Instructions

This medicine is given as an injection.

This medicine should be given by a trained health care provider.

It is important that you keep taking each dose of this medicine on time even if you are feeling well.

If you miss a dose, contact your doctor for instructions.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

This medicine may affect the strength of your bones. If you have or are at increased risk for osteoporosis (weakening of the bones), your doctor may recommend foods with calcium and vitamin D.

You may need vitamin and mineral supplements while on this medicine. Please speak with your doctor or pharmacist.

Cautions

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

Please check with your doctor before drinking alcohol while on this medicine.

Talk to your doctor about getting a complete physical exam every year while on this medicine.

This medicine passes into breast milk. Ask your doctor before breastfeeding.

Do not use this medicine if you are pregnant. If you become pregnant, contact your doctor immediately.

Do not share this medicine with anyone who has not been prescribed this medicine.

Do not use for more than 2 years.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• acne
• bloating
• breast pain or swelling
• dizziness
• feeling of heat or flushing
• headaches
• pain, redness, swelling near injection
• nausea
• problems with sexual functions or desire
• stomach pain
• vaginal bleeding or spotting between periods
• weight gain

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• bone pain
• breast lump or discharge
• chest pain
• changes in memory, mood, or thinking
• depression or feeling sad
• swelling of the legs, feet, and hands
• fainting
• severe or persistent headache
• sudden leg pain, swelling, warmth or redness
• signs of liver damage (such as yellowing of eye or skin, dark urine, or unusual tiredness)
• dark patches on skin or face
• seizures
• shortness of breath
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• cramping of the uterus or bleeding from the vagina
• blurring or changes of vision
• severe or persistent vomiting
• sudden or unexplained weight gain

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.