(NAF a REL in) Brand: Synarel
• Nafarelin nasal can harm an unborn child or reason birth defects. Do not use if you are pregnant.
• Do not breast-feed while using this medication.
• You must not use this medicine if you are allergic to nafarelin or similar medicines such as leuprolide (Lupron, Eligard, Viadur), goserelin (Zoladex), histrelin (Vantas), or triptorelin (Trelstar).
• If you are a woman, you must not use nafarelin nasal if you have emergency vaginal bleeding that has not been checked by a doctor; or if you are pregnant or breast-feeding.
• Till using nafarelin nasal, speak your doctor if you have polycystic ovary malady, low bone mineral density, a history of osteoporosis, sneezing or a stuffy nose, diabetes, heart malady, tall blood pressure, last weight gain, tall cholesterol, if you take steroids or seizure medicine, if you smoke, or if you drink big amounts of alcohol.
• Your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.
• Call your doctor at once if you have hard or continued menstrual bleeding, pelvic pain or swelling, heighten thirst, heighten urination, chest pain or hard feeling, pain spreading to the hand or shoulder, sweating or common ill feeling, sudden numbness or weakness, sudden severe headache, confusion, or problems with vision, speech, or balance.
• Nafarelin nasal is a man-made form of a protein that is like a hormone in the body that helps regulate the menstrual cycle, fertility, and sexual development during puberty.
• Nafarelin nasal is used to treat precocious puberty in both male and female children. It is also used to treat endometriosis in women who are 18 years of age or older.
• Nafarelin nasal may also be used for purposes not listed in this medicine guide.
• You must not use this medicine if you are allergic to nafarelin or similar medicines such as leuprolide (Lupron, Eligard, Viadur), goserelin (Zoladex), histrelin (Vantas), or triptorelin (Trelstar).
• If you are a woman, you must not use nafarelin nasal if you have:
· emergency vaginal bleeding that has not been checked by a doctor; or
· if you are pregnant or breast-feeding.
• To create certain you can safely use nafarelin nasal, speak your doctor if you have any of these another conditions:
· diabetes, heart malady, tall blood pressure, last weight gain, tall cholesterol (especially in men);
· polycystic ovary disease;
· low bone mineral density;
· a private or family history of osteoporosis;
· sneezing or a runny nose;
· if you take steroids or seizure medicine; or
· if you smoke or drink big amounts of alcohol.
• FDA pregnancy category X. This medicine can harm an unborn child or reason birth defects. Do not use nafarelin nasal if you are pregnant. Speak your doctor right away if you become pregnant during treatment.
• Use a barrier form of birth control (such as a condom or diaphragm with spermicide). Hormonal contraception (such as birth control pills, injections, implants, skin patches, and vaginal rings) may not be effective satis to prevent pregnancy during your treatment.
• It is not known whether nafarelin nasal passes into breast milk or if it could harm a nursing child. Do not breast-feed while using this medication.
• Use exactly as predesigned by your doctor. Do not use in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.
• To use the nasal spray:
· Till the first use, prime the spray bottle by pumping it 5 to 10 times before a beautiful spray appears.
· Gently blow your nose to clear any mucus. Uncap the spray bottle.
· Insert the tip of the spray bottle into your nostril, pointing it straight upward. Block your another nostril with your finger. Quickly and gently exhaust the spray bottle one time and sniff gently at the same time. Remove the exhaust from your nose and tilt your head back slightly for a little seconds.
· If using more than one spray for nostril, wait at least 30 seconds between every spray.
· Clean the spray bottle tip with a tissue and recap it.
• To be certain this medicine is helping your condition and is not causing deleterious effects, your doctor will need to check your progress on a regular basis, especially during the first 6 to 8 weeks of treatment. Do not miss any scheduled appointments.
• When you first start using nafarelin nasal to treat precocious puberty, you may announcement an magnify in signs of puberty, such as enlarged breasts or vaginal bleeding. These are usual side effects of this medicine during the first month of use. If such pubertal signs continue for longer than 1 month, contact your doctor.
• Use nafarelin nasal regularly to get the most benefit. Get your prescription refilled till you run out of medication completely.
• Store in an upright position at room temperature, away from moisture, heat, and easy. Hold the bottle upright when not in use.
• Use the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not use extra medication to create up the missed dose.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.
• Try not to sneeze or blow your nose just after using the spray. This may decrease the amount of medicine your body absorbs.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.
• Call your doctor at once if you have a serious side effect such as:
· hard or continued menstrual bleeding;
· pelvic pain or swelling;
· heighten thirst, heighten urination;
· seizure (convulsions);
· chest pain or hard feeling, pain spreading to the hand or shoulder, nausea, sweating, common ill feeling;
· sudden numbness or weakness, sudden severe headache, confusion, problems with vision, speech, or balance; or
· nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
• Smaller serious side effects may include:
· changes in breast size;
· oily skin or acne, heighten body odor;
· dandruff;
· magnify in pubic hair growth;
· mood changes;
· runny nose;
· hot flashes;
· mild headache, muscle pain;
· easy and casual menstrual bleeding;
· white or brownish vaginal discharge;
· vaginal dryness; or
· changes in sexual desire.
• 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.
• If you have a stuffy nose during your treatment with nafarelin nasal, ask your doctor till using a decongestant. If your doctor recommends a decongestant nasal spray, do not use the decongestant for at least 2 hours after you have used nafarelin nasal.
• There may be another drugs that can interact with nafarelin nasal. 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 pharmacist can provide more information about nafarelin nasal.
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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