Eloira Hormonal Intrauterine System: Complete Guide
When to Call Your Doctor IMMEDIATELY
- Severe abdominal pain or cramping
- Fever with chills
- Foul-smelling vaginal discharge
- Sudden heavy vaginal bleeding
- Missed period with abdominal pain (possible ectopic pregnancy)
- Inability to feel the strings of the device
- Pain during intercourse
If experiencing severe symptoms, call emergency services immediately.
What is levodiva device used for?
This medicine is a hormonal intrauterine system containing 52 mg levonorgestrel. It is a long-acting reversible contraceptive that also treats heavy menstrual bleeding. It works by releasing levonorgestrel locally to prevent pregnancy and reduce bleeding.
- Generic Name: Levonorgestrel (intrauterine delivery system) (52mg)
- Manufacturer: Bharat Serums & Vaccines Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 levodiva device के बारे में (Hindi Summary)
उपयोग: यह दवा एक हार्मोनल इंट्रायूटेराइन सिस्टम है जिसमें लेवोनोर्जेस्ट्रेल 52 मिलीग्राम होता है। इसका उपयोग गर्भनिरोधक के रूप में और अत्यधिक मासिक धर्म रक्तस्राव के इलाज के लिए किया जाता है। यह गर्भाशय में डाली जाती है और 5 साल तक प्रभावी रहती है। यह गर्भाशय की परत को पतला करके और गर्भाशय ग्रीवा के बलगम को गाढ़ा करके गर्भधारण को रोकती है।
साइड इफेक्ट्स: सामान्य दुष्प्रभावों में अनियमित रक्तस्राव, सिरदर्द, स्तन में कोमलता, मूड में बदलाव और मुँहासे शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेल्विक सूजन, गर्भाशय में छेद, एक्टोपिक गर्भावस्था और डिवाइस का बाहर निकलना शामिल हो सकता है। यदि आपको तेज पेट दर्द, बुखार या असामान्य रक्तस्राव हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: यह दवा केवल प्रशिक्षित डॉक्टर द्वारा ही डाली और निकाली जानी चाहिए। डालने के बाद 7 दिनों तक अतिरिक्त गर्भनिरोधक का उपयोग करें। 48 घंटे तक टैम्पोन या संभोग से बचें। हर महीने डिवाइस के धागों की जांच करें। यदि आपको गंभीर दर्द, बुखार या बदबूदार स्राव हो तो तुरंत डॉक्टर से संपर्क करें।
💊 levodiva device Uses & Benefits
[{"condition":"Contraception","description":"Provides long-term, reversible contraception with a failure rate of less than 1% per year.","evidence":"Well-established"},{"condition":"Heavy menstrual bleeding (menorrhagia)","description":"Significantly reduces menstrual blood loss and is approved for this indication.","evidence":"Well-established"},{"condition":"Endometrial protection during hormone replacement therapy","description":"Used to protect the endometrium in women receiving estrogen therapy.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Dysmenorrhea","description":"May reduce painful menstrual cramps, though not a primary approved indication.","evidence":"Limited"},{"condition":"Endometriosis-related pain","description":"Sometimes used to manage pain associated with endometriosis.","evidence":"Limited"}]
Primary treatment for: Contraception
Also treats: Heavy menstrual bleeding, Endometrial protection during hormone replacement therapy
📋 Drug Information
| Generic Name(s) | Levonorgestrel (intrauterine delivery system) (52mg) |
| Brand Name | levodiva device |
| Manufacturer | Bharat Serums & Vaccines Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GYNAECOLOGICAL |
| Action Class | Progestins (Second generation) |
| Route of Administration | Intrauterine |
| Storage | Store at room temperature (15-30°C) in the original packaging. Protect from direct sunlight and moisture. Do not freeze. |
| Shelf Life | 5 years from the date of manufacture. |
| WHO Guideline | The World Health Organization recognizes the levonorgestrel-releasing intrauterine system as a highly effective, long-acting reversible contraceptive method. It is included in the WHO Model List of Essential Medicines. |
| ICMR Guideline | The Indian Council of Medical Research supports the use of intrauterine devices, including the levonorgestrel intrauterine system, as effective contraception and for management of heavy menstrual bleeding. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine releases levonorgestrel, a progestin, directly into the uterine cavity. Levonorgestrel binds to progesterone receptors in the endometrium, causing decidualization and atrophy of the endometrial lining. It also thickens cervical mucus, making it impenetrable to sperm, and alters sperm motility and function, preventing fertilization. The hormonal effect is primarily local, with minimal systemic absorption.
