Ulipristal is an emergency contraceptive used to prevent pregnancy after sexual intercourse without using other forms of contraception, such as condoms. Keep in mind that this drug is not to be taken regularly like birth control pills.
Ulipristal contains progestins that work by preventing or delaying the release of eggs from the ovaries or thickening the fluid in the reproductive system, making it difficult for sperm to meet the egg.
This medicine cannot protect you from infection with HIV (AIDS) or other sexually transmitted diseases. Apart from being an emergency contraception, ulipristal can also be used to treat uterine fibroids (myoma).
ulipristral trademark: Ella, Esmya
What is Ulipristal
| group | Prescription drugs |
| Category | Progestin hormone |
| Benefit | As emergency contraception |
| Consumed by | Mature |
| Ulipristal for pregnant and lactating women | Category X: Studies in experimental animals and humans have demonstrated fetal abnormalities or a risk to the fetus. Drugs in this category are contraindicated in women who are or may become pregnant. Ulipristal can be absorbed into breast milk. If you are breastfeeding, do not use this medicine without telling your doctor. |
| Drug form | Tablet |
Warning Before Consuming Ulipristal
Ulipristal is a hormonal drug that should not be taken carelessly. Before taking this drug, you need to pay attention to the following:
- Do not take ulipristal if you are allergic to this medicine or to medicines containing progestins, such as levonorgestrel.
- Tell your doctor about your medical history, especially if you have unexplained vaginal bleeding, severe asthma, liver disease, or kidney disease.
- Do not drive, use machinery, or perform activities that require alertness, after taking ulipristal, as this medicine may cause dizziness or drowsiness.
- Tell your doctor if you have a body mass index (BMI) over 30. This medication may be less effective in women with a BMI over 30.
- Tell your doctor if you are taking certain medications, supplements, or herbal products.
- Tell your doctor if you are pregnant or feel any signs of pregnancy. This medicine should not be used by pregnant women.
- Immediately see a doctor if you experience a delay in menstruation after taking ulipristal.
- See your doctor immediately if you experience an allergic reaction to the drug or an overdose after taking ulipristal.
Dosage and Rules for Use Ulipristal
Ulipristal should only be used according to a doctor's prescription. The following are common doses of ulipristal:
- Purpose: Emergency contraception
30 mg, immediately or within up to 120 hours after unprotected sex. The effectiveness is higher if given within a period of up to 72 hours after sexual intercourse. An additional dose may be given if you vomit within 3 hours of taking ulipristal.
- Purpose: Treating uterine fibroids (fibroids)
5 mg, once daily, for up to 3 months, starting from the first week of menstruation for moderate to severe symptoms.
How to Consume Ulipristal Correctly
Follow the doctor's advice and read the information listed on the ulipristal package before starting to take it. Ulipristal can be taken before or after meals.
Ulipristal is an emergency contraceptive that should not be used routinely. This medicine should not be used more than once in the same menstrual cycle.
Birth control pills may not work as well while you are taking ulipristal. Wait at least 5 days to start or continue other hormone-based contraceptives.
After you take ulipristal, be sure to use a barrier (condom or diaphragm with spermicide) every time you have sex, until your next menstrual cycle.
If you experience severe abdominal pain about 3 to 5 weeks after taking this medicine, contact your doctor immediately for further examination.
Store ulipristal in a dry place and avoid direct sunlight. Keep out of reach of children.
Ulipristal Interactions with Other Drugs
Ulipristal can cause drug interactions when used with other drugs. The following are some of the possible drug interactions:
- Decreased effectiveness of ulipristal in preventing pregnancy when used with carbamazepine, topiramate, rifampicin, felbamate, phenobarbital, or phenytoin
- Reduce the effect of contraceptives containing progestogens or other hormonal contraceptives
- Increases blood levels of ulipristal when used with ketoconazole or itraconazole
Side Effects and Dangers of Ulipristal
Some of the side effects that can occur after consuming ulipristal are:
- Dizzy
- Headache
- Nauseous
- Fatigue
Consult a doctor if the above side effects do not subside immediately or get worse. You need to see a doctor immediately if you have an allergic reaction to the drug or a more serious side effect, such as severe abdominal pain (3–5 weeks after taking Ulipristal) or heavy vaginal bleeding.
