Levonorgestrel (Generic Levonelle) 1.5mg Tablet
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Levonorgestrel - The 'Morning-After' Pill
Levonelle is the original 'morning-after pill' that can be taken up to 72 hours after unprotected sex to prevent pregnancy. It is now available as the generic drug Levonorgestrel 1.5mg. It is a single dose, a hormonal emergency contraceptive tablet that can be purchased online as an advanced supply for women to keep on hand in case of a contraceptive accident or failure.
Having a Levonorgestrel tablet ready to take if needed saves the worry and hassle of seeing your doctor at short notice. It also ensures that you can take the morning-after pill as soon as possible after unprotected sex for maximum effectiveness.
Levonorgestrel - Important Information
What is Levonorgestrel ( generic Levonelle)?
Levonorgestrel is a single-dose medication and is taken by women who either had unprotected sex or fear that their normal contraception may have failed e.g. forgetting to take a contraceptive tablet or because of a torn condom. If taken within 72 hours of the incident, there is a 95 percent chance of it being effective and preventing any unplanned pregnancy.
How does it work?
This emergency contraceptive tablet works with only one dose and can be kept on hand for any contraceptive accident or failure. It can be bought online and saves the need for an emergency appointment with your own doctor.
The active ingredient of 1.5mg of levonorgestrel works by stopping the release of eggs from the ovaries and also by preventing fertilisation of a released egg or it attaching itself to the lining of the womb.
How effective is Levonorgestrel at preventing pregnancy?
Levonorgestrel is the active ingredient and its effectiveness is:
Within the first 24 hours: 95% effective
24 to 48 hours: 85% effective
48 to 72 hours: 58% effective
Levonorgestrel may have no effect if taken after longer than 72 hours after unprotected sexual activity. In such cases, consult your local doctor or there is the option of using EllaOne emergency contraception tablet which can be taken up to 5 days after unprotected sex.
After taking Levonorgestrel
Very few women are sick after taking Levonorgestrel but, should this occur within three hours of having taken the tablet, it is necessary to take a second replacement tablet, as the first dose will not have had sufficient time to be effective. If sickness still occurs, speak with your local doctor about a different emergency contraceptive method.
The feeling of being sick or nauseous will not affect Levonorgestrel.
Levonorgestrel may alter the regularity of your next period and may also lead to a much lighter or heavier period than is normal. If the next period proves to be more than five days late, either take a pregnancy test or consult your doctor.
Levonorgestrel protects you only for that one unprotected occasion and so contraception continues to be needed during the rest of the menstrual cycle. If you are using the patch or the contraceptive pill, you may also need the added protection of a condom for the rest of that menstrual period.
Further information
For anyone under the age of sixteen, advice must first be sought from a local doctor or the family planning clinic.
Please read the Patient Information Leaflet before taking the medicine.
This information can be found on the NHS Choices website.
*Please note as this is a generic medicine, packaging may vary.
Sources
https://www.nhs.uk/conditions/contraception/emergency-contraception/
Levonorgestrel Tablet warnings
The following medicines may make Levonorgestrel less effective at preventing pregnancy:
- Barbiturates and other medicines used to treat epilepsy (e.g.primidone, phenytoin, and carbamazepine)
- Medicines used to treat tuberculosis (e.g. rifampicin, rifabutin)
- Ritonavir (used to treat HIV)
- Griseofulvin (used to treat fungal infections)
- St John’s Wort (Hypericum perforatum - a herbal remedy)
- Ciclosporin (suppresses the immune system)
If you take any of the above medicines you should discuss a more effective form of contraception with your GP or local family planning clinic.
If you suffer from any of the following conditions, Levonorgestrel may not be suitable for you and could be ineffective:
- Bowel disease (e.g. Crohn’s disease) interferes with the way you digest your food
- Severe liver problems
- If you have ever had an ectopic pregnancy (where the baby develops somewhere outside the womb)
- If you have ever had a disease called salpingitis (inflammation of the Fallopian tubes)
If you take any of the above apply you should discuss a more effective form of contraception with your GP or local family planning clinic.
Do not take Levonorgestrel if your period is already overdue as you may already be pregnant. You should see your GP or family planning clinic. If you have already taken Levonorgestrel but suspect that you may now be pregnant, there is no evidence that Levonelle will harm your baby.
Levonorgestrel should not replace your regular methods of contraception, such as the pill or condoms; these are more reliable and effective.Please read the Patient Information Leaflet enclosed with your medicines before taking Levonorgestrel.
How to take Levonorgestrel tablet
- Levonorgestrel should be taken as soon as possible after unprotected sex; the sooner it is taken, the more effective it is at preventing unwanted pregnancy.
- It is only effective up to 72 hours after, if it has been longer than this you should not take Levonorgestrel and see your GP to discuss emergency contraception.
