Using the medicines
The whole process will take 4 days to complete.
Summary of the process:
- 12 tablets of Femara 2.5mg need to be taken over the span of 3 days.
- After prepping the body using Femara, 12 tablets of Cytotec need to be used over the span of 7 hours.
Medication Schedule
Day 1 Schedule
Morning
Take 2 tablets of Femara
Evening
Take 2 tablets of Femara
Additional notes regarding Day 4 (cytotec):
On this final day of the procedure, the bleeding might happen and you need to be absolutely free for 24+ hours.
- The tablets need to be placed under the tongue (sublingual). Do not swallow.

Where to put Cytotec under the tongue
- Keep moving the tablets around to help them slowly mix with the saliva.
- You can eat/drink between dosages, when you don't have the tablets under the tongue.
- Avoid heavy meals. We recommend high-energy, easy to digest foods, such as fruits, smoothies, nuts, bread, etc.
- If the bleeding starts after the 1st or 2nd dosage, do not skip the rest of the dosages! Try to finish the tablets as instructed.
What to expect
Bleeding may start within 2-12 hours of the first dosage.
You may experience the following symptoms, as soon as right after the first dosage:
- Nausea and/or diarrhea. You may have the urge to throw up. Try to resist, but do it if you can't. It's okay.
- Pain & cramps.
- You can take Ibuprofen (Brufen) for these.
- Do not take any other painkillers.
- If taking Ibuprofen, do not exceed total 3200mg (8 tablets of 400mg) in 24 hours
- Chills. This the body's normal response to Cytotec.
These symptoms are related the the length of the pregnancy; the longer the pregnancy, more intense these symptoms will be.
If you don't experience any of these symptoms within 24 hours, confirm the following:
- You are using authentic, properly imported, Pfizer Cytotec & Novartis Letrozole.
- You took the tablets exactly as instructed.
- Your pregnancy is not ectopic. This procedure is not effective on ectopic pregnancies.
This procedure is up to 95% effective. You can try again after 3 days, if you are sure you took the medicines properly, and if the medicines you are using are authentic.