{"id":16652,"date":"2021-12-15T09:37:33","date_gmt":"2021-12-15T09:37:33","guid":{"rendered":"https:\/\/zeepedia.com\/?p=16652"},"modified":"2021-12-16T11:49:23","modified_gmt":"2021-12-16T11:49:23","slug":"levodonna","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/levodonna\/","title":{"rendered":"Levodonna &#8211; Levonorgestrel uses, dose and side effects"},"content":{"rendered":"\n<p>1.5 mg&nbsp;tablet of<br>levonorgestrel<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Levodonna is and what it is used for<\/h2>\n\n\n\n<p>Levodonna is an\u00a0acute\u00a0&#8211;\u00a0pill\u00a0that can be used within 72 hours (3 days) after unprotected sexual intercourse or a contraceptive used not worked.\u00a0<\/p>\n\n\n\n<p>When should\u00a0acute\u00a0&#8211;\u00a0pill\u00a0be used?<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>No contraceptive was used during intercourse.<\/li><li>The contraceptive was used incorrectly, e.g.&nbsp;if a condom broke, slipped off or was used incorrectly, if a&nbsp;diaphragm&nbsp;changed position, ruptured, broke or was removed prematurely, if concerns about failure of interrupted intercourse (eg ejaculation in the vagina or on external genitalia) .<\/li><\/ul>\n\n\n\n<p>Levodonna contains a synthetic hormone-like active substance called levonorgestrel.\u00a0It prevents about 84% of expected pregnancies when the tablet is taken within 72 hours (3 days) after unprotected intercourse.\u00a0Levodonna does not prevent pregnancy at any time, but the tablet is more effective the earlier after unprotected intercourse it is taken.\u00a0It is better to take it within 12 hours than to wait until the third day.<\/p>\n\n\n\n<p>Levonorgestrel is believed to work by:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>prevent ovulation<\/li><li>prevent the sperm from fertilizing an egg that has already been released.<\/li><\/ul>\n\n\n\n<p>Levodonna can only prevent you from getting pregnant if you take it within 72 hours of unprotected intercourse.&nbsp;It does not work if you are already pregnant.&nbsp;If you have unprotected intercourse after taking Levodonna (even if it takes place during the same menstrual cycle), the tablet does not have a preventive effect and there is again a risk that you may become pregnant.<\/p>\n\n\n\n<p>Levodonna is not for use before the first menstrual period.<\/p>\n\n\n\n<p>Levonorgestrel contained in Levodonna may also be approved for the treatment of other conditions not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Levodonna<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Levodonna<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to levonorgestrel or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Levodonna.<\/p>\n\n\n\n<p>If any of the following apply to you, tell your doctor before taking Levodonna as emergency&nbsp;contraceptive pills&nbsp;may not be suitable for you.&nbsp;Your doctor may&nbsp;prescribe&nbsp;another type of&nbsp;emergency&nbsp;contraceptive.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are pregnant or think you may be pregnant, ask your doctor.&nbsp;Levodonna does not work if you are already pregnant.&nbsp;If you are already pregnant, levonorgestrel can not terminate an ongoing pregnancy.&nbsp;Levodonna is thus not an &#8220;abortion pill&#8221;.<\/li><\/ul>\n\n\n\n<p>You may already be pregnant if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>your period is more than 5 days late or if abnormal bleeding occurs at the expected time of the next period<\/li><li>you have had unprotected intercourse more than 72 hours before and since your last menstrual period.<\/li><\/ul>\n\n\n\n<p>Levodonna should not be used if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you have an intestinal disease (eg&nbsp;Crohn&#8217;s disease&nbsp;) that inhibits the absorption of the drug<\/li><li>you have severe liver problems<\/li><li>you have previously had an ectopic pregnancy (where the fetus develops outside the womb)<\/li><li>you have had ovarian inflammation (salpingitis).<\/li><\/ul>\n\n\n\n<p>Previous ectopic pregnancy or fallopian tube inflammation increases the risk of a new ectopic pregnancy.<\/p>\n\n\n\n<p>Acute\u00a0&#8211;\u00a0birth control pills\u00a0should be taken as soon as possible after unprotected intercourse.\u00a0This applies to all women.