MISOPROSTOL

Recommended Dosages 2012

800g Induced abortion1
800g pv or sl 3 hrly
(max x3 within 12hrs)a
PPH treatment
800g sl single dosef

Missed abortion
800g pv 3 hrly (max x2)
600g or
600g sl 3 hrly (max x2)b

PPH prophylaxis2
600g po single dosee

Incomplete abortion2,3
600g po single dosea
or
400g 400g sl single dosea

Cervical ripening Induced abortion1,4

pre-instrumentation / Interruption of
pregnancy
400g pv 3 hrs or sl 2-3 hrs 400g pv or sl 3 hrly
before procedurea (max x5)a

200g Intrauterine foetal

death4 13-17 wks
200g pv 6 hrly (max x4)c

100g Intrauterine foetal

death4 18-26 wks
100g pv 6 hrly (max x4)c

25g Intrauterine foetal

death5
25g pv 6 hrly or
25g po 2 hrlyd

Induction of labour2,5
25g pv 6 hrly or
25g po 2 hrlyd

Care with previous uterine scar

1st Trimester 2nd Trimester 3rd Trimester Post-Partum

and caesarean section

Check for updates at www.figo.org

Notes References
1 Only use where legal and with mifepristone, where available a WHO/RHR. Safe abortion: technical and policy guidance for
2 Included in the WHO Model List of Essential Medicines health systems (2nd edition), 2012
3 Leave to work for 1-2 weeks unless excessive bleeding or infection b Gemzell-Danielsson et al. IJGO, 2007
4 Halve dose if previous caesarean section or uterine scar c Gmez Ponce de Len et al. IJGO, 2007
5 Make sure you use the correct dosage - overdose can lead to d WHO recommendations for induction of labour, 2011
complications. Do not use if previous caesarean section e FIGO Guidelines: Prevention of PPH with misoprostol, 2012
f FIGO Guidelines: Treatment of PPH with misoprostol, 2012
Abbreviations pv - vaginal; sl - under the tongue; po - oral; PPH - post-partum haemorrhage; g - microgramme