Find & Manage Your Patient Assistance Programs
Estimated patient savings $749,477,221.09
MIRENA
LEVONORGESTREL-RELEASING INTRAUTERINE - IMPLANT

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

LEVONORGESTREL-RELEASING INTRAUTERINE - IMPLANT

(lee-voh-nor-JEST-rell)

COMMON BRAND NAME(S): Mirena

Uses

This product is a small, flexible device that is placed in the uterus and is used to prevent pregnancy. The device works by slowly releasing a hormone (levonorgestrel) and is used in women who desire long-term (up to 5 years) and reversible birth control. This product is only intended for use in women who have previously given birth, have only one sexual partner (are monogamous), have no history of certain sexually-related infections/conditions (e.g., pelvic inflammatory disease, sexually transmitted disease), or no history of certain problem pregnancy (ectopic). For more information, consult your doctor. The use of this medication does not protect you or your partner against sexually transmitted diseases (e.g., HIV, gonorrhea).

How To Use

This product is inserted into your uterus by a properly trained health care professional usually once every 5 years, or as determined by your doctor. The medication in the device is slowly released into the body over a 5-year period. If birth control is still desired after 5 years, the device may be replaced with a new one. If birth control is no longer desired at any time, the device may be removed by a properly trained health care professional. Carefully read all of the information provided by your doctor and ask any questions you may have about this product or other type of birth control methods that may be right for you. Learn all the instructions on how and when to check this product, its proper positioning in your body, and the risks associated with this product. Consult your doctor.

Side Effects

Irregular vaginal bleeding (e.g., spotting), cramps, headache, nausea, breast pain, acne, rash, hair loss, or weight gain may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: lack of menstrual period, fever, chills, stomach pain, trouble breathing, mental/mood changes, decreased interest in sex, vaginal swelling/itching, painful intercourse. Tell your doctor immediately if any of these unlikely but serious side effects occur: migraine headache, vomiting, fatigue, prolonged and severe vaginal bleeding. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: unusual vaginal discharge/odor or sores, severe lower stomach/pelvic pain, lumps in the breast, yellowing eyes or skin, dark urine, trouble urinating. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

This medication is not recommended for use if you have any of the following medical conditions: pregnancy or suspect you are pregnant, uterine problems (e.g., cancer, endometriosis, fibroids, pelvic inflammatory disease or PID), vaginal problems (e.g., infection), liver disease or tumors, disease affecting your immune system (e.g., AIDS, leukemia), breast cancer, previous ectopic pregnancy, other IUD (intrauterine device) still in place. Tell your doctor your medical history, especially of: bleeding problems (e.g., menstrual changes, clotting problems), heart problems (e.g., congenital valve conditions), migraine headaches, diabetes, any allergies. This medication device must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. Consult your doctor about the risks associated with pregnancy while using this product. Levonorgestrel passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast- feeding.

Drug Interactions

Tell your doctor of all prescription and nonprescription medication you may use, especially: "blood thinners" (e.g., warfarin), oral contraceptives. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose

Overdose with this medication is not generally suspected because of the way the drug is released from this device. Consult your doctor or pharmacist.

Notes

Laboratory and/or medical tests (e.g., pregnancy tests, physical exams) may be performed to monitor your progress.

Missed Dose

Not applicable.

Storage

Prior to use, store at room temperature between 36 and 86 degrees F (15 to 30 degrees C) away from light and moisture.