DON’T TAKE mefenamic acid (sold as Ponstan). DON’T TAKE other antispasmodics (such as Buscopan).
Taking the wrong type of painkiller can harm your abortion procedure, and that is why it is extremely important to know knowing which painkillers you should take. Ibuprofen is the most efficient analgesic for pain or cramping.
You can also take other anti-inflammatory drugs (NSAIDs) such as Naproxen or Diclofenac.
If you cannot get the Ibuprofen, then you can use Paracetamol*, Tylenol (acetaminophen) or Aspirin (ASA) as well. Some women tend to use a hot water bottle to help relieve the pain.
*Paracetamol (similar to acetaminophen) is not recommended for pain management during the medical abortion, since it has been proved to be ineffective. (Ref. Safe abortion: Technical and policy guidance for health systems in June 2012)
Please, always read the label of the painkiller you are about to use and see what is the maximum dose you can take.
Misoprostol (Cytotec – 200mcg) induces uterine contractions in order to expel the products of pregnancy and the mefenamic acid and other antispasmodics may interfere with the process of abortion. (42) (52)