- Approval Id
- 60afc2162c2f95fe
- Drug Name
- MIFEGYNE TABLETS 200MG
- Product Name
- MIFEGYNE TABLETS 200MG
- Approval Number
- SIN15583P
- Approval Date
- 2018-11-23
- Registrant
- UNITED ITALIAN TRADING CORPORATION (PRIVATE) LIMITED
- Licence Holder
- UNITED ITALIAN TRADING CORPORATION (PRIVATE) LIMITED
- Drug Type
- Therapeutic
- Forensic Classification
- PRESCRIPTION ONLY MEDICINES
- Dosage Form
- TABLET
- Dosage
- <p><strong><u>4.2 Posology and Method of Administration</u></strong></p>
<p><u><strong>Posology</strong></u></p>
<ol>
<li><p><strong>Medical termination of developing intra-uterine pregnancy</strong></p>
<p>The method of administration will be as follows:</p>
<ul class="bullet">
<li><p><u>Up to 49 days of amenorrhea:</u></p>
<p>Mifepristone is taken as a single 600 mg (i.e. 3 tablets of 200 mg each) oral dose, followed 36 to 48 hours later, by the administration of the prostaglandin analogue: misoprostol 400 mcg orally, or gemeprost 1 mg per vaginam.</p></li>
<li><p><u>Between 50–63 days of amenorrhea</u></p>
<p>Mifepristone is taken as a single 600 mg (i.e. 3 tablets of 200 mg each) oral dose, followed 36 to 48 hours later, by the administration of the prostaglandin analogue gemeprost 1 mg per vaginam.</p>
<p>Alternatively, 200 mg of mifepristone (i.e. 1 tablet of 200 mg) can also be used in a single oral dose, followed 36 to 48 hours later, by the administration of the prostaglandin analogue gemeprost 1 mg per vaginam (see section 5.1. pharmacodynamic properties – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>Dose adjustment to a higher dose (600 mg) is needed with concomitant treatment with CYP3A4 inducers (see section 4.5 Interaction with other medicinal products and other forms of interactions – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>Information on the posology of misoprostol or gemeprost can be found in the respective product information.</p></li>
</ul>
</li>
<li><p><strong>Softening and dilatation of the cervix uteri prior to surgical termination of pregnancy during the first trimester.</strong></p>
<p>Mifepristone is taken as a single 200 mg (1 tablet) oral dose, followed 36 to 48 hours later (but not beyond) by surgical termination of pregnancy.</p></li>
<li><p><strong>Preparation for the action of prostaglandin analogues in the termination of pregnancy for medical reasons</strong></p>
<p>Mifepristone is taken as a single 600 mg (i.e. 3 tablets of 200 mg each) oral dose, 36 to 48 hours prior to scheduled prostaglandin administration which will be repeated as often as indicated.</p></li>
<li><p><strong>Labour induction in foetal death in utero in patients where prostaglandin or oxytocin cannot be used.</strong></p>
<p>Mifepristone is taken as a single 600 mg (e.g. 3 tablets of 200 mg each) oral daily dose, for two consecutive days.</p>
<p>Labour should be induced by the usual methods if it has not started within 72 hours following the first administration of mifepristone.</p>
<p>Vomiting within 45 minutes after the intake could lead to a decrease in mifepristone efficacy: oral intake of a new mifepristone 600 mg dose (e.g. 3 tablets of 200 mg each) is recommended in this case.</p></li>
</ol>
<p><u><strong>Paediatric population</strong></u><br>
Only limited data are available on the use of mifepristone in adolescents.</p>
<p><u><strong>Method of administration</strong></u><br>
Mifepristone tablets are for oral use only and should not be taken by any other route of administration.</p>
- Route Of Administration
- ORAL
- Indication Info
- <p><u><strong>4.1 Therapeutic indications</strong></u></p>
<ol>
<li><p><strong>Medical termination of developing intra-uterine pregnancy.</strong></p>
<p>In sequential use with a prostaglandin analogue, up to 63 days of amenorrhea (see section 4.2).</p></li>
<li><p><strong>Softening and dilatation of the cervix uteri prior to surgical termination of pregnancy during the first trimester.</strong></p></li>
<li><p><strong>Preparation for the action of prostaglandin analogues in the termination of pregnancy for medical reasons (beyond the first trimester).</strong></p></li>
<li><p><strong>Labour induction in foetal death in utero.</strong></p>
<p>In patients where prostaglandin or oxytocin cannot be used.</p></li>
</ol>
- Contraindications
- <p><u><strong>4.3 Contra-indications</strong></u></p>
<p>This product SHOULD NEVER be prescribed in the following situations.</p>
<p><strong><u>IN ALL INDICATIONS</u></strong></p>
<ul class="dash">
<li>Chronic adrenal failure,</li>
<li>Hypersensitivity to mifepristone or to any of the excipients listed in section 6.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>,</li>
<li>Severe asthma uncontrolled by therapy,</li>
<li>Inherited porphyria.</li>
</ul>
<p><strong><u>In the indication: medical termination of developing pregnancy</u></strong></p>
<ul class="dash">
<li>Pregnancy not confirmed by ultrasound scan or biological tests,</li>
<li>Pregnancy beyond 63 days of amenorrhea,</li>
<li>Suspected extra-uterine pregnancy,</li>
<li>Contra-indication to the prostaglandin analogue selected.</li>
</ul>
<p><u><strong>In the indication: softening and dilatation of the cervix uteri prior to surgical termination of pregnancy:</strong></u></p>
<ul class="dash">
<li>Pregnancy not confirmed by ultrasound scan or biological test,</li>
<li>Pregnancy of 84 days of amenorrhea and beyond,</li>
<li>Suspected extra-uterine pregnancy.</li>
</ul>
<p><u><strong>In the indication: preparation for the action of prostaglandin analogues in the termination of pregnancy for medical reasons (beyond the first trimester)</strong></u></p>
<ul class="dash">
<li>Contra-indications to the prostaglandin analogue selected.</li>
</ul>
- Atc Code
- G03XB01
- Atc Item Name
- mifepristone
- Pharma Manufacturer Name
- UNITED ITALIAN TRADING CORPORATION (PRIVATE) LIMITED