Basic Plan B Information

• International Nonproprietary Name (INN): Levonorgestrel
• Brand Names Available in Australia:

  Brand Name	Country/Region	Packaging/Form	Notes
  Plan B One-Step	USA/Canada	1 tablet (1.5 mg) blister pack	Most common branding, OTC
  Take Action	USA	1 tablet (1.5 mg)	Generic OTC alternative
  Next Choice One Dose	USA	1 tablet (1.5 mg)	Generic OTC
  My Way	USA	1 tablet (1.5 mg)	Generic, often at lower price point

• ATC Code: G03AD01 (Levonorgestrel)
• Forms & Dosages: Oral tablet: 1.5 mg levonorgestrel (single-dose packaging)
• Manufacturers in Australia: Foundation Consumer Healthcare, Teva Pharmaceuticals
• Registration Status in Australia: Most plan B/levonorgestrel EC tablets are included in national drug registries.
• OTC/Rx Classification: OTC (Over-the-Counter)

Morning Vs Evening Dosing (Australian Daily Routines)

Incorporating Plan B into daily life involves understanding the timing of its dosage, especially in relation to common Australian routines. It's crucial to take Plan B as soon as possible after unprotected sex, ideally within 72 hours. * **Morning Dosing:** - Many may find it convenient to take Plan B in the morning. - After a night out or a spontaneous encounter, this timing often factors into the ability to act quickly. * **Evening Dosing:** - For those who engage in activities later in the day, such as social events or dates, using Plan B in the evening is also viable. - The critical aspect is to ensure it’s not more than 72 hours post-intercourse. Typical actions taken after unprotected sex often include seeking advice or assistance from health professionals. This proactive approach can ease anxiety and ensure the right steps are taken quickly. Additionally, knowing that Plan B can be purchased over-the-counter in Australian pharmacies offers reassurance and immediate access to the medication.

Taking With Or Without Meals

Plan B provides flexibility when it comes to meals. This is reassuring for those concerned about how mealtime might affect their dosage. The key points to note include: - **Absorption:** Taking Plan B with or without food doesn't significantly impact its effectiveness. - **Food Effects:** - While some medications have specific dietary restrictions, Plan B is not one of them. - Most individuals can take it comfortably regardless of their recent meals. - **Practical Advice:** * For those who typically dine significantly later, it's advisable to factor this into planning when to take Plan B. * An easy way to remember is to integrate it into routines, such as keeping the tablet nearby your usual morning or evening snacks. A simple checklist might be beneficial: * Remember to take Plan B as soon as possible * Note whether you have had food before taking it * Choose a convenient time in your daily schedule to make it easier to remember. This means Australian patients can approach the use of Plan B without the added stress related to when or how to take it. Overall, this simplifies decision-making in crucial moments after unprotected intercourse while considering typical Aussie lifestyles and eating habits.

What’s Inside & How It Works

Plan B, commonly known as the morning-after pill, primarily contains the active ingredient levonorgestrel, a synthetic progestin. This component plays a crucial role in preventing pregnancy after unprotected intercourse. Beyond levonorgestrel, the medication includes excipients like lactose monohydrate, maize starch, and talc. These ingredients aid in stabilising the formulation and ensuring effective delivery of the active component.

Mechanism basics explained simply

When taken, levonorgestrel works mainly by delaying ovulation. If fertilisation has not yet occurred, it prevents the ovaries from releasing an egg. If fertilisation has happened, it alters the lining of the uterus, making it less receptive to a fertilised egg. Importantly, Plan B is not effective once implantation has taken place. The sooner it’s taken, the more effective it becomes – ideally within 72 hours of unprotected sex.

Main Indications

Approved uses under TGA

In Australia, Plan B is approved by the Therapeutic Goods Administration (TGA) as an emergency contraceptive. Its primary purpose is to prevent pregnancy after unprotected sexual intercourse or contraceptive failure. It is essential to understand that this medication is meant for irregular use and is not a substitute for regular contraceptive methods.

Off-label uses in Australian clinics

While Plan B is primarily designated for emergency contraception, some healthcare practitioners may suggest off-label uses. For instance, it might be recommended to manage irregular menstrual cycles in certain cases. However, such recommendations are rare and must be approached with caution, ensuring solid consultation and understanding between the practitioner and patient.

