Drug
Mifepristone
Pronounced
"MIF-e-PRIS-tone"
Drug Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: corticosteroids (such as prednisone).
Mifepristone can slow down the removal of other medications from your body, which may affect how they work. Examples of affected drugs include cyclosporine, ergot alkaloids (such as dihydroergotamine, ergotamine), fentanyl, pimozide, quinidine, some statin drugs (such as fluvastatin, lovastatin, simvastatin), sirolimus, tacrolimus, warfarin, among others.
Other medications can affect the removal of mifepristone from your body, which may affect how mifepristone works. Examples include azole antifungals (such as itraconazole, ketoconazole, posaconazole), macrolide antibiotics (such as clarithromycin), nefazodone, HIV protease inhibitors (nelfinavir), rifamycins (such as rifabutin, rifampin), ritonavir, telithromycin, among others.
This medication may decrease the effectiveness of hormonal birth control such as pills, patch, or ring. This could cause pregnancy. Discuss with your doctor or pharmacist about non-hormonal birth control methods while using this medication. (See also Warning section.)
Beta-blocker medications (such as metoprolol, propranolol, glaucoma eye drops such as timolol) may prevent the fast/pounding heartbeat you would usually feel when your blood sugar falls too low (hypoglycemia). Other symptoms of low blood sugar, such as dizziness, hunger, or sweating, are unaffected by these drugs.
Many drugs can affect your blood sugar, making it harder to control. Before you start, stop, or change any medication, talk with your doctor or pharmacist about how the medication may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of high or low blood sugar. (See also Side Effects section.) Your doctor may need to adjust your diabetes medication, exercise program, or diet.
Supportive Interactions
1- Reduce Side Effects
Mifepristone
Modified Shenghua Tang
The most common side effect of mifepristone is excess vaginal bleeding. One controlled study showed that drinking modified shenghua tang (a tea made from bupleurum, angelica, ligusticum, peach kernel, baked ginger, and leonurus) greatly reduced the number of days that bleeding occurred following mifepristone therapy.
Modified Shenghua TangMifepristone- Sun L, Pan J. Treating colporrhagia after medical abortion with modified shenghua tang. J Tradit Chin Med 1996;16:263-6.