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Ulipristal Acetate

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Molecule Summary

Uses
Uterine fibroids
Therapy
Drugs Acting On Uterus
Side Effects
Absence of menstrual periods, Headache, Endometrial hyperplasia
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Molecule Description

Ulipristal Acetate is used in the treatment of uterine fibroids (a non-cancerous growth in the uterus). It is also used as a pre-operative treatment in women of reproductive age.

Uses

  • Treatment of uterine fibroids

Contraindications

When should one not use Ulipristal Acetate

  • If you are allergic to the active or inactive components of Ulipristal Acetate.
  • If you have cancer, whether it is suspected or confirmed (ovarian, cervical, breast, or uterine). Your doctor will closely monitor your clinical status if you have a family history of cancer.

Side effects

Common side effects of this drug are:

  • Absence of menstrual periods
  • Headache
  • Endometrial hyperplasia

Precautions and Warnings

Pregnancy

Pregnancy

Using Ulipristal Acetate when pregnant is extremely dangerous. Studies on pregnant women and animals have indicated that there are significant risks to the growing infant. Do inform the doctor about your pregnancy or intention to conceive at the time of consultation.

Breast Feeding

Breast Feeding

Ulipristal Acetate passes into breast milk. Talk to your doctor before using it while breastfeeding.

Driving

Driving

Ulipristal Acetate may have negative effects that impair your driving ability. Some women experience dizziness, tiredness, blurred vision, and/or loss of concentration after using Ulipristal Acetate.

Alcohol

Alcohol

It is unknown whether drinking alcohol while taking Ulipristal Acetate is safe. Please seek medical advice.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have STIs. Ulipristal Acetate is ineffective in the treatment or prevention of sexually transmitted illnesses.
  • You experience symptoms of an allergic reaction to Ulipristal Acetate, such as a skin rash, itching/swelling anywhere on your body, dizziness, difficulty breathing, etc.
  • Due to a lack of safety and efficacy data, Ulipristal Acetate should not be given to children under the age of 18.
  • You have asthma and are using steroid medicines. Talk to your doctor before using this medicine.

Mode of Action

How Does It Work?

Ulipristal Acetate is a selective progesterone receptor modulator. It operates by altering progesterone's activity (natural female hormone). It is used in the treatment of fibroids either before surgery or on an intermittent basis (at regular intervals). It helps reduce the size of fibroids, the cessation or management of bleeding, and the rise of red blood cell count.

Interactions

Interactions with other medicines

  • To avoid side effects associated with medicine interaction, it is important to inform the doctor about all medicines and health supplements you are currently taking.
  • Ulipristal Acetate is known to interact with the following medicines:
  • By competing for the progesterone receptor, hormonal contraceptives and progestogens are expected to reduce the efficacy of ulipristal acetate. As a result, using progestogen-containing medicines at the same time is not suggested.
  • Long-term use of ritonavir, rifampicin, rifabutin, carbamazepine, oxcarbazepine, phenytoin, fosphenytoin, phenobarbital, primidone, efavirenz, nevirapine, markedly reduced Cmax and AUC of ulipristal acetate and its active metabolite by 90% or more and decreased ulipristal acetate half-life by 2.2-fold corresponding to an approximately 10-fold decrease of ulipristal acetate exposure.

Interactions with food items

  • No information is available on the interaction of Ulipristal Acetate with food. Please seek medical advice.

Dosage

Overdose

Ulipristal Acetate should never be taken in excess of the recommended dose. If you have taken an overdose of this substance, seek medical help right away.

Missed a Dose

If you have missed a dose of Ulipristal Acetate, take it as soon as you can. However, if the gap is too long or the next dose is approaching, skip the missing dose and return to your regular schedule. Do not take two doses.

Frequently Asked Questions (FAQs)

No. Ulipristal Acetate is not intended to be used as a regular daily contraceptive. Its safety and efficacy have not been proven for repeated use over multiple menstrual cycles, so frequent use is not recommended. Ask your doctor about suitable birth control.

Ulipristal Acetate works by inhibiting progesterone receptors, lowering progesterone levels and thereby reducing the size of fibroids. Fibroids are benign tumours that grow around the uterus. Ulipristal Acetate prevents ovulation, resulting in the cessation of periods when taken at a specific dose. As a result, it may be beneficial to women who suffer from severe bleeding as a result of fibroids.

Birth control pills may be less effective if you take Ulipristal Acetate. Consequently, you should use condoms in addition to birth control pills until your next period (menses).

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