Mirena Intrauterine Delivery System 1'S

Talk to your Doctor, if you: Are allergic or hypersensitive to Levonorgestrel or any of the other ingredients of this medicine Have had a serious pelvic infection called pelvic inflammatory disease (PID) unless you have had a normal pregnancy after the infection went away Have had a serious pelvic infection in the past 3 months after a pregnancy Have or suspect you might have cancer of the uterus or cervix Have bleeding from the vagina Have liver or kidney or heart disease Have breast cancer or any other cancer that is sensitive to progestin (a female hormone), now or in the past Have an intrauterine device in your uterus Have a condition of the uterus that changes the shape of the uterine cavity, such as large fibroid tumors Have Postpartum endometritis or infected abortion in the past 3 months Suspected uterine or cervical neoplasia If you are pregnant or breast feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine It is not recommended to children and adolescents under the age of 18 years

MIRENA is placed by your doctor or nurse

Pelvic inflammatory disease (PID): infertility, ectopic pregnancy or pelvic pain, hysterectomy (removal of the uterus) long-lasting or heavy bleeding, unusual vaginal discharge, low abdominal (stomach area) pain, painful sex, chills Life-threatening infection: severe pain or fever Perforation: internal scarring, infection, or damage to other organs Pain, bleeding or dizziness Expulsion Missed menstrual periods Changes in bleeding: spotting, bleeding is heavier or lighter, irregular periods Cysts on the ovary: pain

Tell your doctor if you are taking, Barbiturates, phenytoin, carbamazepine, felbamate, oxcarbazepine, topiramate (used to treat epilepsy) Bosentan (used to treat pulmonary arterial hypertension) Efavirenz, nevirapine (used to treat HIV) Griseofulvin, itraconazole, ketoconazole (used to treat fungal infection) Rifampin (used to treat tuberculosis)

Keep this medicine out of reach of children Store at a room temperature of 15-25°C