Drug Detail:Etonogestrel (implant) (Etonogestrel (implant) [ e-toe-noe-jes-trel ])
Drug Class: Contraceptives Progestins
Usual Adult Dose for Contraception
One 68 mg implant subdermally just under the skin at the inner side of the non-dominant upper arm
- Remove no later than the end of the third year
Comments:
- Implant may be replaced by a new implant at the time of removal.
- If no preceding hormonal contraceptive in the last month: insert between days 1 and 5 of the menstrual cycle, even if still bleeding.
- Switching from combined hormonal contraceptive: insert the day after the last active tablet of the oral contraceptive, or the day of removal of the vaginal ring or patch.
- Switching from progestin-only injectable contraceptive: implant the day the next injection is due.
- Switching from progestin-only minipill: switch any day of the month, within 24 hours after the last tablet.
- Switching from progestin-only implant or intrauterine device: insert the same day the previous contraception is removed.
- Following first trimester abortion or miscarriage: insert within 5 days of abortion/miscarriage.
- Following second trimester abortion or miscarriage: insert between 21 and 28 days of abortion/miscarriage.
- Postpartum, not breastfeeding: insert between 21 and 28 days postpartum.
- Postpartum, breastfeeding: insert after the fourth week postpartum, advise use of a barrier contraceptive method until 7 days after implantation.
- If inserted as recommended above, back up contraception is not necessary. If deviating from the above recommendations, a barrier contraceptive is recommended until 7 days after insertion.
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Contraindicated
Dialysis
Data not available
Other Comments
Administration advice:
- An implant should always be removed before inserting a new one.
- The manufacturer product information should be consulted.
Patient advice:
- Advise patients that this product does not protect against HIV infection or other sexually transmitted diseases.