the body. This medicine causes an abortion when taken with Mifepristone by increasing the number of contractions and expelling out the pregnancy tissues. 

Consult your doctor for an appropriate dosage of the drug as per your condition.

Uses of Misoprostol

Cytotec 200 mcg is prescribed for the treatment of the following conditions:

  1. Duodenal ulcer – a type of ulcer that occurs in the lining in the part of the small intestine.
  2. Gastric ulcer – a type of ulcer that occurs in the lining of the stomach.
  3. NSAIDs-induced ulcer – a type of gastric ulcer caused due to medications for pain such as diclofenac, aspirin, etc.
  4. Postpartum bleeding – excessive bleeding that occurs after childbirth.
  5. Cervical ripening – the softening of the cervix that begins prior to the onset of the labor contractions. 
  6. Induction of labor – stimulating the uterus to start labor.
  7. Termination of pregnancy – used in combination with Mifepristone to cause a first trimester (no more than 9 weeks) abortion.


Dosage of cytotec 200mcg

Four tablets of Cytotec 200 mcg are recommended to be taken for the termination of early pregnancy in women. These pills can be taken either orally or vaginally. For oral administration, the four pills are placed in the cheek pouch or gums for 20-25 minutes. The remaining fragments are then swallowed with water.

For vaginal administration, the pills are meant to be placed in the vagina. You should lie down and place the tablets at the farthest spot in the vagina. 

For the treatment of gastric ulcers, four pills are recommended to be taken daily. 

Follow your doctor’s prescription carefully and read all the instructions mentioned on the pack of the drug.

Missed Dosage: If you are taking this medicine for the termination of pregnancy, you are unlikely to miss a dose. For the treatment of gastric ulcers, the missed dose should be taken as soon as possible. If it’s time for your next scheduled dose, skip the missed dose. Do not take an overdose to make up for the missed dose.

Overdose: An overdose of the drug can lead to various side-effects. If an overdose is suspected, seek medical help immediately.

Important Advisory

Before you take Cytotec 200 mcg, tell your doctor:

  1. If you are allergic to Misoprostol or any other medications.
  2. If you are getting oxytocin.
  3. If you have Irritable Bowel Syndrome (IBS).
  4. If you have heart diseases.
  5. If you have intestinal disorders.
  6. If you have diseases such as diabetes, hypertension, angina, etc.
  7. If you have a history of stroke, heart attack, or congestive heart failure.

Side Effects of Cytotec

Common side-effects of Cytotec 200 mcg include:

  1. Headaches
  2. Vomiting
  3. Diarrhea
  4. Nausea
  5. Menstrual cramps
  6. Abdominal pain
  7. Spotting
  8. Constipation
  9. Fatigue
  10. Fever
  11. Chills
  12. Pelvic pain
  13. Shortness of breath
  14. Swelling of face, lips, hands, and feet
  15. Vaginal bleeding
  16. Upper respiratory tract infection
  17. Chest pain
  18. Abnormal heartbeat
  19. Nosebleed
  20. Acid reflux

If you experience any of the above-mentioned side-effects for long, contact your doctor immediately.

Interaction of Cytotec(Misoprostol) with other drugs

Certain drugs are known to interact with Cytotec 200 mcg and affect the way it works. If you take any drugs for treating your existing illnesses or for any other purposes, let your doctor know about them.

  1. Dinoprostone
  2. Antacids containing magnesium
  3. Croelemer
  4. Eluxadoline
  5. Aspirin
  6. Arthritis medications

Interaction with alcohol

Alcohol can increase the chances of experiencing side-effects. Consumption of alcohol should be avoided at all costs.

Storage Instructions of cytotec 200mcg

Cytotec 200 mcg tablets should be stored properly and safely in their original packaging.

  1. Keep the pills away from direct heat, moisture, and sunlight.
  2. Keep the pills out of reach of children.
  3. Once the pack is opened, store the remaining pills in an airtight container.
  4. Do not consume the medicine past its expiration date.

