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 an oral tablet for oral use. It is employed in the medical termination of intra‑uterine pregnancy up to 10 weeks gestation in women seeking a non‑surgical option.

GNH India supplies Mifegyne as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand through reliable logistics and comprehensive documentation and timely.

Manufacturer / TM Owner

Exelgyn Sa

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Indications & Clinical Uses

Mifegyne is a progesterone receptor antagonist used in early pregnancy management.

  • Intrauterine pregnancy ≤10 weeks: enables medical termination of early pregnancy.
  • Combination therapy with misoprostol: provides the first step in a two‑drug regimen for termination.
  • Pre‑surgical preparation: used to soften the decidua before surgical evacuation when medically indicated.

How It Works

  • Mifepristone binds competitively to progesterone receptors in the uterine lining, blocking the hormone's action. This antagonism leads to decidual breakdown, detachment of the gestational sac, and increased uterine contractility, thereby facilitating the medical termination of early intrauterine pregnancy when used in conjunction with prostaglandin analogues.

Side Effects

Mifegyne may cause a range of adverse reactions.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Vaginal bleeding: irregular or prolonged spotting.
  • Cramping: uterine pain resembling menstrual cramps.
  • Fatigue: transient tiredness.
  • Diarrhea: loose stools in some patients.
  • Headache: mild tension‑type headache.

Serious or Rare Side Effects

  • Heavy hemorrhage: excessive bleeding requiring medical attention.
  • Infection: signs of uterine or systemic infection.
  • Allergic reaction: rash, swelling, or anaphylaxis.
  • Incomplete abortion: retained tissue necessitating further intervention.

Precautions & Warnings

Before prescribing Mifegyne, clinicians should consider several safety measures.

  • Confirm gestational age: ensure pregnancy is ≤10 weeks by ultrasound.
  • Assess contraindications: exclude ectopic pregnancy, chronic adrenal failure, or anticoagulant therapy.
  • Provide counseling: discuss expected bleeding patterns and signs of complications.
  • Arrange follow‑up: schedule post‑treatment evaluation to confirm complete evacuation.
  • Review medication history: avoid concomitant use of CYP3A4 inducers that may reduce efficacy.
  • Store at ambient temperature: keep below 25°C in the original packaging, protected from moisture.

Avoid Interactions

Mifegyne can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Rifampicin: strong CYP3A4 inducer that may markedly lower mifepristone levels.
  • Anticonvulsants (e.g., carbamazepine, phenytoin): may reduce therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Antifungal azoles (e.g., ketoconazole): may increase plasma concentration.
  • Hormonal contraceptives: potential reduced efficacy, advise alternative contraception.
  • NSAIDs: may exacerbate gastrointestinal irritation.

Frequently Asked Questions

Mifegyne contains mifepristone and is used to medically terminate an intrauterine pregnancy up to ten weeks gestation. It is part of a two‑step regimen, typically followed by misoprostol, to achieve complete evacuation of the gestational sac without surgery.

Mifepristone acts as a progesterone receptor antagonist. By blocking progesterone’s action on the uterine lining, it causes decidual breakdown and detachment of the embryo, making the uterus more responsive to prostaglandins that induce uterine contractions.

The specific dose and regimen of Mifegyne are determined by the prescribing clinician based on national guidelines, gestational age, and patient factors. Only a qualified health professional can set the appropriate dosage for each individual case.

Mifegyne is intended for use in early pregnancy termination and is contraindicated in ongoing pregnancy beyond the approved gestational limit. It is not recommended for breastfeeding women because the drug may be excreted in breast milk and could 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 necessary import documentation.

Mifegyne (mifepristone) is the most widely used progesterone receptor antagonist for early medical abortion, offering a high efficacy rate when combined with misoprostol. Alternative agents, such as methotrexate, have different mechanisms and lower success rates for this indication.

Mifegyne should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Do not store in areas with high humidity or direct sunlight to maintain product stability.

Mifegyne is taken orally as a single tablet under medical supervision. After ingestion, a second medication, usually misoprostol, is administered buccally, sublingually, or vaginally according to the prescribed schedule to complete the termination process.

Serious risks include heavy or uncontrolled bleeding, infection, incomplete abortion requiring surgical intervention, and rare allergic reactions. Patients should be instructed to seek immediate medical care if they experience severe abdominal pain, fever, excessive bleeding, or signs of an allergic response.

Mifegyne is contraindicated in women with confirmed or suspected ectopic pregnancy, chronic adrenal failure, long‑term corticosteroid therapy, anticoagulant use, or known hypersensitivity to mifepristone. It should also be avoided in patients with severe medical conditions that preclude safe termination.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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