MTP Kit is a medication abortion regimen containing mifepristone and misoprostol, medicines used to end an early pregnancy. Mifepristone blocks progesterone, while misoprostol causes the uterus to contract and expel the pregnancy. These abortion pill kits are prescription medicines and should be used only after appropriate medical assessment and according to the instructions of a qualified healthcare professional. 

Medical abortion is a method of ending a pregnancy using medicines, most commonly mifepristone followed by misoprostol. The World Health Organization (WHO) includes medication abortion among recommended methods of abortion care.

What is an MTP Kit?

An MTP Kit is a combination pack containing medicines used for medical abortion. A commonly marketed MTP Kit contains:

  • Mifepristone 200 mg
  • Misoprostol 200 mcg tablets

The exact contents and packaging can vary by manufacturer, so always check the product packaging and prescription provided by your healthcare professional.

Mifepristone and misoprostol have different but complementary actions. Mifepristone blocks progesterone, a hormone needed to maintain pregnancy. Misoprostol causes uterine contractions, helping the uterus expel the pregnancy.

What is an MTP Kit Used For?

MTP Kit is used for medical termination of an early intrauterine pregnancy when clinically appropriate.

Before using an MTP Kit, a healthcare professional may need to establish the pregnancy duration and assess whether medical abortion is appropriate. An important consideration is ruling out an ectopic pregnancy, because medicines used for medical abortion do not treat an ectopic pregnancy.

The appropriate method of abortion depends on factors including pregnancy duration, medical history, examination findings, local regulations and the availability of follow-up or emergency care.

MTP Kit Composition

The commonly used combination consists of:

MedicineCommon StrengthRole
Mifepristone200 mgBlocks progesterone and helps end the pregnancy
Misoprostol200 mcg per tabletCauses uterine contractions and helps expel pregnancy tissue

Some MTP Kits are marketed under different brand names. Therefore, do not assume that every product sold as an “MTP Kit” has exactly the same packaging or manufacturer.

How Does an MTP Kit Work?

MTP Kit works through two medicines with different actions.

1. Mifepristone

Mifepristone blocks the action of progesterone. Progesterone supports the uterine lining during pregnancy. Blocking its action causes changes that help the pregnancy detach and prepares the uterus for the next stage of the medication process.

2. Misoprostol

Misoprostol is a prostaglandin analogue that causes contractions of the uterus. These contractions help the uterus expel the pregnancy tissue.

Together, these medicines provide a medication-based method of pregnancy termination.

WHO's current abortion-care guidance recognizes mifepristone plus misoprostol as a medical-abortion regimen, with recommendations depending on pregnancy duration and clinical circumstances.

How to use an MTP Kit?

An MTP Kit should be used exactly according to the regimen prescribed by your healthcare professional.

The medicines are normally taken sequentially rather than as one single dose. The precise dose, route and timing depend on the pregnancy duration, product instructions and clinical circumstances.

Do not change the number of tablets, timing or route of administration on your own.

If you have been prescribed an MTP Kit, your healthcare provider should explain:

  • Which medicine is taken first
  • When the second medicine should be taken
  • How each medicine should be administered
  • What bleeding and cramping to expect
  • Which symptoms require urgent medical attention
  • Whether and when follow-up is required

What Happens After Taking an MTP Kit?

Bleeding and abdominal cramping are expected effects of medication abortion. Bleeding may be heavier than a normal menstrual period and may include blood clots.

Other symptoms can include:

  • Abdominal cramps
  • Nausea
  • Vomiting
  • Diarrhea
  • Headache
  • Dizziness
  • Weakness
  • Chills or fever

The intensity and duration of symptoms vary between individuals.

Your healthcare provider may recommend follow-up to confirm that the abortion is complete, particularly if symptoms suggest an incomplete abortion or continuing pregnancy.

MTP Kit Side Effects

Common side effects associated with mifepristone and misoprostol may include:

  • Vaginal bleeding
  • Abdominal or uterine cramping
  • Nausea
  • Vomiting
  • Diarrhea
  • Headache
  • Dizziness
  • Chills
  • Temporary fever
  • Tiredness

Bleeding and cramping are expected parts of the abortion process rather than simply medication side effects.

When Should You Seek Urgent Medical Care?

