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Doctor insights on: Implanon Implant Nexplanon Topamax Topiramate

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Dr. Colin Sanner
401 doctors shared insights

Topiramate (Definition)

Is indicated to treat epilepsy, but mainly a second line or adjunctive agent, and also useful to prevent migraine headaches. Has several adverse effects including: kidney stones, narrow angle glaucoma, metabolic acidosis, heatstroke in kids, paresthesias, slowing of speech and cognition, drowsiness. ...Read more


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Will 150mg per day Topamax (topiramate) interfere with the nexplanon implant? I was told wouldn't, but the information that came w/ it says it could?

Will 150mg per day Topamax (topiramate) interfere with the nexplanon implant? I was told wouldn't, but the information that came w/ it says it could?

It does,: Because topamax (topiramate) will decrease the level of nexplanon by altering drug metabolism and you may become pregnant. Talk to your doctor for medication adjustment. Good luck. ...Read more

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Can I get the nexplanon implant being on 250 mg of topamax?

Ok if lower dose: If Topamax dose is 50-200 mg/day, then the combination may be okay.

If the dose of Topamax >200 mg/day, the use additional non-hormonal or alternative contraception. ...Read more

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On 150mg topamax (topiramate), (topiramate) just got nexplanon put in. was told it wouldn't be effected by topamax (topiramate). But the pamphlet says they can interact? Should i b concerned

You should: Because topamax (topiramate) will decrease the level of nexplanon by altering drug metabolism and you may become pregnant. Talk to your doctor for medication adjustment. Good luck. ...Read more

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Can your implanon start back working after taking topamax/topiramate!?

Implanon: If taking 50-200mg of topiramate per day imolanon is most likely effective if over 200mg per day use an additional form of contraception. once the topiramate is out of your system the implant should be effective ...Read more

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Can your implanon start back working after being on topamax (topiramate) on an off? What they mean implanon will be less affective by the med.

Yes after awhile: Topamax (topiramate) affects implanon/nexplanon due to increasing liver hormone breakdown thus the hormone does not stay in your system as it theoretically should. While on topamax (topiramate), (topiramate) it's best to consider using additional protection (e.g. condom/diaphragm) to avoid undesired pregnancy. When topamax (topiramate) is stopped, the implanon effectiveness returns to its theoretical full effectiveness after about 2 wks ...Read more

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Is it normal to gain any weight on the birth control implant (implanon/nexplanon)?

Is it normal to gain any weight on the birth control implant (implanon/nexplanon)?

Some: Studies with Nexplanon showed an average 5 pound weight gain over the three years of use. If you are gaining more than that, evaluate your diet and exercise plan and see your doctor. ...Read more

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Will I be able to get pregnant right after the implant birth control (implanon, nexplanon) is removed? I want to be able to have a baby right away!

Will I be able to get pregnant right after the implant birth control (implanon, nexplanon) is removed? I want to be able to have a baby right away!

Patience.: Patience is a wonderful virtue that all parents and all prospective parents should develop, prior to getting pregnant. That means a person who says, "I want to be able to have a baby right away!" (with an exclamation mark), is not likely ready to have a baby. Patience is so important. That being said, one might ovulate weeks after removing the implant, but in real life, it is not very predictable. ...Read more

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I am on 50 mgs of topimax and on nexplanon, will this affect the nexplanon, majorly, I'm very worried?

You should be,: Because topamax (topiramate) will decrease the level of nexplanon by altering drug metabolism and you may become pregnant. Talk to your doctor for medication adjustment. Good luck. ...Read more

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Can the implanon implant be easily removed?

Can the implanon implant be easily removed?

Yes It Can: Implanon/nexplanon is a single progestin-containing rod, which provides highly effective reversible contraception for up to three years, when inserted subdermally in the non-dominant arm. Implanon/nexplanon rods should only be inserted/removed by a certified trained clinician. If the rod has been inserted properly, it should be easy to remove, and usually takes only two-four minutes after prep. ...Read more

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How can you tell if your nexplanon implant is broken?

How can you tell if your nexplanon implant is broken?

Nexplanon: The capsule for the nexplanon should be superficial enough for you to feel it along its entire length. ...Read more

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Does lymecycline make the nexplanon implant less effective?

Does lymecycline make the nexplanon implant less effective?

