Nexplanon Package Insert – Flashcards

NEXPLANON should not be used in women who have known or suspected pregnancy; current or past history of thrombosis or thromboembolic disorders; liver tumors, benign or malignant, or active liver disease; undiagnosed abnormal genital bleeding; known or suspected breast cancer, personal history of breast cancer, or other progestin-sensitive cancer, now or in the past; and allergic reaction to any of the components of NEXPLANON.

Palpate to confirm interdermal placement.

Changes in bleeding pattern

Is it ecoptic pregnancy

Yes

Due to the risk of thromboembolic events

Remove the Nexplanon implant

T

Pregnancies have occurred 7-14 days post removal, therefore start another contraception immediately upon removal.

irregular menstrual bleeding h/a vaginitis weight increase acne breast pain abdominal pain pharyngitis

any drugs that induce enzymes, including CYP3A4 HIV protease inhibitors or with non-nucleoside reverse transcriptase inhibitors, decreases Nexplanon effectiveness. -CYP3A4 inhibitors, such as itraconazole or ketoconazole, may increase plasma concentrations of etonogestrel.

Yes-after the 4th postpartum week

NEXPLANON should be inserted between Day 1 (first day of menstrual bleeding) and Day 5 of the menstrual cycle, even if the woman is still bleeding.

No, however If deviating from the recommended timing of insertion, the woman should be advised to use a barrier method until 7 days after insertion. I

NEXPLANON should preferably be inserted on the day after the last active tablet of the previous combined oral contraceptive or on the day of removal of the vaginal ring or transdermal patch. At the latest, NEXPLANON should be inserted on the day following the usual tablet-free, ring-free, patch-free or placebo tablet interval of the previous combined hormonal contraceptive.

Injectable Contraceptives: Insert NEXPLANON on the day the next injection is due. • Minipill: A woman may switch to NEXPLANON on any day of the month. NEXPLANON should be inserted within 24 hours after taking the last tablet. • Contraceptive implant or intrauterine system (IUS): Insert NEXPLANON on the same day the previous contraceptive implant or IUS is removed.

Not Breastfeeding: NEXPLANON should be inserted between 21 to 28 days postpartum. If inserted as recommended, back-up contraception is not necessary. If deviating from the recommended timing of insertion, the woman should be advised to use a barrier method until 7 days after insertion. If intercourse has already occurred, pregnancy should be excluded. • Breastfeeding: NEXPLANON should be inserted after the fourth postpartum week [see Use in Specific Populations (8.3)]. The woman should be advised to use a barrier method until 7 days after insertion. If intercourse has already occurred, pregnancy should be excluded.

Use back up contraceptive until placement is verified.