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i-Pill Emergency Contraceptive Pill, 1 Tablet
i-Pill Emergency Contraceptive Pill, 1 Tablet
i-Pill Emergency Contraceptive Pill, 1 Tablet
i-Pill Emergency Contraceptive Pill, 1 Tablet

i-Pill Emergency Contraceptive Pill Tablet is used to prevent unintended pregnancy and hormone therapy. It is used as a single agent in emergency contraception, and as a hormonal contraceptive released from an intrauterine device (IUD). It is the most commonly used emergency contraceptive. It contains Levonorgestrel, which prevents the release of an egg from the ovary (female reproductive cells) or prevents fertilization of an egg by sperm (male reproductive cells). It may also change the lining of the uterus to prevent the development of a pregnancy. It does not have any effect if you are already pregnant; hence, it does not cause abortion. In some cases, you may experience nausea, vomiting, lower abdominal pain, tiredness, headache, diarrhoea, dizziness and uterine bleeding.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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Health Queries

During Intercourse the condom ruptured but not sure ejaculation happened inside. But took the pill immediately after 2 hours on 13th. Period date was 27th amd i got periods today. Should i have take test after few days or everything is normal.

Ask Apollo

Ask Apollo

AI powered Health Chatbot

It’s reassuring that you had your period on the expected date after taking the emergency contraceptive pill (i-Pill) within 2 hours of condom rupture, which generally suggests the pill worked effectively.

🩺 What This Likely Means

Having your period on time usually indicates that pregnancy is unlikely, as the i-Pill (which contains levonorgestrel) works mainly by preventing ovulation and may also alter the uterine lining to prevent implantation. Despite this, bleeding from the pill can sometimes mimic a period, so it’s not a full guarantee that pregnancy is avoided.

⚕️ Should You Take a Pregnancy Test?

While a timely period is a good sign, it’s still advisable to take a pregnancy test about 2 weeks after the intercourse or after a missed period for confirmation, especially if the bleeding was lighter, abnormal, or shorter than usual.

🩺 When to See a Specialist

If your next period is late, irregular, or you experience symptoms like persistent nausea, breast tenderness, or unusual fatigue, consult a gynecologist for evaluation and appropriate care.

Remember, the i-Pill is an emergency measure and not a regular contraceptive method. For ongoing contraception, consult your gynecologist to discuss reliable long-term options.

If you want, I can explain how emergency contraceptives work or when to seek urgent care in more detail.

I had unprotected sex a day after my ovulation period, but ejaculation happened outside near the vaginal entrance. Is “opening” a sign of pregnancy?

Bayyarapu Mahesh Kumar

Bayyarapu Mahesh Kumar

M Pharmacy

Even if ejaculation occurs outside the vagina near the entrance, there is still a small risk of pregnancy because sperm can sometimes travel inside. However, since this was a day after ovulation, the chances are lower, as the fertile window is usually just before and during ovulation. Any “opening” or physical feeling you notice is not a recognised sign of pregnancy. Early pregnancy symptoms do not appear immediately and cannot be confirmed based on such changes. The most accurate way to know is to wait for a missed period and then take a pregnancy test. If you are still concerned, consult a doctor promptly for appropriate advice.

I had sex a day before my ovulation and took an i-Pill tablet. Is there still a chance of getting pregnant, and when should I take a pregnancy test?

Chandrakanta Jena

Chandrakanta Jena

Pharm D

Taking an i-Pill tablet (emergency contraceptive pill) a day before ovulation (release of a mature egg) reduces the risk of pregnancy, but it is not completely reliable, so a small chance may still remain. It mainly works by delaying ovulation, and its effectiveness may be reduced if ovulation has already begun. You should take a pregnancy test about 21 days after intercourse or wait until your period is more than 7 days late for accurate results. If your period becomes irregular or you notice unusual symptoms, consult a doctor for further evaluation and guidance.

I missed my period for a month and took a pregnancy test, which came back positive. How can I safely terminate my pregnancy?

