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Unit 1 Schering
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Mirena

Drug name: Mirena

Active Ingredients:

  • Levonorgestrel.

Therapeutic actions: Mirena IUD (intra uterine device) is a specific contraceptive device the active ingredient of which is Levonorgestrel. The device starts to work after insertion in to the womb where it steadily releases the active ingredient. Levonorgestrel is a progesterone or in other words female sex hormone.

The preparation works by increasing the viscosity of the wombs natural mucus thus making it more difficult for the sperm to enter the womb and decreasing the possibility of fertilization of th egg.

The preparation also affects endometrium by decreasing the possibility of the egg implantation into it. Thus even if the sperm fertilizes the egg it cannot develop. In some women levonorgestrel also prevents the release of the eggs from the ovary.

Indications: The preparation is used as:

  • Long-term contraceptive
  • In treatment of idiopathic menorrhagia or prolonged mestrual periods
  • Protection from endometrial hyperplasia in women taking estrogen hormone replacement therapy

Contraindications and cautions: Mirena IUD should not be used in the following conditions:

  • Pregnancy or supposed pregnancy
  • Inflammatory disease of the lesser pelvis
  • Infections of the urinary tract
  • Postpartal endometritis
  • Womb infections following abortion
  • Cervitis
  • Disease that cause increased sensitivity to infections
  • Intra-vaginal hemorrhage of unknown origin
  • Anomaly of the womb cervix
  • Acute liver disease or liver tumors
  • Cancer of the uterine cervix
  • Displasia of the womb cervix
  • Mammary gland cancer
  • Hypersensitivity to the components of Mirena IUD

The device should be used with caution in:

  • Migrains and asymetric vision impairment
  • Severe headaches
  • Jaundice
  • Arterial hypertension
  • Hormone dependent tumors
  • Severe disease of the cardiovascular system

Mirena side effects: There are possible side-effects associated with this medicine that can affect individuals in different ways. If a side effect is stated here, that does not necessarily mean the fact that all people using Mirena will experience it or any other. The side-effects include:

  • Menstrual bleeding changes
  • Ovarian cysts
  • Severe oedema
  • Weight gain
  • Headache
  • Depression
  • Mood changes
  • Nervousness
  • Nausea
  • Back pain
  • Abdominal pain
  • Acne
  • Breast tenderness and pain
  • Abnormal vaginal discharge
  • Cervix inflammation
  • Painful bleeding during menses
  • Meteorism
  • Decreased sex drive
  • Hair loss and abnormal hair growth
  • Genital infections
  • Migraines

The side effects listed above may not include all of the side effects reported by the drug's manufacturer. For more information about any other possible risks associated with Mirena IUD, please read the information provided with Mirena or consult your doctor or pharmacist.

Interactions: It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with Mirena. Similarly, check with your doctor or pharmacist before taking any new medication while taking this one, to ensure that the combination is safe. Especially mention the following:

  • Antiepileptics
  • Sedatives
  • Diuretics
  • Antibiotics
  • Herbal medicine
  • Antimycotics
  • Antidiabetics

Additional Information: DO NOT SHARE Mirena IUD with others. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS PRODUCT, as well as syringes and needles, if needed during treatment, out of the reach of children. Do not reuse needles, syringes, or other materials.



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