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- Jun 8, 1999
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Hi everyone . . . i have not done ob in years. I am in psychiatry. I have been brushing up using up-to-date on mifepristine.
I have a high functioning low IQ and developmentally delayed young girl who is now pregnant at 7.5 wks. Time is a factor.
I am her psychiatrist and also her general practiontioner for most things . . . (she has a PCM, but she sees me for most things). It is a relationship built over a long period of time. The family trusts me and she trusts me. We have a good therapeutic relationship.
In any case, as her GP/psychiatrist, I am now faced with getting my account set up with the mifepristine company and the distributor. It is a pain in the arse.
I know that methotrexate can be used in ectopics. My pt is not ectopically preg. But, is there any reason I couldn't use methotrexate at 1mg/kg oral? And the follow up with cytotec in 3-5 days?
Is there any particular reason I need to use mifepristone instead of methotrexate? I can write and fill methotrexate so much easier.
Please give pointers and help me out. I want to do this right. I have a delicate patient and a delicate situation here.
Thank you.
p.t.
Edit: ok I figured out her body surface area at 63 inches (5'3") and 110 pounds. Her BSA is 1.49 m sq. which means I need 75 mg of methotrexate IM. Single dose.
Does anyone have experience in this area of medical termination? Or do not many people perform these?
I need to do this before the 8-9th week. Is there any particular reason I should choose mifepristone over methotrexate?
thanks in advance.
cheers. thanx in advance
I have a high functioning low IQ and developmentally delayed young girl who is now pregnant at 7.5 wks. Time is a factor.
I am her psychiatrist and also her general practiontioner for most things . . . (she has a PCM, but she sees me for most things). It is a relationship built over a long period of time. The family trusts me and she trusts me. We have a good therapeutic relationship.
In any case, as her GP/psychiatrist, I am now faced with getting my account set up with the mifepristine company and the distributor. It is a pain in the arse.
I know that methotrexate can be used in ectopics. My pt is not ectopically preg. But, is there any reason I couldn't use methotrexate at 1mg/kg oral? And the follow up with cytotec in 3-5 days?
Is there any particular reason I need to use mifepristone instead of methotrexate? I can write and fill methotrexate so much easier.
Please give pointers and help me out. I want to do this right. I have a delicate patient and a delicate situation here.
Thank you.
p.t.
Edit: ok I figured out her body surface area at 63 inches (5'3") and 110 pounds. Her BSA is 1.49 m sq. which means I need 75 mg of methotrexate IM. Single dose.
Does anyone have experience in this area of medical termination? Or do not many people perform these?
I need to do this before the 8-9th week. Is there any particular reason I should choose mifepristone over methotrexate?
thanks in advance.
cheers. thanx in advance
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