There are many side effects of the morning after pill or Ulipristal, if you have an indication to use it sometime, it is important that you read this article and bear in mind the contraindications, interactions with other medications and side effects.
What is Ulipristal Acetate?
Ulipristal acetate is a progesterone-based drug, it is the generic name of the drug known as the morning after pill, which is used to prevent pregnancy prevention when a contraceptive method has failed or is suspected has not worked.
The regular dose is 30 mg. It is recommended that it not be used as a routine contraceptive method, but that it be used only in an emergency due to the failure of a contraceptive method. Nor should it be used if the pregnancy is already in progress, that is, the egg has been implanted at the uterine level (after 5 days of intercourse).
The morning-after pill is effective up to 120 hours maximum after intercourse (maximum 5 days); the more time passes, the lower the contraceptive effectiveness of the pill.
It is not in itself a contraceptive method and has its precise indications as well as multiple side effects, fortunately mild.
Side effects of the morning after pill:
It is important to know that no side effects are serious. Gastrointestinal effects are the most common:
· Nausea and vomiting
If vomiting occurs in the first 2 hours after taking the morning-after pill, the dose should be repeated since it is estimated that its absorption begins after that time.
· Diffuse crampy abdominal pain.
· Headache or headache.
· Weakness or tiredness
· Feeling of suffocation or body heat.
· Dizziness: it is advised not to drive or manipulate machines that are very precise or activities that deserve a lot of attention.
· Muscle pains.
· Increased sensitivity in breasts.
· Alteration of the date of the next menstruation, generally reduction or absence of the menstrual period.
Contraindications of the morning after pill
· Proven or existing pregnancy.
· Severe liver disease, if any chronic or acute liver disease is known to exist, laboratory tests should be performed to determine AST / ALT liver enzymes and consult a doctor if it is appropriate or very risky to take the morning after pill.
Consult immediately there is jaundice, yellow skin and eyes, dark urine, nausea -or vomiting. It could be an adverse reaction at the liver level.
· Other contraindications are relative:
· Thrombosis risk
Precautions or warnings before taking the morning after pill
· Existing pregnancy.
· Ectopic pregnancy or outside the uterus.
· Repeated use of the pill.
· Effect on the menstrual cycle.
· Beware of sexually transmitted diseases if you don't use a condom.
Interactions with other medications
You have to be very careful when taking the morning after pill in case there is another regular or basic treatment that causes other effects, or a decrease in the contraceptive effectiveness of the pill.
Among the main drugs to consider:
· Barbiturates (phenobarbital).
· Bosentan, which is used for Pulmonary Arterial Hypertension.
· Blood thinners like Dabigatran.
· Digoxin which is used for heart failure.
· Antibiotics like rifampicin.
· Antidiarrheals such as loperamide.
· Some chemotherapeutic or antineoplastic drugs.
· Antifungals such as griseofulvin.
Other antifungals such as itraconazole or ketoconazole markedly increase the blood levels of Uliprital, increasing in the same way the side effects of the morning after pill.
It is also not known whether Ulipristal is excreted in breast milk, so it is not indicated to take it during breastfeeding.
It is safe for use in adolescents, despite the fact that there are no large studies.
Its use is not indicated in menopausal patients or girls.
Staying informed of the side effects of the morning-after pill or Ulipristal acetate, as well as its drug interactions, is important if you are considering taking it in an emergency.
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