What should you know about ulipristal emergency contraception?

Ulipristal is an emergency contraceptive tablet used after unprotected sex or when regular contraception may have failed. It delays ovulation, so it may not work if ovulation has already occurred. It does not end an established pregnancy and does not protect against sexually transmitted infections. Your pharmacist or clinician may need to know about breastfeeding, severe asthma treated with oral steroids, liver problems and medicines that can affect hormone action.

Take the tablet exactly as supplied and tell the pharmacist if you vomit soon afterward, because another dose may be needed. Use condoms or avoid sex until your regular contraception is effective. Hormonal contraception can interact with ulipristal, so ask when to start or restart it and whether extra protection is needed. Your next period may come earlier or later than expected. If it is substantially delayed, take a pregnancy test and arrange advice.

Seek medical advice for severe lower abdominal pain, fainting, very heavy bleeding or a positive pregnancy test after using emergency contraception. These symptoms need assessment because an ectopic pregnancy can occur even when contraception was used. Contact a pharmacist or clinician if you are unsure about an interacting medicine or need ongoing contraception.

Ask: Is ulipristal suitable with my medicines and health conditions? When should I restart hormonal contraception? How long should I use condoms? What is my best ongoing contraceptive option?