Mechanism Steps
💡 How to Take levodiva device
Strength: Intrauterine system containing 52 mg levonorgestrel.
Dosage Information
| Adult Dosage | This medicine is inserted into the uterine cavity by a healthcare professional. The usual dose is one intrauterine system containing 52 mg of levonorgestrel, which releases approximately 20 mcg per day initially and gradually decreases over 5 years. The device is effective for up to 5 years for contraception and 3 years for heavy menstrual bleeding. Dose must be individualized by a qualified clinician based on indication, age, and medical history. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | This medicine is not typically used in postmenopausal women unless for endometrial protection during hormone replacement therapy. Consult a healthcare provider for individualized advice. |
| Renal Impairment | No dosage adjustment is required for renal impairment, but use with caution in severe renal disease. |
| Hepatic Impairment | Use with caution in women with severe liver disease. Contraindicated in severe hepatic impairment or liver tumors. |
| Maximum Daily Dose | Not applicable as this is a long-acting intrauterine device. The device releases a controlled amount of levonorgestrel daily. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of levodiva device
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Rifampicin | Major | |
| Carbamazepine | Major | |
| Phenytoin | Major | |
| Tranexamic acid | Moderate | |
| NSAIDs | Minor |
🚨 Major Interactions
- Enzyme-inducing drugs (e.g., rifampicin, carbamazepine, phenytoin)
⚡ Moderate Interactions
- Antifibrinolytic drugs (e.g., tranexamic acid)
🍷 Alcohol Interaction
Alcohol does not directly interact with this medicine, but excessive alcohol consumption may affect liver function and overall health. Moderate alcohol intake is generally acceptable.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known or suspected pregnancy","Current pelvic inflammatory disease or lower genital tract infection","Unexplained vaginal bleeding","Congenital or acquired uterine anomaly that distorts the uterine cavity","Known hypersensitivity to levonorgestrel or any component of the device","Current or history of breast cancer","Severe liver disease or liver tumor","Acute or history of thromboembolic disease"]
⚠️ Warnings & Precautions
["Insertion and removal should be performed by a trained healthcare professional.","Use additional barrier contraception for the first 7 days after insertion.","Avoid intercourse or tampon use for 48 hours after insertion to reduce infection risk.","Check for the strings regularly; if you cannot feel them, use backup contraception and consult your doctor.","Seek immediate medical attention if you experience severe abdominal pain, fever, or foul-smelling discharge.","This device does not protect against sexually transmitted infections (STIs).","Inform your healthcare provider about this device before any medical procedure or surgery."]
🤱 Lactation Safety
This medicine is considered safe during breastfeeding. Levonorgestrel is excreted in breast milk in small amounts, but it is not known to cause adverse effects in breastfed infants. Consult a healthcare provider for guidance.
💊 Overdose Management
Overdose with this intrauterine system is unlikely due to its local delivery. If accidental ingestion of the device occurs, seek medical attention. Symptoms of levonorgestrel overdose may include nausea, vomiting, and withdrawal bleeding. Treatment is supportive.
⏰ Missed Dose
This medicine is a long-acting intrauterine device and does not require daily dosing. If you miss a follow-up appointment, reschedule as soon as possible. If you suspect the device has been expelled, use backup contraception and contact your healthcare provider immediately.
