Oral emergency contraception

Question 1

Name two morning-after pills?

Answer 1

1. levenorgestrel

2. Ullipristal - ELLAONE

Question 2

What class of drugs are morning after pills?

Answer 2

A progesterone receptor modulator

Question 3

How soon must levonogestrel be taken to be effective?

Answer 3

within 72 hours of unprotected sexual intercourse

Question 4

What does of levonogestrel should be given?

Answer 4

1.5 mg and must be double for those with a BMI of >26 or over 70 kgs

Question 5

how effective is levonogestrel?

Answer 5

very effective if used within 72 hours of UPSI

Question 6

What are the side effects of levenogestrel?

Answer 6

1. Disturbance of current menstrual cycle

2. Vomiting - if this occurs within 2 hours of taking the pill, retake the pill

Question 7

How does Ullipristal work?

Answer 7

Ullipristal works by inhibiting ovulation

Question 8

How soon must Ullipristal be taken to work?

Answer 8

Within 120 hours of unprotected sexual intercourse

Question 9

What does of Ullipristal must be given?

Answer 9

30 mg

Question 10

What are the benefits of levonorgestrel over Ullipristal?

Answer 10

1. Ullipristal reduces the effect of hormone contraception - hormonal contraception should be started or resumed 5 days after Ullipristal is used
2. CI in those with severe asthma
3. Breast feeding should be delayed 1 week after taking Ullipristal?