Seek urgent medical attention if you experience symptoms such as:

  • Very heavy or persistent bleeding
  • Severe or worsening abdominal pain
  • Fainting or significant weakness
  • Severe dizziness
  • Persistent fever or feeling very unwell
  • Foul-smelling vaginal discharge
  • Severe pain concentrated on one side of the abdomen
  • Symptoms suggesting that the pregnancy may still be continuing

Severe one-sided abdominal pain, fainting or significant dizziness can be particularly important because an ectopic pregnancy requires different medical management.

Who Should Not Use an MTP Kit Without Medical Assessment?

An MTP Kit is not appropriate for every pregnancy or every person.

  • Medical assessment is particularly important if there is:
  • Suspected or confirmed ectopic pregnancy
  • Uncertainty about the duration or location of the pregnancy
  • Certain bleeding disorders
  • Long-term corticosteroid treatment or adrenal problems
  • Allergy to mifepristone or misoprostol
  • Certain serious medical conditions
  • An intrauterine contraceptive device (IUD) in place
  • Other medicines or medical conditions that could affect treatment

Your healthcare professional should review your medical history before treatment.

MTP Kit and Ectopic Pregnancy

An MTP Kit does not treat an ectopic pregnancy.

An ectopic pregnancy occurs when a pregnancy develops outside the uterus, most commonly in a fallopian tube. Medication abortion does not resolve an ectopic pregnancy.

Symptoms such as severe one-sided abdominal pain, fainting, shoulder-tip pain or unusual bleeding require prompt medical evaluation.

If there is concern about ectopic pregnancy, do not rely on an MTP Kit to treat the condition.

Is MTP Kit Safe?

Medication abortion using recommended medicines is considered a safe and effective method of abortion care when used appropriately.

  • However, safety depends on factors such as:
  • Correct assessment of pregnancy duration
  • Excluding situations in which medication abortion is inappropriate
  • Using the correct medicines and regimen
  • Understanding expected bleeding and cramping
  • Having access to medical care if complications occur
  • Appropriate follow-up when clinically indicated

The WHO's 2025 second edition of its Abortion Care Guideline provides updated evidence-based recommendations for abortion care.

MTP Kit Effectiveness

The combination of mifepristone and misoprostol is a highly effective medical-abortion regimen when used appropriately.

However, no medication works successfully in every case. Some people may have an incomplete abortion or an ongoing pregnancy and may require additional medical treatment.

For this reason, follow-up instructions from your healthcare provider are important.

Does MTP Kit Affect Future Fertility?

A medication abortion does not generally reduce future fertility when there are no complications.

Fertility can return quickly after an abortion. If you do not wish to become pregnant again, discuss contraception with your healthcare provider.

WHO guidance also recognizes that contraception can be initiated after medical abortion according to the individual's preferences and circumstances.

MTP Kit vs Surgical Abortion

Medical abortion and surgical abortion are different methods of terminating a pregnancy.

  • Medical abortion uses medicines such as mifepristone and misoprostol.
  • Surgical abortion uses a medical procedure to remove the pregnancy from the uterus.

Which method is appropriate depends on pregnancy duration, clinical circumstances, personal preference, availability of services and local regulations.

MTP Kit Price

The price of an MTP Kit varies depending on the manufacturer, pharmacy, location, taxes and other factors.

Do not choose an MTP Kit solely because it is cheaper. Check the:

  • Manufacturer
  • Packaging
  • Expiry date
  • Batch information
  • Product authenticity
  • Prescription requirements
  • Pharmacy or healthcare provider supplying the medicine

Prices displayed online can change and should not be treated as a fixed national price.

Can I Buy an MTP Kit Without a Prescription?

MTP medicines are prescription medicines in all countries. They should be obtained and used according to applicable laws and under appropriate medical supervision.

Avoid purchasing abortion medicines from unknown websites, social media sellers, or unverified sources. Counterfeit, incorrectly stored, or expired medicines can create unnecessary risks.

Frequently Asked Questions About MTP Kit

What is an MTP Kit?

An MTP Kit is a combination pack containing medicines used for medical termination of an early pregnancy. Common combination packs contain mifepristone and misoprostol.

What does MTP stand for?

MTP stands for Medical Termination of Pregnancy.

What medicines are in an MTP Kit?

A commonly marketed MTP Kit contains mifepristone and misoprostol. The exact strength and contents should be checked on the product packaging.

