- It is used to treat endometriosis.
- It is used to delay puberty in children who are maturing too early.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has unexplained vaginal bleeding.
If your child is pregnant:
- Do not give this drug to your child if she is pregnant.
If your child is breast-feeding a baby:
- Be sure your child does not breast-feed a baby while taking this drug.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- Have your child’s blood work checked often. Talk with your child’s doctor.
- This drug may affect certain lab tests. Tell all of your child’s health care providers and lab workers that your child takes this drug.
- It may take 2 months to see the full effect.
- Use care if your child has risks for soft, brittle bones (osteoporosis). Risks may include if your child drinks alcohol, smokes cigarettes, has other family members with brittle bones, takes steroids, or takes drugs to treat seizures.
- This drug may cause weak bones (osteoporosis) with long-term use. Talk with the doctor to see if your child has a higher chance of weak bones, or if you have any questions.
- Your child may need to have a bone density test. Talk with the doctor.
- Do not give your child a nose decongestant spray within 2 hours after using this drug.
- Ovarian cysts may rarely happen in the first 2 months of therapy.
If your child is or may be sexually active:
- Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Be sure your child uses some other kind of birth control also, like a condom, when taking this drug.
- A pregnancy test will be done to show that your child is NOT pregnant before starting this drug. If your child gets pregnant while taking this drug, call the doctor right away.
- 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 or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Chest pain or pressure.
- Bad nose irritation.
- Feeling confused.
- Low mood (depression).
- Mood changes.
- A heartbeat that does not feel normal.
- Shortness of breath.
- Belly pain.
- Swelling in the arms or legs.
- Vaginal discharge.
- Yellow skin or eyes.
- Very bad vaginal irritation.
- Vaginal bleeding for more than 2 months.
- Bone pain.
- A very bad pituitary gland problem (pituitary apoplexy) has rarely happened with this drug. Most of the time, this has happened within 2 weeks after the first dose. Call the doctor right away if your child has a sudden headache, throwing up, passing out, mood changes, eye weakness, not able to move eyes, or change in eyesight.
If your child has menstrual periods:
- For females, still having a period.
- Pimples (acne).
- Short-term enlarged breasts.
- Nose irritation.
- Runny nose.
- Emotional ups and downs.
- Vaginal irritation.
- If your child is taking this drug to delay puberty, you may see short-term body odor or signs of puberty like vaginal bleeding, enlarged breasts, or more pubic hair during the first month of care. If these last or are very bad, call the doctor.
If your child is or may be sexually active:
- Lowered interest in sex.
- To gain the most benefit, do not miss giving your child doses.
- Keep giving this drug to your child as you have been told by your child’s doctor or other health care provider, even if your child feels well.
- Do not give this drug by mouth. Use in your child’s nose only. Keep out of your child’s mouth and eyes (may burn).
- Prime pump before first use by spraying it 6 times or until you see a fine mist.
- Have your child blow nose before use.
- Have your child avoid sneezing right after using this drug.
- Spray up your child’s nose only. Do not spray onto the wall joining your child’s nostrils.
- Clean every day.
- Check your child’s spray use with the doctor at each visit. Read and follow facts on how to use the spray. Make sure your child uses the spray the right way.
- Give a missed dose as soon as you think about it.
- If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- If you miss giving your child 2 doses, call the doctor.
- Store upright at room temperature. Do not freeze.
- Protect from light.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child 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 child’s 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.