Levonorgestrel (Systemic)

Name: Levonorgestrel (Systemic)

If OVERDOSE is suspected

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Contraindications

OTC labeling: When used for self-medication, do not use if you are already pregnant; do not use for regular birth control

Canadian labeling: Known or suspected pregnancy; hypersensitivity to levonorgestrel or any component of the formulation; undiagnosed vaginal bleeding

It is not known if the same contraindications associated with long-term progestin-only contraceptives apply to the levonorgestrel emergency contraception dose regimens.

Dosing Geriatric

Not indicated for use in postmenopausal women.

Monitoring Parameters

Evaluate for pregnancy, spontaneous abortion or ectopic pregnancy if normal (expected) menstrual period is delayed for ≥1 week following emergency contraception, or if lower abdominal pain or persistent irregular bleeding develops (ACOG 2015).

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