This medicine is a progestin hormone used to treat certain cancers. It may also be used to treat other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. This medicine may come with a patient information leaflet. Read it carefully. This medicine is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using this medicine at home, a healthcare professional will provide detailed instructions for its appropriate use. Ask any questions that you may have about this medicine or giving injections. If the medicine contains particles, is cloudy or discolored, or if the vial is cracked or damaged in any way, do not use it. STORE THIS MEDICINE as directed on the prescription label. KEEP THIS PRODUCT, as well as syringes and needles, out of the reach of children and away from pets. IF YOU MISS A DOSE OF THIS MEDICINE, contact your doctor as soon as possible.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking rifampin or aminoglutethimide. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including a history of certain bone problems (metabolic bone disease), anorexia, chronic alcohol or tobacco use, seizure, migraine, asthma, heart problems (including heart failure or high blood pressure), kidney problems, mental or mood problems (eg, depression), diabetes or a family history of diabetes, irregular menstrual periods, lumps in your breast, bleeding from the nipples, abnormal mammogram, cancer, fibrocystic breast disease, family history of breast cancer, family history of osteoporosis, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have unexplained vaginal bleeding, or a history of breast cancer or genital cancer, stroke or bleeding in the brain, liver problems, blood clots (including clots in the leg or the lung), problems with blood vessels, or problems with blood vessels in your brain. USE OF THIS MEDICINE IS NOT RECOMMENDED if you are pregnant. This medicine should not be used to diagnose pregnancy. Use of this medicine in CHILDREN is not recommended. Discuss with your doctor the risks and benefits of giving this medicine to your child. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
SIDE EFFECTS that may occur while taking this medicine include changes in menstrual flow, including breakthrough bleeding, spotting, or missed periods; headache; weakness or tiredness; stomach pain or discomfort; nausea; trouble sleeping; dizziness; drowsiness; hot flashes; acne; nervousness; hair loss; decreased interest in sex; breast pain or tenderness. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience mental or mood changes (eg, depression); unusual vaginal discharge or irritation; or swelling of your hands, legs, ankles, or feet. IF YOU MISS A MENSTRUAL PERIOD and think that you may be pregnant, contact your doctor right away. CHECK WITH YOUR DOCTOR IMMEDIATELY if you experience breast lumps or nipple bleeding; dark urine; fast heartbeat; fever; pale stools; unusually heavy or continuous vaginal bleeding; seizures; sudden or severe headache; sudden or severe vomiting or dizziness; fainting; sudden loss of coordination; slurred speech; sudden loss of vision or changes in vision; weakness, numbness, or pain in the arms or legs; chest pain; sudden shortness of breath; coughing up blood; pain, swelling, or tenderness in the calf; severe stomach pain or tenderness; unusual weight gain or loss; yellowing of the eyes/skin; or pain, pus, or bleeding at the injection site. An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
If overdose is suspected, contact your local poison control center or emergency room immediately.
FOLLOW YOUR DOCTOR'S INSTRUCTIONS for taking calcium and vitamin D while you are using this medicine. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor, nurse, or pharmacist to explain local regulations for selecting an appropriate container and properly disposing of the container when it is full. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.