Interaction Warnings

Food interactions

When considering food interactions, substances like alcohol and caffeine may pose concerns. Although direct evidence of their interaction with Plan B is limited, it’s advisable to consume these in moderation around the time of taking the medication. The typical Australian diet, rich in diverse foods, typically won’t interfere, but certain alcohol or drug combinations can impact overall health and efficacy.

Drug conflicts tracked by TGA & PBS

Levonorgestrel can interact with specific medications, including certain anti-seizure drugs and antibiotics. The TGA monitors these interactions closely, highlighting potential risks. Users should always disclose any current medications, including herbal supplements, to their healthcare provider to avoid adverse effects or decreased effectiveness of the emergency contraceptive.

Latest Evidence & Insights

Recent studies from Australia and abroad, spanning from 2022-2025, have reinforced the importance of emergency contraception and potentially expanded its accessibility. Research highlights that Plan B remains effective up to 72 hours post-intercourse, responding dynamically to the increasing need for comprehensive reproductive health education. Public health advice is progressively focusing on combining emergency contraception with regular contraceptive planning for improved outcomes. Additionally, emerging guidelines encourage better counselling for patients regarding the use of Plan B, aiming to raise awareness of its intended use and limitations.

Alternative Choices

When considering emergency contraceptives, Australian consumers have a range of options beyond Plan B. Below is a checklist outlining the pros and cons of two notable alternatives: Ulipristal acetate and the Copper IUD.

• Ulipristal acetate (ellaOne)
  • Pros:
    • Effective for up to 120 hours (5 days) after unprotected intercourse.
    • Single-dose tablet, making it easy to use.
    • Can be used when ovulation is suspected.
  • Cons:
    • Requires a prescription, potentially less accessible.
    • Possible side effects include nausea and headache.
• Copper IUD
  • Pros:
    • The most effective form of emergency contraception.
    • Can also provide ongoing contraception for up to 10 years.
    • No hormonal side effects.
  • Cons:
    • Requires a healthcare provider for insertion.
    • May cause discomfort or heavier menstrual bleeding.

Regulation Snapshot

The regulation of emergency contraception, particularly Plan B, falls under Australia's Therapeutic Goods Administration (TGA). Plan B, containing levonorgestrel, received TGA approval for over-the-counter sale, ensuring that consumers can access it without a prescription. This regulatory framework also allows for its listing under the Pharmaceutical Benefits Scheme (PBS), which subsidises the cost of eligible medications for Australians, promoting accessibility. To qualify for PBS subsidy, medicines must be deemed clinically effective and cost-effective, allowing individuals to afford emergency contraceptive options while maintaining public health standards.

FAQ Section

Here are some commonly asked questions by Australian patients regarding Plan B:

• How soon after unprotected sex should Plan B be taken?
  It’s most effective when taken within 72 hours but can be used up to 120 hours in some cases.
• Can I take Plan B if I'm already on birth control?
  Yes, Plan B can be taken as a backup method even if you are on regular contraceptives.
• What if I vomit after taking the pill?
  If vomiting occurs within two hours, consult a pharmacist. You may need to take another dose.
• Does Plan B protect against STIs?
  No, Plan B does not provide protection against sexually transmitted infections (STIs).

Guidelines for Proper Use

Australian pharmacist counselling style

Guidance from Australian pharmacists focuses on providing clear and supportive advice regarding Plan B's use. They encourage clients to:

• Take the tablet as soon as possible after unprotected sex.
• Understand that it's not intended for regular contraception.
• Be aware of possible side effects like nausea or changes in menstrual cycle.
• Seek further advice if their period is significantly delayed post-use.

Advice from PBS and national health authorities

Health authorities emphasise that Plan B is a safe and effective emergency contraceptive option. Key takeaways include:

• It should be used as a backup and not as a primary method of contraception.
• Women of all reproductive ages can use it.
• Consultation with a healthcare professional is recommended for ongoing contraceptive needs.

City	Region	Delivery Time
Sydney	New South Wales	5–7 days
Melbourne	Victoria	5–7 days
Brisbane	Queensland	5–7 days
Perth	Western Australia	5–7 days
Adelaide	South Australia	5–7 days
Canberra	Australian Capital Territory	5–7 days
Hobart	Tasmania	5–9 days
Geelong	Victoria	5–9 days
Gold Coast	Queensland	5–9 days
Newcastle	New South Wales	5–9 days
Cairns	Queensland	5–9 days
Sunshine Coast	Queensland	5–9 days
Wollongong	New South Wales	5–9 days
Townsville	Queensland	5–9 days