Misoprostol is available in Mexican pharmacies, historically sold under the brand name Cytotec, but access and required prescriptions can vary. While misoprostol was originally for preventing stomach ulcers, women in Mexico have used it to induce abortion. However, official drug labels often don't list this use, and while it's widely used, information provided by pharmacy staff can be incomplete or inaccurate, highlighting the need for training and direct information for women.

Availability and Legality

Historically Available: Misoprostol was first available in Mexican pharmacies in 1985. 

Commercial Names: It has been sold under the brand name Cytotec and generic forms are also available. 

Prescription Requirements: While a prescription is required by law, data suggest that in practice, pharmacies do not always enforce it, with many women obtaining the medication without one. Access varies depending on the pharmacy type and socioeconomic level of the area. 

Use for Abortion: Misoprostol causes uterine contractions and bleeding, similar to a miscarriage, and is used in conjunction with mifepristone to terminate a pregnancy. 

Information and Training

Incomplete Information: The information provided by pharmacy workers about using misoprostol for abortion is often inaccurate or incomplete, especially regarding dosage, administration, and potential side effects. 

Need for Training: Studies have shown a need for improved training for pharmacy workers on how to safely and effectively use misoprostol for abortion, as well as how to provide support and resources to women seeking care. 

Accompaniment Networks: Organizations in Mexico have developed networks of "acompañantes" to provide guidance and support for self-managed abortions, including information on how to use misoprostol. 

Access and Support

Cross-Border Use: Due to increased restrictions on abortion in the United States, particularly after 2022, there has been a rise in U.S. women traveling to Mexico to access abortion pills and support from these networks. 

Self-Managed Abortion: In Mexico, following a 2021 court ruling, there is increasing recognition and support for self-managed abortions, with networks helping women access medications like misoprostol