Obstetric and gynecological uses
|
Indications
|
Recommended doses
|
FDA-approved use
|
1
|
Early pregnancy termination
|
Mifepristone 200 mg orally on day 1, misoprostol 800 µg buccally after 24-48 hours
|
Proposed uses
|
1
|
Second-trimester termination of pregnancy
|
Mifepristone 200 mg orally, followed by misoprostol 200 μg vaginally 3 hourly [15]
|
2
|
Missed abortion and fetal demise
|
600 mg/day for 2 days [19]; 200 mg orally with misoprostol (14-28 weeks of gestation) [20]
|
3
|
Menstrual induction
|
Mifepristone 600 mg single dose [22]; mifepristone 150 mg, misoprostol 0.4 mg vaginally after 2 days [24]
|
4
|
Emergency contraception
|
Less than 25 mg single dose [29]; 25-50 mg single dose [29]
|
5
|
Estrogen-free contraceptive pill
|
2 and 5 mg daily [30]; 25 mg once weekly [36]; 200 mg once a month on the 16th day of the menstrual cycle [35]
|
6
|
Cervical dilatation
|
600 mg orally single dose [39]
|
7
|
Induction of labor
|
200 mg single dose [42]
|
8
|
Ectopic pregnancy
|
Methotrexate 50 mg/m2 intramuscularly and mifepristone 600 mg orally [44,45]
|
9
|
Endometriosis
|
50 and 100 mg daily for 6 months [46]; 50 mg for 6 months [47]
|
10
|
Leiomyomas
|
10-25 mg daily for 3 months [55]
|
11
|
Adenomyosis
|
5 mg daily [60]
|
12
|
Breakthrough bleeding in LNG and DMPA
|
50 mg every 2 weeks for 24 weeks [61]; 100 mg every 30 days for 3 months [63]
|
13
|
Premature LH surges undergoing controlled ovarian hyperstimulation in IVF
|
2.5 mg two doses after follicle aspiration [66]; 40 mg daily [67]
|