BOXED WARNING: THROMBOEMBOLIC DISORDERS AND VASCULAR EVENTS
- Estrogen and progestin combination products, including relugolix-CT, increase the risk of thrombotic or thromboembolic disorders including pulmonary embolism, deep vein thrombosis, stroke and myocardial infarction, especially in women at increased risk for these events.
- Relugolix-CT is contraindicated in women with current or a history of thrombotic or thromboembolic disorders and those at increased risk for these events, including women >35 years of age who smoke or with uncontrolled hypertension.
Relugolix-CT is contraindicated in patients with the following: high risk of arterial, venous thrombotic, or thromboembolic disorder; pregnancy; known osteoporosis; current or history of breast cancer or other hormone-sensitive malignancies; known hepatic impairment or disease; undiagnosed abnormal uterine bleeding; known hypersensitivity to components of relugolix-CT.
Relugolix-CT is also associated with warnings and precautions for bone loss, suicidal ideation and mood disorders, hepatic impairment and transaminase elevations, elevated blood pressure, changes in menstrual bleeding patterns and a reduced ability to recognize pregnancy, risk of early pregnancy loss, uterine fibroid prolapse or expulsion, and hypersensitivity reactions. Use of relugolix-CT should be limited to 24 months due to the risk of continued bone loss which may not be reversible.
Women should not breastfeed while taking relugolix-CT.
In women with moderate to severe pain associated with endometriosis, the most common adverse reactions reported were headache, vasomotor symptoms, mood disorders, abnormal uterine bleeding, nausea, toothache, back pain, decreased sexual desire and arousal, arthralgia, fatigue, and dizziness.
In women with heavy menstrual bleeding associated with uterine fibroids, the most common adverse reactions reported were vasomotor symptoms, abnormal uterine bleeding, alopecia, and libido decreased.
These are not all the possible side effects of relugolix-CT.
For full prescribing information including Boxed Warning and patient information, please click here.