Mirena 52 mg Intrauterine delivery system (IUS)
Clinical Summary
Quick overview from the medicine insert
Indication
Contraception, idiopathic menorrhagia, endometrial protection during oestrogen therapy.
Dosage (summary)
One unit inserted into the uterine cavity, effective for five years.
Onset of Action / Duration
Onset: Immediate, Duration: 5 years
Special Populations
- Geriatric patients
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Contraindicated in pregnancy; minimal transfer to breast milk.
Key Drug Interactions
- Phenytoin
- Carbamazepine
- Rifampicin
- Azole antifungals
Contraindications
- Hypersensitivity
- Pregnancy
- Pelvic inflammatory disease
- Cervical dysplasia
- Liver disease
Common side effects
- Headache
- Nausea
- Acne
- Bleeding changes
- Ovarian cysts
Counselling Points
- Monitor for signs of expulsion
- Report severe headaches or jaundice
- Regular follow-up exams recommended
Serious warnings
- Risk of perforation
- Increased risk of ectopic pregnancy
- Sepsis risk after insertion
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