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Misoprostol is a synthetic prostaglandin analog with the chemical formula C22H38O5. It is used for two primary purposes:1

  • Preventing stomach ulcers: It is prescribed to prevent stomach ulcers that can be caused by the use of nonsteroidal anti-inflammatory drugs (NSAIDs).1
  • Inducing abortion: Misoprostol is used in conjunction with mifepristone to induce abortion in the early stages of pregnancy. When used for this purpose, it works by causing the pregnancy to pass, typically within 2 to 24 hours after taking misoprostol, following mifepristone's action of halting pregnancy growth.12

Common side effects associated with the use of misoprostol, particularly when used for abortion, include cramping, bleeding, nausea, dizziness, and back pain, which are similar to symptoms of a miscarriage.2

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