{"id":16713,"date":"2021-12-17T10:19:03","date_gmt":"2021-12-17T10:19:03","guid":{"rendered":"https:\/\/zeepedia.com\/?p=16713"},"modified":"2021-12-20T09:30:58","modified_gmt":"2021-12-20T09:30:58","slug":"levonorgestrel-apofri","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/levonorgestrel-apofri\/","title":{"rendered":"Levonorgestrel Apofri &#8211; Levonorgestrel uses, dose and side effects"},"content":{"rendered":"\n<p>1.5 mg tablet<br>levonorgestrel<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Levonorgestrel Apofri is and what it is used for<\/h2>\n\n\n\n<p>Levonorgestrel is the Apofri\u00a0acute\u00a0&#8211;\u00a0the pill\u00a0that can be used within 72 hours (3 days) after unprotected sexual intercourse or if used contraception failed.<\/p>\n\n\n\n<p>It can be used on the following occasions:<\/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>Levonorgestrel Apofri contains a synthetic hormone-like active substance called levonorgestrel.\u00a0It prevents about 85% of expected pregnancies when the tablet is taken within 72 hours (3 days) after unprotected intercourse.\u00a0Levonorgestrel Apofri does not prevent a pregnancy every time, but the tablet is more effective earlier after unprotected intercourse.\u00a0It is better to take it within 12 hours than to wait until the third day.<\/p>\n\n\n\n<p>Levonorgestrel Apofri is believed to work by:<\/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>Levonorgestrel Apofri can only prevent you from getting pregnant if you take it within 72 hours after unprotected intercourse.&nbsp;It does not work if you are already pregnant.&nbsp;If you have had unprotected intercourse after taking Levonorgestrel Apofri (even if it is in the same menstrual cycle), the tablet does not have a preventive effect and there is again a risk that you will become pregnant.<\/p>\n\n\n\n<p>Levonorgestrel Apofri is not for use before the first menstrual period.<\/p>\n\n\n\n<p>Levonorgestrel contained in Levonorgestrel Apofri 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 use Levonorgestrel Apofri<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take levonorgestrel Apofri<\/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>If any of the following apply to you, tell your doctor before taking Levonorgestrel Apofri 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><strong>If you are pregnant or think you<\/strong>&nbsp;may be&nbsp;<strong>pregnant<\/strong>&nbsp;, ask your doctor.&nbsp;Levonorgestrel Apofri does not work if you are already pregnant.&nbsp;If you are already pregnant, Levonorgestrel Apofri can not terminate a pregnancy.&nbsp;Levonorgestrel Apofri is therefore 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 delayed or 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>Levonorgestrel Apofri 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 Apofri may decrease with increasing body weight or body mass index (\u00a0BMI\u00a0), but these data are limited and incomplete.\u00a0Therefore, Levonorgestrel Apofri 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;\u00a0pills.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Levonorgestrel Apofri 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>Levonorgestrel Apofri 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<h2 class=\"wp-block-heading\">Other medicines and Levonorgestrel Apofri<\/h2>\n\n\n\n<p>Tell your doctor<\/p>\n\n\n\n<p>Some medicines may prevent Levonorgestrel Apofri from working effectively.\u00a0If you have been taking any of the medicines below for the past 4 weeks, Levonorgestrel Apofri may be less suitable for you.\u00a0Your doctor may\u00a0prescribe\u00a0another type of (non-hormonal)\u00a0emergency\u00a0contraceptive, ie copper coil.\u00a0If 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\u00a0dose\u00a0of Levonorgestrel April:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>barbiturates&nbsp;and other medicines used to treat&nbsp;epilepsy&nbsp;(eg primidone,&nbsp;phenytoin&nbsp;and carbamazepine)<\/li><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><strong>Check with your doctor as soon as possible after taking the tablets for further advice on reliable typ&nbsp;iga&nbsp;contraception and to exclude pregnancy.&nbsp;(See also section 3 \u201cHow to take Levonorgestrel Apofri\u201d for further advice).<\/strong><\/p>\n\n\n\n<p>Levonorgestrel Apofri may also affect the effectiveness of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>a drug called ciclosporin (suppresses the immune system).<\/li><\/ul>\n\n\n\n<p><strong>How often Levonorgestrel Apofri can be taken<\/strong><\/p>\n\n\n\n<p>Levonorgestrel Apofri should only be used as an emergency measure and not as a regular method of contraception.\u00a0If Levonorgestrel Apofri 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 Apofri does not work as well as regular contraceptive methods.\u00a0You can get information from a doctor, reception nurse, or contraceptive clinic about long-term contraceptive methods that prevent pregnancy more effectively.<\/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 any medicine.<\/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 Apofri harms a fetus if Levonorgestrel Apofri is used as directed.\u00a0Despite 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 Levonorgestrel Apofri 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>The active substance in this medicine passes into breast milk.&nbsp;Therefore, it is recommended that you take the tablet immediately after a breastfeeding session and then avoid breastfeeding for at least 8 hours thereafter.&nbsp;Pump out the milk with a breast pump for 8 hours after taking the tablet.&nbsp;In this way, you take the tablet well before the next breastfeeding session and reduce the amount of active substance that can be transferred to the baby via breast milk.<\/p>\n\n\n\n<p>Levonorgestrel Apofri increases the risk of disorders in the menstrual cycle, which can sometimes lead to earlier or later ovulation dates and thus change the fertile days.\u00a0There are no long-term data on\u00a0fertility, but after treatment with Levonorgestrel Apofri, a rapid return to\u00a0fertility is\u00a0expected.\u00a0Therefore, the usual method of contraception should be resumed or initiated as soon as possible after the use of Levonorgestrel April.