Mifepristone 200 mg

Mifepristone 200 mg — Uses and Benefits

Mifepristone 200 mg is mainly used, in combination with another medicine, for medical termination of an early intrauterine pregnancy under a doctor's supervision.

WHAT THIS MEDICINE IS USED FOR

• Medical termination of pregnancy up to the gestation limit advised by the doctor
• Used along with a prostaglandin medicine (like misoprostol) as part of the treatment protocol
• Sometimes used in the management of certain hormone-related gynaecological conditions as decided by a specialist

HOW IT WORKS

• Blocks the action of progesterone, a hormone essential for maintaining the lining of the uterus during pregnancy
• This causes the uterine lining to break down and the pregnancy to end
• It also makes the uterus more sensitive to the prostaglandin medicine given afterward, helping expel the pregnancy tissue

WHAT IT IS NOT USED FOR

• Not used as a regular contraceptive or emergency contraceptive pill
• Not used for termination of pregnancy beyond the period advised by your doctor
• Not to be used without medical supervision or ultrasound confirmation of pregnancy location
• Not a treatment for infections or general menstrual disorders

How to Use Mifepristone 200 mg

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually as a single tablet taken by mouth
• It is typically followed by another medicine after a gap of one to two days, as instructed by your doctor
• Take with or without food, unless your doctor tells you otherwise
• Do not take this medicine without confirming pregnancy details (such as location and duration) through a doctor's examination or ultrasound
• Attend the follow-up visit advised by your doctor to confirm the pregnancy has ended completely

IF YOU MISS A DOSE

• This medicine is generally taken as a single, supervised dose, so a missed dose situation is unlikely
• If you miss the follow-up medicine or visit, contact your doctor immediately for guidance
• Do not take an extra dose on your own

STORAGE

• Store at room temperature, away from direct heat, light, and moisture
• Keep out of reach of children
• Do not use after the expiry date printed on the pack
• Dispose of unused medicine safely as advised by your pharmacist

Mifepristone 200 mg — Side Effects

COMMON SIDE EFFECTS

• Vaginal bleeding or spotting
• Abdominal pain or cramping
• Nausea or vomiting
• Fatigue or weakness
• Headache

LESS COMMON SIDE EFFECTS

• Diarrhoea
• Dizziness
• Mild fever or chills
• Back pain

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Heavy vaginal bleeding soaking more than two pads an hour for two hours
• Severe abdominal pain not relieved by painkillers
• High fever lasting more than a day
• Signs of infection such as foul-smelling vaginal discharge
• Fainting, severe weakness, or signs of an allergic reaction like rash, swelling, or difficulty breathing

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Mifepristone 200 mg — Safety Information and Precautions

This is a prescription-only medicine in India and must be used strictly under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Have a confirmed or suspected ectopic pregnancy
• Have chronic adrenal failure
• Are allergic to mifepristone or any of its ingredients
• Have severe uncontrolled asthma
• Have a bleeding disorder or are on blood-thinning medicines

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have anaemia or a history of heavy bleeding
• Have liver or kidney disease
• Have heart disease or high blood pressure
• Are breastfeeding
• Have an intrauterine device (IUD) in place, as it needs to be removed first

MEDICINES THAT CAN INTERACT

• Corticosteroids, as mifepristone can reduce their effectiveness
• Nonsteroidal anti-inflammatory drugs (NSAIDs), which may reduce effectiveness if taken around the same time
• Certain anticonvulsants and antifungal medicines that affect liver enzymes
• Always inform your doctor about all medicines, supplements, and herbal products you are taking

FREQUENTLY ASKED QUESTIONS

Is this medicine used alone for pregnancy termination?

No, it is almost always used together with another medicine as part of a doctor-supervised protocol.

Will I need a follow-up visit after taking this medicine?

Yes, a follow-up visit or ultrasound is usually needed to confirm the pregnancy has ended completely.

Can I buy this medicine without a prescription?

• No, it is a prescription-only medicine that must be taken under medical supervision.
• Doctor ya pharmacist se salah lein.