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
Quaterna
Camrese
Emergency Contraceptive
Levonorgestrel and Ethinyl Estradoil
Ashlyna
Ovima 21
Triphasil 28 Tab
Mirena
Next Choice One Dose
Alesse 21
Levonorgestrel
PostDay One-Step
Laylaa 28
Norplant System Kit 36mg/implant
Ayuna
Chateal EQ
Indayo
Marlissa
EContra One-Step
Min-ovral 21
Optionelle
Setlakin
Tyblume
Lutera 21
My Way
Levonorgestrel and Ethinyl Estradiol
New Day
LoJaimiess
Minivlar 30
Morning After Pill
Climara Pro
Julie
Enpresse
Jolessa
Laylaa 21
Option 2
Larissia
My Choice TM
Jaimiess
AfterPill
Levonest
camrese Lo
Basic Care Levonorgestrel
Fallback Solo
Backup Plan
Plan B
Joyeaux
Portia 21
Her style
Twirla
LoSeasonique
Aviane 28 Day
Iclevia
Falessa
Falmina
Next Choice
Trivora
Vienva
Introvale
Dolishale
Aviane 21
Aubra
Levonorgestrel Tablet, 1.5 mg
Triphasil-21
Sronyx
Empowered Choice
Mystep
Opcicon One-Step
Amethia Lo
Esme 21
Min-ovral 28
Jaydess
Alysena 28
AfterPlan
Take Action
Alysena 21
Triphasil 21
Contingency One
Afirmelle
Stix Restart
Portia
Audrina 21
Min-ovral 21 Tab
Aviane
Levlite
Simpesse
Portia 28
Chateal
Lillow
Levora
Quartette
Esme 28
Amethia
Athentia Next
Minzoya
Rivelsa
Vienva Tm
Curae
Aviane 28
Seasonale
Myzilra
Levonorgetsrel and Ethinyl Estradiol
Quasense
Her Style
Ithappenz Morning After
Preven Emergency Contraceptive
Delyla
Lessina
Preventeza
Nordette
Kyleena
Aubra EQ
Min-ovral 28 Tab
Triquilar 21
BionaFem
Contingency
Daysee
LEADER Emergency Contraceptive Levonorgestrel
Morning After
Teva-levonorgestrel
Audrina 28
Liletta
SheWise
Fayosim
Kurvelo
Fem Choice morning after
Ovima 28
Amethyst
Skyla
Lutera
Altavera
After Banger
EContra EZ
Econ Morning After
Norlevo
Backup Plan Onestep
Balcoltra
Plan B One-Step
Amazon Basic Care Levonorgestrel
Orsythia
Seasonique
Levonorgestrel Tablets, 0.75mg
Vienva TM
Alesse 28
Lutera 28
Triquilar 28
Levonorgestrel Emergency Contraceptive
Triphasil 28
React
Lybrel
Triphasil 21 Tab
Preven Tablets
Lo Simpesse
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