PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION
PRODUCT MONOGRAPH
INCLUDING PATIENT MEDICATION INFORMATION
NEXPLANON?
Etonogestrel extended release subdermal implant
Extended release implant, 68 mg per implant (to deliver up to 70 mcg etonogestrel per day),
Subdermal
Hormonal Contraceptive
Merck Canada Inc.
16750 route Transcanadienne
Kirkland QC Canada H9H 4M7
merck.ca
Date of Preparation:
May 25, 2020
Submission Control No: 226314
NEXPLANON? (etonogestrel extended release subdermal implant)
Page 1 of 52
RECENT MAJOR LABEL CHANGES
Not applicable
TABLE OF CONTENTS
RECENT MAJOR LABEL CHANGES ......................................................................................................... 2
TABLE OF CONTENTS ............................................................................................................................... 2
PART I: HEALTH PROFESSIONAL INFORMATION ................................................................................. 4
1
INDICATIONS .................................................................................................................................. 4
1.1
Pediatrics ............................................................................................................................... 4
1.2
Geriatrics ............................................................................................................................... 4
1.3
Overweight women................................................................................................................ 4
2
CONTRAINDICATIONS .................................................................................................................. 4
3
SERIOUS WARNINGS AND PRECAUTIONS BOX ....................................................................... 5
4
DOSAGE AND ADMINISTRATION ................................................................................................ 5
4.1
Dosing Considerations .......................................................................................................... 5
4.2
Recommended Dose and Dosage Adjustment ..................................................................... 6
4.3
Administration........................................................................................................................ 6
4.4
Reconstitution...................................................................................................................... 18
4.5
Missed Dose ........................................................................................................................ 18
5
OVERDOSAGE ............................................................................................................................. 18
6
DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING ..................................... 18
7
WARNINGS AND PRECAUTIONS ............................................................................................... 20
7.1
Special Populations ............................................................................................................. 24
7.1.1 Pregnant Women ................................................................................................................ 24
7.1.2 Breast-feeding .................................................................................................................... 25
7.1.3 Pediatrics ............................................................................................................................ 25
7.1.4 Geriatrics ............................................................................................................................ 25
7.1.5 Overweight Women ............................................................................................................ 25
8
ADVERSE REACTIONS................................................................................................................ 25
8.1
Adverse Reaction Overview ................................................................................................ 25
8.2
Clinical Trial Adverse Reactions ......................................................................................... 26
8.3
Less Common Clinical Trial Adverse Reactions ( ................
................
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