Kyleena 19,5 mg Intrauterine devices.
Clinical Summary
Quick overview from the medicine insert
Indication
Contraception for up to 5 years in women 18 years and older.
Dosage (summary)
Inserted into the uterine cavity; can be replaced at any time in the cycle.
Special Populations
- Paediatric patients
- Geriatric patients
- Hepatic impairment
- Renal impairment
Pregnancy & Breastfeeding
Contraindicated in pregnancy; minimal transfer to breast milk, no adverse effects on infant.
Key Drug Interactions
- Phenytoin
- Carbamazepine
- Rifampicin
- St. John's wort
Contraindications
- Hypersensitivity to levonorgestrel
- Pregnancy
- Pelvic inflammatory disease
- Cervical neoplasm
- Uterine malignancy
- Acute liver disease
Common side effects
- Changes in menstrual bleeding
- Headache
- Abdominal pain
- Acne
- Device expulsion
Counselling Points
- Check for threads regularly
- Report heavy or irregular bleeding
- Monitor for signs of infection
Serious warnings
- Risk of ectopic pregnancy
- Pelvic infection
- Perforation risk during insertion
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