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
Norlevo
Audrina 21
Mirena
Stix Restart
Minivlar 30
Triphasil 28
Altavera
Levora
Amethia Lo
Indayo
LoSeasonique
Preventeza
Alysena 21
Triphasil 21
Camrese
Backup Plan Onestep
Aviane 28 Day
Triphasil-21
Triquilar 21
Lutera 21
Levonorgestrel
Plan B
Alesse 21
Athentia Next
Iclevia
AfterPill
AfterPlan
Amazon Basic Care Levonorgestrel
Amethia
Jolessa
Option 2
Esme 21
Ayuna
SheWise
Daysee
Portia
Contingency
Lutera
Fallback Solo
Fem Choice morning after
Portia 21
Basic Care Levonorgestrel
Preven Tablets
Lybrel
Seasonale
Teva-levonorgestrel
Her style
Min-ovral 21 Tab
Marlissa
Amethyst
Levlite
Alysena 28
Next Choice
Laylaa 21
Contingency One
After Banger
Minzoya
Simpesse
New Day
Tyblume
Vienva Tm
Jaydess
Larissia
Laylaa 28
Vienva
Kyleena
Levonest
Myzilra
Portia 28
LoJaimiess
Jaimiess
Joyeaux
Ovima 21
Triphasil 28 Tab
Aubra
Fayosim
Rivelsa
Triphasil 21 Tab
LEADER Emergency Contraceptive Levonorgestrel
Take Action
Lo Simpesse
Levonorgestrel Emergency Contraceptive
Morning After Pill
Quartette
Aubra EQ
PostDay One-Step
Trivora
Opcicon One-Step
Orsythia
Levonorgetsrel and Ethinyl Estradiol
Aviane 21
Econ Morning After
Vienva TM
Aviane 28
Julie
Introvale
BionaFem
Kurvelo
Lutera 28
Preven Emergency Contraceptive
Afirmelle
Levonorgestrel and Ethinyl Estradoil
Liletta
Chateal
Norplant System Kit 36mg/implant
Emergency Contraceptive
Nordette
Quasense
Dolishale
Her Style
Audrina 28
Esme 28
Ashlyna
Chateal EQ
Triquilar 28
Seasonique
My Choice TM
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