Consider removal of the NEXPLANON implant in case of long-term immobilization due to surgery or illness. PROCEDURE: Nexplanon Removal Performing Physician: _ PROCEDURE: Anesthesia: 2% Lidocaine w/ epinephrine 5 ml Procedure: Consent obtained. A time-out was performed prior to initiating procedure to be sure of right patient and right location. If you smoke and want to use NEXPLANON, you should quit. It is possible to die from a problem caused by a blood clot, such as a heart attack or stroke. Implants have been reported to be found in a blood vessel, including a blood vessel in the lung.Call your health care provider right away if you have pain in your lower leg that does not go away; severe chest pain or heaviness in the chest; sudden shortness of breath, sharp chest pain, or coughing blood; symptoms of a severe allergic reaction, such as swollen face, tongue or throat, trouble breathing or swallowing; sudden severe headaches unlike your usual headaches; weakness or numbness in your arm, leg, or trouble speaking; sudden partial or complete blindness; yellowing of your skin or whites of your eyes, especially with fever, tiredness, loss of appetite, dark-colored urine, or light-colored bowel movements; severe pain, swelling, or tenderness in the lower stomach (abdomen); lump in your breast; problems sleeping, lack of energy, tiredness, or you feel very sad; heavy menstrual bleeding; or if you feel that the implant may have broken or bent while in your arm.You should not use NEXPLANON if you are pregnant or think you may be pregnant; have or have had blood clots; Insertion time was measured from the removal of the protective cap of the applicator until the retraction of the needle from the arm.The applicator for NEXPLANON differs from the applicator for IMPLANON® (etonogestrel implant), which requires a different insertion procedure.Palpation is an important technique for locating NEXPLANON after insertion and before removal.The NEXPLANON implant is radiopaque, providing 4 methods for confirming presence after insertion and localizing before removal in the event that the implant is not palpable.NEXPLANON is indicated for use by women to prevent pregnancy.NEXPLANON is indicated for use by women to prevent pregnancy.NEXPLANON is indicated for use by women to prevent pregnancy.Copyright © 2020 Merck Sharp & Dohme B.V., a subsidiary of Please orient your device to the portrait position or resize browser to return to the site content.This site is intended for health care professionals in the United States, its territories, and Puerto Rico.Copyright © 2012-2020 Merck Sharp & Dohme Corp., a subsidiary of You will be navigating to a website outside of Merck Connect.Links to other websites are provided as a convenience to the visitor. Call your health care provider right away if you think you are pregnant or have unexplained lower stomach (abdominal) pain.The use of NEXPLANON may also increase your chance of serious blood clots, especially if you have other risk factors, such as smoking. Other problems related to insertion and removal include pain, irritation, swelling, bruising, scarring, infection, injury to the nerves or blood vessels, and breaking of the implant. This site is intended for U.S. health care professionals.In a clinical trial, mean insertion time was <1 minute (27.9 ± 29.3 seconds). Once the implant is removed, from whichever method, it is important to not neglect the incision area are read the signs if any, the body gives post the removal procedure. After firmly pressing down on the end of the implant closer to the axilla a 2-3 mm incision is made with a scalpel. Removal of the implant may be very difficult or impossible if the implant is not where it should be. Additionally, the implant may come out by itself. Use a back-up birth control method and call your health care provider right away if the implant comes out.The most common side effect of NEXPLANON is a change in your normal menstrual bleeding pattern. Visit This section contains information intended for health care providers in the United States only and is not intended for the general public.This site is intended only for residents of the United States, its territories, and Puerto Rico. If the implant is not removed, then the effects of NEXPLANON will continue for a longer period of time. My Account Like insertion, the removal procedure of the Nexplanon implant requires care and attention. The applicator for NEXPLANON differs from the applicator for IMPLANON® (etonogestrel implant), which requires a different insertion procedure. Removal of NEXPLANON involves a minor surgical procedure by your health care provider and can be performed in the office through a small incision in your arm where NEXPLANON is located.Removal of NEXPLANON involves a minor surgical procedure by your health care provider and can be performed in the office through a small incision in your arm where NEXPLANON is located.Removal of NEXPLANON involves a minor surgical procedure by your health care provider and can be performed in the office through a small incision in your arm where NEXPLANON is located.Talk to your health care provider to see if NEXPLANON is right for you.See a list of questions to discuss with your health care provider.See a list of questions to discuss with your health care provider.You are encouraged to report negative side effects of prescription drugs to the FDA. (NUMBER) cc of 1% lidocaine with epinephrine is injected just underneath the end of the implant closest to the elbow.
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