Great question: Hmmm. I always thought that tetracyclines interfered with oral contraceptives, but Up-to-Date says that antibiotics other than rifampin are safe. UptoDate. Com/contents/hormonal-methods-of-birth-control-beyond-the-basics ...Read more

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Does amoxicillin affect the nexplanon implant?

No: Nexplanon is a continuous low dose Progesterone that is not affected by other medications. It's one of many advantages of a long acting contraceptive. ...Read more

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Can you get pregnant while on implanon implant?

Can you get pregnant while on implanon implant?

Yes, uncommonly: Efficacy
failure rate: 1 per 1000 users
failure rate may be higher if >130% of ideal weight
several medications lower efficacy (see below)
drug interactions: medications that lower efficacy
phenobarbital and other barbiturates
phenytoin, fosphenytoin and other hydantoins
carbamazepine
griseofulvin
protease inhibitors
primidone. ...Read more

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Is amoxycillin safe to take with the nexplanon implant?

Is amoxycillin safe to take with the nexplanon implant?

Yes: There are no interactions between most antibiotics and Nexplanon (or any other hormonal contraceptives, for that matter). This is a common myth. ...Read more

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If you have the nexplanon implant can you get pregnant?

If you have the nexplanon implant can you get pregnant?

Probably not: Birth control is never 100% guaranteed that you won't get pregnant so it is possible but it is unlikely, especially if you are taking multiple birth control methods at the same time. ...Read more

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How often does the nexplanon implant break or bend in your arm?

How often does the nexplanon implant break or bend in your arm?

It won't: If implanted properly, it will not break with normal or even intense activity. It would have to be subjected to a very unusual or deliberate sort of stress in order to break. It is designed to be somewhat flexible under pressure, so a little bending is ok, but it shouldn't curl up or stay deformed. ...Read more

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Does amoxicillin reduce the effectiveness of the nexplanon implant?

Does amoxicillin reduce the effectiveness of the nexplanon implant?

No: Typical antibiotics do not reduce the effectivness of Nexplanon. However, St Johns Wort and certain medications for seizures, fungal infections, Tuberculosis, and HIV can. ...Read more

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Can my nexplanon birthcontrol implant loose its effectiveness before the last 6 months of use?

U r safe : As long as you are still within the 3-year use period you are safe. If you plan on continuing to use the Nexplanon I suggest you schedule to have it removed and replaced in the near future. ...Read more

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I have had hives 6 times in the past 2 months, I believe my implanon implant is causing this.... Help?

I have had hives 6 times in the past 2 months, I believe my implanon implant is causing this.... Help?

It is possible: Hormones can cause hives. If the Implanon were placed shortly before the hives began then I would be suspicious of the Implanon causing the hives. See an allergist to determine if there are any other causes before having the Implanon removed because the Implanon could be an "innocent bystander' or a coincidence. ...Read more

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What could happen if I was 3 years late removing my implanon birthcontrol only one implant?.2013 answers

Are you pregnant?: If you are 3 years later removing Implanon then you could have gotten pregnant since the birth control effects stopped a long time ago. Other than that adverse events are unlikely. Simply schedule a visit to have it removed. ...Read more

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I have the nexplanon implant. I've spotted since Halloween. Have gotten my actual period. What should I do. Wait it out?

I have the nexplanon implant. I've spotted since Halloween.  Have gotten my actual period. What should I do. Wait it out?

Yes: Halloween wasn't so long ago, so it is perfectly normal to be having irregular bleeding at this point. In fact, it would be odd if you were not having any irregular bleeding so soon after insertion. Periods and spotting can remain irregular for a good 6 months but more often normalize after 2-3. Speak to your doc if bleeding is very heavy or very bothersome, but otherwise give it time. ...Read more

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Real quick question. Got Nexplanon implant in late October. Since then, I've been experiencing achy feelings in my l. ovary and stringy discharge.

Real quick question. Got Nexplanon implant in late October. Since then, I've been experiencing achy feelings in my l. ovary and stringy discharge.

Nexplanon: Can alter your discharge to be more pasty so some minor changes can be expected. The discomfort in your lower abdomen is not related to Nexplanon and I would suggest you see your doctor. ...Read more

Dr. Adam Lewis
5 doctors shared insights

Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more


Implanon (Definition)

Implanon is birth control method manufactured by merck pharmaceuticals. It is a single rod implant that is inserted under the skin in the forearm. It is a Progesterone containing long acting contraceptive with a duration of ...Read more