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  • NICE says to restrict antibiotics in COPD

    NICE says to restrict antibiotics in COPD

    Friday, 13 July 2018 13:05
  • NICE updates guideline on rheumatoid arthritis

    NICE updates guideline on rheumatoid arthritis

    Friday, 13 July 2018 12:58
  • Community pharmacy option for antihypertensives referral sees little increase in GP workload

    Community pharmacy option for antihypertensives referral sees little increase in GP workload

    Wednesday, 11 July 2018 13:17
  • CMO concludes cannabis products should move out of Schedule 1 classification

    CMO concludes cannabis products should move out of Schedule 1 classification

    Monday, 09 July 2018 09:26
  • GP partnership review invites views on how to reinvigorate the model

    GP partnership review invites views on how to reinvigorate the model

    Friday, 06 July 2018 15:17

a scottish flag image cbOctober 27 2017

Scottish ministers have agreed to allow women to use misoprostol at home to terminate an early pregnancy, having taken mifepristone at a clinic.

An amendment to the regulations approves the home of a pregnant woman who is undergoing treatment to terminate a pregnancy as a suitable place where that treatment can occur, providing that the pregnant woman has:

  • attended a clinic where she has been prescribed the combination of mifepristone and misoprostol to terminate the pregnancy; and
  • taken mifepristone at that clinic and wants to carry out the treatment at home.

The procedure is approved for women are up to 9 weeks and 6 days into gestation.

The document introducing the regulatory change, which came into effect on October 27 2017, says that “evidence has clearly demonstrated that early medical discharge with at home self-administration of misoprostol is a safe method of abortion, with no higher risk of complications than medical abortions as a day case.

“This offers additional choice to women requesting an abortion and, in addition to practical and logistical benefits, enables women to complete treatment in an environment where they feel most comfortable.”

It sets out inclusion criteria, contra-indications, cautions in use, and the procedure for using the drugs.

While the mifepristone has to be given at the clinic, the woman will be given a ‘take home’ pack of misoprostol tablets. “Traditional administration has been by the vaginal route, but sublingual route and buccal routes are as effective and the patient should be advised on how to self-administer by the preferred route,” says the guidance. Ordinarily, the misoprostol should be taken 24-48 hours after the mifepristone.

Link:
Scottish Government announcement ‘Abortion: improvement to existing services: approval for Misoprostol to be taken at home’                  

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