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Levonorgestrel Apofri 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\">Levonorgestrel Apofri contains lactose<\/h2>\n\n\n\n<p>If you have an intolerance to lactose (\u00a0lactose\u00a0), you should know that each Levonorgestrel Apofri\u00a0pill\u00a0contains 43 mg of\u00a0lactose.\u00a0If 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><strong>Levonorgestrel Apofri contains&nbsp;sodium<\/strong><\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)\u00a0sodium\u00a0per tablet, ie\u00a0essentially &#8216;sodium-free&#8217;.\u00a0is next to &#8220;sodium-free&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Levonorgestrel Apofri<\/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.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Take the tablet as soon as possible, preferably within 12 hours and no later than 72 hours (3 days) after unprotected intercourse.&nbsp;Levonorgestrel Apofri can be taken at any time during the menstrual cycle, provided you are not already pregnant or think you may be pregnant.&nbsp;Do not chew the tablet but swallow it whole with water.&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.<\/li><li>If you are taking any medicine that may prevent Levonorgestrel Apofri from working properly (see section \u201cOther medicines and Levonorgestrel Apofri\u201d above) or if you have used any of these medicines in the last 4 weeks, Levonorgestrel Apofri 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 can not be able to see a doctor immediately, you can take a double&nbsp;dose&nbsp;of Levonorgestrel Apofri (ie 2 tablets at the same time).<\/li><li>If you already use a regular method of contraception, e.g.&nbsp;birth control pills&nbsp;, you can continue to take these at the usual time.<\/li><\/ul>\n\n\n\n<p>If you have had unprotected intercourse after taking Levonorgestrel Apofri (even if it happens during the same menstrual cycle), the tablet will not have the same preventive effect and you may be pregnant.<\/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 Levonorgestrel Apofri<\/strong><\/p>\n\n\n\n<p>If you want to have intercourse after taking Levonorgestrel Apofri and do not use\u00a0birth control pills, you should use condoms or\u00a0pessaries\u00a0combined with spermicides until your next period.\u00a0The reason for this is that Levonorgestrel Apofri does not work if you have unprotected intercourse again before you have your next period.<\/p>\n\n\n\n<p>After taking Levonorgestrel Apofri, you should make an appointment with a doctor about three weeks later to check that Levonorgestrel Apofri 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 contraceptive methods that prevent pregnancy more effectively.<\/p>\n\n\n\n<p>If you continue to use a regular hormonal contraceptive such as\u00a0birth control pills\u00a0and you do not get any bleeding during the break, you should see a doctor check that you are not pregnant.<\/p>\n\n\n\n<p><strong>Your next period after taking Levonorgestrel April<\/strong><\/p>\n\n\n\n<p>After taking Levonorgestrel Apofri, 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 pregnancy is suspected, you should have a pregnancy test.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Levonorgestrel Apofri 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 if you are worried, 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&nbsp;side effects,&nbsp;although not everybody gets them.<\/p>\n\n\n\n<p><strong>Very common side effects (may affect more than 1 user in 10):<\/strong><\/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 side effects (may affect up to 1 to 10 users):<\/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 menstruate later or earlier than normal.&nbsp;You may also experience 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 side effects (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 Levonorgestrel Apofri<\/h2>\n\n\n\n<p><strong>Keep this medicine&nbsp;<\/strong><strong>out of the sight and reach of children.<\/strong><\/p>\n\n\n\n<p>Use before the expiry date (EXP) indicated on the carton.\u00a0The 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>Other ingredients are:<\/p>\n\n\n\n<p>microcrystalline cellulose,<\/p>\n\n\n\n<p>lactose monohydrate,<\/p>\n\n\n\n<p>poloxamer 188,<\/p>\n\n\n\n<p>croscarmellose sodium,<\/p>\n\n\n\n<p>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>Round white tablet, about 6 mm in diameter and marked with &#8220;C&#8221; on one side and &#8220;1&#8221; on the other.<\/p>\n\n\n\n<p>Packaging: an aluminum blister tablet in a carton.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>April AB<\/p>\n\n\n\n<p>Box 120<\/p>\n\n\n\n<p>182 12 Danderyd<\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\n\n\n\n<p>Laboratories Le\u00f3n Farma SA<\/p>\n\n\n\n<p>C \/ La Vallina s \/ n, Pol.&nbsp;Ind.&nbsp;Navatejera<\/p>\n\n\n\n<p>24008- Leon, Spain<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Levonorgestrel is the Apofri acute &#8211; pill which can be used within 72 hours (3 days) after unprotected sexual intercourse or if a used contraception failed.<\/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":[14914,16012,2424,16008,16011,16013,2427,12055,12053,16009,16010,12054],"class_list":["post-16713","post","type-post","status-publish","format-standard","hentry","category-medicines","category-l","tag-benefits-of-levonorgestrel","tag-benefits-of-levonorgestrel-apofri","tag-levonorgestrel","tag-levonorgestrel-apofri","tag-levonorgestrel-apofri-side-effects","tag-levonorgestrel-apofri-tablet","tag-levonorgestrel-side-effects","tag-levonorgestrel-tablet","tag-what-is-levonorgestrel","tag-what-is-levonorgestrel-apofri","tag-what-levonorgestrel-apofri-is-used-for","tag-what-levonorgestrel-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16713","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=16713"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16713\/revisions"}],"predecessor-version":[{"id":16761,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16713\/revisions\/16761"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=16713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=16713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=16713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}