(e toe noe JES trel) Brand: Implanon, Nexplanon
• Do not use an etonogestrel implant if you are pregnant. If you have recently had a child, wait at least 3 weeks (4 weeks if breast-feeding) till receiving an etonogestrel implant.
• You must not use this implant if you are allergic to etonogestrel, or if you have any of the next conditions: unusual vaginal bleeding, liver malady or liver cancer, or if you have ever had breast or uterine cancer, a heart onslaught, a stroke, or a blood clot.
• Till receiving the etonogestrel implant, speak your doctor if you have diabetes, tall blood pressure, tall cholesterol, gallbladder malady, kidney malady, an ovarian cyst, headaches, a history of depression, if you are overweight, or if you are allergic to numbing medicines.
• Etonogestrel implant is inserted through a needle into the skin of your upper hand. The medication is released slowly into the body from the implant. The implant can stay in seat to provide continuous contraception for up to 3 years.
• You will most likely have irregular and unpredictable periods while using the etonogestrel implant. Speak your doctor if your periods are very hard or long-lasting, or if you miss a period (you may be pregnant).
• If you need surgery or medical trials or if you will be on bed rest, you may need to have your etonogestrel implant removed for a short time. Any doctor or surgeon who treats you must know that you have an etonogestrel implant.
• The etonogestrel implant should be removed by the end of the third year after it was inserted and may be replaced at that time with a new implant. If you choose not to replace the implant, your capacity to get pregnant will return quickly. Start using other form of birth control right away if you wish to avoid an unintended pregnancy.
• Etonogestrel implant contains a hormone that prevents ovulation (the release of an egg from an ovary). This medicine also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.
• Etonogestrel implant is used as contraception to prevent pregnancy. The medication is contained in a little plastic rod that is implanted into the skin of your upper hand. The medication is released slowly into the body. The rod can stay in seat and provide continuous contraception for up to 3 years.
• Etonogestrel implant may also be used for purposes not listed in this medicine guide.
• Do not use an etonogestrel implant if you are pregnant. If you have recently had a child, wait at least 3 weeks (4 weeks if breast-feeding) till receiving an etonogestrel implant.
• You must not use this implant if you are allergic to etonogestrel, or if you have:
· a history of heart onslaught, stroke, or blood clot;
· a history of hormone-related cancer such as breast or uterine cancer;
· unusual vaginal bleeding that has not been checked by a doctor; or
· liver malady or liver cancer.
• To create certain you can safely use the etonogestrel implant, speak your doctor if you have any of these another conditions:
· diabetes;
· tall cholesterol or triglycerides, or if you are overweight;
· tall blood pressure;
· headaches;
· gallbladder disease;
· kidney disease;
· an ovarian cyst;
· a history of depression; or
· if you are allergic to numbing medicines.
• The etonogestrel implant must not be used in girls younger than 18 years old.
• Do not use the implant if you are breast-feeding a child younger than 4 weeks old.
• Etonogestrel implant is inserted through a needle into the skin of your upper hand, just internal and above the elbow. The implant will be placed in your hand under local anesthetic in your doctor's office or another clinic setting.
• Till receiving this implant, you may need a pregnancy test to create certain you are not pregnant.
• The timing of when you will receive this implant depends on whether or not you were using birth control till, and what type it was. Follow your doctor's instructions.
• This implant should be inserted only by a physician or another healthcare provider who has been specially trained in the insertion of the etonogestrel implant. Wrong placement of the rod too deeply can create it difficult or impossible to remove later on. If the rod is incorrectly inserted and falls out, you will not be protected from unintended pregnancy.
• Once the implant is inserted, you must be able to feel it under your skin. Speak your doctor if you can't feel the implant under the skin at any time while it is in place.
• Etonogestrel is released slowly into the body from the implant. The implant can stay in seat to provide continuous contraception for up to 3 years. If the implant is placed correctly, you will not need to use back-up birth control. Follow your doctor's instructions.
