GENERIC NAME: LEVONORGESTREL-RELEASING 5 YEAR SYSTEM - INTRAUTERINE (LEE-voe-nor-JES-trel)
BRAND NAME(S): Mirena
Medication Uses|How To Use|Side Effects|Precautions|Drug Interactions|Overdose|Notes|Missed Dose|Storage
USES:This product is a small, flexible device that is placed in the womb (uterus) to preventpregnancy. It is used by women who have had at least one child and want to use a reversiblebirth controlmethod that works for a long time (up to 5 years). It is also used to treat heavy menstrual bleeding in women who choose to use thisbirth controlmethod. The device slowly releases a hormone (levonorgestrel) that is similar to a hormone that women normally make. This device helps prevent pregnancy by making cervical fluid thicker, interfering with sperm movement, and reducing sperm survival to prevent sperm from reaching an egg (fertilization). It also thins the lining of the uterus (womb). This device may also stop the release of an egg from your ovary (ovulation), but this is not the way it works in most women.Using this product does not protect you or your partner againstsexually transmitted diseases(such asHIV,gonorrhea,chlamydia).
HOW TO USE:Read the Patient Information Leaflet provided by your pharmacist before you start using this product. The leaflet contains very important information about this device. If you have any questions, ask your doctor or pharmacist.This device is placed in your uterus by a health care provider during an in-office visit. It is left in place for up to 5 years. Schedule a follow-up visit 4 to 12 weeks after the device is placed to make sure it is still in the proper position.This device may sometimes move out of place or come out by itself. After each月经期, check to make sure it is in the proper position. Learn how to carefully check the position of this device from the Patient Information Leaflet and/or your health care provider. If it comes out or if you cannot feel the threads, contact your doctor promptly and use an additional form of non-hormonal birth control (such ascondoms, spermicide) to prevent pregnancy until otherwise directed by your doctor.If you wish to continue this method of birth control after 5 years, the used device may be removed and replaced with a new one. Either way, the used device should be removed after 5 years. Your health care provider can remove this device whenever you want to stop using this method of birth control.
SIDE EFFECTS:Pain, bleeding, ordizzinessduring and after placement of the device may occur.Cramps, irregular menstrual periods, andvaginal bleedingbetween periods (spotting) may occur, especially during the first few weeks of use.Headache,nausea, breast tenderness, orweight gainmay also occur. If any of these effects persist or worsen, tell your doctor promptly.After your body adjusts to this product, it is normal to have fewer bleeding days during your menstrual periods, and some women stop having periods altogether. This will not affect your ability to becomepregnant后停止使用这种产品。记住,your doctor has prescribed this medication device because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this device do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: stomach/abdominal pain,vomiting, lumps in the breast, mental/mood changes(such as new/worseningdepression), unusual changes invaginal bleeding(such as continuous spotting, sudden heavy bleeding, missed periods),dark urine, yellowing eyes/skin, unusualheadaches(includingheadacheswith vision changes/lack of coordination, worsening ofmigraines, sudden/very severeheadaches).Using anintrauterine device(IUD) may increase your risk for a rare but serious pelvic infection (pelvic inflammatory disease-PID), which can cause permanent damage to sex organs andinfertility. The risk is greater in women who have multiple sexual partners, or infection with asexually transmitted disease(性病), or who have had PID in the past (see also Precautions section). Tell your doctor right away if you experience symptoms of PID, including: unexplainedfever/chills, lower abdominal/pelvic pain,painduring sexual intercourse, genital sores, unusualvaginal discharge.A very seriousallergic reactionto this drug is rare. However, get medical help right away if you notice any symptoms of a seriousallergicreaction, including:rash,itching/swelling (especially of the face/tongue/throat), severedizziness, troublebreathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS:Before using this medication device, tell your doctor or pharmacist if you are allergic to levonorgestrel, or to any other progestins (such asnorethindrone, desogestrel); or if you have any otherallergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this product, tell your doctor or pharmacist your medical history, especially of: recent pregnancy, currentbreastfeeding, bleeding/血液疾病,high blood pressure, abnormal breast exam,cancer(especially