Buy Plan B
Plan B

9.7
Plan B (levonorgestrel) is an emergency contraceptive used to prevent pregnancy after unprotected intercourse or contraceptive failure. It functions by delaying ovulation or preventing fertilization, providing a critical backup method for reproductive health when taken as soon as possible.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Levonorgestrel
Reference Brand
Levonelle
Manufacturer
Teva
Product Form
Tablet
Regulatory Classification
Free
Primary Category
Emergency Contraception
Product Category
Sex Hormones, Progestogens, Emergency Contraceptive
Pharmacological Class
Progestogen
Manufacturer Description
An emergency 'morning after' pill to be used as soon as possible after unprotected sexual intercourse.
Mechanism of Action
It works primarily by preventing the release of an egg from the ovary. It may also prevent a sperm from fertilising any egg that has already been released. It is not an abortion pill.
Route of Administration
Oral
Onset Time
Most effective within 12-24 hours
Duration
Protects for one single incident
Contraindications
Known pregnancy, Severe liver disease, History of ectopic pregnancy
Severe Adverse Events
Severe abdominal pain, Ectopic pregnancy symptoms, Heavy menstrual bleeding
Common Side Effects
Tender breasts, Dizziness, Fatigue
Uncommon Side Effects
Nausea, Lower stomach pain, Headache, Irregular bleeding or spotting
Drug Interactions
St John's Wort, Rifampicin, Epilepsy drugs, Ritonavir
Pregnancy Safety Warnings
Not for use during pregnancy; will not terminate an existing pregnancy.
Age Restrictions
Available to all women of childbearing age; pharmacists may have age-related guidelines.
Storage Guidelines
Keep blister in outer carton to protect from light.
Related Products
ellaOne (Ulipristal acetate), IUD (Copper coil)

Plan B FAQ

Can I take Plan B if I’m already on hormonal contraception?

Yes, but it is advised to use a non-hormonal emergency method (e.g., copper IUD) if you are on combined estrogen-containing pills, due to a slightly increased risk of blood clots. Consult a pharmacist for guidance.

How soon after intercourse should I take Plan B for maximum effectiveness?

Plan B works best when taken within the first 24 hours, but it remains effective up to 72 hours after intercourse. Efficacy declines with each passing hour.

What should I do if I vomit shortly after taking the pill?

If vomiting occurs within 2 hours of ingestion, take a second 1.5 mg tablet. If you vomit again, seek medical advice for further management.

Will Plan B affect my future fertility?

No. Levonorgestrel does not have any long-term impact on a woman’s ability to conceive in subsequent cycles.

Can I use Plan B while breastfeeding?

Levonorgestrel is excreted in breast milk in very low amounts. It is generally considered safe, but occasional reduced milk supply can occur. Discuss any concerns with a healthcare professional.

Is there any special preparation needed before taking the pill?

No special preparation is required. The tablet can be taken with or without food. If you are prone to nausea, taking it with a light snack may help.

How does Levonorgestrel differ from the copper IUD for emergency contraception?

Levonorgestrel works mainly by preventing ovulation and must be taken within 72 hours. A copper IUD can be inserted up to 5 days after intercourse and provides ongoing contraception for up to 10 years.

Will Plan B change the date of my next period?

Yes, it can cause your period to arrive earlier or later than expected, and spotting may occur. This is a normal side effect.

Are there any medications that make Plan B less effective?

Enzyme-inducing drugs such as rifampicin, carbamazepine, griseofulvin, and St John’s wort can lower levonorgestrel levels, reducing its efficacy.

Can men purchase Plan B?

Plan B is marketed for female use only. While there is no legal restriction preventing a man from buying it, it should only be taken by a person with a uterus after unprotected intercourse.

What is Plan B?

Plan B is an over-the-counter emergency contraceptive pill available in the United Kingdom. It contains levonorgestrel (1.5 mg) as the active ingredient and belongs to the Women’s Health therapeutic category. The medication is supplied as a single-dose tablet that can be purchased without a prescription from pharmacies. Levonorgestrel is a synthetic progestogen that works primarily by preventing or delaying ovulation after unprotected sexual intercourse.

How Plan B Works in the Body

Levonorgestrel exerts its contraceptive effect through several mechanisms that are most effective when the medication is taken as soon as possible after intercourse:

  • Inhibition of Ovulation: Levonorgestrel suppresses the luteinising hormone (LH) surge, thereby preventing the release of an egg from the ovary.
  • Alteration of Tubal Motility: The drug can impair the transport of sperm and ova through the fallopian tubes, reducing the chance of fertilisation.
  • Changes to the Endometrium: Levonorgestrel can modify the uterine lining, making it less receptive to implantation of a fertilised egg. This effect is secondary and most relevant if ovulation has already occurred.

Because its primary action is to block ovulation, the effectiveness of Plan B diminishes the longer the interval between unprotected intercourse and pill intake.

Approved Medical Uses

In the UK, Plan B is licensed by the Medicines and Healthcare products Regulatory Agency (MHRA) for emergency contraception. The approved indication is:

  • Prevention of pregnancy after a single episode of unprotected sexual intercourse or when a regular contraceptive method fails (e.g., condom breakage).
  • The pill should be taken within 72 hours (3 days) of the event. Evidence shows that efficacy is highest when the medication is taken as early as possible.