Chandrakanta Jena

Chandrakanta Jena

Pharm D

If your pregnancy is confirmed and you wish to terminate it, the safest approach is to consult a doctor or gynaecologist promptly. Early pregnancy (up to 10-11 weeks) can often be terminated safely and effectively using abortion pills (such as mifepristone and misoprostol), while later stages may require a minor surgical procedure. Do not take any medication to terminate the pregnancy on your own, as this can be dangerous and cause serious complications. Your doctor will guide you on the safest option based on your gestational age and health.

I had intercourse 3 days back, it was unprotected and I am just now realising that I am ovulating from today, should I take an I pill, will it be effective?

Bayyarapu Mahesh Kumar

Bayyarapu Mahesh Kumar

M Pharmacy

The I pill works best within 72 hours of unprotected sex. Still, since you may be ovulating now, its effectiveness is lower because it mainly works by delaying ovulation, so taking it now may still offer some protection, but the chance of pregnancy is higher. It is best to consult a gynaecologist immediately to discuss other emergency options, as individual responses can vary based on different factors.

Have a query?

Side effects of i-Pill Emergency Contraceptive Pill, 1 Tablet
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Use hot or cold packs on your breasts to help alleviate discomfort.
  • Choose a supportive, well-fitting bra, preferably one that has been professionally fitted.
  • Practice relaxation techniques to manage stress and anxiety that may accompany severe breast pain.
  • Limit or avoid caffeine consumption.
  • Eat a low-fat diet and focus on foods rich in complex carbohydrates.
  • Rubbing evening primrose oil on your breasts may help balance fatty acids in the cells and reduce pain.
  • Keep track of when your breast pain occurs and any other symptoms to determine if the pain is regular or not.
  • Vitamin E supplements may help reduce pain for women who experience pain linked to their menstrual cycle.
  • Over-the-counter pain relievers like acetaminophen or ibuprofen can provide relief, but be sure to consult your doctor for the correct dosage, as prolonged use may cause side effects.

Drug-Drug Interactions

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LevonorgestrelTranexamic acid
Critical
LevonorgestrelAcitretin
Critical

Drug-Drug Interactions

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LevonorgestrelTranexamic acid
Critical
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Taking i-Pill Emergency Contraceptive Pill, 1 Tablet with Tranexamic acid may increase the risk of blood clot formation which can lead to serious conditions such as heart problems and kidney failure.

How to manage the interaction:
Taking Tranexamic acid with i-Pill Emergency Contraceptive Pill, 1 Tablet may leads to an interaction but can be taken if prescribed by the doctor. However, if you experience chest pain; shortness of breath; coughing up blood; blood in the urine; sudden loss of vision; and pain, redness, or swelling in your arm or leg, consult the doctor immediately. Do not stop using any medications without talking to a doctor.
LevonorgestrelAcitretin
Critical
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Coadministration of Acitretin with i-Pill Emergency Contraceptive Pill, 1 Tablet can increase the risk and severity of birth defects in unborn when taken by a pregnant woman.

How to manage the interaction:
Taking Acitretin with i-Pill Emergency Contraceptive Pill, 1 Tablet together is generally avoided as it can result in an interaction, it can be taken if a doctor has advised it. Consult a doctor if you get pregnant while taking these medications. Never use acitretin if you are pregnant. Do not stop using any medications without talking to a doctor.
LevonorgestrelEtretinate
Critical
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Using etretinate and i-Pill Emergency Contraceptive Pill, 1 Tablet can cause severe birth defects.

How to manage the interaction:
Taking Etretinate with i-Pill Emergency Contraceptive Pill, 1 Tablet can cause an interaction, consult a doctor before taking it. Do not stop using any medications without talking to a doctor.
LevonorgestrelBosentan
Severe
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Taking i-Pill Emergency Contraceptive Pill, 1 Tablet and Bosentan may lower the blood levels and effects of i-Pill Emergency Contraceptive Pill, 1 Tablet, making it less effective.

How to manage the interaction:
Although taking i-Pill Emergency Contraceptive Pill, 1 Tablet and bosentan can lead to interaction, it can be taken if prescribed by a doctor. However, if you experience hot flashes, vaginal dryness, or abdominal bleeding, contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
LevonorgestrelBrigatinib
Severe
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Brigatinib may lower the blood levels and effects of i-Pill Emergency Contraceptive Pill, 1 Tablet, making it less effective as a type of birth control. It has also been linked to serious birth abnormalities in newborn children.