- If you are sick or suffer from diarrhoea within 2 hours of taking Levonorgestrel it may not have been absorbed and will not be effective. You will need to obtain another supply as soon as possible.
Levonorgestrel is not 100% effective at preventing pregnancy, however, it is 95% effective after 24 hours. It is important to try to take it within this window if possible. After this, the success rate becomes 85% and 58% after 48 and 72 hours respectively. If you cannot take Levonorgestrel within the first 24 - 48 hours after unprotected sex, you may wish to see your GP to discuss alternatives such as EllaOne.
If your next period has not arrived 5 or more days from when it was due you should take a pregnancy test.
Levonorgestrel tablet ingredients
Each Levonorgestrel tablet contains the active ingredient: 1.5mg of levonorgestrel.
It also contains the following inactive ingredients: potato starch, maize starch, colloidal silica anhydrous, magnesium stearate (E572), talc (E533b), lactose monohydrate.
Levonorgestrel tablet side effects
If you do experience side effects from Levonorgestrel the most common can include:
- Abdominal pains
- Nausea or sickness
- Diarrhoea
- Dizziness
- Breast tenderness
- Headaches
- Spotting or abnormal vaginal bleeding
A very small number of people may be allergic to Levonelle. This will show as a skin reaction including itchiness, rash and swelling of the face. If this occurs you should see your doctor immediately.
If you experience any adverse effects from taking your prescribed medicine it is important to let your doctor know immediately. In a medical emergency, you should contact the emergency services or go straight to your local Accident & Emergency.
Levonorgestrel (Generic Levonelle) 1.5mg Tablet reviews
Levonorgestrel (Generic Levonelle) 1.5mg Tablet FAQs
Levonelle is available online through The Independent Pharmacy and other online pharmacies. You should only purchase the morning after pill online as an advance supply - if you have had unprotected sex or a contraceptive failure, you should see your GP, local GUM clinic, or local pharmacy to obtain the treatment as soon as possible.
When ordering online, always check that the website is approved by the Care Quality Commission.
While levonelle can be up to 95 percent effective, it is an emergency contraceptive only.
It is best that this medication is taken within twelve hours of the unprotected sex and, if taken closer to the maximum of three days after unprotected sex, its effectiveness is quite reduced. If the unprotected sex occurred more than three days ago, you need to discuss more suitable medication with your doctor.
With EllaOne, an alternative morning after pill, or an intrauterine coil, it’s still possible to take preventative steps to prevent pregnancy.
If you are already pregnant, you should not take this medication, as it only prevents pregnancies within a 72 hour period. Studies have shown that this medication does not harm a baby, though small amounts of levornogestrel may be present in breast milk. A way of preventing this presence is to take the medication immediately after breastfeeding, as the levornogestrel will have been processed before breastfeeding comes around again.
You may decide to take this morning after pill because you forgot to take one of your contraceptive pills.
If this is the case, take Levonelle and also your contraceptive pill for that following day, then continue the full course of contraceptive pills as normal.
You must not use this medication as a method of regular contraception and should bear in mind that it doesn't protect you against chlamydia, HIV, or other STIs (sexually-transmitted diseases).
It could cause some irregularity but, if your next period is more than five days late, you must speak with your doctor, to rule out pregnancy or an ectopic pregnancy.
Each tablet contains1.5mg of levonorgestrel (a synthetic female sex hormone), potato starch, magnesium stearate (E572), maize starch, colloidal silica anhydrous, lactose monohydrate and talc (E533b).
If you experience either sickness or severe diarrhoea within three hours of having taken levonelle, it's possible that you may have to take a second tablet to replace the one which may not have had time to enter your system. In such a case, ask your doctor for advice.
It works by reducing the chances of an egg attaching itself to the lining of the womb and also inhibits the release of eggs from the ovaries. It also makes it more difficult for sperm to fertilise any eggs which may have already been released.
There is no evidence to suggest that alcohol will reduce the effectiveness of this morning after pill.
Whilst there is no evidence to suggest that these two medications will affect each other, it is advisable that you speak with your doctor before taking the morning after pill in such a case as this.
Levonelle may be affected by:
- Epilepsy medication
- Barbiturates
- Drugs which treat tuberculosis
- Some HIV treatments
- Ciclosporin (a drug with immunosuppressive properties which is used to prevent the rejection of transplants and grafts)
- Some medicines which treat fungal infections e.g. griseofulvin
- St. John’s Wort.
If you need to take levonelle, always inform your doctor or the pharmacist of any other medication you take regularly.
Levonelle cannot be taken with any medication which affects the way you absorb food. There are also certain health conditions which need to be discussed with the doctor, before you take this morning after medication. These include:
- Any previous ectopic pregnancy
- Any problems with your liver
- Any previous inflammations of the fallopian tubes.
For anyone under the age of sixteen, advice must first be sought from a local doctor or the family planning clinic.
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