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
Amazon Basic Care Levonorgestrel
Esme 21
Orsythia
Sronyx
Lo Simpesse
Portia 28
Opcicon One-Step
Kyleena
Vienva Tm
Lillow
Triphasil 28 Tab
Quasense
Laylaa 28
Triphasil 21
LoSeasonique
Falessa
Minivlar 30
Myzilra
Liletta
Rivelsa
Option 2
Lybrel
LEADER Emergency Contraceptive Levonorgestrel
Econ Morning After
Jolessa
Ithappenz Morning After
Aubra
Alysena 28
Next Choice
Triphasil 21 Tab
Contingency One
Amethia Lo
Alesse 21
Levonorgestrel Emergency Contraceptive
After Banger
Empowered Choice
Iclevia
LoJaimiess
Triquilar 21
Quaterna
Amethia
Mirena
React
Levonorgetsrel and Ethinyl Estradiol
Triphasil 28
Levonorgestrel and Ethinyl Estradiol
Aviane 21
Her Style
My Choice TM
Plan B
Alysena 21
Quartette
EContra EZ
Ovima 21
Aubra EQ
Levora
Seasonale
Min-ovral 21
Ashlyna
Introvale
Tyblume
Basic Care Levonorgestrel
Afirmelle
AfterPlan
Falmina
Triquilar 28
Her style
Aftera
Min-ovral 28 Tab
Simpesse
Audrina 21
Ayuna
Aviane
Dolishale
Marlissa
PostDay One-Step
Norlevo
Esme 28
Preventeza
Levonorgestrel Tablets, 0.75mg
Julie
Plan B One-Step
BionaFem
Lutera 21
Skyla
Backup Plan Onestep
Preven Tablets
Levlite
Morning After
EContra One-Step
Triphasil-21
Vienva
Joyeaux
Levonest
Alesse 28
Contingency
Norplant System Kit 36mg/implant
Jaimiess
Fallback Solo
Levonorgestrel
Portia 21
Laylaa 21
Seasonique
Fayosim
Twirla
Altavera
Camrese
Preven Emergency Contraceptive
Min-ovral 21 Tab
Teva-levonorgestrel
Morning After Pill
Delyla
Next Choice One Dose
Daysee
Min-ovral 28
Indayo
Climara Pro
Portia
Larissia
Take Action
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