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Plan B
Generic Name:
levonorgestrel emergency contraceptive (LEE voe nor jes trel)
Brand Names:
Next Choice, Plan B
What is Plan B?
Levonorgestrel is a female hormone that prevents ovulation (the release of an egg from an ovary). Plan B also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus. Plan B is used to prevent pregnancy after unprotected sex or failure of other forms of birth control (such as condom breakage, or missing 2 or more birth control pills). Plan B may also be used for other purposes not listed in this medication guide.
Before taking Plan B
Plan B is not intended for use as a routine form of birth control and should not be used in this manner. Talk with your doctor about the many forms of birth control available. Do not use Plan B if you are already pregnant. Plan B will not terminate a pregnancy that has already begun (the fertilized egg has attached to the uterus). Before using Plan B, tell your doctor if you are allergic to any drugs, or if you have diabetes. You may not be able to use Plan B, or you may need special tests during treatment. Levonorgestrel can pass into breast milk and may harm a nursing baby. Do not use Plan B without telling your doctor if you are breast-feeding a baby. Do not give Plan B to anyone younger than 17 years old. Contact a doctor for medical advice.
How should I take Plan B?
Use Plan B exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended. The first dose of Plan B must be taken as soon as possible after unprotected sex (no later than 72 hours afterward). The second dose must be taken 12 hours after the first dose. The timing of these doses is very important for Plan B to be effective. Call your doctor right away if you vomit within 1 hour after taking either dose of Plan B. Do not take another dose until you talk with your doctor. You should be examined by your doctor within 3 weeks after taking Plan B. The doctor will need to confirm that you are not pregnant and that Plan B has not caused any harmful effects. If your period is late by 1 week or longer after the expected date, you may be pregnant. Get a pregnancy test and contact your doctor if you are pregnant. Plan B will not terminate a pregnancy that has already begun (the fertilized egg has attached to the uterus). Store Plan B at room temperature away from moisture and heat.
Plan B side effects
Get emergency medical help if you have any of these signs of an allergic reaction to Plan B: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have severe pain in your lower stomach or side. This could be a sign of a tubal pregnancy (a pregnancy that implants in the fallopian tube instead of the uterus). A tubal pregnancy is a medical emergency. Less serious Plan B side effects may include: nausea, diarrhea, or stomach pain; breast pain or tenderness; dizziness, tired feeling; changes in your menstrual periods; or headache. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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