Emergana is an emergency contraceptive that can be used within 72 hours (3 days) after unprotected sex or after your contraceptive method fails.
These are the following cases:
– No contraceptive method was used during sexual intercourse.
– The contraceptive measure has been used incorrectly, for example if a condom has been broken, slipped or used in the wrong way, if the intravaginal pessary or diaphragm has changed position, been damaged, broken or removed ahead of time, in case of failure
a coitus interruptus (e.g. sperm has been ejaculated into the vagina or external genitalia).
Emergana contains a synthetic hormone–type active substance called levonorgestrel.
It prevents about 84% of possible pregnancies if you take it within the first 72 hours after unprotected sex. It is better to take it within 12 hours than to postpone it until the third day.
Emergana is considered to act by:
– preventing your ovaries from releasing an egg;
– preventing sperm fertilization of the egg already released; or
– preventing the attachment of the fertilized egg to the uterine lining.
Emergana may only prevent you from becoming pregnant if it is given within 72 hours of unprotected sex. It has no effect if you are already pregnant. If you have another unprotected sexual intercourse after taking Emergana (also if this happens during the same menstrual cycle), the tablet will not exert its contraceptive effect and there is a risk of becoming pregnant again.
This tablet is for emergency contraception only, it is not indicated for regular contraception because it is less effective than the regular contraceptive tablet.
Emergana is not indicated for use before the first menstrual bleeding (menarche).
Breastfeeding:
Very small amounts of the active substance of this medicine may appear in breast milk. It is not considered harmful to the infant. However, if you are worried, you can take the tablet immediately after breastfeeding and then avoid breastfeeding after taking levonorgestrel, then milk yourself with a breast pump for 6 hours after taking Emergana and discard this milk. This way you reduce the amount of active substance that your baby can take in from breast milk.
Driving and using machines:
Emergana tablet is unlikely to affect your ability to drive or use machines. However, if you feel tired or dizzy, do not drive or use machinery.
Composition: Emergan contains a synthetic hormone-type active substance called levonorgestrel. Each tablet contains 1.5 mg of levonorgestrel.
The other components are: microcrystalline cellulose, lactose monohydrate, poloxamer 188, croscarmellose sodium and magnesium stearate.
What Emergana looks like and contents of the pack: Each box contains a complete treatment consisting of a round white tablet, approximately 6 mm in diameter, marked with “C” on one side and “1” on the other side.
Method of administration:
Take the tablet as soon as possible, preferably within 12 hours and no later than 72 hours (3 days) after unprotected sex. Do not delay taking the tablet. The sooner you take the tablet after unprotected sex, the better it works. The tablet will help you not to get pregnant, only if you take it within 72 hours after unprotected sex.
Always take this medicine exactly as described in this leaflet or as told by your doctor or pharmacist. Talk to your doctor or pharmacist if you are unsure.
– Take the tablet as soon as possible, preferably within the first 12 hours and no later than 72 hours (3 days) after having unprotected sex. Emergana can be taken at any time during your menstrual cycle, assuming you are not already pregnant or think you may be pregnant. Do not chew the tablet, but swallow it whole, with water. Do not delay taking the tablet. The tablet works best the sooner you take it after unprotected sex.
– If you are using one of the medicines that may prevent Emergana from working (see section “Emergana with other medicines above”), or if you have used one of these medicines within the last 4 weeks, Emergana may be less effective for you. Your doctor may prescribe another type of emergency (non-hormonal) contraception, i.e. a copper intrauterine device (Cu-IUD).
If this is not an option for you or if you cannot see your doctor right away, you can take a double dose of Emergana (i.e. 2 tablets taken at once).
– If you are already using a regular method of contraception, such as a contraceptive tablet, you can continue to take the contraceptive at regular times.
If, after taking Emergana, there has been another unprotected sexual intercourse (also if this happens within the same menstrual cycle), the tablet will not exert its contraceptive effect and there is again a risk of pregnancy.
Use in children and adolescents:
Emergana is not indicated for use before the first menstrual bleeding (menarche).
What to do if you feel sick (have vomiting):
If you feel sick (vomit) within the first three hours after taking the tablet, you should take another tablet immediately.
After taking Emergana:
After taking Emergana, if you want to have sex and do not use contraceptive tablets, you should use condoms or diaphragm and spermicides until your next period. These are necessary because Emergana will not work if you have repeated unprotected sex before your next cycle occurs.
It is recommended that you schedule a doctor’s appointment about three weeks after taking Emergana to make sure Emergana has worked. If your menstrual cycle is more than 5 days late or is unusually short or unusually heavy, you should see your doctor as soon as possible. If you have become pregnant even after taking this medicine, it is important to contact your doctor.
Your doctor can also advise you on long-term contraceptive methods, which are much more effective in preventing pregnancy.
If you have continued to use hormonal contraception on a regular basis, such as birth control tablets, and do not experience bleeding during the pause period, talk to your doctor to make sure you are not pregnant.
The next menstrual cycle after taking Emergana:
After using Emergana, your cycle is usually normal and will start on the usual day; however, sometimes it will start a few days later or earlier. If your period is more than 5 days late from your scheduled date, “abnormal” bleeding occurs on that date, or if you think you may be pregnant, you should take a pregnancy test to see if you are pregnant.
If you have any further questions about this medicine, ask your doctor or pharmacist.
Contraindications:
Do not take Emergana:
– if you are allergic to levonorgestrel or any of the other ingredients of this medicine.
Precautions:
Before taking Emergana, talk to your doctor or pharmacist.
Pregnancy and breast-feeding:
If you are pregnant or breast-feeding, think you may be pregnant, or plan to become pregnant, ask your doctor or pharmacist for recommendations before taking this medication.
Task:
You should not take this medicine if you are already pregnant. If you become pregnant even after taking this medicine, it is very important to contact your doctor. There is no evidence that Emergana will harm the baby developing in your womb if you use Emergana as prescribed.
However, your doctor may want to check if the pregnancy is ectopic (when the baby is developing somewhere outside the uterus). This is especially important if severe abdominal pain occurs after taking Emergana or if you have previously had an ectopic pregnancy, fallopian tube surgery or pelvic inflammatory disease.
Warnings:
Read the package leaflet carefully and in its entirety before you start using this medicine as it contains important information for you.
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