• If you have osteoporosis, talk with healthcare provider.
• Use caution if you have risk factors for osteoporosis (alcohol use, cigarette smoking, other family members with osteoporosis, taking medicines to treat seizures, taking steroids).
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Do not use a nasal decongestant spray within 2 hours after using this medicine.
• Birth control pills and other hormone-based birth control may not work to prevent pregnancy. Use another form of birth control while taking this medicine.
• Headache.
• Flushing. Wearing layers of clothes or summer clothes and cool environment may help.
• Acne.
• Vaginal irritation.
• Nasal irritation.
• Runny nose.
• Weakened bones with long-term use.
• Emotional ups and downs.
• Mood changes.
• Change in sexual ability or desire. This is usually reversible.
• Ovarian cysts may rarely occur in the first 2 months of therapy.
• 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 nausea or vomiting.
• Severe nasal irritation.
• Severe headache.
• Sudden change in vision, eye pain, or irritation.
• Significant change in thinking clearly and logically.
• For females, still having menstrual cycle.
• For females, if you become pregnant while taking this medicine.
• Any rash.
• No improvement in condition or feeling worse.
• If you have an allergy to nafarelin 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.
• If you are breast-feeding.
• Nafarelin decreases hormone levels.
• It decreases estrogen levels in females.
• It decreases testosterone levels in males.
• To gain the most benefit, do not miss doses.
• Use prescription as directed, even if feeling better.
• Do not take this medicine by mouth. For the nose only. Keep out of mouth and eyes (may burn).
• Blow your nose before use.
• Do not sneeze during or right after using this medicine.
• Check spray use with healthcare provider at each visit. Read and follow all instructions provided with spray. Using the spray the right way is very important.
• Use a missed dose as soon as possible.
• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
• Do not use a double dose or extra doses.
• Change in condition being treated. Is it better, worse, or about the same?
• Bone density test if taking for more than 6 months or if you have risk factors for osteoporosis.
Created: 2006-10-13 14:23:46.0
Modified: 2010-04-29 10:07:24.0
Lexi-PALS TM © (1977)-(2007) Lexi-Comp, Inc. All rights reserved.
• This medicine is used to treat endometriosis.
• This medicine is used to delay puberty in children who are developing too early.
• 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.
• Read the package insert for more details.
