Elagolix
About Elagolix
Elagolix is an oral prescription medicine used to treat moderate to severe pain associated with endometriosis. It helps manage symptoms like painful menstrual cramps, pelvic pain between periods, and pain during intercourse. This medicine is designed for women who experience significant physical discomfort that interferes with their daily activities.
To get the best results, you must take Elagolix consistently every day, exactly as your healthcare provider prescribes. You can take this tablet with or without food, but taking it at the same time each day helps keep a steady level of the medicine in your body. Incorporating gentle exercises, practicing stress-management techniques, and eating a balanced diet can also support your treatment progress.
Some of the most common side effects of Elagolix include hot flashes, night sweats, and headaches. While these are usually mild, you must contact your doctor immediately if you experience serious side effects, such as severe mood changes, depression, or suicidal thoughts.
Talk to your doctor before starting this medicine if you have a history of osteoporosis, liver disease, or depression. Do not take this if you are pregnant or planning to become pregnant, as this medicine can harm an unborn baby and increase the risk of early pregnancy loss.
This medicine can interact with certain prescription drugs, such as some cholesterol-lowering medications or treatments for transplant rejection, which can increase the risk of liver damage. It is also important to consult your healthcare provider if you are breastfeeding or if you have other underlying health conditions, as this treatment is not recommended for everyone.
Medicinal Benefits
Elagolix helps manage endometriosis-related pain by reducing the hormonal stimulation that contributes to endometrial tissue growth and pain. Its benefits include:
- Helps reduce chronic pelvic pain and painful menstrual cramps, which may make daily activities such as work, school, and social activities more manageable.
- May reduce the severity of endometriosis-related pain during menstrual periods and help improve overall daily comfort.
- Better control of persistent pelvic pain may support improved sleep and quality of life.
- Reducing pain and disruptive menstrual symptoms may also help lessen the emotional stress associated with chronic endometriosis symptoms.
Directions for Use
- Take Elagolix as advised by the doctor.
- It is advised to take Elagolix at the same time each day
- Swallow the medicine as a whole with water.
- Do not crush, break or chew it.
Storage
Side Effects of Elagolix
Common Side Effects (Usually mild):
- Hot flashes or night sweats
- Headaches
- Nausea
- Difficulty sleeping (insomnia)
- Irregular menstrual bleeding or absence of periods
Serious Side Effects (Call a doctor right away):
- Signs of liver damage (such as yellowing of your skin or eyes, dark urine, pale stools, or severe right-sided stomach pain)
- Severe mood changes, worsening depression, anxiety, or suicidal thoughts
- Signs of bone loss (such as persistent bone pain or an increased susceptibility to fractures)
- Signs of a severe allergic reaction (such as hives, difficulty breathing, or swelling of your face, lips, or throat)
Medicines Containing this Salt
View AllDrug Warnings
- Use non-hormonal contraception: Use effective non-hormonal birth control, such as condoms or a diaphragm, while taking Elagolix and for 1 week after stopping it, as hormonal contraceptives may be less effective during treatment.
- Monitor your mood: Pay attention to changes in your mood or emotional well-being. Ask a trusted family member or friend to help notice any sudden or unusual changes.
- Complete liver tests: Attend all scheduled liver function blood tests recommended by your doctor while taking Elagolix.
- Watch your bone health: Contact your doctor if you develop unusual bone pain or experience a fracture easily, as your bone mineral density may need to be evaluated.
- Check before taking other medicines: Do not start any new prescription medicines, over-the-counter medicines, or herbal supplements without first consulting your doctor or pharmacist.
Drug Interactions
- OATP 1B1 inhibitors (such as cyclosporine or gemfibrozil): May significantly increase the amount of Elagolix in your blood, which can raise the risk of liver damage and other side effects.
- Hormonal contraceptives: Estrogen-containing birth control can reduce the effectiveness of Elagolix. Use non-hormonal contraception instead.
- Rifampin: May lower the levels of Elagolix in your body, making the treatment less effective at relieving your pelvic pain.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended to avoid alcohol consumption while taking Elagolix to avoid unpleasant side effects. Alcohol intake, along with Elagolix, may cause increased drowsiness.