\u00a0There is some evidence that the effect of levonorgestrel may decrease with increasing body weight or body mass index (\u00a0BMI\u00a0), but these data are limited and incomplete.\u00a0Therefore, levonorgestrel is still recommended for all women regardless of weight and\u00a0BMI.<\/p>\n\n\n\n<p>Talk to your healthcare professional if you have any questions about any issues relating to the use of\u00a0the emergency\u00a0&#8211;\u00a0pill.<\/p>\n\n\n\n<p><strong>Children<\/strong><\/p>\n\n\n\n<p>Levodonna is not for use before the first menstrual period.<\/p>\n\n\n\n<p><strong>If you are worried about sexually transmitted diseases<\/strong><\/p>\n\n\n\n<p>If you did not use a condom (or if it broke or slipped off) during intercourse, you may have contracted a sexually transmitted disease or\u00a0HIV\u00a0&#8211;\u00a0the virus.<\/p>\n\n\n\n<p>This medicine does not protect you against sexually transmitted diseases, only condoms can.\u00a0If you have any further questions, ask your doctor, nurse, contraceptive clinic, or pharmacist.<\/p>\n\n\n\n<p><strong>How often Levodonna can be taken<\/strong><\/p>\n\n\n\n<p>Levodonna should only be used as an emergency measure and not as a regular contraceptive.\u00a0If levonorgestrel is used more than once during a menstrual cycle, it becomes less reliable and is likely to disrupt the menstrual cycle.<\/p>\n\n\n\n<p>Levonorgestrel does not work as well as regular contraceptives.\u00a0You can get information from a doctor, reception nurse, or contraceptive clinic about long-term contraceptives that prevent pregnancy in a more effective way<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Levodonna<\/h2>\n\n\n\n<p>Tell your pharmacist or doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription and (traditional) herbal medicines.<\/p>\n\n\n\n<p>Some medicines may prevent Levodonna from working effectively.&nbsp;If you have been taking any of the medicines below for the past 4 weeks, Levodonna may be less suitable for you.&nbsp;Your doctor may&nbsp;prescribe&nbsp;another type of (non-hormonal)&nbsp;emergency&nbsp;contraceptive, ie copper coil.&nbsp;If this is not an option for you or if you do not have the opportunity to see a doctor immediately, you can take a double&nbsp;dose&nbsp;of Levodonna:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>barbiturate&nbsp;s and other anti-&nbsp;epilepsy&nbsp;(e.g., primidone,&nbsp;phenytoin&nbsp;and carbamazepine)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs against&nbsp;tuberculosis&nbsp;(eg rifampicin, rifabutin)<\/li><li>treatment of&nbsp;HIV&nbsp;(ritonavir, efavirenz)<\/li><li>medicines for fungal infections (griseofulvin)<\/li><li>(traditional) herbal medicines containing&nbsp;St. John&#8217;s wort&nbsp;<em>(Hypericum perforatum)<\/em><\/li><\/ul>\n\n\n\n<p>Talk to your pharmacist or doctor if you need further advice on the right&nbsp;dose&nbsp;for you.<\/p>\n\n\n\n<p>Consult your doctor as soon as possible after taking the tablets for further advice on reliable common contraceptives and to rule out pregnancy.&nbsp;(See also section 3 \u201cHow to take Levodonna\u201d for further advice.)<\/p>\n\n\n\n<p>Levodonna may also affect the way some other medicines work<\/p>\n\n\n\n<p>&#8211; a drug called cyclosporin (suppresses the immune system).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>You should not take this medicine if you are already pregnant.\u00a0If you become pregnant even though you have taken this medicine, you must consult a doctor.\u00a0There is no evidence that levonorgestrel harms a fetus if Levodonna is used as directed.<\/p>\n\n\n\n<p>Despite this, the doctor may want to rule out an ectopic pregnancy (where the fetus develops outside the uterus).\u00a0It is especially important if you get severe stomach pain after taking Levodonna or if you have previously had an ectopic pregnancy,\u00a0surgery\u00a0on the fallopian tubes, or inflammatory conditions in the pelvis.<\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>The active ingredient passes into breast milk.\u00a0You should therefore take the pill immediately after breastfeeding and avoid breastfeeding for at least 8 hours after taking levonorgestrel.\u00a0Then pump out the breast milk for 8 hours after taking the tablet.\u00a0In this way, you take the tablet well before the next breastfeeding and reduce the number of active ingredients that your baby can ingest with breast milk.