How to manage the interaction:
Although taking i-Pill Emergency Contraceptive Pill, 1 Tablet and brigatinib can lead to an interaction, it can be taken if prescribed by a doctor. If you have been receiving hormone replacement therapy for menopause, you should contact a doctor if you notice an increase in the frequency or severity of your symptoms, such as hot flashes, vaginal dryness, or irregular bleeding. Do not stop using any medications without talking to a doctor.
LevonorgestrelBexarotene
Severe
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Taking i-Pill Emergency Contraceptive Pill, 1 Tablet and Bexarotene may decrease the effectiveness of i-Pill Emergency Contraceptive Pill, 1 Tablet.

How to manage the interaction:
Although taking i-Pill Emergency Contraceptive Pill, 1 Tablet and bexarotene can lead to interaction, it can be taken if prescribed by a doctor. However, consult a doctor if you have symptoms such as increased hot flashes, vaginal dryness, or menstrual irregularities. Do not stop using any medications without talking to a doctor.
LevonorgestrelCarbamazepine
Severe
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Taking i-Pill Emergency Contraceptive Pill, 1 Tablet and carbamazepine together can reduce the effects of i-Pill Emergency Contraceptive Pill, 1 Tablet.

How to manage the interaction:
Although taking i-Pill Emergency Contraceptive Pill, 1 Tablet and carbamazepine together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
LevonorgestrelDabrafenib
Severe
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Dabrafenib may lower the blood levels and effects of i-Pill Emergency Contraceptive Pill, 1 Tablet, making it less effective as a type of birth control.

How to manage the interaction:
Although taking i-Pill Emergency Contraceptive Pill, 1 Tablet and dabrafenib together may result in an interaction but can be taken if advised by a doctor. If you are receiving hormone replacement treatment for menopause, you should consult the doctor if you observe an increase in the frequency or severity of your symptoms, such as hot flashes, vaginal dryness, or irregular bleeding. Do not stop using any medications without talking to a doctor.
LevonorgestrelCarfilzomib
Severe
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Carfilzomib can occasionally cause dangerous blood clots and using it together with i-Pill Emergency Contraceptive Pill, 1 Tablet may increase the risk.

How to manage the interaction:
Co-administration of Carfilzomib with i-Pill Emergency Contraceptive Pill, 1 Tablet can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these signs, it's important to contact a doctor right away: blood clots that can be harmful, high blood pressure or cholesterol, heart problems like heart attack or blockage in the lung, stroke, complications, chest pain, difficulty breathing, coughing up blood, sudden vision loss, pain, redness, or swelling in an arm or leg, and numbness or weakness on one side of your body. Do not discontinue any medications without consulting a doctor.
LevonorgestrelMycophenolate Mofetil
Severe
How does the drug interact with i-Pill Emergency Contraceptive Pill, 1 Tablet:
Taking i-Pill Emergency Contraceptive Pill, 1 Tablet with Mycophenolate mofetil can decrease the levels of i-Pill Emergency Contraceptive Pill, 1 Tablet in the body. This increases the risk of severe bleeding and unintended pregnancy.

How to manage the interaction:
Although taking Mycophenolate Mofetil and i-Pill Emergency Contraceptive Pill, 1 Tablet together can cause an interaction, it can be taken if a doctor has suggested it. Contact a doctor if you experience worsening of your symptoms such as hot flashes, vaginal dryness, or abnormal bleeding. Do not discontinue any medication without consulting a doctor.

Drug-Food Interactions

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LEVONORGESTREL-1.5MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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LEVONORGESTREL-1.5MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit Juice, Grapefruit

How to manage the interaction:
Consumption of grapefruit juice with i-Pill Emergency Contraceptive Pill, 1 Tablet the blood level of i-Pill Emergency Contraceptive Pill, 1 Tablet may increase. Avoid grapefruit and grapefruit juice when taking i-Pill Emergency Contraceptive Pill, 1 Tablet.

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