Product image of Mifegyne (Mifepristone) supplied by GNH India

Mifegyne

Active Ingredient:
Mifepristone
Origin:
EU

Mifegyne (Mifepristone)

Mifepristone, the active ingredient in Mifegyne, is a progesterone receptor antagonist presented as a tablet for oral use. It is employed for the medical termination of intrauterine pregnancy and for managing early pregnancy loss in women of reproductive age under strict medical supervision and in accordance with national guidelines.

GNH India supplies Mifegyne as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network ensures reliable access to quality‑assured products across multiple regions while complying with all applicable regulatory requirements.

Manufacturer / TM Owner

Exelgyn Sa

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Indications & Clinical Uses

  • Mifegyne (mifepristone) is used in reproductive health for conditions that require progesterone antagonism.
  • Medical termination of intrauterine pregnancy: induces uterine lining breakdown and detachment of the embryo to achieve a non‑surgical abortion.
  • Cervical ripening prior to surgical abortion: softens the cervix to facilitate subsequent procedural abortion.
  • Management of early pregnancy loss: assists in the expulsion of retained products after a miscarriage.

How It Works

  • Mifepristone binds competitively to progesterone receptors in the uterus, blocking the hormone's action. This antagonism leads to decidual breakdown, detachment of the embryo, and sensitization of the myometrium to prostaglandins, facilitating uterine contractions. The drug also exhibits glucocorticoid receptor antagonism, contributing to its pharmacologic profile.

Side Effects

Adverse reactions may occur with Mifegyne use.

Common Side Effects

  • Nausea: mild to moderate feeling of sickness.
  • Vomiting: occasional episodes.
  • Abdominal pain or cramping: uterine discomfort.
  • Vaginal bleeding: spotting or heavier flow.
  • Diarrhea: loose stools.
  • Fatigue: generalized tiredness.

Serious or Rare Side Effects

  • Severe hemorrhage: heavy bleeding requiring medical attention.
  • Infection: signs of uterine or systemic infection.
  • Allergic reaction: rash, itching, swelling, or anaphylaxis.
  • Incomplete abortion: retained tissue requiring surgical intervention.

Precautions & Warnings

Mifegyne should be used with careful clinical oversight.

  • Medical supervision: use only under qualified health‑care provider guidance.
  • Gestational age limit: prescribed up to 10 weeks gestation for termination.
  • Contraindications: not for women with chronic adrenal failure, long‑term corticosteroid therapy, or known hypersensitivity.
  • Drug interactions: review concomitant medications, especially anticoagulants and CYP inducers.
  • Follow‑up care: ensure appropriate post‑treatment evaluation for completeness.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light in original packaging.

Avoid Interactions

Mifegyne may interact with several medicines; monitoring is essential.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of severe bleeding.
  • Systemic corticosteroids: reduced efficacy due to glucocorticoid antagonism.
  • Rifampicin and other CYP3A4 inducers: lower plasma levels of mifepristone.
  • Antifungal azoles (e.g., ketoconazole): may increase mifepristone exposure, raising toxicity risk.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may affect uterine bleeding patterns.
  • Antihypertensives: monitor blood pressure changes.
  • Antidepressants (SSRIs): observe for altered hormonal effects.

Frequently Asked Questions

Mifegyne is prescribed for the medical termination of intrauterine pregnancy, for cervical ripening before a surgical abortion, and for the management of early pregnancy loss. In each case, it works by blocking progesterone, which is essential for maintaining the early pregnancy.

Mifepristone acts as a competitive antagonist at progesterone receptors in the uterus. By blocking progesterone, it causes the uterine lining to break down and the embryo to detach. The drug also sensitizes the uterus to prostaglandins, enhancing uterine contractions that help complete the termination process.

The specific dose of Mifegyne is determined by the prescribing clinician based on the patient’s clinical situation, gestational age, and local guidelines. A qualified health‑care professional will decide the appropriate regimen and any follow‑up medication required.

Mifegyne is indicated for the intentional termination of early pregnancy and is contraindicated for use in an ongoing pregnancy other than for that purpose. It is not recommended for breastfeeding women because the drug can be excreted in breast milk and may affect the infant.

To order Mifegyne, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

The most common alternative to Mifegyne is misoprostol used alone, which induces uterine contractions but lacks the progesterone‑blocking effect of mifepristone. Combining mifepristone with misoprostol generally results in higher efficacy, lower surgical‑intervention rates, and a more predictable clinical course compared with misoprostol alone.

Mifegyne tablets should be stored at ambient temperature, preferably below 25 °C, in their original packaging to protect them from moisture and light. Keep the product out of reach of children and avoid storing in areas with high humidity or direct sunlight.

Mifegyne is taken as an oral tablet under direct supervision of a qualified health‑care provider. The tablet is swallowed with water, and the patient is monitored for response and any adverse effects. Subsequent medication, such as misoprostol, may be prescribed according to the treatment protocol.

Serious risks include severe hemorrhage, infection, allergic reactions, and incomplete abortion that may require surgical intervention. Patients should be advised to seek immediate medical attention if they experience heavy bleeding, fever, severe abdominal pain, or signs of an allergic reaction.

Mifegyne is contraindicated in women with chronic adrenal insufficiency, those receiving long‑term systemic corticosteroids, individuals with known hypersensitivity to mifepristone, and in pregnancies beyond the approved gestational limit. It should also be avoided in patients with certain uterine abnormalities or severe bleeding disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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