Cytotec

Cytotec
Generic:
Misoprostol
Indications:
stomach ulcers
Analogs:
Misoprostol Arthrotec Omeprazole Esomeprazole Lansoprazole Pantoprazole Rabeprazole Famotidine Sucralfate Dinoprostone Mifepristone Oxytocin Carboprost Methylergometrine
  • Buy Cytotec online with delivery across Canada and discreet packaging, without a prescription required at our checkout.
  • Misoprostol tablets are used to reduce the risk of stomach and duodenal ulcers linked to long-term NSAID use and to help treat ulcers that have already formed.
  • A common adult regimen is 200 mcg four times daily with meals and at bedtime, but the prescribed dose may differ according to individual tolerance and treatment needs.
  • Supplied as an oral tablet in 100 mcg and 200 mcg strengths, taken by mouth with water.
  • Taking doses with meals and the final dose at bedtime may reduce diarrhea and abdominal cramping.
  • Cytotec is contraindicated during pregnancy when used for ulcer prevention or treatment because misoprostol can cause miscarriage, premature labour, or fetal harm.
  • Diarrhea and abdominal cramping are the most commonly reported side effects, especially early in treatment.
  • Wondering how quickly your order could reach you, from Victoria to Halifax?
In stock: 12 packs
AdultsPregnancyAllergiesDiabetesBreastfeedingChildrenDriving

Dosages

Cytotec 100 µg

Quantity Price per tablet You save Total price
20 C$3.78 - C$75.60
30 C$3.22 C$16.80 C$96.60
60 C$2.80 C$58.80 C$168.00
90 C$2.61 C$105.00 C$235.20
120 C$2.53 C$149.80 C$303.80
180 C$2.46 C$238.00 C$442.40
270 C$2.41 C$371.00 C$649.60
360 C$2.22 C$561.40 C$799.40

Cytotec 200 µg

Quantity Price per tablet You save Total price
10 C$10.22 - C$102.20
20 C$6.23 C$79.80 C$124.60
30 C$6.86 C$100.80 C$205.80
60 C$6.18 C$242.20 C$371.00
90 C$5.71 C$406.00 C$513.80
120 C$5.15 C$609.00 C$617.40
180 C$4.57 C$1,016.40 C$823.20
270 C$3.73 C$1,751.40 C$1,008.00
360 C$3.14 C$2,548.00 C$1,131.20

Manufacturers

Azanta Danmark A/SLinepharmaNordic PharmaNorgine B.V.PfizerPfizer Canada ULCPfizer Inc.ZEE Laboratories Limited

Payment & Shipping

Package Example

Your order is carefully packed and ships within 24 hours. Here's the typical package.

Sized like a regular personal letter (24x11x0.7 cm), with no indication of its contents.

Front View
Front View
Side View
Side View
Back View
Back View
Shipping Times
Shipping MethodEstimated delivery
Express Free for orders over C$420.00Estimated delivery to Canada: 4-7 days
Standard Free for orders over C$280.00Estimated delivery to Canada: 14-21 days
EMSCanada Post
Payment Methods
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Discount Coupons

  • Victoria Day - May 18, 2026 8% VICTORIA8
  • Canada Day - July 1, 2026 10% CANADADAY10
  • Labour Day - September 7, 2026 6% LABOUR6
  • Thanksgiving (Canada) - October 12, 2026 9% THANKS9
  • Boxing Day - December 26, 2026 12% BOXING12

Brand Names

Also known as (by country):
CountryBrand Names
United Kingdom
Angusta
France
Angusta Gymiso MisoOne
Australia
GyMiso
Germany
Angusta
Italy
Angusta MisoOne

FAQ

These misoprostol tablets are taken by mouth, preferably with food; taking them with meals can reduce diarrhoea. For prevention of NSAID-related gastric ulcers, a common adult regimen is 200 mcg four times daily with meals and at bedtime, although 100 mcg four times daily may be used when the higher dose is not tolerated. Follow the dose and schedule prescribed for your condition.

Description

Cytotec in Canada: What We Offer

Cytotec is the oral misoprostol tablet many Canadian pharmacy customers recognize from long-standing ulcer-prevention regimens, and we offer it as a 100 mcg or 200 mcg tablet taken by mouth. When you buy Cytotec online through our Canadian catalogue, you can choose either strength in pack sizes ranging from 20 to 360 tablets for the 100 mcg tablet and 10 to 360 tablets for the 200 mcg tablet, so a short course and a longer maintenance supply are both easy to match to what a prescriber has recommended.

