Korlym

Prescription medicineOnly Available By Prescription

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

Korlym (mifepristone) is a glucocorticoid receptor antagonist indicated for the control of hyperglycemia secondary to hypercortisolism in adult patients with endogenous Cushing’s syndrome who have type 2 diabetes mellitus or glucose intolerance and for whom surgery is not an option or has not been curative. It works by blocking the effects of cortisol at the glucocorticoid receptor, thereby reducing the metabolic consequences of cortisol excess. Korlym does not reduce cortisol levels but instead mitigates its action, making it a targeted therapy for specific manifestations of Cushing's syndrome.

Fact Table

Formula

C29H35NO2

License

US FDA (2012 for Cushing’s)

Bioavailability

69% (oral)

Legal status

Prescription only

Chemical Name

Mifepristone

Elimination half-life

20–85 hours

Dosage (Strength)

300 mg tablets

Pregnancy

Category X – Contraindicated (abortifacient)

Brands

Korlym (for Cushing’s), Mifeprex (for termination of pregnancy)

Protein binding

>98%

PubChem CID

55245

MedlinePlus

a601779

ChEBI

50584

ATC code

H02BX01

DrugBank

DB00834

KEGG

D00434

Routes of administration

Oral

Directions

Korlym is administered orally, with the starting dose typically set at 300 mg once daily with food. The dose may be titrated up in 300 mg increments to a maximum of 1200 mg per day or 20 mg/kg/day, whichever is lower, based on clinical response and tolerability. Patients must be closely monitored for signs of adrenal insufficiency, hypokalemia, and endometrial changes. It should be prescribed and supervised by physicians experienced in treating endocrine disorders.

Ingredients

Active ingredient: mifepristone Inactive ingredients: colloidal silicon dioxide, microcrystalline cellulose, povidone, sodium starch glycolate, and magnesium stearate. The film coating contains hypromellose, polyethylene glycol, and ferric oxide red.

Contraindications

Korlym is contraindicated in:

  • Pregnancy (Category X) due to risk of fetal loss
  • Women with unexplained vaginal bleeding
  • Patients with endometrial hyperplasia with atypia or endometrial carcinoma
  • Concurrent use with corticosteroids for lifesaving purposes
  • Concurrent use of CYP3A inhibitors or substrates with narrow therapeutic index (e.g., simvastatin, cyclosporine)

Cautions

Caution should be exercised in patients with cardiovascular disease, particularly those at risk of QT prolongation. Electrolyte levels, particularly potassium, should be monitored regularly. Women may experience endometrial thickening or bleeding due to progesterone receptor antagonism; regular gynecological evaluation is recommended. As mifepristone has antiprogestational effects, it should not be used in patients seeking to preserve fertility. Liver function tests should also be monitored periodically.

Side Effects

Common side effects may include:

  • Nausea
  • Fatigue
  • Headache
  • Dizziness
  • Decreased appetite
  • Vomiting
  • Endometrial thickening or irregular bleeding in women
  • Hypokalemia
  • Hypertension

Serious adverse reactions may include adrenal insufficiency, QT prolongation, and severe hypokalemia requiring medical intervention.

IMPORTANT NOTE: The information provided above is for general awareness and educational purposes only. It is not intended to diagnose, treat, or replace professional medical or veterinary advice. Always consult your physician, pharmacist, or veterinarian regarding the safety, suitability, and proper use of any medication for yourself or your pet.

product reviews icon Product Reviews