Implanon NXT 68mg Implant

Brand Organon
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Overview

Implanon NXT 68mg Implant is supplied as a healthcare product, with Etonogestrel 68mg. It is supplied in a pack size of 1s.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

This medicine requires a prescription and cannot be self-inserted. After an online consultation confirms suitability, a trained doctor inserts the rod under local anaesthetic into the inner side of the non-dominant upper arm using a pre-loaded applicator; the procedure takes only a few minutes. The implant should be removed or replaced by a healthcare provider by the end of the third year, or sooner if advised by your doctor.

Dosage

Implanon NXT delivers etonogestrel continuously from a single 68mg rod once inserted; there is no tablet to take or dose to self-administer. Your doctor will confirm the correct timing of insertion relative to your menstrual cycle or previous contraceptive method to ensure immediate and continuous protection.

Shelf Life

Unopened and unused, the implant applicator is generally stable for the shelf life stated on its packaging when stored correctly; once inserted, it is designed to remain effective for up to 3 years, after which it must be removed or replaced.

Storage Instructions

Prior to insertion, the sterile applicator should be stored below 30°C in a dry place, protected from light, and kept in its original sealed packaging until the healthcare provider is ready to use it. It should never be stored or handled by the patient for self-insertion.

Side Effects

  • Changes in menstrual bleeding patterns
  • Headache or dizziness
  • Breast tenderness
  • Acne or oily skin
  • Mood changes
  • Weight gain
  • Abdominal pain

Contraindications

  • Known or suspected pregnancy
  • Current or past history of venous thromboembolism (blood clots)
  • Severe liver disease or liver tumours, past or present
  • Undiagnosed abnormal vaginal bleeding
  • Known or suspected breast cancer, current or past
  • Known hypersensitivity to etonogestrel or any component of the implant

Drug / Food Interactions

  • Enzyme-inducing medicines such as rifampicin, certain anticonvulsants (e.g. carbamazepine, phenytoin), and St. John’s Wort can reduce the implant’s contraceptive effectiveness
  • Additional barrier contraception is generally advised during and for a period after using enzyme-inducing medicines, as advised by your doctor
  • Inform your doctor of all prescription, over-the-counter, and herbal medicines you are taking before insertion
  • No significant food interactions are expected with this implant

Quick Tips

  • Complete an online consultation with a DoctorOnCall doctor before this can be prescribed and arranged
  • Insertion and removal must always be done by a trained healthcare provider, never at home
  • Mark your calendar for removal or replacement by the end of the third year
  • Report enzyme-inducing medicines you start or stop while the implant is in place
  • Changes in bleeding pattern are common, especially in the first months, but report heavy or prolonged bleeding to your doctor

Frequently Asked Questions

Do I need a prescription to buy Implanon NXT 68mg Implant?

No. Implanon NXT 68mg Implant is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What does Implanon NXT 68mg Implant contain?

Implanon NXT 68mg Implant is a healthcare product containing Etonogestrel 68mg. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

What pack sizes does Implanon NXT 68mg Implant come in?

It is supplied in a pack size of 1s. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Implanon NXT 68mg Implant is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Implanon NXT 68mg Implant?

Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Implanon NXT 68mg Implant before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

How should I store Implanon NXT 68mg Implant?

Prior to insertion, the sterile applicator should be stored below 30°C in a dry place, protected from light, and kept in its original sealed packaging until the healthcare provider is ready to use it. It should never be stored or handled by the patient for self-insertion. Keep it in its original pack and do not use it after the expiry date printed on the packaging.

What should I do if I notice side effects after using Implanon NXT 68mg Implant?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.

Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.

FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Implanon NXT 68mg Implant be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.

Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Implanon NXT 68mg Implant registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.

An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.

For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Ingredients / Active Ingredients

  • Etonogestrel 68mg (active ingredient)
  • Ethylene vinylacetate copolymer rod (non-biodegradable implant matrix)
  • Barium sulfate (renders the rod visible on X-ray)

Safety Advice

Pregnancy

Not Safe

This medicine is not considered safe during pregnancy and should be avoided.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Limited Data

Limited data in kidney disease patients. Use only if necessary.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Generally Safe

Consuming alcohol with this medicine is generally safe, but moderate intake is advised.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Implanon NXT does not protect against sexually transmitted infections, so condoms should still be used for that purpose. Because it is a prescription implant requiring clinical insertion and removal, ongoing follow-up with your healthcare provider is an important part of using this contraceptive method safely and effectively.

Medical Review

Written by:

Dr. Chong Zhan Pong

Doctor of Medicine (MD), International Medical University (IMU)

Reviewed by:

Dr. Mohd Izzat Amir Bin Awang

Doctor of Medicine (MD), University of Mansoura - Manchester

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Important Medical Information

💊 Recommended Dosage:

Implanon NXT delivers etonogestrel continuously from a single 68mg rod once inserted; there is no tablet to take or dose to self-administer. Your doctor will confirm the correct timing of insertion relative to your menstrual cycle or previous contraceptive method to ensure immediate and continuous protection.

🛑 Contraindications (Do not use if):
  • Known or suspected pregnancy
  • Current or past history of venous thromboembolism (blood clots)
  • Severe liver disease or liver tumours, past or present
  • Undiagnosed abnormal vaginal bleeding
  • Known or suspected breast cancer, current or past
  • Known hypersensitivity to etonogestrel or any component of the implant
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Changes in menstrual bleeding patterns
  • Headache or dizziness
  • Breast tenderness
  • Acne or oily skin
  • Mood changes
  • Weight gain
  • Abdominal pain
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.