Courses
Emergency Contraception & Sterilisation
Options – Levonogestrel 1.5mg
Postinor
- 750mg levonogestrel
- 2 tabs stat
Escapelle
- 1.5g levonogestrel
- 1 dose
- Can be used within 72 hours (3 days) of UPSI
- Ineffective if taken more than 96 hours after UPSI
- Mechanism of action is to inhibit ovulation
- May not work if ovulation has already occurred
- Causes nausea, vomiting and headache
- If the patient vomits within 3 hours – repeat the dose
- 97 – 98.5% effective
- Can be taken more than once in a cycle
- Caution in patients with contraindications – liver disease, migraine etc
- Next menses may be delayed or early
- For women who are on drugs that may reduce efficacy (eg liver enzyme inducers) or when concurrent HIV post exposure prophylaxis is required adviced to take Levonogestrel 3 mg however the effectiveness is not known
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