Where can I get more information?
Your pharmacist can provide more information about Climanor.
Climanor and Pregnancy
Climanor should not be taken during pregnancy. Tell your healthcare provider right away if you become pregnant while receiving Climanor.
The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.
Climanor falls into category X. These medicines should never be used by pregnant women.
Before taking Climanor
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking Climanor tablets, it is important that your doctor knows:
- If you are pregnant or breastfeeding.
- If you have a problem with your arteries, called arterial disease.
- If you have a heart condition.
- If you have any of the following conditions: migraines, asthma, epilepsy, diabetes, or high blood pressure.
- If you have any vaginal bleeding other than your normal monthly period.
- If you have ever had a blood clot in your legs or lungs.
- If you have had any problems with the way your liver works, or if you have any problems with the way your k >
Climanor Food Interactions
Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Climanor, there are no specific foods that you must exclude from your diet when receiving this medication.
What other information should I know?
Keep all appointments with your doctor.
Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking Climanor.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Before taking Climanor,
- tell your doctor and pharmacist if you are allergic to Climanor (Provera, Depo-Provera), any other medications, or corn.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention aminoglutethimide (Cytadren). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had cancer of the breasts or female organs; unexplained vaginal bleeding; a missed abortion (a pregnancy that ended when the unborn child died in the uterus but was not expelled from the body); blood clots in your legs, lungs, brain, or eyes; stroke or mini-stroke; seizures; migraine headaches; depression; asthma; diabetes; or heart, kidney, or liver disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Climanor, call your doctor immediately. Climanor should never be used to test for pregnancy or to prevent miscarriage during the first few months of pregnancy. Climanor has not been shown to prevent miscarriage and may harm the fetus.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Climanor.
Why is this medication prescribed?
Climanor is used to treat abnormal menstruation (periods) or irregular vaginal bleeding. Climanor is also used to bring on a normal menstrual cycle in women who menstruated normally in the past but have not menstruated for at least 6 months and who are not pregnant or undergoing menopause (change of life). Climanor is also used to prevent overgrowth of the lining of the uterus (womb) and may decrease the risk of cancer of the uterus in patients who are taking estrogen. Climanor is in a class of medications called progestins. It works by stopping the growth of the lining of the uterus and by causing the uterus to produce certain hormones.
How to use Climanor ACETATE Vial
Read the Patient Information Leaflet provided by your pharmacist before you start using this product and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
This medication is given by injection into a muscle (upper arm or buttock) as directed by your doctor, usually once every 3 months. To make sure you are not pregnant, the first injection is usually given during the first 5 days of your menstrual period. If you have just given birth or had a pregnancy loss or abortion after the first 3 months of pregnancy, talk with your doctor about the best time to start using this form of birth control.
If you are using this medication at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store and discard medical supplies safely.
It is very important that you use this medication regularly to get the most benefit from it. If more than 13 weeks pass between injections, you could become pregnant. Use a form of non-hormonal birth control (such as condoms, diaphragm, spermicide) to prevent pregnancy until you can get the next injection. Your doctor may direct you to first have a pregnancy test before your next injection.
How to use Climanor ACETATE
Read the Patient Information Leaflet provided by your pharmacist before you start using this drug and each time you get a refill. If you have any questions, consult your doctor or pharmacist.
Take this medication by mouth as directed by your doctor. Follow the dosing schedule carefully. Ask your doctor if you have any questions. The dosage is based on your medical condition and response to therapy.
For use in combination hormone replacement therapy with estrogens, take this medication usually once daily for the prescribed number of days each month as directed.
For the treatment of stopped menstrual periods (amenorrhea) and abnormal bleeding from the uterus, take this drug usually once daily for 5-10 days during the second half of the planned menstrual cycle or as directed by your doctor. Withdrawal bleeding usually occurs within 3-7 days after you stop taking the medication.
Inform your doctor if your condition does not improve or if it worsens.
What other drugs will affect Climanor?
Tell your doctor about all your current medicines and any you start or stop using, especially:
- bosentan, griseofulvin, St. John's wort;
- an antibiotic or antifungal medicine;
- HIV or AIDS medicine;
- seizure medicine; or
- sleep medicine (to treat insomnia).
This list is not complete. Other drugs may interact with Climanor, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
Amenorrhea, Uterine Bleeding
Uterine bleeding: 5-10 mg/day PO for 5-10 days; beginning day 16 or 21 of the menstrual cycle; withdrawal bleeding may be expected within 3 to 7 days after discontinuing Climanor
Amenorrhea, secondary: 5-10 mg/day PO for 5-10 days; may be started at any time; withdrawal bleeding may be expected within 3-7 days after discontinuing Climanor
How should I use Climanor?
