Implanon NXT 68 mg

Implanon NXT 68 mg is a contraceptive implant that consists of a small flexible rod (short like a matchstick but thinner) that is inserted under the skin of a woman's upper arm. Contains 65 mg of Etonorgestrel in each applicator. Implanon NXT is more than 99% effective and can prevent pregnancy for 3 years. Also, it can be stopped any time a woman wants by asking the health care provider to remove it. This method is completely and quickly reversible because it releases a very low dose of the hormone which when removed quickly leaves the body, so that a woman can get pregnant without delay.

Implanon NXT is suitable for women who want to prevent pregnancy for a year or more, and provides safe, effective, long-acting and reversible contraception.

What is etonogestrel and what it is used for.

• Etonogestrel is a contraceptive implant that is preloaded in a disposable applicator.
• Safety and efficacy demonstrated in women between 18 and 40 years of age.
• The implant is a small, soft, flexible plastic rod, 4 cm long and 2 mm in diameter, containing 68 milligrams of the active substance, etonogestrel.
• The insertion device allows a health care professional to insert the implant directly under the skin of your upper arm.
• Etonogestrel is a synthetic female hormone that is similar to progesterone.
• A small amount of etonogestrel is constantly 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 sulfate which makes it visible under X-rays.
• Etonogestrel is used to prevent pregnancy:

How does etonogestrel work:”

• The implant is inserted just under the skin.
• The active compound, etonogestrel, works in two ways:
• It prevents the release of an egg from the ovaries.
• It causes changes in the cervix that make it difficult for sperm to enter the uterus.
• As a result, etonogestrel protects you from pregnancy for three years, but if you are overweight, your doctor may advise you to replace the implant early.
• Etonogestrel is one of several methods of contraception.
• Another commonly used birth control method is the combination birth control pill.
• Unlike combination pills, etonogestrel can be used by women who may or may not use estrogen.
• When using etonogestrel, you do not have to remember to take a pill every day.
• This is one of the reasons why etonogestrel is so reliable (more than 99% effective).
• If the implant is not inserted correctly on rare occasions or not at all, you may not be protected against pregnancy.
• When using etonogestrel, menstrual bleeding may change and become absent, irregular, infrequent, frequent, prolonged or rare.
• The bleeding pattern you experience during the first trimester generally indicates a future bleeding pattern.
• Painful periods may improve.
• You can stop using etonogestrel at any time

What you need to know before using etonogestrel:

Do not use etonogestrel:

Tell your doctor:

• If you are allergic to etonogestrel or any of the other ingredients of this medicine
• If you have a clot.
• 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 ever had jaundice (yellowing of the skin), severe liver disease (when the liver does not work properly), or a liver tumor.
• If you have had (had) or if you have ever had cancer of the breast or reproductive organs.
• If you have had any unexplained vaginal bleeding.

Warnings and precautions:

You should tell your doctor if:

• You have breast cancer.
• you have or have had liver disease;
• I've had a blood clot before.
• You have diabetes.
• I was overweight.
• You suffer from epilepsy.
• You suffer from tuberculosis.
• You have high blood pressure.
• you have or have had melasma (yellowish-brown pigmentation spots on the skin, especially on the face); If so, avoid excessive exposure to the sun or UV rays.

Other medicines and etonogestrel:

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines:

These include medicines used to treat:

• epilepsy (such as primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, topiramate, felbamate);
• tuberculosis (such as rifampicin).
• HIV infection (such as ritonavir, nelfinavir, nevirapine, efavirenz);
• hepatitis C virus infection (such as boceprevir, telaprevir);
• other infectious diseases (eg griseofulvin);
• high blood pressure in the blood vessels of the lungs (Bosentan);
• Depressive mood (St. John's wort herbal remedy).
• Etonogestrel ring may affect the effect of other medicines, for example
• Medicines containing cyclosporine
• the antiepileptic lamotrigine (this may increase the frequency of seizures)

How to use etonogestrel:

• Etonogestrel should only be inserted and removed by a healthcare professional familiar with the procedures described on the other side of this leaflet.
• Your health care professional, in consultation with you, will decide the most appropriate time for admission.
• This depends on your personal situation (for example, the birth control method you are currently using).
• Unless you are switching from another hormonal contraceptive, insertion should take place on day 1-5 of spontaneous menstrual bleeding to rule out pregnancy.
• If the implant is placed after the fifth day of menstruation, you must use an additional method of contraception (eg condoms) for the first seven days after insertion.
• Before inserting or removing etonogestrel, your healthcare professional will give you a local anesthetic.
• Etonogestrel is inserted directly under the skin, on the inside of your non-dominant upper arm (the arm you don't type in).
• Etonogestrel must be removed or replaced for no longer than three years after insertion.