Levonorgestrel is used by women to prevent pregnancy
after birth control failure (such as a broken condom) or unprotected sex.
This medication is an emergency contraceptive and should not be used as a
regular form of birth control.
Using this medication will not stop an existing
pregnancy or protect you or your partner against sexually transmitted
diseases (such as HIV, gonorrhea, chlamydia).
This medication may not work well in women over a
certain weight (for example, greater than 164 pounds or 74 kilograms), or
if you have used certain other medications within the past month. This
effect can result in pregnancy. Talk to your doctor for more details and to
see if this medication is right for you (see also Drug Interactions
section).
Check the ingredients on the label even if you have used
the product before. The manufacturer may have changed the ingredients.
Also, products with similar names may contain different ingredients meant
for different purposes. Taking the wrong product could harm
you.
If you are taking the over-the-counter product to
self-treat, read all directions on the product package before taking this
medication. If you have any questions, talk to your pharmacist. If your
doctor has prescribed this medication, take it as directed.
Take 1 tablet by mouth with or without food as soon as
possible after unprotected sex. This medication works best when it is taken
within 72 hours (3 days) after unprotected sex.
If you vomit within 2 hours of taking this medication,
contact your doctor to ask if you need to repeat the dose.
After you take this medication, the time when your
period comes and how much you bleed may change. Tell your doctor right away
if your period is more than 7 days late. You may need to take a pregnancy
test.
If you think you may have a serious medical problem, get
medical help right away.
Nausea/vomiting, abdominal pain, tiredness, dizziness,
changes in vaginal bleeding, breast tenderness, or headache may occur. If
any of these effects last or get worse, tell your doctor or pharmacist
promptly.
If your doctor has directed you to use this medication,
remember that your doctor has judged that the benefit to you is greater
than the risk of side effects. Many people using this medication do not
have serious side effects.
Tell your doctor right away if you have any serious side
effects, including:
- severe lower stomach pain (especially 3 to 5 weeks after
taking levonorgestrel)
A very serious allergic reaction to this drug is rare.
However, get medical help right away if you notice any symptoms of a
serious allergic reaction, including:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If
you notice other effects not listed above, contact your doctor or
pharmacist.
In the US - Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088 or at
www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about
side effects. You may report side effects to Health Canada at
1-866-234-2345.
Before taking levonorgestrel, tell your doctor or
pharmacist if you are allergic to it; or to other progestins (such as
norethindrone); or if you have any other allergies. This product may
contain inactive ingredients, which can cause allergic reactions or other
problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
- unexplained vaginal bleeding
This drug may make you dizzy. Alcohol or marijuana
(cannabis) can make you more dizzy. Do not drive, use machinery, or do
anything that needs alertness until you can do it safely. Limit alcoholic
beverages. Talk to your doctor if you are using marijuana
(cannabis).
Before having surgery, tell your doctor or dentist about
all the products you use (including prescription drugs, nonprescription
drugs, and herbal products).
This medication must not be used during pregnancy. If
you become pregnant or think you may be pregnant, tell your doctor right
away.
This medication passes into breast milk but is unlikely
to harm a nursing infant. Consult your doctor before
breastfeeding.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your doctor and pharmacist. Do not start, stop, or change the
dosage of any medicines without your doctor's approval.
Some drugs may cause emergency birth control to work
less well by decreasing the amount of birth control hormones in your body.
This effect can result in pregnancy. Examples include griseofulvin,
modafinil, rifamycins (such as rifampin, rifabutin), St. John's wort, drugs
used to treat seizures (such as barbiturates, carbamazepine, felbamate,
phenytoin, primidone, topiramate), HIV drugs (such as nelfinavir,
nevirapine), among others. Talk to your doctor or pharmacist for more
details (see also Uses section).
Overdose with this medication is very unlikely. However,
if someone has overdosed and has serious symptoms such as passing out or
trouble breathing, call 911. Otherwise, call a poison control center right
away. US residents can call 1-800-222-1222. Canada residents can call
1-844-764-7669. Symptoms of overdose may include: severe
nausea/vomiting.
Keep all medical and lab appointments.
Store at room temperature away from light and moisture.
Do not store in the bathroom. Keep all medications away from children and
pets.
Do not flush medications down the toilet or pour them
into a drain unless instructed to do so. Properly discard this product when
it is expired or no longer needed. Consult your pharmacist or local waste
disposal company.