Additional Safety Advice
This medicine must be inserted and removed by a trained healthcare provider. Regular follow-up visits are recommended to check the position of the device. Use additional barrier contraception for the first seven days after insertion to ensure full contraceptive effect. Avoid using tampons or having intercourse for at least 48 hours after insertion to reduce infection risk. If you suspect pregnancy, have the device checked immediately. Do not attempt to remove the device yourself. Inform any healthcare provider that you have this device before undergoing any medical procedure.
👴 Special Considerations for Elderly
💡 For Patients Above 65
This medicine is not typically used in elderly women unless for endometrial protection during hormone replacement therapy. Consult a healthcare provider for individualized advice.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, have the device removed by a healthcare professional. Fertility usually returns to normal soon after removal. Preconception counseling and folic acid supplementation are recommended.
🏥 Post-Surgery Considerations
Inform your surgeon that you have this device before any surgery. It may need to be removed if surgery involves the pelvic area. Consult your healthcare provider for guidance.
🦷 Dental Procedures
No specific precautions for dental procedures. Inform your dentist about this device as part of your medical history.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting for 24-48 hours after insertion. After that, you can resume normal activities. If you experience pain or discomfort during exercise, consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine has minimal impact on daily activities. You can return to work and drive after insertion, but avoid heavy lifting for 24 hours. Some women may experience cramping or spotting initially, which can be managed with over-the-counter pain relief.
🛑 When to Stop This Medicine
This medicine should be removed after 5 years or earlier if you wish to become pregnant, experience complications, or no longer need contraception. Removal should be done by a healthcare professional. Do not attempt to remove it yourself.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe. The device is effective for up to 5 years. Regular check-ups are recommended to monitor for any complications. Some women may experience continued irregular bleeding or amenorrhea. Bone mineral density may be slightly affected, but this is usually reversible after removal. There is no evidence of increased risk of cancer with long-term use.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Non-hormonal option for contraception, effective for up to 10 years.
Evidence: Well-establishedDaily pill that provides contraception and regulates periods.
Evidence: Well-establishedHormonal implant placed in the arm, effective for up to 3 years.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines. Continue routine vaccinations as recommended.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C) before insertion.
❌ DON'T
Do not freeze.
✅ DO
Keep in original sterile packaging until insertion.
❌ DON'T
Do not open packaging until ready for use.
✅ DO
Protect from direct sunlight and moisture.
❌ DON'T
Do not store in bathroom.
✈️ Traveling with This Medicine
When traveling with this medicine, it is already inserted in your body, so no special storage is needed. Carry a copy of your prescription or a note from your doctor stating that you have an intrauterine device, especially if you are traveling internationally. If you have a follow-up appointment scheduled during travel, plan accordingly. Be aware that if you experience any unusual symptoms while traveling, seek medical attention promptly.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The contraceptive effect begins within 7 days after insertion. For heavy menstrual bleeding, improvement may take 3-6 months.
A: Insertion may cause some cramping, similar to menstrual cramps. Your doctor may recommend a pain reliever before the procedure.
A: Yes, fertility typically returns to normal soon after removal. Many women conceive within a year.
A: No, this medicine does not protect against sexually transmitted infections. Use condoms for protection.
🤔 Common Patient Concerns
🔄 Substitutes for levodiva device
View AllAlternative brands with exact same active ingredient:
-
eloira hormonal intrauterine systemPregna International Limited. ₹3,785.00 15.1% COSTLIER
-
mirena intrauterine delivery systemBayer Zydus Pharma Pvt Ltd ₹4,103.25 24.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine causes infertility.
Fact: This medicine does not cause infertility. Fertility returns to normal after removal. - Myth: This medicine is only for contraception.
Fact: It is also used to treat heavy menstrual bleeding and protect the endometrium during hormone replacement therapy. - Myth: This medicine causes weight gain.
Fact: Clinical studies have not consistently shown significant weight gain with this medicine.