Depo-Provera; Depo-SubQ Provera 104; Provera
- Using this drug for birth control or pain caused by endometriosis may cause bone loss. Bone loss is greater the longer the drug is used. It is not known what the effects will be on bones when used in teenaged and young adult women.
- Do not use this drug for birth control for a long time unless other options will not work.
- This drug does not stop the spread of diseases like HIV or hepatitis that are passed through blood or having sex. Do not have any kind of sex without using a latex or polyurethane condom. Do not share needles or other things like toothbrushes or razors. Talk with your doctor.
Hormone replacement therapy (HRT):
- Do not take with estrogens to prevent heart disease or dementia. Using estrogens may raise your chances of having a heart attack, a stroke, breast cancer, a blood clot, or dementia.
- Use estrogens with or without progestin for the shortest time needed at the lowest useful dose.
- It is used to prevent pregnancy.
- It is used to lower the chance of endometrial changes in women after change of life who are getting estrogen therapy.
- It is used to treat pain caused by endometriosis.
- It is used to treat uterine bleeding due to hormonal imbalance.
- It is used to treat endometrial cancer.
- It is used to treat kidney cancer.
- It is used to treat females who do not have a monthly period cycle.
- It may be given to you for other reasons. Talk with the doctor.
For all patients taking this drug:
- If you have an allergy to medroxyprogesterone or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have had any of these health problems: Bleeding disorder; blood clots or risk of having a blood clot; breast cancer; liver disease; heart attack; stroke; or tumor where estrogen or progesterone make it grow.
- If you have had any of these health problems: Cancer of the uterus, ovary, cervix, or vagina; or vaginal bleeding where the cause is not known.
For all reasons other than cancer treatment:
- If you are pregnant or may be pregnant. Do not take this drug if you are pregnant.
- Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
- Blood clots have happened with this drug. Tell your doctor if you have ever had a blood clot. Talk with your doctor.
- Liver problems have happened. Call your doctor right away if you get signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- If you have high blood sugar (diabetes), you will need to watch your blood sugar closely.
- Have a bone density test as you have been told by your doctor. Talk with your doctor.
- Take calcium and vitamin D as you were told by your doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Be sure to have regular breast exams and gynecology check-ups. Your doctor will tell you how often to have these. You will also need to do breast self-exams as your doctor has told you. Talk with your doctor.
- This drug may affect certain lab tests. Tell all of your health care providers and lab workers that you take this drug.
- This drug may cause dark patches of skin on your face. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun.
- If you are 65 or older, use this drug with care. You could have more side effects.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
All injection products:
- If you will be trying to get pregnant, it may take some time after your last dose of this drug to get pregnant. Talk with your doctor.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Chest pain or pressure.
- Shortness of breath.
- Coughing up blood.
- Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
- Swelling, warmth, numbness, change of color, or pain in a leg or arm.
- Very bad headache.
- Very upset stomach or throwing up.
- Very bad belly pain.
- Very bad dizziness or passing out.
- Bulging eyes.
- Sudden change or loss of eyesight.
- Change in how contact lenses feel in the eyes.
- A lump in the breast, breast soreness, or nipple discharge.
- Breast pain.
- Vaginal itching or discharge.
- Vaginal bleeding that is not normal.
- Low mood (depression).
- Mood changes.
- Memory problems or loss.
- Swelling in hands or feet.
- Very bad irritation where the shot was given.
- Signs of a weak adrenal gland like a very bad upset stomach or throwing up, very bad dizziness or passing out, muscle weakness, feeling very tired, mood changes, not hungry, or weight loss.
- Signs of Cushing’s disease like weight gain in the upper back or belly, moon face, very bad headache, or slow healing.
- Weight gain.
- Feeling sleepy.
- Feeling nervous and excitable.
- Upset stomach or throwing up.
- Change in sex interest.
- Pimples (acne).
- Feeling tired or weak.
- Enlarged breasts.
- Vaginal bleeding or spotting.
- Belly pain.
- Leg cramps.
- Not able to sleep.
- Period (menstrual) changes. Periods become less often or stop.
- Irritation where the shot is given.
- Take tablet with or without food. Take with food if it causes an upset stomach.
- Take this drug at the same time of day.
Injection (if given in the muscle):
- It is given as a shot into a muscle.
Shot (if given under the skin):
- It is given as a shot into the fatty part of the skin.
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- Call your doctor to find out what to do.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Most of the time, this drug will be given in a hospital or doctor’s office. If stored at home, follow how to store as you were told by the doctor.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.