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Ella (Generic Ulipristal)

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Why is this medication prescribed?

Ulipristal is used to prevent pregnancy during unprotected sexual activity, which is defined as sexual activity without any form of birth control or sexual activity with a form of birth control that did not work or was improperly applied (such as a condom that slid or broke or birth control pills that were not taken on time). Regular usage of ulipristal for pregnancy prevention is not advised. If conventional birth control proves ineffective or is applied incorrectly, this medicine should be taken as a fallback or emergency contraceptive. Progestins are a group of drugs that includes ulipristal. The release of an egg from the ovary is prevented or delayed as a result of it. To stop the formation of a pregnancy, it may also function by altering the uterus’ (the womb’s) lining. While ulipristal may help prevent pregnancies, it won’t be able to stop the spread of sexually transmitted diseases including AIDS and the human immunodeficiency virus (HIV).

How should this medicine be used?

Ulipristal is available as a tablet to be swallowed. It is typically used immediately following unprotected sexual activity or suspected failure of a hormonal contraceptive (such as birth control tablets, rings, or patches), with or without meals. Up to 120 hours (5 days) after unprotected sexual activity, ulipristal may be used, although the sooner it is taken, the more likely it is to prevent pregnancy. Ask your doctor or chemist to explain any instructions on your prescription label that you are unsure about following. As advised, take ulipristal.

It is possible to take ulipristal at any point during the menstrual cycle. It should not, however, be used more than once in a single menstrual cycle.

Call your doctor if you vomit within three hours of taking Ulipristal. This drug may need to be taken again.

You should use a barrier technique (condom or diaphragm with spermicide) every time you have sex up until your next menstrual cycle since you can become pregnant immediately following therapy with ulipristal. In the five days following the administration of ulipristal, hormonal contraceptives may lessen the effectiveness of both drugs. At least 5 days after taking ulipristal, you may start or resume using hormonal contraceptives, but you must continue utilising a barrier technique to prevent pregnancy until your next period. If you used ulipristal to treat a hormonal contraceptive issue, talk to your doctor or use the birth control product’s instructions instead.

Other uses for this medicine

Ask your doctor or chemist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before taking ulipristal,

  • If you have an allergy to ulipristal, any other medications, or any of the chemicals in ulipristal tablets, inform your doctor and chemist right away. Request a list of the ingredients from your chemist.
  • Inform your doctor and chemist about any other prescription and over-the-counter drugs, vitamins, and dietary supplements you are now taking or intend to take. Any of the following should be mentioned: barbiturates like phenobarbital or secobarbital (Seconal); some antifungal drugs like griseofulvin (Gris-PEG), itraconazole (Onmel, Sporanox), or ketoconazole; bosentan (Tracleer), a number of anticonvulsants for seizures, including felbamate (Felbatol), oxcarbazepine (Trileptal), phenytoin (Dilantin, Phenytek), and topiramate (Topamax, in Qsymia); rifampin (Rifadin, Rimactane, in Rifamate, in Rifater) is another medication. Ulipristal may also interact with many other drugs, so be sure to let your doctor know about all the drugs you’re taking, even if they don’t appear on this list. If taken with these drugs, ulipristal might not function as well or might be more likely to have negative effects.
  • Please let your doctor know if you are taking any herbal supplements, especially St. John’s wort.
  • If you believe you might be pregnant or are pregnant, inform your doctor. Most likely, your doctor will advise against taking Ulipristal. Never use ulipristal to end an already-existing pregnancy.
  • Inform your physician if you currently have any medical issues or if you have ever experienced an ectopic pregnancy (pregnancy outside of the uterus).
  • Describe to your doctor if you are nursing a baby.
  • You should be aware that it is typical for your next menstrual cycle to start up to one week earlier or later than anticipated following taking ulipristal. Call your doctor if your next menstrual cycle is more than a week later than anticipated. Your doctor will probably recommend taking a pregnancy test because you might be pregnant.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What side effects can this medication cause?

Ulipristal could have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Painful menstrual cycles
  • Bleeding or spotting in between cycles
  • Nausea
  • Tiredness
  • Headache
  • Dizziness

Some adverse effects can be very harmful. Call your doctor right away if you have any of the following symptoms:

  • After taking ulipristal for 3 to 5 weeks, severe lower abdomen pain may occur.
  • Swelling of the eyes, face, tongue, or throat, as well as a rash, itching, or hives

Other negative effects of ulipristal are possible. If you experience any strange issues after taking this medication, contact your doctor right once.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online at or by phone at 1-800-332-1088 if you suffer a serious side event.

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

Keep this medication tightly closed in the original container and out of the reach of children. It should not be kept in the bathroom. Store it at room temperature and away from light, excessive heat, and moisture.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

To make sure that pets, kids, and other people cannot take leftover pharmaceuticals, they should be disposed of in a specific manner. You shouldn’t flush this medication down the toilet, though. The best approach to get rid of your medication is instead through a medication take-back programme. To find out about take-back programmes in your neighbourhood, speak with your chemist or get in touch with your city’s waste/recycling department. If you do not have access to a take-back programme, you can find additional information at the FDA’s Safe Disposal of Medicines website (

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

What other information should I know?

Keep all of your doctor’s appointments.

No one else should take your medication. It’s likely that your prescription cannot be renewed. Ask any inquiries you may have regarding ulipristal to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Ella®
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