Non-steroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen and Diclofenac are the most effective painkillers for gynecologic pain management. If you cannot obtain those, Paracetamol (with codeine, if available) or Tylenol (acetaminophen) can be used and/or combined with NSAID.
Please read the package instructions of your painkillers carefully to know the maximum doses that you can take.
For some people, pain like uterine cramps may be intense, and not for others. It is difficult to know how strong the pain might be for you. As a precaution, we suggest that you take painkillers with food, approximately 1h before the Misoprostol. You can take another dose of painkillers 4 hours after the first one.
Do NOT use anti-spasmodics. As the misoprostol makes your uterus contract in order to push out the pregnancy, anti-spasmodics might interfere with the abortion process by relaxing the uterus.
