Q: What if there is no bleeding after using the misoprostol?

If a person has no bleeding after 24 hours, has confirmed the pregnancy, and knows that the pregnancy is developing in the uterus (not an ectopic pregnancy), then they can use 800 more mcg of misoprostol (4 tablets of 200 mcg or 8 tablets of 100 mcg) by dissolving the pills under the tongue for 30 minutes.

If the person bled less than their normal menstrual period, if there were no clots, and they think the abortion didn't occur, they can use 400 more mcg of misoprostol (2 tablets of 200 mcg or 4 tablets of 100 mcg) by dissolving the pills under the tongue for 30 minutes. This is the standard treatment for an incomplete miscarriage.