Norplant (Levonorgestrel implant capsules) is a contraceptive device that is surgically implanted under the skin. The device releases the hormone levonorgestrel, a progestin, in the body to prevent pregnancy for up to 5 years. Once the implant capsules are removed, fertility quickly returns to normal. NOTE: Norplant is discontinued in the US as of mid-2002.
What should I tell my doctorr before I take Norplant?
Need to know if you have any of these conditions:
blood vessel disease, or blood clotting disorder
breast cancer
diabetes
disturbed eyesight
heart disease
kidney disease
liver disease
tobacco smoker
vaginal bleeding
an unusual or allergic reaction to levonorgestrel, other hormones, medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use Norplant?
Levonorgestrel implant capsules are surgically implanted under the skin by a doctor.
Contact your pediatrician regarding the use of Levonorgestrel in children. Special care may be needed.
What drugs may interact with levonorgestrel?
aprepitant, a medicine used for chemotherapy-induced nausea and vomiting
barbiturate medicines for inducing sleep or treating seizures (convulsions)
bosentan
carbamazepine
griseofulvin
modafinil
oxcarbazepine
phenytoin
rifabutin
rifampin
rifapentine
ritonavir
St. John's wort
topiramate
troglitazone or pioglitazone
Tell your doctor about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your doctor if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your doctor before stopping or starting any of your medicines.
What side effects may I notice from using Norplant?
Side effects that you should report to your doctor as soon as possible:
dizziness or fainting spells
leg, arm or groin pain
severe headache
sudden shortness of breath
swelling of the hands, feet or ankles, or rapid weight gain
vision or speech problems
Side effects that usually do not require medical attention (report to your doctor if they continue or are bothersome):
acne
breakthrough bleeding, spotting, irregular menstrual cycle, or no menstruation
breast discharge
facial hair growth
fluid retention and swelling
loss of appetite or increase in appetite
mood changes, anxiety, depression, frustration, anger, or emotional outbursts
nausea, vomiting
pain or itching at the place where the implant was inserted
skin rash
stomach discomfort
vaginal yeast infection (irritation and white discharge)
What should I watch for while taking Norplant?
Visit your doctor for regular checks on your progress. You should have a complete check-up every 6 to 12 months.
Tobacco smoking increases the risk of getting a blood clot or having a stroke while you are using levonorgestrel, especially if you are more than 35 years old. You are strongly advised not to smoke.
If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your doctor.
Levonorgestrel skin implants do not protect you against HIV infection (AIDS) or other sexually transmitted diseases.
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