Professional Documents
Culture Documents
Plan-B
CPS, 2015
Purpose of medication
Plan B (levonorgestrel 0.75 mg tablets) is an emergency contraceptive that can prevent pregnancy and
is intended to be used within 72 hours (three days) following known or suspected contraceptive failure
or unprotected intercourse
an emergency contraceptive principally by preventing ovulation or by inhibiting fertilization (by altering
tubal transport of sperm and/or ova). It may also prevent implantation (by altering the endometrium).
It is not effective once the process of implantation has begun.
Mechanism of action
Onset of effect
Common S/E
Rare S/E
Management of S/E
CONTRAINDICATIONS:
Pregnancy, undiagnosed abnormal vaginal bleeding
DI: Antibiotics, anticonvulsant, antipsychotics.
Store Plan B tablets between 15 and 30C. Protect from high humidity
Self-care measures:
If your period is delayed more than 1 week, you should contact your doctor and have a pregnancy test done
Monitoring
Pregnant/Nursing
Pediatrics
Geriatrics
pregnancy
No
No
No
Emergency contraceptive pills, also known as the morning after pill, will soon carry new warnings about
reduced effectiveness in women weighing over 165 pounds
In clinical trials, contraceptive efficacy was reduced in women weighing 75 kg or more, and levonorgestrel was not effective
in women who weighed more than 80 kg.
Plan B is not an abortifacient and should not be taken by pregnant women, as it will not be effective.
Patients should be advised that Plan B provides no protection against HIV infection (AIDS) and other sexually
transmitted diseases.
Plan B is not recommended for routine use as a contraceptive. The pregnancy rate of Plan B (levonorgestrel 0.75 mg
tablets) is calculated for a single use. If Plan B is used on more than one occasion, the cumulative pregnancy rate will be
higher.
If you are sexually active and do not wish to become pregnant, you should use a reliable method of contraception on a
regular basis. If you want more information about regular contraceptives or if you are having trouble using a method, ask
your health professional for help in choosing a method that works for you.
Note to Pharmacist
If you determine that a woman is a repeat user of Emergency Contraception (defined as use more than once a month on a
regular basis) or that Plan B has been used within the past cycle, you should consider discussing other, more effective
contraceptive methods with the woman, as well as encouraging her to see her physician or other health professional for
contraceptive counseling services and advise on other methods of contraception and prevention of sexually transmitted
infections. Plan B should still be dispensed, if indicated.