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Overview

Kontrac 200Mcg Tablet

Kontrac 200Mcg Tablet

Manufacturer: Fourrts India Laboratories Pvt Ltd
Medicine composition: Misoprostol
Prescription vs.OTC: Prescription by Doctor required

Kontrac 200Mcg Tablet is used for preventing stomach ulcers while you are under the medication of certain NSAID drugs; especially if you are at a greater risk or have a family medical history of ulcers. It can also help to decrease your risk of ulcer complications such as bleeding. The medication works by protecting the lining of the stomach, by lowering the acid amount that comes in contact with it. Kontrac 200Mcg Tablet can also be combined with mifepristone, to be used for abortion. It is available in tablet form, to be taken orally.

Before being prescribed to Kontrac 200Mcg Tablet, inform your doctor if you have conditions like a heart disease, kidney disease, ulcerative colitis, Crohn?s disease (inflammatory bowel disease), pregnant or trying to be pregnant, a breast-feeding mother or any allergies to medicines or food. You can take the medication with food. Make sure that you follow your doctor?s prescribed dose and do not stop taking it abruptly. In case you miss a dose, you can take it when you remember it but do not take two doses in a single time. If using it on children, ensure to talk to the paediatrician first as special care may be required.

The possible mild side effects of Kontrac 200Mcg Tablet are dizziness, headache, mild diarrhea, nausea, stomach upset, cramps and irregularity in the menstrual cycle. These symptoms generally go away in a few days but you may seek your doctor?s opinion if it bothers you. However, if you suffer from symptoms such as chest pain, fainting spells, shortness of breath, severe diarrhea, an allergic reaction, unusual bleeding from the vagina or pelvic pain, seek medical supervision on an immediate basis.

You must avoid smoking or drinking while you are prescribed to Kontrac 200Mcg Tablet. They can possibly cause more irritation in the stomach, making it susceptible to more damage. Also, do not have the medicine if you are pregnant or plan for pregnancy while while taking this medication.

Duodenal Ulcer
Kontrac 200Mcg Tablet is used to prevent and relieve the symptoms of ulcers caused in the upper parts of the small intestine.
Gastric Ulcer
Kontrac 200Mcg Tablet is used to prevent and relieve the symptoms of ulcers caused in the food pipe and stomach.
NSAID induced ulcers
Kontrac 200Mcg Tablet is used to prevent and treat ulcers caused due to use of non-steroidal pain medications like diclofenac, ibuprofen etc.
Induction of labor
Kontrac 200Mcg Tablet is used to induce labor in pregnant women.
Postpartum bleeding
Kontrac 200Mcg Tablet is also used to prevent and treat bleeding that happens after delivery.
Cervical ripening
Kontrac 200Mcg Tablet is also used for relaxing and softening the cervix prior to the onset of labor contractions.
Termination Of Pregnancy
Kontrac 200Mcg Tablet is also used to terminate or abort a pregnancy which is less than 49 days. It is used in combination with other medications and requires a doctor's supervision for the process to happen efficiently.
Pregnancy
This medicine should not be used to treat ulcers caused by the uptake of non-steroidal pain medication or otherwise by pregnant women. It can cause birth defects, abortions, uterine rupture etc.
Allergy
This medicine is not recommended for use if you have a history of allergy to it or any other medicine which are prostaglandin analogues.
In addition to its intended effect, Kontrac 200Mcg Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Diarrhea Moderate Common
Stomach Pain Moderate Common
Vaginal bleeding Major Less Common
Pelvic pain and cramping Major Less Common
Shortness of Breath Moderate Less Common
Allergic skin reaction Major Rare
Swelling of face, lips, eyelids, tongue, hands and feet Major Rare
Disrupted menstrual cycle Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 3-5 hours.
What is the onset of action?
The effect of this medicine can be observed after 2-3 hours of administration.
Are there any pregnancy warnings?
Use of this medicine for the treatment of ulcers is not recommended for pregnant women as the risk of birth defects, abortion and other abnormalities are very high. All women of childbearing potential are advised to use adequate means of contraception while using this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine is should be used with caution in women who are breastfeeding. Consult your doctor before taking this medicine.
Below is the list of medicines, which have the same composition, strength and form as Kontrac 200Mcg Tablet, and hence can be used as its substitute.
Abbott India Ltd
Zydus Cadila
Knoll Pharmaceuticals Ltd
Cipla Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. However, if it is almost time for the next scheduled dose, then the missed dose can be skipped.
Overdose instructions
Contact a doctor immediately if an overdose is suspected. Symptoms of overdose may include sleepiness, diarrhea, severe stomach pain and cramps, fever, decreased pulse etc.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Disease
Information not available.
Interaction with Alcohol
Alcohol
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Dinoprostone Major
Report the use of either of the medications to the doctor. Use of these medicines together is not recommended as the risk of vaginal cramps and bleeding is very high.
Antacids containing magnesium Moderate
Report the use of any magnesium containing antacid to the doctor before receiving Misoprostol. The risk of medicine induced diarrhea is very high when these medicines are used together. Inform the use of any antacid to the doctor before Misoprostol is prescribed.

