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(lee voe nor jes' trel)
Before taking levonorgestrel,
- tell your doctor and pharmacist if you are allergic to levonorgestrel, any other medications, or any of the ingredients in levonorgestrel tablets. Ask your pharmacist for a list of the ingredients.
- tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements, you are taking or plan to take. Be sure to mention any of the following: barbiturates such as phenobarbital or secobarbital; bosentan (Tracleer); griseofulvin (Grifulvin V, Gris-PEG); certain medications used to treat HIV including atazanavir (Reyataz). darunavir (Prezista, in Prezcobix), delavirdine (Rescriptor), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (in Kaletra), nelfinavir (Viracept), nevirapine (Viramune), rilpivirine (Edurant, in Complera), ritonavir (Norvir, in Kaletra), saquinavir (Invirase), and tipranavir (Aptivus); certain medications for seizures such as carbamazepine (Carbatrol, Equetro, Tegretol), felbamate (Felbatol), oxcarbazepine (Oxtellar XR, Trileptal), phenytoin (Dilantin, Phenytek), and topiramate (Qudexy XR, Topamax, Trokendi XR, in Qsymia); and rifampin (Rifadin, Rimactane). Levonorgestrel may not work as well or may be more likely to cause side effects if it is taken with these medications.
- tell your doctor what herbal products you are taking, especially St. John's wort.
- tell your doctor if you have or have ever had any medical conditions.
- tell your doctor if you are pregnant. Do not take levonorgestrel if you are already pregnant. Levonorgestrel will not end a pregnancy that has already begun.
- you should know that after you take levonorgestrel, it is normal for your next menstrual period to begin up to a week earlier or later than expected. If your next menstrual period is delayed for longer than 1 week after the expected date, call your doctor. You may be pregnant and your doctor will probably tell you to have a pregnancy test.
- heavier or lighter than usual menstrual bleeding
- spotting or bleeding between menstrual periods
- breast pain or tenderness
- severe lower abdominal pain (3 to 5 weeks after taking levonorgestrel)