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Mirvaso Warnings and Precautions

Although Mirvaso is applied to the skin, it can still cause serious problems for some people. Some of the warnings with Mirvaso include precautions for those who have depression, heart disease, or a history of a stroke. The drug could make conditions such as these worse, so discuss your medical history with your healthcare provider prior to beginning treatment.


What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using Mirvaso® (brimonidine gel) if you have:
  • Depression
  • Raynaud's syndrome
  • Chest pain or other heart problems
  • Ever had a stroke or mini-stroke
  • Orthostatic hypotension (low blood pressure when changing positions)
  • Thromboangiitis obliterans (a condition that causes multiple clots in the hands and feet)
  • Scleroderma
  • Sjögren's syndrome
  • Have any allergies, including to medications, foods, dyes, or preservatives.
In addition, let your healthcare provider know if you are:
  • Pregnant or thinking of becoming pregnant  
  • Breastfeeding.
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.

Specific Precautions and Warnings for Mirvaso

Some warnings and precautions to be aware of prior to using Mirvaso include the following:
  • Mirvaso should be used with caution in people with depression, heart disease, Raynaud's disease, a history of a stroke, low blood pressure, or thromboangiitis obliterans, as there is a small chance that it could make them worse. However, many people with such conditions can safely use this drug without any problems whatsoever. You may need extra monitoring, just to be safe.
  • Mirvaso is for skin use only. Do not swallow it, and make sure to keep it out of the eyes. This drug can cause dangerous problems if taken by mouth.
  • Some people experience skin redness and flushing, which is exactly the opposite of what you want when treating rosacea. If this effect goes away quickly and you are left with skin that is less red, you may be able to live with this as a mildly bothersome side effect. However, if Mirvaso makes your redness worse for hours, it's probably not a good option for you.  
  • Mirvaso is a pregnancy Category B medication, which means that it is probably safe for use during pregnancy, although the full risks are currently unknown (see Mirvaso and Pregnancy).
  • It is unknown if Mirvaso passes through breast milk. Therefore, if you are breastfeeding or plan to start, check with your healthcare provider or your child's healthcare provider before using this medicine (see Mirvaso and Breastfeeding).

Mirvaso Gel Information

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