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Modifying activity of progesterone to postpone ovulation
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ellaOne
Emergency Contraceptive Tablet
No
Ulipristal Acetate
Up to 5 days (120 hours) after unprotected sex
Modifying activity of progesterone to postpone ovulation
Nausea, abdominal pain, vomiting, breast tenderness, headache, dizziness, mood swings, muscle pain, back pain, tiredness
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ellaOne is an emergency contraceptive tablet containing ulipristal acetate. It can be taken up to 120 hours, which is five days, after unprotected sex or after a contraceptive failure such as a split condom or missed pills. It is supplied from a pharmacy following a short consultation.
Ulipristal acetate works mainly by delaying or preventing ovulation, the release of an egg from the ovary. No egg released means no egg available to be fertilised. Because it acts on ovulation, it is at its most useful when taken before that point, which is why it should be taken as soon as possible rather than left until near the end of the five day window.
Swallow one tablet with water as soon as you can after unprotected sex, with or without food. If you are sick within three hours, contact a pharmacist, since another tablet may be needed. Carry on with your regular contraception, but use condoms or avoid sex until your next period, and be aware that ulipristal can interact with hormonal contraception, so ask about restarting.
It is for people who need emergency contraception after unprotected sex or a contraceptive failure, following a consultation with the pharmacy team. It is not an ongoing method of contraception and it does not protect against sexually transmitted infections.
Headache, nausea, abdominal pain and a period that arrives earlier or later than expected are commonly reported. Take a pregnancy test if your period is more than seven days late, is unusually light, or if you have severe lower abdominal pain in the weeks afterwards, since that needs urgent assessment. Tell the pharmacist if you use medicines for epilepsy, tuberculosis or HIV, or St John's wort, and mention severe asthma. Consider testing for sexually transmitted infections. Our UK pharmacy team can answer questions about this product.
How soon should I take it?
As soon as possible. It can be taken up to 120 hours after, but earlier is better.
Can I restart my usual contraception straight away?
Ask the pharmacist. Ulipristal can interact with hormonal contraception, so timing matters.
Will it affect my period?
Your next period may come earlier or later than usual. Test if it is more than seven days late.
Always read the patient information leaflet supplied with the pack before use.
Medically reviewed and published
This page was medically reviewed by Dr Sohaib Imtiaz, Clinical Lead on Aug 24, 2023, 3:30 pm
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