endometrial orbreast cancer),depression,diabetes, severe headaches/migraines,heartproblems (such asheart valve disease, irregular heartbeat, previousheart attack),liver disease(including tumors), previous pregnancy outside the uterus (ectopic pregnancy),stroke, unexplained vaginal bleeding, uterus problems (such as fibroids,pelvic inflammatory disease-PID), conditions that weaken the immune system/increase the risk of infection (such asHIV,leukemia, IVdrug abuse).If you or partner have other sexual partners, this device may not be the best birth control method for you. If you or your partner get a sexually transmitted disease (includingHIV,gonorrhea,chlamydia), contact your doctor immediately. Ask your doctor if you should continue to use this device for birth control.Before having surgery, tell your doctor or dentist about all the products you use (including prescriptiondrugs, nonprescription drugs, and herbal products).This device should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor immediately.Levonorgestrel passes intobreast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS:Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
OVERDOSE:Overdose with this device is highly unlikely. However, if overdose is suspected, contact apoison controlcenter or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
NOTES:Keep all regular medical and laboratory appointments. You should have regular complete physical exams which include laboratory and medical tests (such as官网地址bwin, breast exam,pelvic exam,Pap smear) to check for side effects. Follow your doctor's instructions for examining your breasts, and report any lumps right away. Consult your doctor for more details.
SLIDESHOW
Sex-Drive Killers: The Causes of Low LibidoSee SlideshowSTORAGE:Before use, store at room temperature. Keep all medications and medical devices away from children and pets.Do notflushmedications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Information last revised November 2013. Copyright(c) 2013 First Databank, Inc.
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Related Disease Conditions
Birth Control Options
避孕是可用的各种方法and types. The method of birth control varies from person to person, and their preferences to either become pregnant or not. Examples of barrier methods include barrier methods (sponge, spermicides, condoms), hormonal methods (pill, patch), surgical sterilization (tubal ligation, vasectomy), natural methods, and the morning-after pill. Side effects and risks of each birth control option should be reviewed before using any birth control method.
What Are the Symptoms of a Moved IUD?
An intrauterine device or IUD is a popular birth control device. Symptoms of a moved IUD include being able to feel the IUD with your fingers or during sex, painful intercourse, abdominal cramping, foul-smelling vaginal discharge and fever.
Pregnancy Planning (Tips)
Pregnancy planning is an important step in preparation for starting or expanding a family. Planning for a pregnancy includes taking prenatal vitamins, eating healthy for you and your baby, disease prevention (for both parents and baby) to prevent birth defects and infections, avoiding certain medications that may be harmful to your baby, how much weight gain is healthy exercise safety and pregnancy, travel during pregnancy.
DVT and Birth Control Pills (Oral Contraceptives)
Deep vein thrombosis (DVT) is a blood clot that has traveled deep into the veins of the arm, pelvis, or lower extremities. Oral contraceptives or birth control pills can slightly increase a woman's risk for developing blood clots, including DVT. DVT symptoms and signs in the leg include leg or calf pain, redness, swelling, warmth, or leg cramps, and skin discoloration. If a blood clot in the leg is not treated, it can travel to the lungs, which can cause a pulmonary embolism (blood clot in the lung) or post-thrombotic syndrome, both of which can be fatal if not treated immediately. Increased risk factors for DVT and birth control pills include over 40 years of age, family history, smoking, and obesity. Other medical problems that increase the risks of blood clots, for example, lung or heart disease, or inflammatory bowel disease or IBD (Crohn's disease and ulcerative colitis (UC). Other options for preventing pregnancy include IUDs, birth control shots, condoms, diaphragms, and progestin-only oral contraceptives.
Sexual Health
Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
Treatment & Diagnosis
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QUESTION
Which of the following are methods for contraception?See AnswerHealth SolutionsFrom Our Sponsors
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit theFDA MedWatchwebsite or call 1-800-FDA-1088.
Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.
使用条件:在这个databas的信息e is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.