Synarel Nasal Spray is a medication used to treat endometriosis and help women become pregnant. It is a synthetic hormone that works by stopping the production of certain hormones involved in the menstrual cycle. Synarel is available in a nasal spray form and must be prescribed by a doctor.
If you suffer from endometriosis, you know how debilitating the condition can be. The good news is that Synarel Nasal Spray can help. Synarel is a GnRH agonist, which means it helps to reduce the levels of estrogen in your body. This can help to relieve the pain and other symptoms associated with endometriosis. In addition, Synarel can also be prescribed as part of a fertility treatment program. So if you’re hoping to start a family, Synarel may be able to help you realize your dream. Talk to your doctor today about whether Synarel is right for you.
Synarel contains nafarelin acetate and works by reducing the normal response of your body to a hormone called GnRH (gonadotrophin releasing hormone).
As a result, your ovaries produce less of another hormone called oestrogen. You will notice the reduced amount of oestrogen usually by your periods either stopping or being reduced in amount after about one month of taking Synarel. Synarel has to get into your blood stream before it can work. This cannot happen if it is taken by mouth, because your stomach acid will break it down and it will be digested. Therefore, nasal inhalation is a simple way to get this medicine into your bloodstream.
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The price of Synarel Nasal Spray is £74.52
You can buy Synarel Nasal Spray at Dock Pharmacy Essex UK, UK Online Pharmacy.
Synarel Nasal Spray is not available to buy over the counter. You need a prescription to buy Synarel Nasal Spray
For endometriosis:
the usual dose is one spray twice each day for six months.
Spray into one nostril in the morning, and the other nostril in the evening (a total of 2 sprays per day).
You should use the spray for the first time between the second and fourth day of your period.
For endometriosis, the longest time for which you should be taking your medicine is 6 months.
For use in fertility programmes:
if you are taking this medicine as part of a fertility programme, the dose is usually one spray to both nostrils in the morning, and one spray to both nostrils in the evening (4 sprays per day). If you are taking this medicine as part of a fertility programme, your doctor will tell you how long to keep taking your medicine. This will usually be for no longer than 8 weeks. Take your spray as your doctor has told you to. If you are still not sure, ask your doctor or pharmacist. It is important to keep taking your spray. If you have any questions, don’t wait until your nasal spray is finished before seeing your doctor.
What you need to know before you take Synarel
Ì Do not use Synarel • If you are allergic to nafarelin acetate, gonadotrophin releasing hormone or any of the other ingredients of this medicine (listed in section 6). • If you are pregnant or may become pregnant whilst taking Synarel. If you are taking Synarel as part of a fertility programme, your pregnancy will be planned to take place after you stop taking this medicine. • If you suffer from vaginal bleeding, for which your doctor could not find the cause. • If you are currently breast-feeding. • If you are under 18 years of age. Ì Warnings and precautions Talk to your doctor or pharmacist before using Synarel • If you suffer from Polycystic Ovarian Disease as there is a potential risk for excessive follicular stimulation • If you think you might be pregnant there is a risk to the development of the foetus and/or miscarriage. • There have been reports of depression in patients taking Synarel which may be severe. If you are taking Synarel and develop depressed mood, inform your doctor. • Use of Synarel in combination with gonadotropin to treat infertility can sometimes cause an overreaction in your ovaries (ovarian hyperstimulation syndrome, OHSS). You may notice stomach pain, swelling of your stomach, and feeling or being sick. If this happens, tell your doctor. See also section 4 Possible side effects. Your doctor will advise whether you can still take Synarel. • After a course of therapy, if further treatment of endometriosis and fibroids with Synarel is needed your bone density may need to be checked. • Tell your doctor if you are due to have any medical tests as use of this medicine might alter/ affect the results. Ì Other medicines and Synarel Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines. Nasal decongestants should not be used within the 30 minute period before taking a dose of Synarel as they can significantly reduce absorption of the medicine in the nose. If your nose is congested, Synarel will still be absorbed. If you have been using an oral contraceptive to prevent pregnancy, your doctor will ask you to stop taking these and use a barrier method of contraception (diaphragm, condom) to stop you becoming pregnant. Ì Synarel with food and drink Please refer to section 3. Ì Pregnancy, breast-feeding and fertility Do not take Synarel if you are pregnant or trying to become pregnant. Do not take Synarel if you are breast-feeding. Ì Driving and using machines Page 3 of 9 Synarel is not known to affect the ability to drive or use machinery. Ì Synarel contains benzalkonium chloride Benzalkonium chloride (a type of preservative) is an irritant and may cause skin reactions, swelling and bronchospasm. 3. How to use Synarel Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Synarel can be taken with or without food. • Synarel can only be taken/administered through the nose by nasal spray. • If you sneeze while spraying Synarel, you will need to take another dose of Synarel.
Possible side effects
Like all medicines, this medicine can cause side effects although not everybody gets them. Stop taking Synarel and tell your doctor straight away if you have an allergy to this medicine. If you are allergic to it, you may become short of breath, have chest pain, or a rash which may or may not be itchy. Synarel may lead to enlargement of the ovaries due to excess egg production (OHSS – Ovarian Hyperstimulation Syndrome). This can lead to pain in the pelvis, stomach or calf, swelling or feeling bloated, passing less urine, difficulty in breathing or an increase in weight. If you experience any of these symptoms, tell your doctor immediately. Other side effects Synarel may cause are listed below by frequency: Very common side effects: may affect more than 1 in 10 people • weight increase • swings of emotion • sex drive decrease • headache • hot flushes • nasal irritation and/or inflammation • acne • oily appearance on the skin and the formation of grease scales • painful muscles • breast size decrease • vaginal dryness • oedema Common side effects: may affect up to 1 in 10 people • allergic reaction which may include shortness of breath, chest pain and a rash which may or may not be itchy • itching which may be accompanied by swelling • skin rash including hives • oestrogen deficiency • weight decrease • depression • tingling sensation in parts of your body • hypertension • hypotension • excessive hair growth • artificial menopause • abnormal bleeding from the vagina • sex drive increase • difficulty sleeping (insomnia) • bone density decreases Uncommon side effects: may affect up to 1 in 100 people • hair loss • joint pain • breast size increase • ovarian cyst formation Not known side effects: the frequency cannot be estimated from the available data • migraine • blurred vision • palpitations • liver enzyme increases Page 8 of 9 • short term increase in symptoms of endometriosis • enlargement of the ovaries due to excess egg production (OHSS) Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Click here for the Patient Information leaflet of Synarel Nasal Spray
Please read before using the product
The active substance is nafarelin acetate.
The Synarel spray liquid contains nafarelin acetate equivalent to a concentration of 2 mg/ml nafarelin in a bottle fitted with a metered spray pump.
Each actuation of the spray pump delivers 200 micrograms of nafarelin.
The other ingredients in the spray liquid are: • sorbitol, benzalkonium chloride, glacial acetic acid, water; and • sodium hydroxide or hydrochloric acid to adjust the acidity.
You should always put the safety clip and the plastic dust cap back on when you are not using the medicine. • Keep this medicine out of the sight and reach of children. • Do not use this medicine after the expiry date which is stated on the carton and bottle after EXP. The expiry date refers to the last day of that month. • Do not store above 25°C. Keep the bottle upright and in the outer carton in order to protect from light. • Do not freeze. • Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
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