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ESTRADIOL/MEDROXYPROGESTERONE SUSPENSION-INJECTION, Lunelle (cont.)

HOW TO USE: Learn all preparation and usage instructions in the product package. If any of the information is unclear, consult your doctor or pharmacist. Shake the vial well before each dose. Inject this medication into a muscle (IM) once monthly within the first 5 days of your menstrual period; or as directed by your doctor. Additional doses may be given between day 28 and day 30 (from the start of your menstrual cycle); do not use bleeding episodes to determine the injection schedule for this drug. If it has been 33 days or longer since your last dose, inform your doctor promptly before receiving your next dose. A pregnancy test should be done and an alternate form of birth control (e.g., diaphragm, condoms) should be used until the results of the pregnancy test are obtained. Do not use this medication if it is within 4 weeks following childbirth (if not breast-feeding) or 6 weeks following childbirth if you are breast-feeding. Learn how to store and discard needles and medical supplies safely. Consult your pharmacist.

SIDE EFFECTS: Irregular vaginal bleeding (e.g., decreased, breakthrough, prolonged bleeding), weight gain, headache, nausea, acne, or breast tenderness may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur: stomach pain, swelling, mental/mood disorders, dizziness. Tell your doctor immediately if any of these unlikely, but serious side effects occur: vision problems, increased urination, weight loss, vaginal changes (e.g., infection, cervical changes). Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: leg pain, chest pain, trouble breathing, severe headache, one-sided weakness, yellowing of the eyes and skin. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.



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