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Be sure to tell your doctor if you take any drugs that could interact with Mirena, such as: blood thinners such as warfarin barbiturates such as phenobarbital and pentobarbital steroids such as prednisone, prednisolone, and methylprednisolone antiseizure drugs such as carbamazepine, oxcarbazepine, topiramate, and phenytoin certain HIV medications such as ritonavir, atazanavir, and efavirenz bosentan rifampin felbamate griseofulvin herbal products, especially St

The quickest changes are a raised heart rate and increased breathing rate, Callahan says

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