Implanon Nxt Implant Sc 68 Mg 1 Piece

Description

Implanon nxt is a contraceptive implant preloaded in a disposable applicator. Safety and efficacy have been established in women between 18 and 40 years of age. The implant is a small, soft, flexible, plastic rod, 4 cm in length and 2 mm in diameter, which contains 68 milligrams of the active substance, etonogestrel. The applicator allows the healthcare professional to insert the implant just under the skin of your upper arm. Etonogestrel is a synthetic female hormone resembling progesterone. A small amount of etonogestrel is continuously released into the bloodstream. The implant itself is made of ethylene vinyl acetate copolymer, a plastic that will not dissolve in the body. It also contains a small amount of barium sulphate which renders it visible under X-ray. Implanon nxt is used to prevent pregnancy. How does Implanon nxt work The implant is inserted just below the skin. The active compound, etonogestrel, works in two ways: It prevents the release of an egg cell from the ovaries. It causes changes in the cervix that make it difficult for sperm to enter the womb. How to use Implanon nxt should be inserted and removed only by a healthcare professional who is familiar with procedures as described on the other side of this leaflet. The healthcare professional will decide in consultation with you the most suitable time for insertion. This depends on your personal situation (for example on the birth control method that you are currently using). Unless you are switching from another hormonal contraceptive method, the insertion should be performed on day 1‑5 of your spontaneous menstrual bleeding to rule out pregnancy. If the implant is placed after the fifth day of menses then you should use an additional contraceptive method (such as a condom) for the first 7 days after insertion. Before inserting or removing Implanon nxt, your healthcare professional will give you a local anaesthetic. Implanon nxt is inserted directly under the skin, on the inside of your upper non-dominant arm (the arm that you do not write with). Warnings and precautions Do not use Implanon nxt if you have any of the conditions listed below. If any of these conditions apply to you, tell your doctor before Implanon nxt is inserted. Your doctor may advise you to use a non-hormonal method of birth control. if you are allergic to etonogestrel or any of the other ingredients of this medicine. if you have a thrombosis. Thrombosis is the formation of a blood clot in a blood vessel [for example in the legs (deep venous thrombosis) or the lungs (pulmonary embolism)]. if you have or have had jaundice (yellowing of the skin), severe liver disease (when the liver is not functioning properly), or a liver tumour. if you have (had) or if you may have cancer of the breast or of the genital organs. if you have any unexplained vaginal bleeding. Warnings and precautions Talk to your doctor, pharmacist or nurse before using Implanon nxt. If Implanon nxt is used in the presence of any of the conditions listed below, you may need to be kept under close observation. Your doctor can explain to you what to do. If any of these apply to you, tell your doctor before Implanon nxt is inserted. Also if the condition develops or gets worse while you are using Implanon nxt you must tell your doctor. you have had cancer of the breast; you have or have had a liver disease; you have ever had a thrombosis; you have diabetes; you are overweight; you suffer from epilepsy; you suffer from tuberculosis; you have high blood pressure; you have or have had chloasma (yellowish-brown pigmentation patches on the skin, particularly of the face); if so avoid too much exposure to the sun or ultraviolet radiation. Side Effects The following side effects have been reported: Very Common (may affect more than 1 in 10 people) Acne; Headache; Increase in body weight; Breasts tenderness and pain; Irregular bleeding; Infection of the vagina. Common (may affect up to 1 in 10 people) Hair loss; Dizziness; Depressive moods; Emotional lability; Nervousness; Decreased sexual drive; Increased appetite; Abdominal pain; Nausea; Gas in stomach and intestines; Painful menstruation; Decrease in body weight; Influenza-like symptoms; Pain; Fatigue; Hot flushes; Implant site pain; Implant site reaction; Ovarian cyst. Storage Information Store below 30˚ Store in the original blister package. Drug Interactions Some medicines Can have an influence on the blood levels of implanon nxt Can make it less effective in preventing pregnancy Can cause unexpected bleeding. These include medicines used for the treatment of Epilepsy (e.G. Primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, topiramate, felbamate), Tuberculosis (e.G. Rifampicin), Hiv infections (e.G. Ritonavir, nelfinavir, nevirapine, efavirenz), Hepatitis c virus infection (e.G. Boceprevir, telaprevir), Other infectious diseases (e.G. Griseofulvin), High blood pressure in the blood vessels of the lungs (bosentan), Depressive moods (the herbal remedy st. John’s wort (hypericum perforatum)). Implanon nxt may influence the effect of other medicines, e.G. Medicines containing ciclosporin The anti-epileptic lamotrigine (this could lead to an increased frequency of seizures) Ingredients The active substance is: etonogestrel (68 mg) The other ingredients are: ethylene vinyl acetate copolymer, barium sulphate and magnesium stearate. Specifications The off-white implant is 4 cm in length and 2 mm in diameter and contains etonogestrel and barium sulphate.