Description Of Product
Etonogestrel, Nexplanon Implant
Description: Contraceptive, Progestin
CSA NA – FDA Approved – REMS (N) – Can Ship
How Does It Work
Etonogestrel, Nexplanon is an active metabolite of desogestrel that suppresses ovulation, increases cervical mucus viscosity and stops the proliferation of the endometrial lining.
Indications For Use
Contraceptive
Precautions
Before starting Etonogestrel, Nexplanon make sure your physician is aware of any allergies or medications you currently take, and current medical conditions. Etonogestrel, Nexplanon is a progestin only contraceptive that has been associated with a higher risk of breast cancer and is contraindicated in women with (or history of) breast cancer. Etonogestrel, Nexplanon has been linked to higher cases of ectopic pregnancy, unexplained vision loss, diplopia, retinal vascular thrombosis, thromboembolism, and weight gain. Etonogestrel, Nexplanon should be used with caution in patients with cardiovascular disease, diabetes, fluid retention, gallbladder disease, hepatic adenomas or carcinomas, hepatic and renal impairment, hyperlipidemia and hypertension.
Usual Dosing
Usual (Implant): Insert 1 implant in the inner side of the upper, nondominant arm. Remove no later than 3 years after the date of insertion; may be replaced with a new implant at the time of removal if continued contraceptive protection is desired. After ruling out pregnancy, timing of insertion is based on the patient’s contraceptive history.
Pharmacist Tips On Using
How to Take: For subdermal insertion by a licensed healthcare practitioner trained in the insertion and removal of an implant. Insert the implant subdermally just under the skin at the inner side of the non-dominant upper arm overlying the triceps muscle ~8 to 10 cm (3 to 4 inches) from the medial epicondyle of the humerus and 3 to 5 cm (1.25 to 2 inches) posterior to the sulcus between the biceps and triceps muscles. This location is intended to avoid the large blood vessels and nerves lying within and surrounding the sulcus. Deeply placed implants should be localized and removed as soon as possible. Removal of deeply placed implants, implants that are not palpable, or implants that cannot be grasped during removal should be performed by health care providers trained in complex removal procedures. Use of a non-hormonal contraceptive is required until the presence of the implant can be verified.
Note: If following any of the above insertion schedules, no backup contraception is needed (except in postpartum women who are breastfeeding). If deviating, use a backup barrier method of contraception for 7 days postinsertion. If intercourse has already occurred, pregnancy should be excluded.
Frequently Asked Questions
What do I do if the side effects are not tolerable?
If the side effects are causing a lot of distress speak to our physician as soon as possible to discuss options.
When should Etonogestrel be implanted?
If you have not used hormonal contraceptives within the past month, insert between days 1 through 5 of menstruation, even if the woman is still bleeding.
How do I switch from a combination contraceptive to Etonogestrel?
If you were taking an oral tablet, insert the implant on the day after the last active tablet. At the latest, insert on the day following the usual tablet-free or placebo interval.
Insert on the day of the removal of the transdermal system or vaginal. At the latest, insert on the day following the transdermal-free or ring-free interval.
How do I switch from a progestin-only contraceptive to Etonogestrel?
If you were taking an oral tablet, insert the implant any day during the month within 24 hours of taking the last tablet.
If you were using an intrauterine device (IUD), insert the implant on the same day as removal of the IUD.
Insert the implant on the day that your next injection is due.
Special note for customers.
*All orders are limited to a 90 day supply.
*Prescriptions on this website are fulfilled and from Canada and depending on the medication may originate from Australia, New Zealand
United Kingdom, Canada or the United States.
Disclaimer
All information contained in and provided by ZIPRx.ca is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgement or guide individual patient care in any manner. The User is hereby notified that the information contained herein may not meet the user’s needs. The User is advised that, although the information is derived from medical research and literature, we cannot guarantee either its correctness, comprehensiveness or currency. ZIPRx nor any of its affiliated parties shall be liable for any damage resulting in whole or part from any User’s use of or reliance upon the information contained within.
Shipping Details
All orders received prior to 3:00 pm PST on business days will ship the following day; peak season and holiday shipping days may require an additional 24 hours. Our Pharmacy will make every effort to ship each order as quickly as possible. Orders received over the weekend will ship the following Monday as our shipping department is closed Saturday and Sunday.
We offer shipping via Canada Post within Canada. We offer shipping via USPS and UPS within the continental United States and worldwide. Expedited shipping options are available at checkout if you want to receive your order sooner.