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How can I manage severe vomiting after taking Mifepristone?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My period is 14 days late, so I took the first abortion tablet, Mifepristone, yesterday. Before taking the tablet, I was feeling nauseous, and now I am experiencing severe vomiting after taking it.

kindly help.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to iCliniq.com.

I understand your concern.

Vomiting after taking the first abortion pill, mifepristone, is a common side effect, but if it is severe or persistent, it could be due to the following:

Possible reasons for vomiting:

  1. Side effect of mifepristone: Nausea and vomiting are common reactions to this medication.

  2. Pregnancy-related nausea: If you already had nausea before taking the pill, it may be due to pregnancy hormones.

  3. Stress or anxiety: Emotional distress can worsen nausea.

  4. Reaction to medication: If vomiting occurs within one hour of taking the pill, the medicine may not have been absorbed properly.

To manage nausea and vomiting, stay hydrated by drinking small sips of water, ginger tea, or electrolyte drinks. Eat light foods and avoid heavy, greasy, or spicy meals. If needed, ask your doctor about taking anti-nausea medication like ondansetron (Zofran) or vitamin B6. Resting in a comfortable position can also help ease nausea.

When to see a doctor:

  1. If vomiting is severe or continuous.

  2. If you can not keep fluids down and feel dehydrated.

  3. If you vomit within one hour of taking the pill you may need a second dose.

  4. You will need to take the second abortion pill, misoprostol, as instructed to complete the process. If nausea worsens, consult a doctor before proceeding.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 14, 2025
Reviewed At April 17, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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Mifepristone Vomiting Awareness Builder: Managing Nausea After Medical Abortion

Experiencing severe vomiting after mifepristone?

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Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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