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