progesterone-intrauterine, Progestasert (cont.)

SIDE EFFECTS: Abnormal vaginal bleeding and cramps may occur. If these persist or worsen, notify your doctor promptly. Unlikely but report promptly: increased menstrual flow, bleeding between periods, painful intercourse, abnormal or strong- smelling vaginal discharge, flu-like symptoms, genital sores, missed period, backache. Very unlikely but report promptly: fever, stomach/abdominal pain, vaginal pain or discomfort, bloody or black stool, fainting, slow heartbeat. Some side effects, though unlikely, can lead to very serious problems. Consult your doctor for details on the risks. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your entire medical history, including: allergies (especially drug allergies), previous ectopic (tubal) pregnancy, female genital or pelvic infections/surgeries/other problems, heart disease, very large amount of menstrual flow, sexual history (you and partner), blood disorders, diabetes, IV drug abuse, being prone to infection (due to cancer, HIV, or the use of immune suppressing drugs such as corticosteroids). Do not pull on the threads attached to the device. This product should not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. Progesterone is excreted into breast milk. Breast-feeding while using this product is not recommended. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all nonprescription and prescription medication you may use, especially of: blood thinners (e.g., warfarin, heparin), other drugs affecting blood clotting such as aspirin or NSAIDs (e.g., ibuprofen, indomethacin), birth control medicines. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: Not applicable.

NOTES: Womb examinations will be done periodically to monitor the position of the device and for any possible problems.

MISSED DOSE: Contact your doctor promptly if you miss an appointment for removal and/or reinsertion of this device.

STORAGE: Follow manufacturer instructions.

Last Editorial Review: 3/2/2005

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