Prescription required for orders placed from the USA
Preventing pregnancy for up to 5 years in certain women.
Mirena IUD is a progestin intrauterine device (IUD). It works by preventing ovulation. It also alters the lining of the uterus to prevent implantation should fertilization occur.
How to use Mirena IUD
Use Mirena IUD as directed by your doctor. Check the label on the medicine for exact dosing instructions.
An extra patient leaflet is available with Mirena IUD. Talk to your pharmacist if you have questions about this information.
Before using this product, read the patient insert and discuss the information, as well as other birth control methods, with your health care provider. This product will be inserted by a qualified health care provider in a medical setting.
Your period may be irregular during the first 3 to 6 months of use.
Check after each menstrual period to make sure you can locate the thread from the IUD that extends through the cervix. Do not pull on the thread. Contact your doctor if you cannot locate the thread.
Mirena IUD must be replaced every 5 years.
If you miss a dose of Mirena IUD, contact your doctor right away.
Ask your health care provider any questions you may have about how to use Mirena IUD.
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
-Acne;
-back pain;
-breast pain;
-breast tenderness;
-changes in sex drive;
-cramps;
-depression;
-hair loss;
-headache;
-irregular bleeding;
-lack of menstrual bleeding;
-nausea;
-nervousness;
-skin problems;
-stomach pain;
-vomiting;
-weight gain.
Seek medical attention right away if any of these SEVERE side effects occur:
-Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue);
-breast lumps;
-changes in vision;
-chills;
-dizziness;
-fever;
-genital sores;
-lack of menstrual period;
-mental or mood changes;
-numbness of an arm or leg;
-painful sexual intercourse;
-prolonged heavy menstrual bleeding;
-severe headache or dizziness;
-severe pain or tenderness in the abdomen or pelvis;
-sharp or crushing chest pain;
-spotting instead of your usual period;
-sudden leg pain;
-sudden severe headache, vomiting, dizziness, or fainting;
-sudden shortness of breath;
-unusual or odorous vaginal discharge;
-unusual vaginal swelling or bleeding;
-yellowing of the skin or eyes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.
Important Information about Mirena IUD
Some medical conditions may interact with Mirena IUD. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are planning to become pregnant or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have recently had a baby or an abortion
if you have ever had an ectopic pregnancy
if you have a history of diabetes, migraine headaches, heart disease or other heart problems (eg, heart attack), blood pressure problems, blood vessel problems, stroke or bleeding in the brain, blood clotting problems, or anemia
if you take anticoagulants (eg, warfarin), corticosteroids (eg, prednisone), or insulin
if you have never given birth to a child or are premenstrual
if you have infections or pelvic problems (eg, persistent pelvic pain or infections), endometriosis, genital lesions, painful sexual intercourse, bleeding of the uterus, or vaginal discharge
Some MEDICINES MAY INTERACT with Mirena IUD. Tell your health care provider if you are taking any other medicines, especially any of the following:
-Azole antifungals (eg, ketoconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, felbamate, griseofulvin, HIV protease inhibitors (eg, indinavir), hydantoins (eg, phenytoin), modafinil, nevirapine, penicillins (eg, amoxicillin), rifampin, St. John's wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone because they may decrease Mirena IUD's effectiveness
-Anticoagulants (eg, warfarin) because the risk of their side effects may be increased or decreased by Mirena IUD
-Beta-adrenergic blockers (eg, metoprolol), corticosteroids (eg, prednisone), insulin, selegiline, theophylline, or troleandomycin because the risk of their side effects may be increased by Mirena IUD
-Lamotrigine because its effectiveness is decreased, and when levonorgestrel is stopped, toxic effects, such as nausea, dizziness, and vision problems, may occur
This may not be a complete list of all interactions that may occur. Ask your health care provider if Mirena IUD may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
