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