What is MTP Kit used for?

It is used for medical termination of an early pregnancy when the treatment is medically appropriate.

Does MTP Kit cause bleeding?

Yes. Vaginal bleeding and uterine cramping are expected during the medication-abortion process. The amount and duration of bleeding can vary.

Does MTP Kit cause pain?

Cramping and abdominal pain are common because misoprostol causes the uterus to contract. The severity varies between individuals.

Can MTP Kit be used for an ectopic pregnancy?

No. MTP Kit does not treat ectopic pregnancy. Suspected ectopic pregnancy requires medical evaluation and appropriate treatment.

Can MTP Kit fail?

Yes. Although the combination is highly effective, an abortion may occasionally be incomplete or the pregnancy may continue. Follow-up is important when recommended by a healthcare professional.

Does MTP Kit affect fertility?

A properly managed medication abortion generally does not reduce future fertility. Fertility can return quickly after abortion.

Can I take an MTP Kit without consulting a doctor?

You should not self-prescribe an MTP Kit. A healthcare professional should determine whether medication abortion is appropriate and provide instructions for its use.

How long does an MTP Kit take to work?

The timing varies depending on the medicines used, pregnancy duration and individual response. Bleeding and cramping commonly begin after misoprostol, but the overall process can take longer.

Is MTP Kit the same as an abortion pill?

MTP Kit is a common term for a combination pack used for medical abortion. The term “abortion pill” can refer more generally to medication abortion, which commonly uses mifepristone and misoprostol.

Important Safety Information

Do not use an MTP Kit based solely on information found online.

Before medical abortion, it is important to establish that the pregnancy is suitable for medication abortion and to understand the expected effects and warning signs.

If you have severe pain, very heavy bleeding, fainting, severe weakness, persistent fever or other concerning symptoms, seek urgent medical care.

Medical Disclaimer

This page is intended for general educational information and does not replace an examination, diagnosis or treatment plan from a qualified healthcare professional. MTP medicines are prescription medicines. Always follow the instructions provided by your healthcare professional and the approved product information.

References

Pill Access uses trusted medical sources, including peer-reviewed research and medical journals. Our medical reviewers check content and references for accuracy and relevance. See our Editorial Policy for details.   

  1. World Health Organization. Abortion care guideline. 2nd ed. 2025.
  2. U.S. Food and Drug Administration. Questions and Answers on Mifepristone for Medical Termination of Pregnancy Through Ten Weeks Gestation.
  3. American College of Obstetricians and Gynecologists. Medication Abortion Up to 70 Days of Gestation. Practice Bulletin No. 225.
  4. Ipas. Mifepristone and misoprostol: Recommended regimen. Clinical Updates in Reproductive Health.
  5. National Library of Medicine. Clinical Practice Handbook for Safe Abortion.
  6. Wingo E, Raifman S, Landau C, Sella S, Grossman D. Mifepristone-misoprostol versus misoprostol-alone regimen for medication abortion at ≥24 weeks’ gestation. Contraception. 2020 Aug;102(2):99-103. doi: 10.1016/j.contraception.2020.05.001. Epub 2020 May 12. PMID: 32407810. 
  7. Sonalkar S, Koelper N, Creinin MD, Atrio JM, Sammel MD, McAllister A, Schreiber CA. Management of early pregnancy loss with mifepristone and misoprostol: clinical predictors of treatment success from a randomized trial. Am J Obstet Gynecol. 2020 Oct;223(4):551.e1-551.e7. doi: 10.1016/j.ajog.2020.04.006. Epub 2020 Apr 17. PMID: 32305259; PMCID: PMC7529708.
  8. Chen MJ, Creinin MD. Mifepristone With Buccal Misoprostol for Medical Abortion: A Systematic Review. Obstet Gynecol. 2015 Jul;126(1):12-21. doi: 10.1097/AOG.0000000000000897. PMID: 26241251. 
  9. Schreiber CA, Creinin MD, Atrio J, Sonalkar S, Ratcliffe SJ, Barnhart KT. Mifepristone Pretreatment for the Medical Management of Early Pregnancy Loss. N Engl J Med. 2018 Jun 7;378(23):2161-2170. doi: 10.1056/NEJMoa1715726. PMID: 29874535; PMCID: PMC6437668.

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