Generic Name: etonogestrel (Intradermal route)
Commonly used brand name(s):
In the U.S.
Available Dosage Forms:
Therapeutic Class: Contraceptive, Progestin
Pharmacologic Class: Progestin
Etonogestrel implant is a medicine that is used in women to prevent pregnancy. It is a form of birth control. This medicine is made of a hormone mixed in a flexible plastic rod about the size of a matchstick. It is effective for three years when inserted just beneath the skin of your upper arm .
Etonogestrel implant will not protect a woman from sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS). The use of latex (rubber) condoms or abstinence (not having sex) is recommended for protection from these diseases .
This medicine is available only with your doctor's prescription .
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies have not been performed on the relationship of age to the effects of etonogestrel implant in women less than 18 years of age. Safety and efficacy have not been established .
Adequate and well-controlled studies have not been done in women over 65 years of age. This medicine is not intended for use in this population .
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
It is very important that you tell your doctor if you think you might be pregnant or if you missed a period before you receive this medicine. Tests will be done to make sure you are not pregnant before this medicine is inserted .
This medicine comes with patient instructions. After reading the instructions, you will be asked to sign a USER CARD and Patient Consent Form before you receive this medicine. The Consent Form tells you about some possible risks when using this medicine, and when it must be removed. Make sure you understand what is in the patient instructions and the Consent Form before you sign it. Keep the USER CARD in a safe place at home with your health records. If you have any questions, ask your doctor to answer them .
After this medicine is inserted, you should check that it is in place. Gently press your fingertips over the skin in your arm where this medicine was inserted. You should be able to feel the small rod .
Use another form of birth control (such as condoms, spermicides, or a diaphragm) until the implant has been in place for seven days .
Your doctor must remove this medicine after three years. If you would like to stop using this medicine, your doctor can remove it at any time .
If you still want to prevent pregnancy after this medicine is removed, you should start using another form of birth control (such as condoms, spermicides, or a diaphragm) right away. If you still want to continue using this medicine, your doctor can insert a new implant under your skin after taking the old one out .
If you will be using the etonogestrel implant for a long time, it is very important that your doctor check you at regular visits for any problems or unwanted effects that may be caused by this medicine.
If you become pregnant while using this medicine, you have a slightly higher chance of having an ectopic pregnancy (occurs outside the womb). Ectopic pregnancies can cause serious internal bleeding. Contact your doctor immediately to have the implant removed .
Tell your doctor if you are breast-feeding or planning to breast-feed. You may start using this medicine if you had a baby more than four weeks ago .
Etonogestrel implant will not protect you against HIV/AIDS or other sexually transmitted diseases. The use of latex (rubber) condoms or abstinence (not having sex) is recommended for protection from these diseases .
Tell your doctor if you have had an allergic reaction to numbing medicines (anesthetics) or skin cleansers (antiseptics). These medicines will be used when etonogestrel implant is inserted into your arm .
If you wear contact lenses and you have blurred vision, difficulty in reading, or any other change in vision while using this medicine, check with your doctor right away. Your doctor may want you to get your eyes checked by an eye doctor (ophthalmologist) .
This medicine may affect blood sugar levels. If you notice a change in the results of your blood or urine sugar tests, or if you have any questions, check with your doctor .
Before you have any medical tests, tell the medical doctor in charge that you are using etonogestrel implant. The results of some tests may be affected by this medicine .
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:More common
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More common
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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