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