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Synarel Nasl

In Depth

  • unexplained abnormal vaginal bleeding


Before using this medication, tell your doctor or pharmacist your medical history, especially of:

  • smoking
  • daily alcohol use
  • bone loss (osteoporosis) or family history of osteoporosis
  • polycystic ovarian disease
  • high cholesterol/triglyceride levels


This medication must not be used during pregnancy. It may harm an unborn baby. Consult your doctor for more details and to discuss reliable forms of birth control. Women should start this medication between days 2 and 4 of their period. Although periods and the release of eggs (ovulation) may stop while you are taking this drug, this should not be considered a reliable form of birth control. It is recommended that men and women using this medication use two effective non-hormonal forms of birth control (e.g., condoms and diaphragm with spermicide) while taking this medication. Consult your doctor.

It is not known if this medication passes into breast milk. Because of the potential risk to the infant, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

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