<\/p>\n\n\n\n<p><strong>Fertility<\/strong><\/p>\n\n\n\n<p>Levonorgestrel increases the risk of menstrual disorders which can sometimes lead to earlier or later ovulation and change the days you are\u00a0fertile.\u00a0Even if there are no long-term data on\u00a0fertility, you are expected to become\u00a0fertile\u00a0again\u00a0quickly\u00a0after treatment with Levodonna.\u00a0You should therefore continue or start using a regular contraceptive as soon as possible after using Levodonna.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Levonorgestrel is unlikely to affect your ability to drive or use machines.&nbsp;However, avoid driving or using machines if you feel tired or dizzy.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Levodonna contains lactose and sodium<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<p>This medicine contains less than 23 mg\u00a0sodium\u00a0per tablet, it is essential &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Levodonna<\/h2>\n\n\n\n<p>Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.\u00a0Ask your doctor or pharmacist if you are unsure. <a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20120418000059#\" rel=\"noopener\">Show larger<\/a><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Take the tablet as soon as possible, preferably within 12 hours and no later than 72 hours (3 days) after unprotected intercourse.&nbsp;Do not delay ingestion of the tablet.&nbsp;The tablet works better the faster you take it after unprotected intercourse.&nbsp;It can only prevent a pregnancy if you take it within 72 hours after unprotected intercourse.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li>Levodonna can be taken at any time during the menstrual cycle if you are not already pregnant or think you may be pregnant.&nbsp;Do not chew the tablet but swallow it whole with water.<\/li><li>If you are taking any medicine that may prevent Levodonna from working properly (see section \u201cOther medicines and Levodonna\u201d above) or if you have used any of these medicines in the last 4 weeks, Levodonna may be less effective.&nbsp;Your doctor may&nbsp;prescribe&nbsp;another type of (non-hormonal)&nbsp;emergency&nbsp;contraceptive, ie copper coil.&nbsp;If this is not an option for you or if you do not have the opportunity to see a doctor immediately, you can take a double&nbsp;dose&nbsp;of Levodonna (ie 2 tablets at the same time).<\/li><li>If you are already taking a regular contraceptive such as on&nbsp;pills&nbsp;, you can continue to take this at the usual times.<\/li><\/ul>\n\n\n\n<p>If you have unprotected intercourse after taking Levodonna (even if it takes place during the same menstrual cycle), the tablet will not have the same preventive effect and you may become pregnant.<\/p>\n\n\n\n<p><strong>Use for children<\/strong><\/p>\n\n\n\n<p>Levodonna is not for use before the first menstrual period.<\/p>\n\n\n\n<p><strong>What to do if you vomit<\/strong><\/p>\n\n\n\n<p>If you vomit within 3 hours of taking the tablet, take a new tablet immediately.<\/p>\n\n\n\n<p><strong>After taking Levodonna<\/strong><\/p>\n\n\n\n<p>If you want to have intercourse after taking Levodonna and do not use\u00a0pills, you should use condoms or\u00a0pessaries\u00a0combined with spermicides until your next period.\u00a0The reason for this is that levonorgestrel does not work if you have unprotected intercourse again before you have your next period.<\/p>\n\n\n\n<p>After taking Levodonna, you should make an appointment with a doctor about three weeks later to check that Levodonna has worked.\u00a0If your period is more than 5 days late, or if it is unusually light or unusually abundant, you should contact your doctor as soon as possible.\u00a0If you become pregnant even though you have taken this medicine, you must consult a doctor.<\/p>\n\n\n\n<p>You can get information from your doctor about long-term contraceptives that prevent pregnancy more effectively.&nbsp;<\/p>\n\n\n\n<p>If you continue to use a regular hormonal contraceptive such as\u00a0pills\u00a0and you do not get any bleeding during the tablet-free period, you should see a doctor to check that you are not pregnant.