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It is crucial to be aware of the significant risks associated with taking this medication, particularly for pregnant individuals or those who may become pregnant. Below are the key safety warnings and precautions you should be aware of:

• Pregnancy Risks: Do not use this medication if you suspect you are pregnant, as it can lead to miscarriage, premature birth, or birth defects. There are rare reports of serious complications, such as uterine rupture, when misoprostol is used to induce labor or terminate a pregnancy, posing dangers to both mother and unborn child. The chance of uterine rupture is higher with advanced pregnancy, prior uterine surgeries (including Cesarean sections), or a history of five or more pregnancies.

• Preventing Pregnancy: Avoid becoming pregnant while on misoprostol and for at least one month or one full menstrual cycle after stopping the medication. If pregnancy occurs during treatment, seek medical advice immediately.

• Use for Stomach Ulcer Prevention: If you are pregnant, do not use misoprostol to reduce the risk of stomach ulcers associated with aspirin or other NSAIDs, such as ibuprofen. Women of childbearing potential should only use this medication for ulcer prevention if they are at a high risk of developing ulcers or complications.

• Requirements for Female Patients: Women who can conceive must adhere to the following guidelines before using misoprostol:

  1. Obtain a negative pregnancy test within two weeks prior to starting the medication.
  2. Employ effective contraceptive measures to prevent pregnancy.
  3. Receive comprehensive oral and written warnings about the dangers of misoprostol during childbearing years and the risk of contraceptive failure.
  4. Initiate treatment with misoprostol on the second or third day of their next normal menstrual cycle.

• Sharing: This medication is prescribed for individual use only and must not be shared with others.

By understanding and following these precautions, you can minimize the risks associated with the use of this medication.

You might experience nausea or stomach cramps, which are usually mild. If these persist or become bothersome, consult your healthcare provider. Diarrhea is a common side effect of misoprostol, often starting two weeks into the treatment and typically lasting about a week. To prevent dehydration, ensure you maintain adequate fluid and electrolyte intake. Persistent diarrhea can cause significant water and mineral loss; if you experience signs like dizziness, reduced urination, mood changes, muscle weakness, or a slow/irregular heartbeat, seek medical attention promptly.

Serious side effects, though less common, include menstrual irregularities or unusually heavy vaginal bleeding. If these occur, it's crucial to inform your healthcare provider immediately. Although rare, severe allergic reactions may occur. If you notice symptoms such as a rash, itching or swelling, especially of the face, tongue, or throat, severe dizziness, or difficulty breathing, seek emergency medical help.

This list does not cover all potential side effects. If you notice any other unexpected changes, reach out to your healthcare provider for advice. Always prioritize your health by staying informed and attentive to how your body reacts to the medication.