  • 100 mcg tablets: available in packs of 20, 30, 60, 90, 120, 180, 270, or 360 pills
  • 200 mcg tablets: available in packs of 10, 20, 30, 60, 90, 120, 180, 270, or 360 pills
  • Oral tablets taken with water; no injection or topical version is involved

We ship from our online pharmacy catalogue to addresses across Canada, from Victoria on Vancouver Island to Halifax on the Atlantic coast, and every order is packed discreetly so the outer parcel gives no indication of its contents.

Understanding Cytotec and Misoprostol

Misoprostol, sold under the Cytotec brand among others, is a synthetic prostaglandin E1 analogue developed to help protect the stomach lining. Pharmacists are familiar with counselling patients about its use alongside long-term arthritis or pain medication. Cytotec contains misoprostol alone rather than combining it with an anti-inflammatory medicine, which is an important distinction when comparing it with combination products.

Everyday Use and Best Practices

Misoprostol is most often used to lower the risk of stomach and duodenal ulcers in people who take nonsteroidal anti-inflammatory drugs such as ibuprofen, naproxen, or diclofenac on a regular basis, and it is also used to help treat ulcers that have already developed. A common adult regimen is 200 mcg four times daily with meals and at bedtime, although 100 mcg may be used when the higher dose is not tolerated. Patients should follow the schedule prescribed for them rather than changing the dose or frequency on their own. Consistency matters, because regularly scheduled doses maintain the intended protective effect throughout treatment.

Timing Your Doses Through the Day

Many regimens spread doses across breakfast, lunch, dinner, and bedtime. If a dose is missed, the general approach is to take it as soon as it is remembered unless the next scheduled dose is close, in which case the missed dose is skipped rather than doubled. People juggling shift work, which is common in manufacturing towns and service industries across the country, may find it easier to anchor daytime doses to meals rather than clock time. The final dose should still follow the prescribed bedtime schedule.

Meals, Food, and Your Cytotec Routine

Taking Cytotec with food is the standard recommendation and may reduce the diarrhea and cramping that are common early side effects. Breakfast, lunch, and dinner can serve as practical anchors, while the final dose is usually taken at bedtime. There is no established grapefruit-type food interaction with misoprostol. Coffee and tea do not have a known direct interaction at ordinary intake, but heavy alcohol use can independently irritate the stomach lining and work against the reason many people take this tablet.

Safety Priorities and Activities to Watch

For ulcer prevention or treatment, the most important safety rule is that Cytotec is contraindicated during pregnancy. Misoprostol stimulates uterine contractions and can cause miscarriage, premature labour, or fetal harm. It should also generally be avoided while breastfeeding, since the active metabolite passes into breast milk and may cause diarrhea in a nursing infant. Diarrhea, abdominal cramping, and dizziness can occur, so anyone who feels lightheaded should be cautious about driving or operating machinery until they know how they respond. There is no diabetes-specific contraindication, and a general history of allergies is not itself a restriction, but Cytotec must not be taken by anyone with known hypersensitivity to misoprostol, other prostaglandins, or the tablet ingredients. Safety and effectiveness in children have not been established.

  • Do not use for ulcer prevention or treatment during pregnancy
  • Avoid while breastfeeding unless a physician advises otherwise
  • Be cautious with driving or machinery until you know your response
  • Contact a pharmacist or physician about severe or persistent diarrhea

Patient Experiences and Common Challenges

People managing long-term NSAID use for arthritis commonly find that early loose stools or cramping make the first days of treatment the most difficult. Taking doses with meals and following a consistent routine may make treatment easier to manage, while persistent or severe symptoms should be discussed with a pharmacist or physician rather than managed by changing the dose without advice. Remembering a four-times-daily schedule can also be challenging for people working rotating shifts or travelling between time zones. Cost and access are additional concerns in smaller or northern communities, where the nearest pharmacy counter may be a long drive away and local stock may vary.

