Can You Buy Misoprostol Over The Counter In The US?

What Is Misoprostol?

Misoprostol is used to terminate early uterine pregnancy (up to 42 days) in combination with Mifepristone.

Medical abortion is more effective when both of these drugs are taken together. If Mifepristone is not available, Misoprostol can safely terminate a pregnancy.


Hypersensitivity to the components of the drug; cardiovascular diseases; liver and kidney diseases; diseases associated with prostaglandin addiction or contraindications to the use of prostaglandins: glaucoma, bronchial asthma, arterial hypertension; endocrinopathies and diseases of the endocrine system, including diabetes, adrenal dysfunction; hormone-sensitive tumors; anemia; lactation.

Pregnancy and lactation

The drug may be used by pregnant women only for its interruption. Otherwise, it is strongly contraindicated during pregnancy. If pregnancy is established in women taking Misoprostol, therapy with this drug should be discontinued. Stop breastfeeding seven days after mifepristone administration for medical abortion.


Misoprostol should be used in facilities that have appropriately trained medical personnel to terminate pregnancy.

Orally, 36-48 hours after taking 200 mg (1 tablet) or 600 mg (3 tablets) of Mifepristone, administer 400 mcg (2 tablets) of Misoprostol.

Side effects

Most common side effects include: nausea, vomiting, dizziness, lethargy, and lower abdominal pain.


The toxicity of Misoprostol in humans has not been identified. Clinical signs that may indicate overdose are drowsiness, tremors, seizures, abdominal pain, fever, palpitations, and hypotension.

Can You Buy Misoprostol  Over The Counter In The US?

Misoprostol is a popular medication used to terminate pregnancy. You cannot get Misoprostol over the counter in the US or Canada. You need to have a medical prescription to buy Cytoheal (Misoprostol).

There is a possibility to order Misoprostol online without a prescription from Mexico or any offshore pharmacy. However, it is not safe because you can get poor-quality medication.

How To Use Mifepristone and Misoprostol?

Take twelve 200 mcg pills of Misoprostol for abortion. You should also have a pain reliever, such as ibuprofen, at your disposal. Acetaminophen and paracetamol are not recommended because they do not act as pain relievers during an abortion.

The way to use Misoprostol to terminate a pregnancy:

Step 1

Put four misoprostol tablets (200 mcg each) under your tongue and hold them there for about 30 minutes until they dissolve. It would help if you did not talk or eat during this time, so it is best to be in a quiet place where no one will bother you. After 30 minutes, drink water and swallow whatever is left of the pills. In addition, you can take a painkiller, such as ibuprofen, as the cramps will soon start.

Step 2

Wait three hours.

Step 3

Put four more misoprostol tablets (200 mcg) under your tongue and hold them there for about 30 minutes until they dissolve.

Step 4

Wait another 3 hours.

Step 5

Put four more misoprostol tablets (200 mcg) under your tongue and hold them there for about 30 minutes until they dissolve.

The medicine should start to cramp and bleed when you take it. Make sure to take 12 tablets even if bleeding starts before the entire amount of the medicine was taken.