Substitutes Available


Cipla Ltd.

Frequently Asked Questions (FAQs)

What is Cytotec used for in pregnancy?

Ans. Cytotec 200 mcg or Misoprostol is used to bring about an abortion in women (who are no more than 9 weeks pregnant) when used in combination with Mifepristone. 

How quickly does Cytotec work?

Ans. Cytotec is recommended to be taken 24-48 hours after the consumption of Mifepristone. It increases the uterine contractions and causes the pregnancy tissues to expel out within 4-6 hours. However, the person still experiences mild cramping and bleeding for the next 24-48 hours. The abortion process gets completed within 7-10 days. It is advised to follow up with the doctor after 2 weeks.

Is Cytotec safe for inducing labor?

Ans. Yes! This is a safe and effective medicine for inducing labor in women. It causes cervical ripening (softens the cervix) and produces contractions. It makes labor easier for women when taken correctly.

Will Misoprostol affect future pregnancies?

Ans. This medicine does not affect future pregnancies or cause any complications. However, if a womb infection develops during the process of abortion, there’s a small risk of infertility or an ectopic pregnancy. This is why doctors prescribe medication to reduce the risk of infections that can occur during the process.

Why Misoprostol is given after delivery?

Ans. This medicine is given after delivery to treat postpartum hemorrhage. It increases the uterine tone and decreases postpartum bleeding.

Why Misoprostol is contraindicated in pregnancy?

Ans. Misoprostol is contraindicated during pregnancy to reduce the risk of stomach ulcers that are associated with NSAIDs. It causes reproductive risk, including uterine contractions and miscarriage if taken during pregnancy.

Why is Cytotec put under the tongue?

Ans. When taken sublingually (or placed under the tongue), cervical ripening is found to be more effective than oral and vaginal administration routes. Cervical ripening or softening of the cervix is important for cervical dilation and the passage of the fetus.

Will Misoprostol work without Mifepristone?

Ans. The combination of Mifepristone and Misoprostol a highly effective method for first-trimester abortion with an efficacy rate of 93-98%. However, Misoprostol, when used alone, can be effective in some cases but it hasn’t been approved for the medical termination of pregnancy due to its low efficacy rates. If you find trouble getting Mifepristone, you can purchase it easily from our website.

Can Cytotec damage the womb?

Ans. This medicine can cause a uterine rupture during pregnancy. If your pregnancy has advanced to a later stage, the risk of uterine rupture increases. Furthermore, if you have had a Cesarean delivery (or surgery has been performed on the uterus), there’s a risk of uterine rupture that can result in severe bleeding, hysterectomy, and fetal death.

Can Cytotec be taken at night?

Ans. You should not take Cytotec at night as cramping and bleeding start within a few hours of administering the tablets. You may experience heavy bleeding (along with blood clots) for a period of 4-6 hours.

How do Cytotec pills look like?

Ans. These pills are hexagonal or round-shaped and are white in color.

Where can I buy Misoprostol online?

Ans. You can buy this medicine online from our website at economical prices and get it shipped to your door discreetly. We currently offer free worldwide shipping on all orders over $100.


1 review for Cytotec 200 mcg (Misoprostol) Tablets

  1. 5 out of 5

    Cathleen Metzner

    Was really worried after I read that bleeding is heavier than what happens during periods. Had to take it anyhow to terminate my pregnancy. Took 4 pills vaginally and started bleeding after a couple of hours. My doc asked me to take one tablet of Ibuprofen 1 hour before Cytotec and I guess that was the best decision. I was still in pain when I was bleeding but it was tolerable. My boyfriend was there with me and helped me through the process. I’d definitely recommend this drug to others as well since it helped me end my pregnancy

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Cytotec 200 mcg (Misoprostol)
Cytotec 200 mcg (Misoprostol) Tablets