• After the implant is inserted, your doctor will cover your hand with two bandages. You may remove the top bandage after 24 hours, but leave the less bandage on your hand for 3 to 5 days. Hold the area clean and dry while wearing the bandage.
• You will most likely have irregular and unpredictable periods while using the etonogestrel implant. Speak your doctor if your periods are very hard or long-lasting, or if you miss a period (you may be pregnant).
• Your doctor will need to see you on a regular basis while you are using this medicine. You may also need to have routine mammograms. Do not miss any appointments.
• If you need surgery or medical trials or if you will be on bed rest, you may need to have your etonogestrel implant removed for a short time. Any doctor or surgeon who treats you must know that you have an etonogestrel implant.
• The etonogestrel implant should be removed by the end of the third year after it was inserted and may be replaced at that time with a new implant. If you choose not to replace the implant, your capacity to get pregnant will return quickly. Some women have become pregnant within the first week after removal of an etonogestrel implant. Start using other form of birth control right away if you wish to avoid an unintended pregnancy.
• Do not use etonogestrel implants for longer than recommended by your doctor.
• Since etonogestrel is given as an implant by a healthcare professional, you will not be on a frequent dosing schedule. Be certain to see your doctor for removal of the implant by the end of the third year.
• If the implant is correctly inserted, an overdose of etonogestrel is highly unlikely. Overdose symptoms may include nausea, vomiting, and vaginal bleeding.
• Do not smoke while using etonogestrel implant, especially if you are older than 35. Smoking can magnify your risk of blood clots, stroke, or heart onslaught caused by etonogestrel implant.
• Etonogestrel implant will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.
• Call your doctor at once if you have any of these serious side effects:
· warmth, redness, swelling, or oozing where the implant was inserted;
· sudden numbness or weakness, especially on one side of the body;
· severe pain or cramping in your pelvic area (may be only on one side);
· sudden severe headache, confusion, pain behind the eyes, problems with vision, speech, or balance;
· sudden cough, wheezing, rapid breathing, coughing up blood;
· pain, swelling, warmth, or redness in one or both legs;
· chest pain or hard feeling, pain spreading to the hand or shoulder, nausea, sweating, common ill feeling;
· a breast lump;
· swelling in your hands, ankles, or feet;
· jaundice (yellowing of the skin or eyes);
· symptoms of depression (sleep problems, weakness, weary feeling, mood changes); or
· dangerously tall blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).
• Smaller serious side effects may include:
· pain, numbness, or tingling where the implant was inserted;
· minor bleeding or scarring where the implant was inserted;
· menstrual cramps, changes in your menstrual periods;
· mild headache, dizziness, mood changes;
· vaginal itching or discharge;
· breast pain;
· acne;
· problems with contact lenses;
· nausea, mild stomach pain;
· back pain;
· feeling nervous or depressed;
· sore throat, flu symptoms; or
· weight gain.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Some drugs can create etonogestrel smaller effective, which may result in pregnancy. Till receiving this implant, speak your doctor if you are using any of the next drugs:
· bosentan (Tracleer);
· dexamethasone (Cortastat, Dexasone, Solurex, DexPak);
· griseofulvin (Fulvicin, Grifulvin);
· rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin);
· antifungal medicine such as itraconazole (Sporanox) or ketoconazole (Nizoral);
· a barbiturate such as butabarbital (Butisol), secobarbital (Seconal), pentobarbital (Nembutal), or phenobarbital (Solfoton);
· drugs to treat hepatitis C, HIV, or AIDS;
· medicines to treat narcolepsy, such as armodafinil (Nuvigil) or modafinil (Progivil);
· St. John's wort; or
· seizure medicine such as carbamazepine (Carbatrol, Equetro, Tegretol), felbamate (Felbatol), oxcarbazepine (Trileptal), phenytoin (Dilantin), or primidone (Mysoline).
• This list is not complete and another drugs may interact with etonogestrel. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your doctor or pharmacist can provide more information about etonogestrel implant.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
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