Implant (Nexplanon)

[H134]

Hi Everyone, hope your all enjoying the sunshine. I have a question can you have the implant in your arm ( contraceptive) if taking hydroxychloroquine?

[Jmiller623]

From UpToDate, a reputable medical source of information. I take the minipill, progestin only. It has made me feel better. I spot but that’s a common side effect with this pill. Highly recommend it if you don’t to nexplanon. I am on Plaquenil and persistent aPL positive so no estrogen for me. If you’re aPL positive, I’d try the minipill instead of implant IMO. Discuss with your doctor as well obviously.

“Contraceptive implants — Contraceptive implants are an alternative option to IUDs for women with SLE or aPLs who want an effective reversible contraceptive and cannot take estrogen-containing preparations. The implant most commonly used in the United States is a single rod subdermal implant that is placed in the inner upper arm and releases etonogestrel (a third-generation progestin) over a three-year period. An LNg (a second-generation progestin) implant is also available in many countries but not the United States.

The risk for thromboembolism with progestin-only contraception is low; however, third-generation progestins do have a slightly higher risk of venous thromboembolism than do the second-generation progestins. In addition, safety data on use of the etonogestrel implant in patients with APS are not available. Given the slightly greater risk of venous thrombosis associated with third-generation progestins, and the lack of data for use in aPL-positive patients, we prefer use of the LNg-containing IUD over contraceptive implants in aPL-positive women. Progestin-only contraceptives are not associated with an increased risk of SLE flare.

Unscheduled bleeding is a common side effect of contraceptive implants, and is a common cause of discontinuation of this form of contraception. Thus, the patient needs to be well counseled about what to expect.”

Hope this helps. 💜🦋xx

[H134 in reply to Jmiller623]

Thank.you 🧡