Pregnancy
consult your doctorPlease consult your doctor if you are pregnant or planning a pregnancy before taking Elagolix.
Breast Feeding
consult your doctorElagolix should not be taken during breastfeeding as it passes into the breastmilk and may harm the nursing baby. Please consult your doctor.
Driving
cautionElagolix causes dizziness and affects your ability to drive. Do not drive or operate machinery if you experience any unmanageable side effects with Elagolix.
Liver
consult your doctorIf you have had a history or evidence of any liver-related diseases, please consult a doctor before taking Elagolix.
Kidney
consult your doctorIf you have had a history or evidence of any kidney-related diseases, please consult a doctor before taking Elagolix.
Children
unsafeElagolix is not recommended for use in children below 12 years of age.
Habit Forming
Diet & Lifestyle Advise
- Support your bone health: Because this medicine lowers estrogen levels, it can cause bone loss. Ensure you consume enough calcium and vitamin D through your diet or supplements, as recommended by your doctor.
- Engage in weight-bearing exercise: Activities like walking, light jogging, or strength training can help maintain your bone density and support overall joint health.
- Eat an anti-inflammatory diet: Focus on whole foods, including leafy greens, berries, omega-3 rich fish, and whole grains, which can help manage the chronic inflammation associated with endometriosis.
- Limit alcohol and avoid smoking: Both smoking and excessive alcohol consumption can accelerate bone loss and worsen symptoms like hot flashes and fatigue.
Special Advise
- Your doctor may advise liver function tests to monitor your liver health, as Elagolix may increase liver enzymes (alanine aminotransferase, aspartate aminotransferase, and other transaminases).
Patients Concern
Disease/Condition Glossary
Endometriosis: It is a disorder in which tissue lining the uterus grows outside the uterine cavity. It commonly involves the ovaries, fallopian tubes and the tissue lining the pelvis. Symptoms of endometriosis include pain and irregular periods.
FAQs
Elagolix is used in the treatment of moderate to severe pain associated with endometriosis in women
Elagolix helps reduce estrogen levels in the body and helps decrease the growth and activity of endometrial tissue outside the uterus.
Elagolix may worsen your mood disorders like depression. Hence, it is advised to use Elagolix only when you are free from any kind of mental problems. Please consult your doctor for more information.
Elagolix may cause osteoporosis (bone thinning) due to reduced estrogen levels. Regular bone density tests may help you monitor osteoporosis. Contact your doctor if you observe any signs of tendon pain or swelling while taking Elagolix.
Before starting treatment with Elagolix, you should inform your doctor if you are allergic to any of its ingredients. Let your doctor know if you are pregnant or breastfeeding, as Elagolix could harm the unborn baby. Also, make sure to inform your doctor if you have a history of liver or kidney disease, heart disease, recent heart attack, depression, brain tumours, seizures, or weak bones
Take Elagolix as advised by the doctor. Do not take more than the recommended dose. It is advised to take the medicine around the same time each day.
Many women find that their menstrual bleeding decreases significantly or stops entirely while taking Elagolix. However, this is not a guarantee of contraception, and you can still get pregnant. Talk to your doctor if you experience unexpected or heavy bleeding.
Some women experience pelvic pain relief within the first month of starting Elagolix, while for others, it may take several weeks. Consistent, daily use is crucial to achieve the best results. Talk to your doctor if your pain does not improve after a few weeks.
No, you should not use estrogen-containing hormonal birth control while taking Elagolix, as it can interfere with how this medicine works. You should use non-hormonal birth control options, such as condoms or copper IUDs. Talk to your doctor or pharmacist to choose the safest option.
While there is no direct, dangerous interaction between alcohol and Elagolix, drinking alcohol can contribute to bone loss and worsen side effects like headaches and hot flashes. It is highly recommended to limit your alcohol intake. Talk to your doctor or pharmacist for personalized guidance.
It is currently not fully known if Elagolix passes into breast milk or if it can harm a nursing infant. You should discuss the potential risks and benefits with your healthcare provider before breastfeeding while taking this medicine. Talk to your doctor.

