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Drugs & Medications

ulipristal

COMMON BRAND NAME(S): Ella

GENERIC NAME(S): ULIPRISTAL ACETATE

Uses

This medication is used by women to prevent pregnancy after unprotected sex or birth control failure (such as a broken condom). This medication is an emergency contraceptive and should not be used as a regular form of birth control. It prevents pregnancy by preventing the release of an egg (ovulation) and changing the womb and cervical mucus to make it more difficult for an egg to meet sperm (fertilization) or attach to the wall of the womb (implantation).

Using this medication will not stop an existing pregnancy or protect you against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia).

This medication may not work well in women who are overweight (for example, body mass index greater than 30). Talk to your doctor for more details and to see if this medication is right for you.

How to use ulipristal

Take 1 tablet by mouth, with or without food, as soon as possible after unprotected sex. This medication works best when it is taken within 120 hours (5 days) after unprotected sex. Take the medication exactly as prescribed by your doctor.

If you vomit within 3 hours of taking this medication, contact your doctor to discuss whether you need to repeat the dose.

The amount and timing of your period may be irregular after taking this medication. Tell your doctor immediately if your period is more than 7 days late. You may need to take a pregnancy test.

Because you can become pregnant soon after treatment with ulipristal, you should continue using your regular method of birth control immediately. Ulipristal may make other hormonal birth control less effective. Using a barrier-type birth control (such as condoms, diaphragm) is recommended every time you have sex during the same menstrual cycle that you took ulipristal.

Side Effects

Headache, nausea, abdominal pain, tiredness, dizziness, or painful menstrual periods may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if this rare but serious side effect occurs: severe lower abdominal pain (especially 3 to 5 weeks after taking ulipristal).

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking ulipristal, tell your doctor or pharmacist if you are allergic to it; or to progestins (such as levonorgestrel, norethindrone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: unexplained vaginal bleeding.

This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.

This medication should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor immediately.

This drug passes into breast milk. Because of the possible risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Other medications can affect the removal of ulipristal from your body, which may affect how ulipristal works. Examples include azole antifungals (such as ketoconazole), bosentan, griseofulvin, modafinil, nevirapine, HIV protease inhibitors (such as ritonavir), rifamycins (such as rifabutin, rifampin), St. John's wort, drugs used to treat seizures (such as carbamazepine, phenytoin, phenobarbital), among others.

Overdose

Overdose with this medication is very unlikely. However, if overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Notes

Do not share this medication with others.

Missed Dose

Not applicable.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Information last revised June 2014. Copyright(c) 2014 First Databank, Inc.

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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