Levonorgestrel (LNG) is a synthetic progestogen similar to [Progesterone] used in contraception and hormone therapy.[A181988,T659] Also known as Plan B, it is used as a single agent in emergency contraception, and as a hormonal contraceptive released from an intrauterine device, commonly referred to as an IUD. Some of these devices are known as Jaydess, Kyleena, and Mirena. A subdermal implant of levonorgestrel that slowly releases the hormone over a long-term period is also available.[L7823] In addition to the above uses, levonorgestrel is used as a component of long-term combination contraceptives.[A181991,L7760,L7778] Globally, levonorgestrel is the most commonly used emergency contraceptive. It was initially granted FDA approval in 1982 and was the first emergency contraceptive containing only progesterone, showing high levels of efficacy and a lack of estrogenic adverse effects when compared to older emergency contraceptive regimens.[A181976,A181994,L7760]
Levonorgestrel and Ethinyl Estradiol and Ethinyl Estradiol
Fallback Solo
Introvale
Stix Restart
Aftera
Triquilar 28
Her Style
Min-ovral 28
Iclevia
Triphasil 28 Tab
Alesse 28
Min-ovral 21 Tab
Aviane 21
Lybrel
Aviane 28 Day
LoJaimiess
Aviane 28
camrese Lo
Falmina
LoSeasonique
Triphasil 28
Option 2
Kurvelo
BionaFem
Setlakin
Aubra
Dolishale
Aubra EQ
LEADER Emergency Contraceptive Levonorgestrel
Quasense
Amethyst
Sronyx
Emergency Contraceptive
Vienva TM
Alysena 21
Lutera
Lutera 28
Seasonique
Amethia
Jolessa
Levora
Triphasil-21
Climara Pro
Alesse 21
AfterPlan
Her style
Mirena
Min-ovral 21
Min-ovral 28 Tab
EContra One-Step
My Way
Preven Tablets
Levonorgestrel Tablet, 1.5 mg
Skyla
Larissia
Ovima 21
Preventeza
Chateal EQ
Curae
Portia 21
Orsythia
Lo Simpesse
AfterPill
Quartette
Tyblume
Balcoltra
Levlite
Laylaa 28
Fem Choice morning after
Rivelsa
Backup Plan
Esme 21
Lillow
Chateal
Laylaa 21
Portia 28
Afirmelle
Audrina 21
PostDay One-Step
Portia
Teva-levonorgestrel
Audrina 28
Levonorgestrel and Ethinyl Estradoil
Aviane
Twirla
Mystep
My Choice TM
Plan B One-Step
Levonorgestrel Tablets, 0.75mg
Lutera 21
Alysena 28
Trivora
Triquilar 21
SheWise
Levonest
React
Liletta
Lessina
Morning After
After Banger
Ayuna
Next Choice One Dose
Plan B
Altavera
Amethia Lo
Jaydess
Morning After Pill
Ovima 28
Econ Morning After
Take Action
Enpresse
Esme 28
Ashlyna
Athentia Next
Seasonale
Contingency
Norplant System Kit 36mg/implant
Triphasil 21 Tab
Levonorgestrel and Ethinyl Estradiol
Triphasil 21
New Day
Fayosim
Jaimiess
Indication
**Emergency contraception** Levonorgestrel, in the single-agent emergency contraceptive form, is indicated for the prevention of pregnancy after the confirmed or suspected failure of contraception methods or following unprotected intercourse. It is distributed by prescription for patients under 17, and over the counter for those above this age.[L7760] This levonorgestrel-only form of contraception is not indicated for regular contraception and must be taken as soon as possible within 72 hours after intercourse.[A181976,L7760] It has shown a lower efficacy when it is used off label within 96 hours.[T659] **Long-term contraception or nonemergency contraception** In addition to the above indication in emergency contraception, levonorgestrel is combined with other contraceptives in contraceptive formulations designed for regular use, for example with ethinyl estradiol.[L7766] It is used in various hormone-releasing intrauterine devices for long-term contraception ranging for a duration of 3-5 years.[L7778,L7781,L7787] Product labeling for Mirena specifically mentions that it is recommended in women who have had at least 1 child and can be indicated for the prevention of pregnancy for up to 8 years.[L7778,L42950] A subdermal implant is also available for the prevention of pregnancy for up to 5 years.[L7823] **Hormone therapy and off-label uses** Levonorgestrel is prescribed in combination with estradiol as hormone therapy during menopause to manage vasomotor symptoms and to prevent osteoporosis.[L7805]Off-label, levonorgestrel may be used to treat menorrhagia, endometrial hyperplasia, and endometriosis.[T659]
Categories
Adrenal Cortex Hormones
Combination Contraceptives (with Estrogen and derivatives)
Contraceptive Agents, Female
Contraceptive Agents, Hormonal
Contraceptives, Oral
Contraceptives, Oral, Synthetic
Contraceptives, Postcoital
Cytochrome P-450 CYP3A Substrates
Cytochrome P-450 CYP3A4 Substrates
Cytochrome P-450 CYP3A5 Substrates
Cytochrome P-450 Substrates
Fused-Ring Compounds
Genito Urinary System and Sex Hormones
Hormonal Contraceptives for Systemic Use
Hyperglycemia-Associated Agents
Inhibit Ovum Fertilization
Norpregnanes
Norpregnenes
Norsteroids
Progestin Contraceptives
Progestin-containing Intrauterine Device
Progestins
Progestogens and Estrogens, Sequential Preparations
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682