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Ella
Ella (ulipristal acetate) is an emergency contraceptive used to prevent pregnancy after unprotected sex or contraceptive failure. It works by delaying ovulation and belongs to the class of selective progesterone receptor modulators.
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Frequently Asked Questions
How effective is Ella?
Ella is up to 85% effective when taken within 120 hours after unprotected sex. The sooner it’s taken, the more effective it is.
Can I use Ella more than once in a cycle?
It is not recommended to use Ella more than once during the same menstrual cycle, as its safety and efficacy in repeated use are not established.
Can Ella be used by women who are overweight?
Ella may be less effective in women with a BMI over 30. Speak to your healthcare provider about the best option for emergency contraception.
Does Ella cause an abortion?
No, Ella works by preventing ovulation and does not terminate an existing pregnancy.
Can I resume regular birth control after taking Ella?
Yes, you can resume regular birth control after taking Ella, but use additional protection (e.g., condoms) for at least 5 days to ensure contraceptive coverage.
Comprehensive Drug Guide
How Does Ella Work?
Ella works by delaying or preventing ovulation. It blocks progesterone, a hormone essential for ovulation, thus reducing the likelihood of fertilization and pregnancy.
Common Dosages
- Ella is available as a 30 mg tablet.
Typical Dosing
- Take one 30 mg tablet as soon as possible, but no later than 120 hours (5 days) after unprotected intercourse or contraceptive failure.
Typical Dosing
FDA Approved Indications
- Emergency contraception within 5 days (120 hours) after unprotected sex or contraceptive failure
Who Shouldn't Take Ella?
- Known or suspected pregnancy
- Hypersensitivity to ulipristal acetate
Advice From The Pharmacist
- Ella is for emergency contraception and should not be used as regular birth control.
- If you vomit within 3 hours of taking Ella, you may need to take another dose.
- Ella does not protect against sexually transmitted infections (STIs).
Side Effects of Ella
Common Side Effects
- Nausea
- Headache
- Dizziness
- Menstrual changes
Uncommon/Severe Side Effects
- Severe abdominal pain (could indicate an ectopic pregnancy)
Risks and Warnings of Ella
- Menstrual Changes: After taking Ella, your next period may be earlier or later than usual, and flow may differ.
- Ectopic Pregnancy Risk: If you experience severe abdominal pain after taking Ella, seek medical attention to rule out ectopic pregnancy.
Interactions with Ella
Common Drug Interactions
- CYP3A4 inducers (e.g., rifampin, phenytoin) may reduce the effectiveness of Ella.
- Do not use Ella in combination with hormonal contraceptives within 5 days of use.
Alternatives to Ella
- Plan B One-Step (levonorgestrel)
- Copper IUD for emergency contraception
- Yuzpe method (high-dose combined oral contraceptives)