Climanor is injected into a muscle or under the skin. Climanor may be given once per week or once every 3 months, depending on why you are using the medicine. Follow your doctor's instructions.
When used for birth control, Climanor is given by a healthcare provider. For other conditions, you may be shown how to use injections at home. Do not self-inject this medicine if you do not fully understand how to give the injection and properly dispose of used needles and syringes.
You may have breakthrough bleeding while using Climanor. Tell your doctor if this bleeding continues or is very heavy.
This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using this medicine.
Your doctor will need to see you on a regular basis while you are using Climanor. If you use this medicine long-term, your bone density may need to be checked during treatment.
Store at room temperature away from moisture and heat.
Use a disposable needle and syringe only once. Follow any state or local laws about throwing away used needles and syringes. Use a puncture-proof "sharps" disposal container (ask your pharmacist where to get one and how to throw it away). Keep this container out of the reach of children and pets.
What should I avoid while using Climanor?
This medicine will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.
This medicine can pass into body fluids (urine, feces, vomit). For at least 48 hours after you receive a dose, avoid allowing your body fluids to come into contact with your hands or other surfaces. Caregivers should wear rubber gloves while cleaning up a patient's body fluids, handling contaminated trash or laundry or changing diapers. Wash hands before and after removing gloves. Wash soiled clothing and linens separately from other laundry.
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The following side effects have been reported with the use of Climanor alone:
- Breast tenderness
- Breast milk secretion
- Breakthrough bleeding
- Spotting (minor vaginal bleeding)
- Irregular periods
- Amenorrhea (absence of menstrual periods)
- Vaginal secretions
- Insomnia, sleepiness, fatigue
- Premenstrual syndrome-like symptoms
- Thrombophlebitis (inflamed veins)
- Blood clot
- Itching, hives, skin rash
- Hair loss, hair growth
- Abdominal discomfort
- Increase in weight
- Changes in vision and sensitivity to contact lenses
The following side effects have been reported with the use of Climanor with an estrogen.
Side effects are grouped by how serious they are and how often they happen when you are treated:
Serious but less common side effects of estrogen include:
- Breast cancer
- Cancer of the uterus
- Heart attack
- Blood clots
- Gallbladder disease
- Ovarian cancer
- High blood pressure
- Liver problems
- High blood sugar
- Enlargement of benign tumors of the uterus ("fibroids")
Some of the warning signs of these serious side effects include:
- Breast lumps
- Unusual vaginal bleeding
- Dizziness and faintness
- Changes in speech
- Severe headaches
- Chest pain
- Shortness of breath
- Pains in your legs
- Changes in vision
- Yellowing of the skin, eyes or nail beds
Call your healthcare provider right away if you get any of these warning signs, or any other unusual symptom that concerns you.
Less serious but common side effects include:
- Breast pain
- Irregular vaginal bleeding or spotting
- Stomach/abdominal cramps, bloating
- Nausea and vomiting
- Hair loss
- Fluid retention
- Vaginal yeast infection
These are not all the possible side effects of Climanor with or without estrogen. For more information, ask your healthcare provider or pharmacist.
How to take Climanor
- Before you start the treatment, read the manufacturer's printed information leaflet from ins >
WHAT IS MEDROXYPROGESTERONE?
Climanor is in a class of medications called progestins. It works by stopping the growth of the lining of the uterus and by causing the uterus to produce certain hormones.
Climanor is used to treat abnormal menstruation (periods) or irregular vaginal bleeding. It can also be used to bring on a normal menstrual cycle in women who menstruated normally in the past but have not menstruated for at least 6 months and who are not pregnant or undergoing menopause.
This medicine is also used to prevent overgrowth of the lining of the uterus (womb) and may decrease the risk of cancer of the uterus in patients who are taking estrogen.
A synthetic progestin, which is chemically similar to androgen. Climanor acetate is used primarily as a contraceptive; it is injected every three months, inhibiting gonadotropin secretion which, in turn, prevents follicular maturation and ovulation, and causes endometrial thinning.
IndicationsContraceptive, hormone replacement therapy, treatment of endometriosis, anti-androgenic for male sex offenders (causing chemical castration).
Adverse effectsAcne, dysmenorrhoea, birth defects if taken during pregnancy, headache, breast tenderness, increased facial hair, decreased scalp hair, insomnia, abdominal pain/discomfort, dizziness, asthenia (weakness or fatigue), and weight changes. It also carries an increased risk of coronary heart disease, breast cancer, stroke and pulmonary embolism.