Nexplanon (etonogestrel)
Last reviewed · Source: First Databank (FDB) drug data
Overview
Etonogestrel, levonorgestrel, and norethindrone are synthetic progestin contraceptives.
USES: This product is a small, thin plastic rod that is inserted under the skin to prevent pregnancy. The rod slowly releases etonogestrel into the body over a 5-year period. Etonogestrel is similar to a natural hormone made in your body.
This product does not contain any estrogen. This medication may not work as well in women who are very overweight or those taking certain drugs. (See also Drug Interactions section.) Discuss your birth control options with your doctor. This medication does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis).
Using an effective barrier method (latex or polyurethane condom/dental dams) during sexual activity will help to decrease your risk of infection.
Generic name: etonogestrel
Pronunciation: (e-TOE-noe-JES-trel)
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Nexplanon
Indications
The following indications are listed for Nexplanon:
- Pregnancy Contraception
Also known as: Contraception.
Dosing
No dosing information is available for this tab.
Norethindrone is administered orally once daily. The tablets should be taken at the same time each day and continued daily without interruption, including throughout all bleeding episodes. Women should be advised to inform a clinician if prolonged bleeding, amenorrhea, or severe abdominal pain occurs.
Levonorgestrel is administered orally or as a levonorgestrel-releasing intrauterine device.
If vomiting occurs within 2 hours following administration of levonorgestrel (e.g., Plan B One-Step(R), Next Choice One Dose(R)) for postcoital contraception, a clinician should be contacted to discuss the need for repeating the dose. If vomiting occurs within 2 hours following administration of the first or second dose of the levonorgestrel 2-dose regimen for emergency contraception, a clinician should be contacted to discuss the need for taking another dose.
Levonorgestrel-releasing intrauterine system should be inserted into the uterine cavity under strict aseptic conditions following a complete review of the patient's medical and social histories, exclusion of pregnancy, and physical examination (including pelvic examination, Papanicolaou test (Pap smear), and appropriate laboratory tests for other genital diseases (e.g., gonorrhea, chlamydia) as indicated). Special attention should be given to determining whether the woman is at risk for ectopic pregnancy or pelvic inflammatory disease (PID). Patients should be reexamined shortly after the first menstrual period following insertion of the device to verify that the device is properly positioned. The manufacturer's labeling should be consulted for proper methods of inserting and removing the levonorgestrel-releasing intrauterine system and for associated precautions.
Etonogestrel is administered as a nonbiodegradable implant that is inserted subcutaneously in the inner aspect of the upper arm. The manufacturer's labeling should be consulted for the proper method of administration and associated precautions.
No dosing information is available for this tab.
No dosing information is available for this tab.
Drug interactions
For information on drug interactions associated with oral contraceptives, see Drug Interactions in Estrogen-Progestin Combinations 68:12.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
There is no enhanced messaging for this drug.
There are no contraindication contraindications for this drug.
There are no severe contraindications for this drug.
There are no moderate contraindications for this drug.
Adverse reactions
There is no enhanced messaging for this drug.
There are no severe adverse reactions for this drug.
There are no less severe adverse reactions for this drug.
Precautions
No enhanced messaging available.
No enhanced messaging available.
No enhanced messaging available.
No enhanced messaging available.
No enhanced messaging available.
ICD codes
No ICD codes are available for this drug.
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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