Boxed Warning: Relugolix-CT may increase your chances of heart attack, stroke, or blood clots, especially if you are over 35 years old and smoke or have uncontrolled high blood pressure. Stop taking relugolix-CT and call your healthcare provider (HCP) or go to the nearest emergency room right away if you have: leg pain or swelling that won’t go away; sudden shortness of breath; double vision, bulging of the eyes, sudden partial or complete blindness; pain or pressure in your chest, arm, or jaw; sudden, severe headache unlike your usual headaches; weakness or numbness in an arm or leg, or trouble speaking.
Do not take relugolix-CT if you:
- have or have had blood clots in your legs, lungs, or eyes; a stroke or heart attack; a problem that makes your blood clot more than normal; blood circulation disorders; certain heart valve or rhythm problems that can cause blood clots to form in the heart; high blood pressure not well controlled by medicine; diabetes with kidney, eye, nerve, or blood vessel damage; certain kinds of severe migraine headaches with aura, numbness, weakness or changes in vision or migraine headaches if you are over 35 years old; breast cancer or any cancer that is sensitive to female hormones; osteoporosis; undiagnosed vaginal bleeding; liver problems;
- smoke and are over 35 years old;
- have had an allergic reaction to any of the ingredients in relugolix-CT.
Relugolix-CT is associated with bone loss (decreased bone mineral density), suicidal thoughts, behavior and worsening of mood; abnormal liver tests; high blood pressure; uterine fibroid prolapse or expulsion; and severe allergic reactions. You should not take relugolix-CT for more than 24 months.
Effects on pregnancy. Do not take relugolix-CT if you are pregnant or trying to become pregnant as it may increase the risk of early pregnancy loss. If you think you are pregnant, stop taking relugolix-CT right away and call your healthcare provider.
Tell your healthcare provider if you are breastfeeding. Relugolix-CT may pass into your breast milk.
The most common side effects in women with heavy menstrual bleeding associated with uterine fibroids are hot flushes, increased sweating, night sweats, abnormal vaginal bleeding, hair loss or thinning, and decreased interest in sex.
The most common side effects in women with moderate to severe pain with endometriosis are headache, hot flushes/sweating/night sweats, mood changes including worsening depression, abnormal vaginal bleeding, nausea, toothache, back pain, decreased interest in sex, joint pain, tiredness, and dizziness.
These are not all the possible side effects of relugolix-CT.
For a copy of the full prescribing information, please click here.