Drug
Mifepristone
Pronounced
"miff-eh-PRIH-stone"
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: long-term corticosteroid therapy (such as prednisone), other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen/naproxen, "blood thinners" such as warfarin/dabigatran).
Aspirin can increase the risk of bleeding when used with this medication. However, if your doctor has told you to take low-dose aspirin to prevent heart attack or stroke (usually 81-162 milligrams a day), you should keep taking the aspirin unless your doctor tells you not to. Ask your doctor or pharmacist for more details.
Other medications can affect the removal of mifepristone from your body, which may affect how mifepristone works. Examples include azole antifungals (such as itraconazole), dexamethasone, macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John's wort, drugs used to treat seizures (such as carbamazepine, phenytoin), among others.
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.
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.