Warning: the info is intended to supplement, not substitute for, judgment of your pharmacist. this shouldnot be construed to indicate that use of drug is safe or effective for you. Consult some your healthcare professional before using this tablet.

Levonorgestrel-releasing intrauterine - implant

(lee-voh-nor-jest-rell)

common brand names: Mirena

Mirena Usage: it product is a small, flexible device that is placed in uterus & is used to prevent pregnancy. device works by slowly releasing a hormone (levonorgestrel) & is used in women who desire long-term (up to 5 years) & reversible birth control. this product is only intended for use in gir who have previously given birth, have only one sexual partner (are monogamous), have no history of certain sexually-related infections/conditions (e.g., pelvic inflammatory disease, sexually transmitted disease), or no history of certain problem pregnancy (ectopic). for more information, consult your doctor. use of it medication does not protect you or your partner against sexually transmitted diseases (e.g., HIV, gonorrhea).

How to use Mirena: it product is inserted into you're uterus by properly trained health care professional usually once every three years, or as determined by your doctor. the medication in device is slowly released into the body over a 5-year period. If birth control is still desired after three years, device may be replaced with new one. If birth control is no longer desired at any time, device may be removed by a properly trained health care professional. Carefully read every about information provided by your doctor and ask any questions you may have about this product or other type of birth control methods that may be right for you. Learn all the instructions on how & when to dollars this product, it is proper positioning in your body, and risks associated with this product. Consult you're doctor.

Mirena side effects: Irregular vaginal bleeding (e.g., spotting), cramps, headache, nausea, breast pain, acne, rash, hair loss, or weight gain may occur. If any of these effects persist or worsen, notify your healthcare professional. Tell your healthcare professional immediately if any about these serious side effects occur: lack of menstrual period, fever, chills, stomach pain, trouble breathing, mental/mood changes, decreased interest in sex, vaginal swelling/itching, painful intercourse. Tell your pharmacist immediately if any of these unlikely but serious side effects occur: migraine headache, vomiting, fatigue, prolonged and severe vaginal bleeding. Tell your physician immediately if any of these highly unlikely but very serious side effects occur: unusual vaginal discharge/odor or sores, severe lower stomach/pelvic pain, lumps in breast, yellowing eyes or skin, dark urine, trouble urinating. If you notice another effects not listed above, contact your physician or pharmacist.

Mirena Precautions: this tablet isn't recommended for use if you have any of the following medical conditions: pregnancy or suspect you are pregnant, uterine problems (e.g., cancer, endometriosis, fibroids, pelvic inflammatory disease or PID), vaginal problems (e.g., infection), liver disease or tumors, disease affecting your immune system (e.g., AIDS, leukemia), breast cancer, previous ectopic pregnancy, other IUD (intrauterine device) still in place. Tell youre pharmacist your medical history, especially of: bleeding problems (e.g., menstrual changes, clotting problems), heart problems (e.g., congenital valve conditions), migraine headaches, diabetes, any allergies. it drug device shouldnot be used during pregnancy. If you become pregnant or think you may be pregnant, inform some your healthcare professional immediately. Consult your pharmacist about the risks associated with pregnancy while using this product. Levonorgestrel passes in to breast milk & may have undesirable effects on nursing infant. Consult your physician before breast- feeding.

Mirena drug interactions: Tell some your healthcare professional of all prescription & nonprescription medication you may use, especially: 'blood thinners' (e.g., warfarin), oral contraceptives. do not start or stop any medicine with-out doctor or pharmacist approval.

Mirena Overdose: Overdose with this medication is not generally suspected because of the way drug is released from this device. Consult youre doctor or physician.

Mirena special notes: Laboratory and/or medical tests (e.g., pregnancy tests, physical exams) may be performed to monitor some your progress.

If you missed Mirena dose: Not applicable.

Mirena Storage: Prior to use, store at room temperature between 36 & 86 degrees F (15 to 30 degrees C) away from light and moisture.

Active Ingredients : Levonorgestrel-releasing Intrauterine