Literature DB >> 2454578

Early abortion with a single dose of the antiprogestin RU-486.

D A Grimes1, D R Mishell, D Shoupe, M Lacarra.   

Abstract

RU-486 is a synthetic progesterone antagonist that is abortifacient in early pregnancy. This trial evaluated the effectiveness and safety of a single 600 mg oral dose given to 50 healthy women less than or equal to 49 days from their last menstrual period. Efficacy was inversely related to the initial beta-subunit of human chorionic gonadotropin level, ranging from 100% at less than 5000 mIU/ml to 81% at greater than 20,000 mIU/ml (p less than 0.05). Uterine bleeding was the most serious side effect. However, the mean change in the hemoglobin value 14 days after treatment was -0.4 gm/dl, and no patient required blood transfusion. This regimen appears to be simple, effective, and safe.

Entities:  

Keywords:  Abortifacient Agents--side effects; Abortion, Drug Induced; Abortion, Induced--complications; Americas; Biology; Developed Countries; Developing Countries; Endocrine System; Evaluation; Family Planning; Fertility Control, Postconception; Gonadotropins; Gonadotropins, Chorionic--analysis; Hemic System; Hemoglobin Level; Hormones; North America; Northern America; Physiology; Reproductive Control Agents; United States

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Year:  1988        PMID: 2454578     DOI: 10.1016/0002-9378(88)90361-4

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  4 in total

1.  Political, economic and ethical aspects of use of medical abortifacients.

Authors:  P J Macrow
Journal:  Pharmacoeconomics       Date:  1994-04       Impact factor: 4.981

Review 2.  Mifepristone. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential.

Authors:  R N Brogden; K L Goa; D Faulds
Journal:  Drugs       Date:  1993-03       Impact factor: 9.546

Review 3.  Antiprogestin pharmacodynamics, pharmacokinetics, and metabolism: implications for their long-term use.

Authors:  G R Jang; L Z Benet
Journal:  J Pharmacokinet Biopharm       Date:  1997-12

4.  Mifepristone and misoprostol versus misoprostol alone for uterine evacuation after early pregnancy failure: study protocol for a randomized double blinded placebo-controlled comparison (Triple M Trial).

Authors:  Joyce van den Berg; Charlotte C Hamel; Marcus P Snijders; Sjors F Coppus; Frank P Vandenbussche
Journal:  BMC Pregnancy Childbirth       Date:  2019-11-27       Impact factor: 3.007

  4 in total

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