• This medicine does not protect against sexually-transmitted diseases.
• This medicine does not mix well with some medicines. Serious reactions may occur. Check all medicines with healthcare provider.
• If you have an allergy to levonorgestrel or any other part of this medicine.
• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
• If you are pregnant or may be pregnant.
Mirena® (uterine device):
• If you have any of the following conditions: Active liver disease, blood clots, breast cancer, tumor where estrogen makes it grow, or unexplained vaginal bleeding.
• If you have any of the following conditions: Abnormal Pap smear, endometritis after delivery, infected abortion in the last 3 months, pelvic infection, pregnancy where fertilized egg was in an abnormal position, uterine or cervical tumor or growth, uterine fibroids, or untreated cervicitis or vaginitis.
• If you have an intrauterine device in place.
• If you or your partner have sex with more than one person.
• If your body's ability to fight infection is weakened.
• Levonorgestrel prevents or delays ovulation (egg release). It changes the environment so that sperm cannot fertilize the egg, rearranges the chemical balance seen in pregnancy, and prevents implantation of the fertilized egg.
• It thins the lining of the uterus.
Oral:
• Call healthcare provider for instructions.
• Do not take a double dose or extra doses.
• Store tablets at room temperature.
• Device will be inserted in a healthcare setting. You will not store at home.
Created: 2006-10-13 13:34:47.0
Modified: 2010-05-25 11:44:01.0
Lexi-PALS TM © (1977)-(2007) Lexi-Comp, Inc. All rights reserved.
• This medicine is used to prevent pregnancy.
• This medicine is used to treat heavy bleeding during menstruation.
Oral:
• This medicine should be started less than 72 hours after unprotected sexual intercourse.
• If you vomit within 2 hours of taking this medicine, take another dose.
Uterine device:
• The device is placed in your uterus. This will be done sometime during the first 7 days of your menstrual cycle or right after an abortion. This must be replaced every 5 years.
All forms:
• Change in condition being treated. Is it better, worse, or about the same?
• If you are diabetic, you will need to monitor blood sugars closely.
• Follow up with healthcare provider yearly.
Uterine device:
• Follow up with healthcare provider after using this medicine for 3 months.
• If you have a life-threatening allergy, wear allergy identification at all times.
• Do not share your medicine with others and do not take anyone else's medicine.
• Keep all medicine out of the reach of children and pets.
• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.
• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.
All forms:
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Avoid cigarette smoking. Persons older than 35 years of age and/or smoking more than 15 cigarettes per day are at an increased risk for heart disease.
• Tell healthcare provider if you are breast-feeding.
• To protect against sexually-transmitted diseases, use a latex condom.
Oral:
• This medicine will not end a pregnancy.
• This medicine is not for regular use to prevent pregnancy.
Uterine device:
• If you have diabetes, talk with healthcare provider.
• If you have heart valve disease, talk with healthcare provider.
• If you have high blood pressure, talk with healthcare provider.
All forms:
• Weight gain.
• Headache.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Acne.
• Breast enlargement.
• For females, vaginal yeast infection. Report itching or discharge.
• Menstrual changes. These include lots of bleeding, spotting, or bleeding between cycles.
• Gallbladder disease, blood clots, heart attacks, and other vascular problems can rarely occur.
Uterine device:
• Discomfort while device is being placed.
• High blood pressure.
• Cyst on the ovary can rarely occur.
All forms:
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Severe headache.
• Severe belly pain.
• Severe nausea or vomiting.
• Sudden change in vision, eye pain, or irritation.
• A lump in the breast or breast tenderness.
• For females, if you are pregnant or may be pregnant.
Oral:
• If you vomit within 2 hours of taking this medicine.
Uterine device:
• Cannot feel string.
• Device comes out.
• Painful sex.
• Dark urine or yellow skin or eyes.
• Severe belly pain.