Local Pharmacy Availability and Price Landscape

In person, Canadians typically obtain misoprostol at a chain pharmacy such as Shoppers Drug Mart or Rexall, at London Drugs in Western Canada, at Pharmasave, or through an independent community pharmacy. Prices and dispensing fees vary by pharmacy, province, and whether a plan is billed directly at the counter. Our online catalogue is a useful complement to those in-person options rather than a replacement for a prescriber relationship, particularly for repeat supply once a course length and dose have already been established.

Access channelTypical experience
Chain pharmacy (Shoppers Drug Mart, Rexall)Wide urban footprint and direct plan billing at the counter
London DrugsStrong presence in Western Canada, with combined retail and pharmacy services
Independent or Pharmasave pharmacyPersonalized service, including options in many smaller communities
Our online pharmacy catalogueHome delivery across Canada, published pack sizes and pricing, and 24/7 support

Online Pharmacy Trends in Canada

Ordering maintenance medication online has become an increasingly familiar option for Canadians managing a long-term condition, especially for people in rural or northern regions where the closest pharmacy counter may be an hour or more away. Interest in this channel is supported by predictable repeat-supply needs, convenient comparison of pack sizes and pricing, and assistance that does not depend on pharmacy-counter hours. We provide pharmacist availability and online chat support around the clock, which suits people juggling shift work and households spread across time zones from the Pacific to the Atlantic.

Provincial Drug Plans, Insurance, and Private Purchase

Canada does not run one uniform national drug plan; coverage for misoprostol instead depends on the relevant provincial or territorial drug plan and on whether a patient qualifies under its specific eligibility rules, alongside any private or employer-sponsored insurance a household may carry. Some patients pay through a provincial formulary with a co-payment, others bill an employee benefits plan, and others pay privately, including through our online catalogue when that is the most convenient route for repeat supply. Because eligibility and co-payment rules differ by province, we recommend checking directly with the relevant provincial or territorial plan or a private insurer for the specific coverage terms that apply to a given household.

Ingredients and How Misoprostol Works

The active ingredient in every Cytotec tablet is misoprostol, a synthetic analogue of prostaglandin E1. Prostaglandins occurring naturally in the stomach lining help maintain protective mucus and bicarbonate and regulate acid output. NSAIDs suppress the body's own prostaglandin production, which is part of why they can damage the stomach and duodenal lining over time. Misoprostol restores some of that protective activity by increasing mucus and bicarbonate secretion and reducing gastric acid secretion, helping the lining resist NSAID-related damage and supporting ulcer healing. This differs from proton pump inhibitors, which protect the gastrointestinal tract primarily by strongly suppressing acid production.

Labelled Uses and Clinical Context in Canada

Oral misoprostol tablets are indicated for reducing the risk of NSAID-induced gastric and duodenal ulcers in adults who need ongoing NSAID therapy and for treating gastric and duodenal ulcers. This makes misoprostol a relevant option for some people managing arthritis, chronic back pain, or other conditions that require regular NSAID use. Readers comparing Cytotec with other stomach-protection options can browse our Gastrointestinal Tract section for related digestive health treatments.

Food, Drink, and Medicine Interactions

Misoprostol does not have the extensive food or grapefruit-type interactions associated with some other prescription medicines, but several practical points are important. Magnesium-containing antacids can worsen misoprostol-related diarrhea and should generally be avoided unless a clinician recommends them. Additional medicines that irritate the stomach and heavy alcohol intake may also work against the gastrointestinal protection the treatment is intended to provide. Patients should ask a pharmacist or prescriber to review their full medicine list, including non-prescription products and supplements.

  • Magnesium-containing antacids: may worsen diarrhea and should generally be avoided unless advised otherwise
  • Additional NSAIDs: may increase gastrointestinal irritation and should not be added without clinical advice
  • Heavy alcohol use: can irritate the stomach and work against the medicine's ulcer-protective purpose
  • Caffeinated beverages: no established direct interaction at moderate intake

Recent Evidence and Canadian Practice Notes

Clinical guidance in Canada and internationally generally favours proton pump inhibitors for many patients who need NSAID ulcer prevention because they tend to cause less diarrhea and are usually taken once daily. Misoprostol remains an effective option when its protective mechanism is appropriate and the patient can tolerate it. Health Canada's Canada Vigilance Program monitors suspected adverse reactions involving misoprostol and other medicines, and prescribers must carefully consider the pregnancy contraindication before using Cytotec for ulcer prevention or treatment in anyone who could become pregnant.

