Mirena (52 MG)

• It is used to prevent pregnancy.
• It is used to treat heavy bleeding during monthly periods (menstruation).

• Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
• Follow up with the doctor as you have been told.
• Based on when Mirena is put in, you may need to use a non-hormone type of birth control like condoms to prevent pregnancy for some time. Follow what your doctor has told you to do about when to have this medicine put in and using a non-hormone type of birth control.
• This medicine is not for use as emergency birth control. Talk with the doctor.
• This medicine does not stop the spread of diseases like HIV or hepatitis that are passed through blood or having sex. Do not have any kind of sex without using a latex or polyurethane condom. Do not share needles or other things like toothbrushes or razors. Talk with your doctor.
• If you are having an MRI, talk with your doctor.
• Life-threatening infection can happen within a few days after Mirena was put in. Call your doctor right away if you have fever or pain where this medicine was placed.
• Very bad health problems and the need for surgery can happen if Mirena goes through the uterus. This medicine may also not prevent pregnancy if this happens. Talk with the doctor.
• This medicine may raise the chance of a health problem called pelvic inflammatory disease (PID). The chance may be higher if you or your partner have sex with other partners. PID can lead to other health problems like not being able to get pregnant, surgery, or rarely death. Talk with your doctor.
• Vaginal bleeding, spotting, or cramps may happen for 3 to 6 months after this medicine has been put in. If these signs do not go away or are very bad, call your doctor right away.
• If you think Mirena has come out, call your doctor. You may get pregnant if this medicine comes out. Use another kind of birth control like a condom until you see your doctor.
• This medicine is not approved for use in women who are going through or have been through the change of life (menopause). Talk with your doctor.
• Periods may stop in some women after 1 year of using Mirena (52 MG) (levonorgestrel (IUD)). Periods will go back to normal when this medicine is taken out. If you do not have a period for 6 weeks when Mirena is in place, call your doctor.
• If you think you may be pregnant while this medicine is in place, call your doctor right away. Very bad and sometimes deadly health problems can happen when Mirena is removed or if it is left in place during pregnancy. This includes loss of fertility, infections, and loss of the unborn baby. Talk with your doctor about the risks of getting pregnant while this medicine is in place.
• Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
• Chest pain or pressure.
• Dizziness.
• Belly pain.
• Pelvic pain.
• Vaginal bleeding that is not normal.
• Vaginal itching or discharge.
• Fever or chills.
• A lump in the breast or breast soreness.
• Cannot feel string.
• Device comes out.
• Painful sex.
• Very bad headache.
• Any unexplained bruising or bleeding.
• Yellow skin or eyes.
• Mood changes.
• Low mood (depression).
• Genital sores.

• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else's drugs.
• Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
• Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Check with your pharmacist about how to throw out unused drugs.
• Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this medicine, please talk with your doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take Mirena or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Mirena (52 MG) (levonorgestrel (IUD)). This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Review Date: October 4, 2017