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Mifeprex

Generic name: mifepristone (Mifeprex)MIF-e-PRIS-tone ]
Drug classes: Progesterone receptor modulators, Uterotonic agents

Medically reviewed by Drugs.com on Jan 20, 2023. Written by Cerner Multum.

What is mifepristone (Mifeprex)?

Mifeprex blocks the actions of a hormone needed to maintain a pregnancy.

Mifeprex is used to end an early pregnancy that is not further along than 70 days (10 weeks) after the first day of your last menstrual period. Mifeprex is used together with another medicine called misoprostol (Cytotec).

Mifeprex is available from a certified healthcare provider and from a certified pharmacy under a special program. You must be registered in the program and understand the risks of taking Mifeprex.

MIFEPREX MUST NOT BE USED IN AN ATTEMPT TO END PREGNANCY BEYOND 10 WEEKS.

This medication guide provides information about the Mifeprex brand of mifepristone. Korlym is another brand of mifepristone that is not covered in this medication guide.

Mifeprex may also be used for purposes not listed in this medication guide.

Mifeprex side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Mifeprex may cause serious side effects. Call your doctor at once if you have:

Common side effects of Mifeprex may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Warnings

This medication guide provides information about the Mifeprex brand of mifepristone. Korlym is another brand of mifepristone that is not covered in this medication guide.

Mifeprex is used together with misoprostol to end an early pregnancy. MIFEPREX MUST NOT BE USED IN AN ATTEMPT TO END PREGNANCY BEYOND 10 WEEKS.

Do not use Mifeprex or misoprostol if you do not intend to end your pregnancy.

Call your doctor right away if you have heavy vaginal bleeding or a general ill feeling after taking Mifeprex.

Seek emergency medical help if you still have any of the following symptoms more than 24 hours after taking Mifeprex or misoprostol: fever, severe stomach pain, heavy or prolonged vaginal bleeding, nausea, vomiting, diarrhea, or feeling like you might pass out.

Before taking this medicine

Do not use Mifeprex or misoprostol if you do not intend to end your pregnancy. Mifeprex may cause birth defects in an unborn baby if the treatment procedure does not fully terminate the pregnancy. You may need surgery to end the pregnancy completely.

Treatment with Mifeprex and misoprostol requires at least 2 visits to your doctor. Do not use this medicine if you cannot attend all required follow-up visits.

You should not take Mifeprex or misoprostol if you are allergic to either medicine, or if:

To make sure Mifeprex is safe for you, tell your doctor if you have:

Mifeprex can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How is Mifeprex given?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Before receiving Mifeprex, you must read a Mifeprex Medication Guide. Then, you must sign a Patient Agreement form stating that you understand the risks and benefits of using this medicine.

Complete treatment to end the pregnancy will require at least 2 visits to your doctor.

Cramping and bleeding are signs that this medicine is working properly. But sometimes you can have cramping and bleeding and still be pregnant. Only your doctor can confirm whether your pregnancy has completely ended. Using a home pregnancy test kit is not effective in confirming that your uterus has been completely cleared of the pregnancy. Do not miss any of your follow-up visits.

You may need surgery to end the pregnancy completely. Carrying a pregnancy to term after taking Mifeprex or misoprostol may cause birth defects or death of the baby. Talk with your doctor about your treatment options.

Bleeding and spotting are normal side effects of Mifeprex and misoprostol. It is possible to continue bleeding for up to 30 days. Bleeding may be heavier than a normal heavy period, and you may also pass blood clots and tissue.

Call your doctor if you bleed enough to soak through 2 full-size sanitary pads per hour for 2 hours in a row. In rare cases, serious and sometimes fatal bleeding or infection may occur after termination of a pregnancy. Call your doctor if you have heavy vaginal bleeding or a general ill feeling. You may also have a fever, stomach pain, or fast heartbeats.

Go to an emergency room if you still have any of the following symptoms more than 24 hours after taking misoprostol: fever, severe stomach pain, heavy or prolonged vaginal bleeding, nausea, vomiting, diarrhea, or feeling like you might pass out. Be sure to tell your caregivers when you last took misoprostol.

It is possible to get pregnant again right after terminating a pregnancy. You may begin using birth control after your doctor has confirmed that treatment with Mifeprex has effectively ended your pregnancy.

What happens if I miss a dose?

Mifeprex is used as a single dose and does not have a daily dosing schedule.

Call your doctor for instructions if you miss any follow-up appointment.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid after taking Mifeprex?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Grapefruit and grapefruit juice can make it harder for your body to metabolize Mifeprex. Avoid the use of grapefruit products shortly before or after taking Mifeprex.

What other drugs will affect Mifeprex?

Tell your doctor about all your current medicines. Many drugs can affect Mifeprex, especially:

Many drugs can affect Mifeprex, and some drugs should not be used at the same time. Tell your doctor about all other medicines you use. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.