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You have to take the second medication, misoprostol, about 12 to 48 hours after the first medication. Misoprostol will induce uterine contractions to empty its contents — you may experience cramping and bleeding for a few hours. You can reduce the pain and discomfort with heating pads and over-the-counter pain medications. The entire process can take 5 to 12 hours, and the experience is similar to an early miscarriage.
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