Plan B is not intended for ongoing birth control and does not protect against sexually transmitted infections (STIs).

Patient Suitability and Contraindications

Who Should Use Plan B?

  • Individuals of reproductive age who have had a recent episode of unprotected intercourse and wish to avoid pregnancy.
  • Women who are not known to be pregnant at the time of taking the pill.
  • Those who can take the medication orally within the 72-hour window.

Absolute Contraindications

  • Known or suspected pregnancy.
  • Severe liver disease (e.g., uncontrolled hepatitis, cirrhosis) where progestogen metabolism may be impaired.
  • Hypersensitivity to levonorgestrel or to any of the tablet’s excipients.

Relative Contraindications & Precautions

  • Current use of hormonal contraception containing ethinyl estradiol (combined oral contraceptives). Switching from a combined method to Plan B may increase the risk of thromboembolic events; alternative emergency contraception (e.g., a copper IUD) may be preferable.
  • Breastfeeding: Levonorgestrel is excreted in breast milk in small amounts. While not strictly contraindicated, breastfeeding mothers should be aware of possible reduced milk production.
  • Weight > 70 kg (≈ 154 lb): Higher body weight may slightly reduce effectiveness, though the pill remains a viable option.
  • Undiagnosed abnormal vaginal bleeding - assess the cause before using hormonal emergency contraception.

Special Populations

  • Adolescents: No age restriction in the UK; the medication is safe for post-pubertal individuals.
  • Elderly women: Not applicable, as emergency contraception is intended for women of reproductive potential.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Nausea or vomiting
  • Abdominal pain or cramping
  • Fatigue or dizziness
  • Headache
  • Breast tenderness
  • Changes in menstrual timing (earlier or later onset, spotting)

These reactions are usually mild and resolve within a few days.

Serious Adverse Events

  • Allergic reaction (rash, itching, swelling, severe dizziness) - seek immediate medical attention.
  • Severe abdominal pain or signs of ectopic pregnancy (shoulder pain, fainting, vaginal bleeding) - consult a healthcare professional promptly.
  • Persistent vomiting that prevents absorption of the medication - a repeat dose may be required (see dosing section).

Drug Interactions

Levonorgestrel is metabolised partly by the hepatic enzyme CYP3A4. Certain medicines can reduce its efficacy:

  • Enzyme inducers (e.g., rifampicin, carbamazepine, griseofulvin, St John’s wort) may lower blood concentrations, increasing the risk of unintended pregnancy.
  • Anticonvulsants and antiretroviral agents with strong inducing properties have similar effects.

If you are taking any of these drugs, discuss alternative emergency contraception (e.g., copper intrauterine device) with a pharmacist or clinician.

Food and Lifestyle Interactions

  • No major food interactions have been identified. Levonorgestrel can be taken with or without meals.
  • Alcohol does not diminish effectiveness, but excessive drinking may exacerbate nausea.
  • Women are advised not to operate heavy machinery if they feel dizzy or faint after taking the pill.

How to Take Plan B

  • Standard dose: One 1.5 mg tablet taken orally as soon as possible after unprotected intercourse.
  • Timing: The sooner the pill is taken, the higher the chance of preventing pregnancy. Effectiveness is greatest within the first 24 hours.
  • If vomiting occurs: If you vomit within 2 hours of ingestion, a second identical tablet should be taken. Do not take a third dose without professional advice.
  • Missed dose: Not applicable, as the regimen consists of a single tablet.
  • Overdose: Signs may include severe nausea, vomiting, dizziness, or fainting. Management is supportive; there is no specific antidote. Seek medical care promptly.
  • Discontinuation: No tapering is required because Plan B is a one-time dose.

Monitoring and Follow-Up

  • Pregnancy test: If your next menstrual period is more than a week late, perform a home pregnancy test. A positive result should be confirmed by a healthcare professional.
  • Persistent symptoms: Contact a clinician if severe abdominal pain, prolonged vomiting, or heavy bleeding occurs.
  • Routine follow-up: Not required for most users, but anyone with chronic medical conditions or on interacting medications should discuss emergency contraceptive options with a pharmacist or doctor.

Storage and Handling

  • Store at room temperature (below 30 °C), away from moisture and direct sunlight.
  • Keep the tablet in its original packaging until use.
  • Keep out of reach of children and pets.
  • Do not use the medication after the expiry date printed on the pack.

Medication-Specific Glossary

Emergency contraception
A method used to prevent pregnancy after a single episode of unprotected sexual intercourse, effective only within a limited time window.
Levonorgestrel
A synthetic progestogen that mimics the natural hormone progesterone, primarily preventing ovulation when taken in high single doses.
Ovulation
The release of a mature egg from the ovary; the central target of levonorgestrel’s contraceptive action.
Implantation
The process by which a fertilised egg attaches to the uterine lining; levonorgestrel can make the lining less receptive, reducing the chance of implantation.

Medical Disclaimer

This article provides educational information about Plan B and is not a substitute for professional medical advice. Treatment decisions, including the use of emergency contraception for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Plan B is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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