Table 1.
Evidence-based regimen | Original FDA-approved regimen (as approved in 2000) | |
---|---|---|
Dates in use in study data | January 2010–January 2011 | February 2011–March 2016 |
Maximum days gestation | 9 weeks from LMPa | 7 weeks from LMP |
Mifepristone dose | 200 mg orally in office | 600 mg orally in office |
Misoprostol dose | 800 mcg vaginally or buccally (four tablets) | 400 mcg orally (two tablets) |
Misoprostol timing | 6–72 h after mifepristone | 48 h after mifepristone |
Misoprostol location | Home | Provider's office |
Follow-up visit | 5–14 days after mifepristone | 14 days after mifepristone |
Cost | Lower | Higherb |
Minimum number of office visits (including Ohio's required information visit) | 3 | 4 |
Efficacy rate | 95–99% up to 9 weeks gestation | 92% up to 7 weeks gestation |
Adapted from Reproductive Health Access Project44 and American College of Obstetricians and Gynecologists.6
In 2016, the FDA approved use up to 10 weeks from LMP.
The original FDA protocol is more costly because it requires three times the dose of mifepristone which is a more costly drug than misoprostol.
FDA, Food and Drug Administration; LMP, last menstrual period.