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When a condom slips or a scheduled pill is missed, the panic that follows can be overwhelming. This article follows a real‑world experience with Levonorgestrel BP a branded emergency contraceptive tablet widely sold in Australia. By walking through the steps that were taken, the timing, the side effects, and how it stacks up against other options, you’ll get a clear picture of what to expect if you ever need it.
What is Levonorgestrel BP and how does it work?
Levonorgestrel is the active hormone in the tablet - a synthetic progestogen that mimics the natural hormone progesterone. When taken within a short window after unprotected sex, it mainly works by delaying ovulation the release of an egg from the ovary. If the egg never reaches the fallopian tube, fertilisation cannot happen, so the chance of pregnancy drops dramatically.
The drug does not terminate an existing pregnancy; it only prevents one from starting. This distinction is important for anyone worried about moral or medical implications.
Who can safely use Levonorgestrel BP?
In Australia, the Therapeutic Goods Administration (TGA) regulates medicines and medical devices classifies Levonorgestrel BP as a Schedule 3 (Pharmacy‑only) medicine. That means you can buy it without a prescription, but a pharmacist will ask a few questions to confirm suitability.
- Age 16 or older (younger users should discuss with a doctor).
- No known allergy to levonorgestrel or any of the tablet’s excipients.
- Not currently pregnant - a pregnancy test is advisable if you’re unsure.
- Not using medications that severely impair levonorgestrel metabolism (e.g., certain anticonvulsants or herbal StJohn’swort).
Most people who meet these criteria can safely take the tablet, but you should always read the patient information leaflet.
How to take Levonorgestrel BP - the step‑by‑step guide
The dosage schedule is simple, yet timing is crucial. Follow these steps exactly as they were done in the user experience described below:
- Determine the time elapsed since unprotected intercourse.
- If it’s 0-72hours, proceed; after 72hours the effectiveness drops sharply.
- Take one tablet with a full glass of water. No need to eat first, but a light snack can help reduce nausea.
- Wait at least 30minutes before lying down to minimise stomach upset.
- If vomiting occurs within two hours of taking the tablet, contact a pharmacist - you may need a repeat dose.
In the real‑life case, the user took the tablet 14hours after the incident, which is well within the optimal window.
Effectiveness and what to expect after taking the pill
When used correctly within 72hours, Levonorgestrel BP reduces the risk of pregnancy by about 75‑85%. This isn’t 100% protection, so a follow‑up pregnancy test is recommended 10-14days later.
Common short‑term effects include:
- Light spotting or breakthrough bleeding for up to a week.
- Mild cramping similar to menstrual cramps.
- Nausea, headache, or fatigue - usually resolve within 24hours.
Most users, including the one described here, experienced at most one or two of these symptoms, none of which required medical attention.
Side‑effects in depth - managing the uncomfortable bits
While side‑effects are generally mild, it helps to know how to cope with them.
- Nausea: Sip ginger tea or chew a ginger biscuit. Over‑the‑counter anti‑emetics can be used if needed.
- Spotting: Keep a small pad handy. Spotting does not indicate pregnancy but can be confusing.
- Headache: Hydrate well and consider a standard paracetamol dose.
If any symptom persists beyond a few days or you develop severe abdominal pain, seek medical advice - rare but possible complications like ovarian cyst rupture can occur.
How does Levonorgestrel BP compare with other emergency contraception options?
There are two main alternatives on the Australian market:
- Ulipristal acetate a selective progesterone receptor modulator sold as a single‑dose tablet (known commercially as EllaOne).
- A copper‑bearing intrauterine device (IUD) inserted by a clinician within five days.
Below is a quick side‑by‑side look at key attributes.
| Attribute | Levonorgestrel BP | Ulipristal acetate | Copper IUD |
|---|---|---|---|
| Effective window | Up to 72hours | Up to 120hours | Up to 120hours |
| Typical efficacy | 75‑85% | ≈98% | ≈99% |
| Availability | Pharmacy‑only, no prescription | Prescription required | Requires clinician insertion |
| Side‑effects | Spotting, nausea, headache | Similar, plus possible dizziness | Short‑term cramping, possible heavier periods |
| Cost (AUD) | ≈$25 | ≈$55 (prescription + dispense) | ≈$150-$200 (procedure) |
For most people needing a quick, over‑the‑counter solution, levonorgestrel BP hits the sweet spot of speed, cost, and convenience. Ulipristal offers higher efficacy if you’re approaching the 72‑hour mark, while the copper IUD provides the most reliable protection but requires a clinical visit.
Key takeaways from the user’s perspective
- Act fast - the sooner you take the tablet, the better the protection.
- Take it with water, stay upright for half an hour, and monitor for vomiting.
- Expect mild side‑effects; they’re usually short‑lived and manageable.
- Follow up with a pregnancy test after two weeks to be sure.
- Know your alternatives - Ulipristal acetate and copper IUD are viable if Levonorgestrel BP isn’t an option.
Frequently Asked Questions
Can I use Levonorgestrel BP if I’m already pregnant?
No. Levonorgestrel works only to prevent a pregnancy from starting. If a fertilised egg has already implanted, the tablet will not affect it.
What if I vomit within two hours of taking the tablet?
Contact a pharmacist or doctor immediately. You may need to take another dose because the medication might not have been absorbed.
Does Levonorgestrel BP affect my regular birth control pill?
It can slightly reduce the effectiveness of hormonal contraceptives taken later that day. Use a backup condom for the next 7days or start a fresh pack of pills after the emergency dose.
Is Levonorgestrel BP safe for teenagers?
Yes, the TGA allows purchase from age 16 onwards. Younger teens should discuss use with a health professional to ensure they understand the timing and side‑effects.
Can I take Levonorgestrel BP while breastfeeding?
It is considered compatible with breastfeeding. Only a tiny amount passes into breast milk, and no adverse effects on the infant have been reported.
Facing an unplanned situation is stressful, but knowing exactly how Levonorgestrel BP works, how to use it, and what to expect can turn anxiety into confidence. Keep this guide handy, and remember that professional help is just a phone call away if you ever need clarification.
Matt Tait
October 15, 2025 AT 17:08If you think grabbing a cheap over‑the‑counter pill is some kind of miracle cure, you’re seriously misinformed. Levonorgestrel BP is just a temporary band‑aid that masks the real problem – reckless sexual behavior. It doesn’t magically erase the consequences of unprotected sex, it merely delays ovulation by a few hours. The moment you swallow that tablet you’re still playing roulette with your fertility. And don’t even start with the “I had no other choice” excuse; you always have a choice to use protection in the first place. The side‑effects listed are not “minor,” they can be downright miserable for some people. Spotting, nausea, headache – all of which can ruin your day and make you regret the decision. The fact that it’s pharmacy‑only doesn’t make it any safer; it’s just a marketing ploy. If you’re going to rely on a pill that’s only 75‑85% effective, you might as well accept the risk of pregnancy. So stop glorifying it as a safety net and start taking responsibility for your actions.