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Preventing Ovulation and Inhibiting Sperm Fertilization
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Levonelle One Step 1500 mcg tablet
Emergency Contraceptive Tablet
No
Levonorgestrel
Up to 72 hours (3 days) of Unprotected Sex
Preventing Ovulation and Inhibiting Sperm Fertilization
Nausea, Irregular Bleeding, Lower Abdominal Pain, Tiredness, Headache, Vomiting, Tender Breasts, Diarrhea, Dizziness
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Levonelle One Step is an emergency contraceptive tablet containing 1500 micrograms of levonorgestrel. It is taken after unprotected sex or a contraceptive failure, can be used up to 72 hours afterwards, and is more effective the sooner it is taken. It is supplied from a pharmacy following a short consultation.
Levonorgestrel works mainly by stopping or delaying ovulation, the release of an egg from the ovary. If no egg is released, there is nothing to fertilise. Because it acts on ovulation, timing is everything: taken early in the window it has the best chance of working, and taken close to or after ovulation it may not work at all. That is why it is not a substitute for regular contraception.
Swallow one tablet with water as soon as possible after unprotected sex, with or without food. If you are sick within three hours, contact a pharmacist, as another tablet may be needed. Continue with your usual contraception afterwards, and use condoms until your next period. A higher dose may be needed if you take certain medicines, so mention everything you are on.
It is for people needing emergency contraception within 72 hours, following a consultation with the pharmacy team. It is not for regular use as contraception and it does not protect against sexually transmitted infections. If more than 72 hours have passed, other options including a copper coil may be more appropriate, so ask.
Nausea, headache, abdominal pain, tiredness and a period that comes earlier or later than expected are commonly reported. Take a pregnancy test if your period is more than seven days late or is unusually light, and seek urgent assessment for severe lower abdominal pain in the weeks afterwards. Tell the pharmacist about medicines for epilepsy, tuberculosis or HIV and about St John's wort. 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 used up to 72 hours after, but earlier works better.
What if I am sick afterwards?
Contact a pharmacist if you vomit within three hours, since another tablet may be needed.
Is there an option beyond 72 hours?
Yes. Other methods including a copper coil may be suitable, so ask rather than assuming it is too 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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