Popular Questions & Answers

Should I take misoprostol if I start get normal bleeding after taking mifepristone?

Masters of Surgery Obstetrics & Gynaecology
Gynaecologist, Pune
Should I take misoprostol if I start get normal bleeding after taking mifepristone?
Yes. Mifepristone just seperates the fetus from uterus. Whereas misoprostol helps to expel it out only on mifepristone, there are more chances of incomplete abortion.

I took abortion kit last night and had bleeding after 3 hours I was bleeding till morning n afternoon slightly n not much so should I take more of misoprostol? Please suggest me.

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Clinical ART ( Infertility)
Gynaecologist, Ghaziabad
Hello! I could not gauge from your question whether you bled after mifepristone alone or after a partial dose of misoprostol, either way complete your misoprostol as otherwise there is a possibility of retained products of conception.

I have gastroesophageal reflex. I have burning in the heart area and always troubled with bloating. It started before a month when I got pregnant just as bloating. Then I had aborted. With intake of Misoprostol (medical supervision) and the bloating worsened. Now it is terrible at alternative intervals. I was having misoprostol even before 3 days vaginally. Please doctor help me with medications. God bless u.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
I have gastroesophageal reflex.
I have burning in the heart area and always troubled with bloating.
It started before...
Dear Treasa. Thanks for the question. Acidity during pregnancy is common. Avoid fried, spicy, or rich (fatty) foods or any foods that seem to cause relaxation of the lower esophageal sphincter and increase the risk of heartburn. Drink less while eating. Drinking large amounts while eating may increase the risk of acid reflux and heartburn. Take care

Hello I am an european traveler and I just found out that I Am pregnant. I heard about RU 486. I am Currently in Goa and I am Looking for a clinic/ gynae who can help me in this matter. Can you advice me where to go? Thank you very much.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hello I am an european traveler and I just found out that I Am pregnant. I heard about RU 486. I am Currently in Goa ...
Dear Robin Kooij. Mifepristone, also known as RU-486, is a medication typically used with misoprostol to bring about an abortion. This combination is more than 95% effective during the first 50 days of pregnancy.The abortion pill, also known as RU486 has been widely and safely used in in the United States for years. It is also FDA-approved as a medical abortion option. You can consult any gynecologist for an abortion at Goa. Please allow the gynecologist to choose the best abortion method according to your present health conditions. Take care

Popular Health Tips

Miscarriage - 5 Ways To Manage

Speciality Birthing Care
Gynaecologist, Bangalore
Miscarriage - 5 Ways To Manage

Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.

The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D and C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.

While the above takes care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.

  • Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression, etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.
  • Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.
  • Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.
  • Formal medical counseling: If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.
  • Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.

As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

6517 people found this helpful

Miscarriage - 5 Ways To Recover!

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Miscarriage - 5 Ways To Recover!

Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed.  And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.

The first step would be to diagnose and confirm the miscarriage.  After that, depending on whether it was complete or incomplete, some medical intervention might be required.  In most cases, medications like misoprostol are given to expel the uterine contents.  These help by clearing out the contents in about a couple of days' time. In some cases, a D&C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.

While the above take care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.

Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression, etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.

Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice.  Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.

Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.

Formal medical counseling - If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.

Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.

As much as it is painful and traumatic, it is not very uncommon or unnatural.  Get back on your feet, the sooner you do, the better.  If you think you need additional help and would like to consult with me privately, please click on 'Consult'.

2887 people found this helpful

Miscarriage - Physical & Mental Management

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Mumbai
Miscarriage - Physical & Mental Management

Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.

The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D and C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.

While the above takes care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.

  • Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.
  • Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.
  • Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.
  • Formal medical counseling: If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.
  • Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.

As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4129 people found this helpful

Miscarriage - Ways To Recover

MRCOG, MD -gynaecology, obstretition, MBBS
Gynaecologist, Ghaziabad
Miscarriage - Ways To Recover

Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.

The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D and C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.

While the above takes care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.

  • Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression, etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.
  • Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.
  • Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.
  • Formal medical counseling: If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.
  • Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.

As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better.

3608 people found this helpful

Methods of Abortion for Unwanted Pregnancy

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Methods of Abortion for Unwanted Pregnancy

There are two methods by which abortion can be done:

  • Medical Abortion - Non-surgical abortion in which medicines are used to induce abortion
  • Surgical Abortion - Use of transcervical procedures for terminating a pregnancy, including vacuum aspiration, and dilatation and evacuation (D and E).

Surgical or Medical Abortion for Unwanted Pregnancy

  • If pregnancy is lesser than = 7 weeks; medical method with Mifepristone with Misoprostol is favorable as the success rate is as high as 97%.
  • If pregnancy is between 7-12 weeks; surgical abortion is the only option.
  • If pregnancy is beyond 12 weeks - 20 weeks, then the woman needs to be hospitalized and will be given either Mifepristone followed by Misoprostol tablet or only Misoprostol tablets and woman will then abort like a miscarriage in the hospital. If any products are remaining, then it will be evacuated surgically.

Surgical abortion is preferred if patient desires concurrent tubal ligation or IUCD (CuT) insertion. If a woman fulfills the criteria for selecting either method i.e. before 7 weeks, final choice has to be given to the woman.

Summary of choice between Surgical or Medical abortion in India

  • Lesser than = 7 weeks - Medical method or surgical method
  • 7-12 weeks - Surgical abortion
  • 12 - 20 weeks - Medicines with or without surgical procedure in hospital

Advantages of Medical Abortion

  • Avoid surgery - Controlled by the woman and may take place at home
  • No need for admission to the hospital
  • Usually, well tolerated by women, if properly counselled and motivated
  • No need to take leave from work, as bleeding can be managed with menstrual pads even while in the office or at work.

Disadvantages of medical abortion

  • Takes time (hours to days) to complete abortion, and the timing may not be predictable. Women experience bleeding and cramping, and potentially some other side-effects (nausea, vomiting, fever, and shivering). May require more clinic visits than surgical abortion.

Advantages of Surgical Abortion

  • Quick procedure
  • Complete abortion easily verified by evaluation of aspirated products of conception
  • Takes place in a hospital so Sterilization or placement of an intrauterine device (IUD) may be performed at the same time as the procedure. It can be performed under local anaesthesia if woman is properly motivated and counselled

Disadvantages of surgical abortion

  • Requires instrumentation of the uterus
  • Small risk of uterine or cervical injury
  • Timing of abortion controlled by the doctor and hospital
  • Anaesthesia needs to be administered. Most doctors perform this procedure under short general anaesthesia. A woman needs to be in the hospital for at least 6 hours. Effect of sedation will be there throughout the day.

Related Tip: Why eating fish is essential for a healthy pregnancy??

3904 people found this helpful