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
Lybrel
Lo Simpesse
Triphasil 21 Tab
Curae
Preven Tablets
Her Style
BionaFem
Larissia
Quaterna
Daysee
Amazon Basic Care Levonorgestrel
Triphasil 21
Mystep
Vienva
Basic Care Levonorgestrel
Backup Plan Onestep
Quasense
Empowered Choice
Opcicon One-Step
Myzilra
Setlakin
Amethia
PostDay One-Step
Lutera
Esme 28
Seasonale
Econ Morning After
My Way
Levora
After Banger
Introvale
Tyblume
Emergency Contraceptive
Mirena
Portia
Jolessa
Aftera
Take Action
Kyleena
Vienva Tm
Alysena 28
Julie
Levonorgestrel Tablets, 0.75mg
Next Choice
camrese Lo
Ayuna
React
Camrese
Ovima 28
AfterPlan
Levonorgestrel Tablet, 1.5 mg
Minzoya
Levonorgetsrel and Ethinyl Estradiol
Restart
Indayo
Preven Emergency Contraceptive
Levonorgestrel and Ethinyl Estradoil
Minivlar 30
Triquilar 28
Esme 21
Levonorgestrel and Ethinyl Estradiol
LEADER Emergency Contraceptive Levonorgestrel
Laylaa 21
Preventeza
EContra One-Step
Rosyrah
EContra EZ
Triphasil 28
Levonest
Kurvelo
Aviane 21
Twirla
Next Choice One Dose
Amethyst
Nordette
LoSeasonique
Triphasil 28 Tab
Min-ovral 28 Tab
Optionelle
My Choice TM
Audrina 21
Backup Plan
Morning After
Trivora
Chateal EQ
Aviane 28
Contingency One
Skyla
SheWise
Balcoltra
Amethia Lo
Aubra
Min-ovral 21
Chateal
Jaimiess
Delyla
Norlevo
Marlissa
Jaydess
New Day
Sronyx
Ashlyna
Levonorgestrel Emergency Contraceptive
Her style
Athentia Next
Contingency
Aviane
Triphasil-21
Portia 21
Vienva TM
LoJaimiess
Ithappenz Morning After
Fem Choice morning after
Levlite
Norplant System Kit 36mg/implant
Lillow
Falessa
Fallback Solo
Quartette
Alesse 28
Iclevia
Afirmelle
Altavera
Simpesse
Lessina
Joyeaux
Julie Morning After Pill
Audrina 28
Levonorgestrel
Lutera 28
Climara Pro
Plan B One-Step
Liletta
Min-ovral 28
Aviane 28 Day
Min-ovral 21 Tab
Portia 28
Morning After Pill
Seasonique
Rivelsa
Stix Restart
Alesse 21
Plan B
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