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Family planning and hormones

Levonorgestrel

Also sold as: Postinor-2, Norlevo

Prescription neededFamily planning and hormones
Comes as:Tablet

Usual adult dose

Emergency contraception: 1.5 mg as one tablet (or two 0.75 mg tablets together) as soon as possible, within 72 hours after unprotected sex. It works best when taken early. It is not for regular contraception.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • tiredness
  • headache
  • breast tenderness
  • period coming earlier or later
  • spotting

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe lower abdominal pain (possible pregnancy outside the womb)
  • heavy bleeding
  • severe allergic reaction

Do not take it, or take care, if

  • Known pregnancy (it does not end a pregnancy and is not useful then)
  • Severe liver disease
  • If vomiting within 3 hours of the tablet, ask about taking another dose

Interactions

Medicines that can react with this one.

Serious3 medicinesDo not take these together unless your doctor says so.
  • Carbamazepine

    Carbamazepine makes levonorgestrel less effective; ask a doctor about a double dose or a copper IUD.

  • Phenytoin

    Phenytoin makes levonorgestrel less effective; ask a doctor about a double dose or a copper IUD.

  • Rifampicin

    Rifampicin makes emergency levonorgestrel less effective; a double dose or a copper IUD may be advised.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category X

Must not be used in pregnancy. It can harm the baby.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Ethinylestradiol + Levonorgestrel
  • Medroxyprogesterone acetate
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.