Plan B

Generic name: Levonorgestrel Emergency Contraceptive
Dosage form: tablet (1.5 mg)
Drug class: Contraceptives

Usage of Plan B

Plan B One-Step is a morning-after pill (emergency contraceptive pill) used to prevent pregnancy after unprotected sex or failure of other forms of birth control (such as condom breakage, or a missed dose of birth control pills). The Plan B pill works by temporarily delaying the release of an egg from the ovary (ovulation), so it helps to prevent pregnancy before it starts.  Plan B (levonorgestrel, 1.5 mg) should be taken within 72 hours of unprotected sex or birth control failure, and the sooner it is taken, the better it works. 

Any person, regardless of age or gender can purchase Plan B One-Step right off the shelf without a prescription or ID requirement at all major retailers in the U.S.

The Plan B pill is a backup method of preventing pregnancy and should not be used as a regular form of birth control. Talk with your doctor or healthcare professional about the many forms of birth control available.

Plan B side effects

Serious Plan B One-Step side effects:

Allergic reaction: Get emergency medical help if you have signs of an allergic reaction to this medicines. Symptoms may include hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Tubal (ectopic) pregnancy: Call your doctor or seek emergency medical help if you have severe pain in your lower stomach or side. This could be a sign of a tubal pregnancy (a pregnancy that implants in the fallopian tube instead of the uterus). A tubal pregnancy is a medical emergency that needs medical treatment immediately.

Common Plan B One-Step side effects may include:

  • stomach pain;
  • breast pain or tenderness;
  • nausea, vomiting, diarrhea;
  • headache, dizziness;
  • feeling tired; or
  • changes in your menstrual periods, including your period being earlier or later than expected.
  • This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking Plan B

    You should not use Plan B One-Step if you are allergic to levonorgestrel or any of the ingredients in this medicine. A list of all ingredients is near the bottom of this page.

    Pregnancy

    Do not use this medicine if you are already pregnant. This medicine will not terminate a pregnancy that has already begun (the fertilized egg has attached to the uterus).

    Breastfeeding

    Levonorgestrel may slow breast milk production. Tell your doctor if you are breastfeeding.

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    How to use Plan B

    Take Plan B One-Step exactly as directed on the label, or as prescribed by your doctor or health professional.

    Plan B One-Step is one tablet that is taken once.  It must be taken as soon as possible and no later than 72 hours (3 days) after unprotected sex.  The sooner the tablet is taken, the better it works.

    Call your doctor right away if you vomit within 2 hours after taking this medicine, as you may need to take another tablet.

    Visit your doctor within 3 weeks after taking this medicine. A doctor should confirm that you are not pregnant and that this medicine has not caused any harmful effects.

    If your period is late by 1 week or longer after the expected date, you may be pregnant. Get a pregnancy test and contact your doctor if you are pregnant. Levonorgestrel will not terminate a pregnancy if the fertilized egg has attached to the uterus.

    Warnings

    Do not use this medicine if you are already pregnant. Levonorgestrel will not terminate a pregnancy that has already begun (the fertilized egg has attached to the uterus).

    Ask a doctor or pharmacist before taking levonorgestrel if you regularly use medication for seizures, tuberculosis, or HIV/AIDS. Certain medications can make levonorgestrel less effective as an emergency form of contraception.

    What other drugs will affect Plan B

    Certain other medications can make levonorgestrel less effective, which may result in pregnancy. Do not take this medicine without telling your doctor or pharmacist that you are using any of the following medications:

  • efavirenz (Atripla, Sustiva);
  • rifampin (Rifadin, Rifater, Rifamate, IsonaRif, Rimactane); or
  • seizure medication--Carbamazepine, felbamate, fosphenytoin, oxcarbazepine phenobarbital, phenytoin, primidone.
  •  Bosentan
  • Griseofulvin
  • topiramate
  • This list is not complete. Other drugs may interact with levonorgestrel, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide, to check for interactions with Plan B click on the link below.

    Disclaimer

    Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

    The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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