Alternatives Available in Canada

Several other approaches address the same goal of protecting the stomach during NSAID therapy or treating an existing ulcer. Proton pump inhibitors such as omeprazole, esomeprazole, lansoprazole, pantoprazole, and rabeprazole reduce acid production and are generally easier to tolerate, while an H2-receptor blocker such as famotidine offers another acid-reducing option. Arthrotec combines diclofenac with misoprostol in one tablet for selected patients who need both an anti-inflammatory medicine and gastrointestinal protection. The right choice depends on tolerance, the specific ulcer risk, other medicines, pregnancy considerations, and what a prescriber determines is suitable for the individual.

Regulatory Status and Prescription Context

Misoprostol is classified as a prescription drug in Canada. Health Canada's Drug Product Database is the authoritative place to verify the current Drug Identification Number, authorization, and marketing status of a specific Cytotec strength and dosage form. Separately, our ordering policy does not require customers to upload a prescription before we accept an order, although we recommend obtaining a prescriber's guidance about dose and suitability, especially because of the pregnancy-related risk. Public coverage is not uniform nationwide and depends on the relevant provincial or territorial plan rather than one federal program. Suspected adverse reactions can be reported to Health Canada through the Canada Vigilance Program, and misoprostol may be supplied under different brand names in other countries.

Storing Cytotec at Home Across Canadian Climates

Cytotec tablets should be stored at or below 25°C in a dry place, preferably in their original packaging and away from direct light. A mailbox or community mail compartment exposed to summer sun in southern Ontario or the Prairies can rise above that limit, while winter delivery can create condensation when a cold parcel is brought into a warm home. Allow the sealed parcel to reach indoor temperature before opening it if condensation is a concern. Keep the tablets in a dry cupboard away from bathrooms, sinks, stoves, and other sources of moisture or heat.

Delivery Across Canada

We offer two delivery options across Canada: Express shipping with tracking, which typically takes 4 to 7 days, and Standard shipping without tracking, which typically takes 14 to 21 days. Express is priced from C$41.99 and Standard from C$20.99, with free shipping available above the qualifying cart value shown at checkout in Canadian dollars. Given the distances between Canadian population centres, from the West Coast to the Maritimes, actual delivery time depends heavily on the destination. The chart below reflects our experience with previous deliveries to a representative selection of cities; these estimates are not guaranteed delivery dates.

Estimated Shipping Times Across Canadian Cities - Canada

Destination CityExpressStandard
Victoria≈ 7 days≈ 16 days
Kitchener≈ 7 days≈ 21 days
Halifax≈ 4 days≈ 21 days
Winnipeg≈ 7 days≈ 21 days
Windsor≈ 7 days≈ 14 days
These estimates are based on our experience with previous deliveries to help compare timing between destinations; actual delivery dates are not guaranteed.

Cytotec at a Glance: Our Summary

Cytotec is an oral misoprostol tablet that we offer in 100 mcg and 200 mcg strengths across a wide range of pack sizes, with a well-established role in preventing and treating NSAID-related stomach and duodenal ulcers. Canadian customers comparing our service with pharmacy-counter pickup at Shoppers Drug Mart, Rexall, London Drugs, or a local independent pharmacy gain a discreetly packed option with clearly displayed pricing, pharmacist support available at any hour, tracked Express delivery, and Standard delivery to addresses across Canada.

Medically reviewed by
Lynette Ellis
Pharmacist
Updated August 18, 2026

Product specifications

Active ingredientMisoprostol
Drug classProstaglandin E1 analogue
Dosage formTablet
Available strengths100 mcg, 200 mcg
Route of administrationOral
StorageStore at or below 25°C in a dry area.
ATC codeA02BB01

Regulatory information

Canada: medicine status
Prescription statusMisoprostol is a prescription drug in Canada and requires a prescription from an authorized prescriber.
Registration and market statusCanadian authorization and marketing status must be verified for the specific Cytotec strength and dosage form by its Drug Identification Number (DIN) in Health Canada's Drug Product Database.
Public drug coverageThere is no single Canada-wide public reimbursement status; coverage for misoprostol depends on the relevant provincial or territorial drug plan and the patient's eligibility.
Safety monitoringSuspected adverse reactions to health products can be reported to Health Canada through the Canada Vigilance Program.

More information