\u00a0<\/p>\n\n\n\n<p><strong>Your next period after taking Levodonna<\/strong><\/p>\n\n\n\n<p>After taking Levodonna, menstruation is usually normal and starts when it should, but sometimes it can come a few days too late or too early.\u00a0If your period is more than 5 days late, if abnormal bleeding occurs at the expected time of your period, or if you suspect you are pregnant, you should have a pregnancy test.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Levodonna than you should&nbsp;<\/h2>\n\n\n\n<p>There are no reports of serious\u00a0side effects\u00a0in women who have taken too many\u00a0pills\u00a0at one time.\u00a0If you have taken several tablets at once, you may experience nausea and vomiting, or vaginal bleeding.\u00a0Ask your pharmacist, doctor, receptionist, or contraceptive clinic for advice, especially if you vomit because the pill may not have worked properly.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Very common (may affect more than 1 user in 10):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Nausea<\/li><li>Irregular bleeding before the next period<\/li><li>Pain in the lower abdomen<\/li><li>Fatigue<\/li><li>Headache<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Vomiting.&nbsp;If you vomit, read the section &#8220;What to do if you vomit&#8221;<\/li><li>Menstruation may be different.&nbsp;Most women have a normal menstrual period at the expected time, but some may menstruate later or earlier than normal.&nbsp;You may also have irregular bleeding or spotting before the next period.&nbsp;If your period is more than 5 days late, or if it is unusually light or unusually abundant, you should contact your doctor as soon as possible.<\/li><li>You may get chest tightness, diarrhea or dizziness after taking this medicine.<\/li><\/ul>\n\n\n\n<p><strong>Very rare (may affect up to 1 in 10,000 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Rash, hives,&nbsp;itching&nbsp;and swelling of the face, pelvic pain, painful menstruation<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Levodonna<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton or blister after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the package and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is levonorgestrel.&nbsp;Each tablet contains 1.5 mg of levonorgestrel.<\/p>\n\n\n\n<p>The other ingredients are microcrystalline cellulose,\u00a0lactose monohydrate, poloxamer 188, croscarmellose sodium, and magnesium stearate.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Each pack contains a complete treatment.\u00a0The tablet is round and white, about 6 mm in diameter, and embossed with &#8220;C&#8221; on one side and &#8220;1&#8221; on the other side.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><em>Marketing Authorisation Holder<\/em><\/p>\n\n\n\n<p>Sandoz A \/ S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark<\/p>\n\n\n\n<p><em>Manufacturer<\/em><\/p>\n\n\n\n<p>Lek Pharmaceuticals dd, Verovskova 57, 1526 Ljubljana, Slovenia<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Salutas Pharma GmbH, Otto-von-Guericke-Allee 1, 39179 Barleben, Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Levodonna is an acute &#8211; pill which can be used within 72 hours (3 days) after unprotected sexual intercourse or a contraceptive used not worked. <\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15579],"tags":[15943,14914,15938,15942,15941,2424,2427,12055,15939,12053,15940,12054],"class_list":["post-16652","post","type-post","status-publish","format-standard","hentry","category-medicines","category-l","tag-benefits-of-levodonna","tag-benefits-of-levonorgestrel","tag-levodonna","tag-levodonna-side-effects","tag-levodonna-tablet","tag-levonorgestrel","tag-levonorgestrel-side-effects","tag-levonorgestrel-tablet","tag-what-is-levodonna","tag-what-is-levonorgestrel","tag-what-levodonna-is-used-for","tag-what-levonorgestrel-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16652","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=16652"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16652\/revisions"}],"predecessor-version":[{"id":16709,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16652\/revisions\/16709"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=16652"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=16652"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=16652"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}