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Upload your prescription.
Complete your purchase by processing the payment.
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Orilissa is a prescription-only medication used to manage the three most common types of endometriosis pain. This includes painful periods, pelvic pain between periods, and pain during sex. It belongs to a class of drugs called gonadotropin‑releasing hormone (GnRH) receptor antagonists. Unlike birth control pills or opioids, Orilissa is specifically designed to target the hormonal activity that fuels endometriosis symptoms.
Here’s a quick snapshot of Orilissa at a glance:
| Brand Name | Orilissa |
|---|---|
| Generic Name | Elagolix Sodium |
| Drug Class | Gonadotropin-releasing hormone (GnRH) antagonists |
| FDA Approval Status | Approved on July 23, 2018, for the management of endometriosis pain |
| Available Form | Oral Tablet |
| Strengths | 150 mg and 200 mg |
| Routes of Administration | Oral |
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Orilissa is FDA-approved to help manage:
Orilissa reduces pain from endometriosis by lowering estrogen levels in the body. It does this by blocking GnRH receptors in the pituitary, thereby reducing signals from the brain that normally trigger estrogen and progesterone production. With less estrogen available, endometriosis tissue becomes less active, helping to relieve pain and related symptoms.
The Orilissa dosing schedule is outlined in the table below for easy reference.
| Dosage | Frequency | Maximum Duration | Notes |
|---|---|---|---|
| 150 mg | Once daily | Up to 24 months | Generally, the first option prescribed |
| 200 mg | Two times daily | Up to 6 months | Often chosen when symptoms are harder to control |
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If you’re prescribed Orilissa for endometriosis pain management, your doctor will usually recommend the following administration guidelines:
Not everyone experiences side effects, and many are mild or temporary. Orilissa side effects may include:
| Common Side Effects of Orilissa (elagolix) | Rare or Serious Side Effects of Orilissa (elagolix) |
|---|---|
| Hot flashes | Allergic reactions |
| Headaches | Weight gain |
| Nausea | Bone density loss |
| Insomnia | Liver issues |
| Amenorrhea | Suicidal thoughts |
| Mood changes | Menstrual irregularities |
| Joint pain | Gastrointestinal bleeding |
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If you are following the Orilissa dosing schedule and realize you have missed a dose, take it as soon as possible on the same day. If it is already the next day, skip the missed Orilissa tablet and continue with your daily dosing schedule. Do not take extra tablets to make up for a missed Orilissa dose, as this may increase the risk of serious side effects.
An Orilissa (elagolix) overdose can be serious. If you suspect an Orilissa overdose, contact the poison control center or your healthcare provider immediately. Possible Orilissa overdose symptoms may include:
Orilissa (elagolix) is unique because it is the first oral GnRH antagonist approved for endometriosis pain. Other common options include hormonal therapies like Myfembree and norethindrone. Injectable GnRH agonists such as Lupron Depot are also used for treatment.
| Medication | Type | Major Benefits |
|---|---|---|
| Orilissa (elagolix) | Oral GnRH antagonist | Fast oral option, non-surgical, effective for painful periods, pelvic pain, and pain with sex |
| Myfembree (relugolix + estradiol + norethindrone) | Oral combination therapy | Helps manage pain with fewer bone loss concerns due to add-back therapy |
| Norethindrone | Progestin-only pill | Widely available, inexpensive, and can reduce bleeding and pain |
| Lupron Depot (leuprolide) | Injectable GnRH agonist | Strong pain relief, long history of use |
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Orilissa does not require refrigeration. Instead, you need to follow these Orilissa storage guidelines:
A total of 410 different medications have documented interactions with Orilissa (elagolix). Out of these drug interactions, 59 are classified as major, 334 fall into the moderate category, and 17 are considered minor. It is also linked to 3 specific disease-related interactions. Some Orilissa interactions are:
Orilissa (elagolix) is one option for managing moderate to severe endometriosis pain, but several alternatives exist. Orilissa alternatives are:
When you buy Orilissa online, it can be financially overwhelming as the cost of this medication is high in the U.S. High Orilissa costs can be difficult for many patients to manage. That’s why so many patients choose to buy Orilissa online from Polar Bear Meds. We help make endometriosis pain management more affordable by offering this medication at up to 80% lower cost than U.S. pharmacies.
We source elagolix (Orilissa) for endometriosis pain from licensed Canadian pharmacies. New customers can save even more by just using our Orilissa coupon code 'WELCOMEPB10' for an additional 10% off. You can expect orders within 3-5 business days via Xpress Post. This makes it easy for you to access Orilissa for endometriosis pain management.
This content is provided for general educational purposes only & should not be considered medical advice. Orilissa (elagolix) is a prescription medication that must be used only under the supervision of a licensed healthcare professional. The safety, effectiveness, dosage, and duration of treatment may vary based on individual medical conditions, history, and other medications being taken. Do not self-diagnose, self-medicate, or change your prescribed Orilissa dose without consulting your doctor.
Learn more about Orilissa and related topics

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