MIRENA

This medicine is an intrauterine system (IUS) that is inserted into the womb. The active ingredient of this medicine is the hormone levonorgestrel, which is effective for long term prevention of pregnancy by controlling the womb lining and opening or by preventing ovulation. This medicine is also prescribed to reduce excessive menstrual bleeding or to preserve the lining of the womb during menopause.

Is Mirena suitable for me?

Mirena is not suitable for everyone. Do not use it

• if you are allergic to levonorgestrel or to other ingredients of this medicine
• if you have or have had any type of cancer
• if you have or have had recurrent pelvic inflammatory disease
• if you have or have had inflammation of the neck of the womb (cervix)
• if you have vaginal infection
• if you have or have had inflammation of the lining of your womb
• if you have or have had an infection of the womb
• if you have or have had an abnormal smear test (changes in the cervix)
• if you have undiagnosed vaginal bleeding
• if you have an abnormal womb or abnormal growths in the womb (fibroids)
• if you have or have had liver problems
• if you  have had a stroke or history of bleeding of the brain
• if you have blood clotting disorder
• if you are pregnant, trying to become pregnant

In particular, you must tell the doctor if you:

• are pregnant, planning to get pregnant, or breastfeeding
• have a history of ectopic pregnancy or you are premenstrual
• have diabetes

Levonorgestrel interacts with other medicines. It is most important that you tell the doctor all the medications and herbal supplements that you are currently taking.

See the package leaflet for a complete list of possible contraindications and warnings.

How should I take Mirena?

This medicine is available in form of an intrauterine system (IUS).

This medicine will be inserted by a health care professional. Read the information leaflet provided with your medication for additional information. Talk to your doctor if you have any additional questions.

What are Mirena side effects?

Like all medicines Mirena can cause side effects, including:

Very common:

• vaginal bleeding including spotting
• absent, light or infrequent menstrual periods

Common:

• ovarian cysts
• painful periods
• weight gain
• depression, nervousness
• headache
• migraine
• abdominal, pelvic or back pain
• nausea
• acne
• increased growth of hair on the face and body
• reduced sex drive
• increased vaginal discharge
• inflammation of the vulva and vagina
• tender, painful breasts

Uncommon:

• genital infections
• infection or inflammation of the lining of the womb
• inflammation of the neck of the womb (cervicitis)
• swelling of your abdomen, legs or ankles
• hair loss
• itchy skin including eczema

Consult a doctor if the side effects are severe. See the package leaflet for a complete list of side effects.