What Is It?

According to U.S. Food and Drug Administration[2] Mifeprex is used, together with another medication called misoprostol, to end an early pregnancy through 70 days gestation (70 days or less since the first day of a woman's last menstrual period).

Some Questions & Answers On Mifeprex

Some women should not take Mifeprex. A woman should not take Mifeprex if it has been more than 70 days since the first day of her last menstrual period, or if she:

a.    has an ectopic pregnancy (a pregnancy outside of the uterus)
b.    has problems with the adrenal glands (the glands near the kidneys)
c.     Is currently being treated with long-term corticosteroid therapy (medications)
d.    has had an allergic reaction to mifepristone, misoprostol or similar drugs
e.    has bleeding problems or is taking anticoagulant (blood thinning) drug products
f.     has inherited porphyria
g.    has an intrauterine device (IUD) in place (it must be removed before taking Mifeprex)

What qualifications must healthcare providers have to obtain and dispense Mifeprex?

Healthcare providers who would like to become certified to prescribe Mifeprex must have the ability to date pregnancies accurately and to diagnose ectopic pregnancies. Healthcare providers must also be able to provide any necessary surgical intervention, or have made arrangements for others to provide for such care. Healthcare providers must be able to ensure that women have access to medical facilities for emergency care, and must agree to other responsibilities, including reviewing and signing the Patient Agreement Form with the patient and providing each patient with a copy of the signed Patient Agreement Form and the Medication Guide.

Healthcare providers who prescribe and who meet certain qualifications are authorized to order and dispense Mifeprex. Some states allow healthcare providers other than physicians to prescribe medications.  

What are the possible side effects of using Mifeprex?

Cramping and vaginal bleeding are expected effects of the treatment regimen.  In some cases very heavy vaginal bleeding will need to be stopped by a surgical procedure, which can often be performed in the office. Other common side effects of the treatment regimen include nausea, weakness, fever/chills, vomiting, headache, diarrhea, and dizziness in the first day or two after taking the two medicines.

The possible side effects are described in the Adverse Reactions section of the labeling and in the Medication Guide for Mifeprex.