Ulipristal is used to treat moderate to severe symptoms of uterine fibroids (non-cancerous tumours of the womb).
This medicine may be used to treat other conditions as decided by your doctor.
Take Ulipristal exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Try to take it at the same time each day.
Swallow the tablet whole with a glass of water.
Ulipristal must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
If you miss a dose and it is 12 or more hours before the next dose is due, take the missed dose and return to your normal dosing schedule.
If it is less than 12 hours before the next dose is due, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- vaginal bleeding
- uterine, cervical, ovarian or breast cancer
- liver disease
as Ulipristal may not be suitable for you.
Do not take this medicine if you are pregnant or planning to have a baby soon. If you become pregnant while being treated with Ulipristal, alert your doctor immediately. This medicine may cause harm to your unborn child. You must use proven birth control methods while taking Ulipristal.
Do not breastfeed while you are being treated with this medicine.
Inform your doctor if you have severe kidney disease.
Why is it important to keep my appointments with the doctor?
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
- Pregnancy tests must be done before treatment to know if this medicine is suited for you to take.
- Routine tests (e.g. liver function) may be done while you are being treated with this medicine. Your doctor will advise you about how often you need to have these tests.
Ulipristal may cause dizziness, suddenly falling asleep during daily activities, or blurred vision. If affected, do not drive or take part in any activity in which you need to be alert or need to see clearly.
Other side effects include any of the following: nausea, vomiting, stomach pain or discomfort, indigestion, diarrhoea, dry mouth, tiredness, body pain, muscle pain, and hot flush.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- unusual changes in mood or behaviour (being too depressed, agitated, or having compulsive and impulsive behaviour)
- unexplained vaginal bleeding, severe abdominal pain
- yellowing of the skin or eyes, abdominal pain, dark coloured urine, tiredness, swelling in the legs and ankles
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- medicines for epilepsy (fits or seizures) e.g. carbamazepine, phenobarbital, phenytoin
- medicines for TB (lung infection known as tuberculosis) e.g. rifampicin, rifabutin
- medicines for HIV infection e.g. efavirenz, nevirapine, ritonavir
- certain antibiotics e.g. erythromycin, clarithromycin
- medicines to treat fungal infection e.g. ketoconazole, itraconazole
- birth control pills
- medicines that reduces stomach acid production
- bosentan medicine used to treat pulmonary arterial hypertension (high blood pressure in the blood vessels leading to the lungs)
- St. John’s wort (herbal medicine)
This list does not include all medicines that may interact with Ulipristal.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements, and medicines that you buy without a prescription.
Avoid alcohol.
Avoid excessive consumption of grapefruit or grapefruit juice (more than 1 litre a day).
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.
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