EXPLODING BACTERIAMed Decision Speed Tools
estrogensUnverified

Ethinyl Estradiol

Component of combined oral contraceptives
?Pregnancy?Breastfeeding?Warfarin
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Ulipristal Acetate-UPA (Ella®)Best for high BMI and/or if >72 hours since sexual assault
???
Can be given within 120 hours of sexual assault
30 mg PO ONCE
Levonorgestrel-LNG (Plan B®)Best for BMIs <30
???
Single Dose1.5 mg
Split Dose0.75 mg PO q12h for 2 total doses
Tablets
1.5 mg (single dose)0.75 mg
BrandsPlan B One-Step®, Take Action®, others
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Estrogen-EE and Levonorgestrel-LNG (Yuzpe regimen)Less effective, more side effects, low cost
Ethinyl Estradiol (EE)100 mcg PO q12h for 2 total doses
Levonorgestrel (LNG)0.5 mg PO q12h for 2 total doses
Copper IUDMost effective form of emergency contraception
Can be placed within 120 hours of sexual assault
Not likely feasible in the Emergency Department
Provides 10 years of birth control
Cannot be given with active Gonorrhea and/or Chlamydia infections

Drug Info

Tablets
Component of combined oral contraceptive pills (e.g. 20–35 mcg with a progestin)
BrandsComponent of combined oral contraceptives

Safety

?PregnancyNot yet reviewed.
?BreastfeedingNot yet reviewed.
?WarfarinNot yet reviewed.