(medroxyprogesterone acetate)

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WHAT IF I MISS A SHOT?

WHAT IF I MISS A SHOT?

If you miss a shot, or wait longer than 14 weeks between shots, you could get pregnant. The longer you wait, the greater the risk of getting pregnant.
Talk with your healthcare professional to find out when to restart depo-subQ provera 104. You should be tested to be sure you are not pregnant.
Use another kind of non-hormonal birth control, such as condoms, until you start depo-subQ provera 104 again.

DO NOT TAKE depo-subQ provera 104 IF YOU…

Have any unexplained vaginal bleeding
Have or have ever had breast cancer or think you have breast cancer
Ever had serious blood clots, such as blood clots in your legs (deep venous thrombophlebitis), lungs (pulmonary embolism), heart (heart attack), or head (stroke)
Have liver disease
Are allergic to anything in depo-subQ provera 104. There is a list of what is in depo-subQ provera 104 at the end of this leaflet.

BEFORE TAKING depo-subQ provera 104

Your healthcare professional may do a physical examination and check your blood and urine.

Tell your healthcare professional about all your medical conditions.

Most importantly, tell your healthcare professional if you:

Are pregnant or might be pregnant. You should not get depo-subQ provera 104 if you are pregnant.
Plan to become pregnant in the next year. After you stop getting depo-subQ provera 104, it takes time for your body to be able to get pregnant. It can be as early as 1 week after the last shot wears off. Most likely it will take up to 1 year or longer for you to get pregnant.
Have or have ever had breast cancer, or think you have breast cancer
Have breast cancer in your family
Have an abnormal mammogram (breast X-ray), lumps in your breast, or bleeding from your nipples
Have irregular, light, or heavy menstrual periods
Have or had any of the following medical problems:
o
Kidney problems
o
High blood pressure
o
Migraine headaches
o
Asthma
o
Seizures
o
Diabetes, or if it runs in your family
o
Depression
o
Heart attack, stroke, or blood clots
o
Bone disease
o
Anorexia nervosa (an eating disorder)
o
A strong family history of osteoporosis
o
Use of a drug that can lower the amount of calcium in bones (drugs for epilepsy or steroids)
o
Drinking a lot of alcohol or smoking a lot

It is important to see your healthcare professional regularly if you have any of these conditions.

Some medicines may make depo-subQ provera 104 less effective at preventing pregnancy, including those listed below:

Bosentan (used to treat pulmonary arterial hypertension)
Efavirenz, etravirine (HIV medicines)
Modafinil (used to improve wakefulness)
Mitotane (used to treat adrenal cortical carcinoma)
Phenytoin, carbamazepine, phenobarbital (used to treat seizures)
Rifampin (an antibiotic)
St. John's Wort (herbal medicinal product)

Tell your healthcare professional about all the medicines you take. This includes prescription and over-the-counter medicines, vitamins, and herbal products.

Additional Resources

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Pfizer Safety Reporting Site

*If you are involved in a clinical trial for either product, adverse events should be reported to your coordinating study site.

If you cannot use the above website to report an adverse event related to a Pfizer medication, please call (800) 438-1985.

You may also contact the U.S. Food and Drug Administration (FDA) directly to report adverse events or product quality concerns either online at www.fda.gov/medwatch or by calling (800) 332-1088.