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    — At the Whole Woman’s Health center here, a young woman predicted what others would do if the state’s stringent new abortion bill approved late Friday forces clinics like this one to close: cross the border to Mexico to seek an “abortion pill.” “This law will lead a lot more women to try self-abortion,” said Jackie F., a 24-year-old food server and student who was in the health center last week for a follow-up medical examination after getting a legal abortion. The woman, who requested that her last name not be used to avoid stigma, was referring to a drug that can induce miscarriages and is openly available in Mexico and covertly at some flea markets in Texas. In Nuevo Progreso, only yards past the Mexican border, pharmacists respond to requests for a pill to “bring back a woman’s period” by offering the drug, misoprostol, at discount prices: generic at $35 for a box of 28 pills, or the branded Cytotec for $175. When asked how women should use the pills, some of the pharmacists said they did not know and others recommended wildly different regimes that doctors say could be unsafe. “The women see it as “a pill to make my period come,’” said Andrea Ferrigno, a vice president of Whole Woman’s Health, which runs a network of abortion clinics. “Often in their minds, it’s not abortion.”On Friday, the Texas Senate gave final passage to one of the strictest anti-abortion measures in the country, legislation championed by Gov. Rick Perry, who rallied the Republican-controlled Legislature after a Democratic filibuster last month blocked the bill and intensified already passionate resistance by abortion-rights supporters. A vendor shows a customer the prescription drug Cytotec at a pharmacy in the Kirikiri neighborhood of Lagos. Cytotec, a trade name for the drug misoprostal, is used at lower doses to induce labor and slow post-partum bleeding, but has been widely used for self-induced abortions in Nigeria. In pharmacies around Lagos, behind counters stacked with cough drops, vitamins and antibiotics, usually hidden but available on request is a drug called misoprostol or by its brand name Cytotec. The ten pills needed to induce abortion were sold to the customer — without a prescription — for 1,100 Naira, about $7. Sometimes the pharmacists request a prescription — something that can be bought at some clinics even without seeing a doctor — but often they don’t and will simply hand over the medicine for 500-1500 Naira ($3-$9). Misoprostol was originally used to treat ulcers, but it is also 90 percent effective for first trimester abortions. In Nigeria, where abortion is legal only to save the life of a woman, clandestine abortions are common and often deadly. The widespread sale of misoprostol is recent, and it is adding a new, complex dimension to Nigeria’s underground abortion market. While Nigeria has only 2 percent of the world’s population, it has 10 percent of global maternal deaths.

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    More women in Texas are seeking abortion pills from Mexican pharmacies. Mifepristone (Mifeprex) and misoprostol are FDA-approved drugs to terminate a pregnancy. Although Mifeprex was first approved in 2000, a few months ago, the FDA approved a supplemental application for the use of the drug to end a pregnancy through 70 days of gestation. Previously, Mifeprex was not approved to be taken more than 49 days following the woman’s last period. The updated label also indicates that women can take the medication at a lower dose and with fewer visits to their health care provider. The current approved dosing regimen for Mifeprex is 200 mg taken orally on day 1. Then, 24 to 48 hours later, 800 mcg of misoprostol is taken buccally, and 7 to 14 days later, the patient should follow up with a health care provider. Misoprostol, sold under the brandname Cytotec among others, is a medication used to start labor, cause an abortion, prevent and treat stomach ulcers, and treat postpartum bleeding due to poor contraction of the uterus. For abortions it is often used with mifepristone or methotrexate. By itself effectiveness for this purpose is between 66% and 90%. It is taken either in the cheek, under the tongue, or placed in the vagina. Read more information before buying misoprostol online. Misoprostol is used for medical abortion in the first 12 weeks of pregnancy. After this, there is an increased risk of complications and need for medical assistance. A woman can get painful cramps, vaginal blood loss that is more than a normal menstruation, nausea, vomiting and diarrhea.

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