<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''levonorgestrel'' take asap (certainly by 72hrs) - 84% effective 1.5g stat action - effects ovulation and inhibits implantation - not fully understood well tolerate - may upset cycle 1% women vomit - if within 2hr - repeat can be used again in same cycle avoid in liver disease / porphyria if taking enzyme inducing drugs then double dose ''Ulipristal'' progesterone receptor modulator - ? inhibits ovulation 30mg asap (not more than 120hrs since UPSI) don't use with levonorgestrel may effect use of COCP and POP beware in severe asthmatics on oral steroids or liver disease only use once in one cycle avoid breast feeding for 1/52 don't use if on enzyme inducers ''IUD'' Insert within 5 days of UPSI (or up to 5 days post ovulation) Inhibits fertilization or implantation If high risk STI - also give Abs 99% effective keep in till next period or for ongoing contraception Note IUD should be offered first line if on gastric acid Rx - reduce efficacy of oral EC liver enzyme inducers of importance ... antiepileptic - Carbamazepine, Eslicarbazepine, Oxcarbazepine, Phenytoin, Phenobarbital antibiotics - Rifabutin, Rifampicin antiretroviral protease inhibitors - Ritonavir, Ritonavir-boosted atazanavir, darunavir, fosamprenavir, lopinavir, non-nucleoside reverse transcriptase inhibitors - Efavirenz, Nevirapine Herbal - St Johns Wort (3)