Why is this medication prescribed?

Ella (ulipristal acetate) is prescribed primarily as an emergency contraceptive, commonly known as the “morning-after pill.” It is used to prevent pregnancy after unprotected intercourse or contraceptive failure. Ella works by delaying or inhibiting ovulation, which prevents the release of an egg from the ovary and thus reduces the chances of fertilization.

It’s important to note that Ella should be used as a backup method of contraception and not as a regular form of birth control. It is intended for emergency situations only and should be used sparingly. Regular, ongoing contraception methods such as birth control pills, condoms, or other forms of contraception should be used to prevent unintended pregnancies.

Ella should be taken as soon as possible after unprotected intercourse, ideally within 120 hours (5 days) but is most effective when taken within the first 24 hours. It is available by prescription only and should be used under the guidance of a healthcare provider.

How should this medicine be used?

Ella (ulipristal acetate) is typically used as an emergency contraceptive, commonly known as the “morning-after pill.” Here are the general guidelines for using Ella:

• Timing: Ella should be taken as soon as possible after unprotected intercourse, ideally within 120 hours (5 days) but is most effective when taken within the first 24 hours.
• Dosage: It is a single oral dose of 30 mg. Take the tablet whole with a glass of water. It can be taken with or without food.
• Follow-up: After taking Ella, it’s important to follow up with your healthcare provider if you experience any side effects or if you have any concerns. Additionally, if you do not have a menstrual period within three weeks of taking Ella, you should take a pregnancy test to ensure that the medication was effective.
• Regular contraception: Remember that Ella should not be used as a regular form of contraception. It is intended for emergency situations only. If you are sexually active and do not wish to become pregnant, consider using regular, ongoing contraception methods such as birth control pills, condoms, or other forms of contraception.
• Protection against STIs: It’s important to note that Ella does not protect against sexually transmitted infections (STIs). To reduce the risk of STIs, always use condoms in addition to other forms of contraception when engaging in sexual activity with a partner whose STI status is unknown.

As with any medication, it’s essential to follow the instructions provided by your healthcare provider or the information leaflet included with the medication. If you have any questions or concerns about using Ella, don’t hesitate to consult your healthcare provider for guidance.

Other uses for this medicine

Aside from its primary use as an emergency contraceptive, Ella (ulipristal acetate) is not typically used for other purposes. It’s essential to use Ella only as prescribed by a healthcare provider and for its intended purpose, which is to prevent pregnancy after unprotected intercourse or contraceptive failure.

What special precautions should I follow?

Special precautions to consider when using Ella include:

• Allergies: Inform your healthcare provider if you have any allergies to ulipristal acetate or any other medications. This is important to avoid any adverse reactions.
• Pregnancy and breastfeeding: Ella is not recommended for use during pregnancy. It is meant to prevent pregnancy and should not be used if you are already pregnant. Additionally, it is unknown whether Ella passes into breast milk, so it’s best to avoid using it while breastfeeding. If you are pregnant or breastfeeding, discuss alternative options with your healthcare provider.
• Medical conditions: Inform your healthcare provider about any medical conditions you have, especially liver problems. Ella may not be suitable for individuals with certain medical conditions, so your healthcare provider can help assess whether it is safe for you to use.
• Interactions with other medications: Inform your healthcare provider about any other medications, supplements, or herbal products you are taking, as they may interact with Ella. Some medications may reduce the effectiveness of Ella or increase the risk of side effects.
• Side effects: Be aware of potential side effects of Ella, which may include headache, nausea, abdominal pain, fatigue, dizziness, and menstrual changes. If you experience severe or persistent side effects, contact your healthcare provider.
• Follow-up: After taking Ella, follow up with your healthcare provider if you have any concerns or if you do not have a menstrual period within three weeks of taking the medication. A pregnancy test may be recommended to ensure that the medication was effective.

It’s important to use Ella as directed by your healthcare provider and to discuss any questions or concerns you have before taking the medication. Your healthcare provider can provide personalized advice based on your individual health needs and circumstances.

What special dietary instructions should I follow?

There are no specific dietary instructions associated with taking Ella. It can be taken with or without food. However, it’s essential to follow any instructions provided by your healthcare provider regarding the timing and administration of the medication.

What should I do if I forget a dose?

If you forget to take a dose of Ella, take it as soon as you remember, and then continue with your regular dosing schedule. However, if it has been more than 120 hours (5 days) since you had unprotected intercourse or contraceptive failure, Ella may not be effective in preventing pregnancy. In this case, consider alternative options and consult your healthcare provider for advice. It’s essential to take Ella as soon as possible after unprotected intercourse for maximum effectiveness.

What side effects can this medication cause?

Ella (ulipristal acetate) may cause some side effects in some individuals. Common side effects include:

• Headache
• Nausea
• Abdominal pain
• Fatigue
• Dizziness
• Menstrual changes, such as irregular bleeding or spotting

These side effects are usually mild and temporary, resolving on their own without the need for medical intervention.

In some cases, Ella may cause more severe side effects. These can include:

• Severe abdominal pain or cramping
• Heavy vaginal bleeding
• Fainting or lightheadedness
• Allergic reactions, such as rash, itching, or swelling of the face, tongue, or throat
• Liver problems (rare)

If you experience any severe or persistent side effects after taking Ella, it’s important to seek medical attention promptly. Your healthcare provider can assess your symptoms and determine the appropriate course of action.

Additionally, if you have any concerns about potential side effects or if you experience any unusual symptoms after taking Ella, don’t hesitate to contact your healthcare provider for advice. They can provide guidance and address any questions or concerns you may have.

What should I know about storage and disposal of this medication?

Storage and disposal of Ella:

• Storage:
  • Store Ella at room temperature, away from moisture and heat.
  • Keep it out of reach of children and pets.
  • Do not store Ella in the bathroom, as moisture can affect its efficacy.
• Disposal:
  • Dispose of any unused or expired Ella tablets properly.
  • Do not flush them down the toilet or pour them into a drain unless instructed to do so.
  • Follow any specific disposal instructions provided by your healthcare provider or pharmacist.

In case of emergency/overdose

• In case of an emergency or suspected overdose of Ella, seek medical attention immediately by calling your local emergency services or going to the nearest emergency room.
• If possible, bring the Ella packaging or medication leaflet with you to provide information to healthcare professionals.
• Symptoms of overdose may include severe nausea, vomiting, dizziness, and abdominal pain.

What other information should I know?

• Ella is not intended for use as a regular form of contraception and should only be used for emergency contraception when necessary.
• It does not protect against sexually transmitted infections (STIs). If you are at risk of STIs, use condoms in addition to Ella.
• Ella may interact with certain medications, including some antifungal drugs and certain antibiotics. Inform your healthcare provider about all medications you are taking before using Ella.
• If you vomit within three hours of taking Ella, contact your healthcare provider, as you may need to take another dose.
• Ella may affect the timing of your menstrual period. If your period is more than a week late after taking Ella, or if you experience unusual bleeding, consult your healthcare provider and consider taking a pregnancy test.

Always follow the instructions provided by your healthcare provider or pharmacist when using Ella. If you have any questions or concerns about storage, disposal, or emergency situations, don’t hesitate to contact your healthcare provider for guidance.