NEXPLANON Implant Ref.[8436] Active ingredients: Etonogestrel

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2020  Publisher: Merck Sharp & Dohme Limited, Hertford Road, Hoddesdon, Hertfordshire, EN11 9BU

Product name and form

Nexplanon, 68 mg, implant for subdermal use.

Pharmaceutical Form

Implant for subdermal use.

Radiopaque, non-biodegradable, white to off-white, soft, flexible rod with a length of 4 cm and 2 mm in diameter.

Qualitative and quantitative composition

Nexplanon is a radiopaque, non-biodegradable, progestagen-only, flexible implant preloaded in a sterile, disposable applicator.

Each radiopaque implant contains 68 mg of etonogestrel; the release rate is approximately 60-70 µg/day in week 5-6 and has decreased to approximately 35-45 µg/day at the end of the first year, to approximately 30-40 µg/day at the end of the second year and to approximately 25-30 µg/day at the end of the third year. The applicator is designed to be operated with one hand and to help facilitate correct subdermal insertion of the implant.

For the full list of excipients, see section 6.1.

Active Ingredient Description
Etonogestrel

Etonogestrel is the biologically active metabolite of desogestrel, a progestagen widely used in OCs. It is structurally derived from 19-nortestosterone and binds with high affinity to progesterone receptors in the target organs. The contraceptive effect of etonogestrel is primarily achieved by inhibition of ovulation.

List of Excipients

Implant

Core:

Ethylene vinyl acetate copolymer (28% vinyl acetate, 43 mg)
Barium sulfate (15 mg)
Magnesium stearate (0.1 mg)

Skin:

Ethylene vinyl acetate copolymer (15% vinyl acetate, 15 mg)

Pack sizes and marketing

The blister pack contains one implant (4 cm in length and 2 mm in diameter) which is preloaded in the stainless steel needle of a ready-for-use, disposable, sterile applicator. The applicator containing the implant is packed in a blister pack made of transparent polyethyleneterephthalate glycol (PETG) sealed with a lidding made of high density poly ethylene (HDPE). The content of the blister pack is sterile unless the package is damaged or opened.

Pack sizes: Carton box with 1 blister pack, carton box with 5 blister packs.

Not all pack sizes may be marketed.

Marketing authorization holder

Merck Sharp & Dohme Limited, Hertford Road, Hoddesdon, Hertfordshire, EN11 9BU

Marketing authorization dates and numbers

PL 00025/0563

9 June 1999 / 22 August 2013

Drugs

Drug Countries
NEXPLANON Canada, Estonia, Finland, France, Lithuania, Romania, Turkey, United Kingdom, United States

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