Next election (oral)

Next election (oral)

Next election (oral)

Used for the next election

No method of contraception is 100 percent effective. Contraceptive methods such as infertility surgery or abstaining from sex are more effective. This medicine should not be used as a regular method of contraception. Discuss your birth control options with your doctor.

Plan B One-Step® is available as an over-the-counter medication for every woman of childbearing age.

Before using Next Choice

When deciding whether to use a medicine, the risks of taking the medicine must be weighed against the benefits it produces. This is a decision that you and your doctor will make. The following should be noted with this medicine:

Allergies

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have other allergies, such as to foods, dyes, preservatives or animals. For over-the-counter products, read the label or package ingredients carefully.

Pediatrics

Studies conducted to date have not shown any pediatric problems that would limit the benefit of levonorgestrel in teenage girls. This medicine can be used for contraception in teenage females, but is not recommended before the start of menstruation.

geriatrics

Adequate studies examining the association of age with the effects of levonorgestrel have not been conducted in the geriatric population. This medicine is not suitable for use in older women.

Breastfeeding

There are insufficient studies in women to determine the risk to infants when using this drug while breast-feeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug interactions

Although certain medicines should not be used together at all, in other cases two different medicines can be used together, although interactions may occur. In these cases, your doctor may want to change the dose or other precautions may be necessary. If you are taking this medicine, it is particularly important that your doctor knows whether you are taking any of the medicines listed below. The following interactions were selected for their potential significance and are not necessarily exhaustive.

The use of this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or to change some of the other medications you are taking.

• Tranexamsäure

Using this medicine with any of the following medicines is not usually recommended but may be necessary in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Amoxicillin
• Ampicillin
• Amprenavir
• Apalutamid
• Aprepitant
• Armodafinil
• Artemether
• Bacampicillin
• Belzutifan
• Betamethason
• Bexaroten
• Bosentan
• Carbamazepin
• Carbenicillin
• Cefaclor
• Cefadroxil
• Cefdinir
• Cefditoren
• Cefixim
• Cefpodoxim
• Cefprozil
• Ceftazidim
• Ceftibuten
• Cefuroxim
• Cenobamat
• Ceritinib
• Clobazam
• Cloxacillin
• Colesevelam
• Cyclacillin
• Cyclosporin
• Dabrafenib
• Darunavir
• Dexamethason
• Dicloxacillin
• Dipyron
• Doxycyclin
• Efavirenz
• Elagolix
• Elvitegravir
• Encorafenib
• Enzalutamid
• Eslicarbazepinacetat
• Etravirin
• Fosamprenavir
• Fosaprepitant
• Fosphenytoin
• Griseofulvin
• Guarkernmehl
• Isotretinoin
• Ivosidenib
• Lesinurad
• Lixisenatid
• Lopinavir
• Lorlatinib
• Lumacaftor
• Mavacamten
• Meropenem
• Minocyclin
• Mitapivat
• Mitotan
• Mobocertinib
• Modafinil
• Mycophenolatmofetil
• Mycophenolsäure
• Nafcillin
• Nelfinavir
• Nevirapin
• Octreotid
• Oxacillin
• Oxcarbazepin
• Oxytetracyclin
• Penicillin G
• Penicillin G Procain
• Penicillin V
• Phenobarbital
• Phenylbutazon
• Phenytoin
• Pitolisant
• Prednisolon
• Prednison
• Primidon
• Rotklee
• Rifabutin
• Rifampin
• Rifapentin
• Ritonavir
• Rufinamid
• Secobarbital
• Johanniskraut
• Sugammadex
• Sultamicillin
• Tazemetostat
• Telaprevir
• Telotristat Ethyl
• Tetracyclin
• Theophyllin
• Thioridazin
• Ticarcillin
• Tigecyclin
• Tirzepatid
• Tizanidin
• Topiramat
• Ulipristal

Using this medicine with any of the following medicines may result in an increased risk of certain side effects, but using both medicines may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Acitretin
• Amitriptylin
• Atazanavir
• Clomipramin
• Diazepam
• Doxepin
• Imipramin
• Lamotrigin
• Lakritze
• Lorazepam
• Perampanel
• Selegilin
• Tacrin
• Temazepam
• Triazolam
• Troleandomycin
• Voriconazol
• Warfarin

Interactions with food/tobacco/alcohol

Certain medicines should not be taken during or around the time of eating or consuming certain foods because interactions may occur. Consuming alcohol or tobacco with certain medications can also lead to interactions. The following interactions were selected for their potential significance and are not necessarily exhaustive.

Using this medicine with any of the following medicines may result in an increased risk of certain side effects, but may be unavoidable in some cases. If used together, your doctor may change the dose or frequency of use of this medication, or give you special instructions about food, alcohol, or tobacco consumption.

• Koffein

Proper use of Next Choice

Use this medicine exactly as your doctor has told you or follow the instructions on the package. This medicine is for occasional use as emergency contraception. It should not replace your regular contraceptive method. You can use this medicine at any time during your monthly period.

This medicine comes with a package leaflet. Read and follow the instructions carefully. Ask your doctor if you have any questions.

Plan B One-Step® is available as an over-the-counter medication for every woman of childbearing age.

If you vomit within 2 hours of taking this medication, call your doctor immediately. Your doctor may prescribe you another tablet.

dosage

The dose of this medicine is different for different patients. Follow your doctor's instructions or the label directions. The following information includes average doses of this medicine only. If your dose is different, do not change it unless your doctor tells you to.

The amount of medicine you take depends on the strength of the medicine. In addition, the number of doses you take each day, the time between doses, and how long you take the medicine depend on the medical problem for which you are using the medicine.

• Zur Notfallverhütung:
  • Für die orale Darreichungsform (Plan B One-Step® Tabletten):
    • Erwachsene und Jugendliche: Eine Tablette so bald wie möglich und nicht später als 72 Stunden (3 Tage) nach ungeschütztem Geschlechtsverkehr oder nach dem Versagen einer anderen Verhütungsmethode einnehmen.

storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Protect from freezing.

Keep away from children.

Do not keep medications that are outdated or no longer needed.

Ask your doctor how to throw away medicines you don't use.

Precautions when using Next Choice

It is very important that your doctor examines you closely to make sure that this medicine is working properly and is not causing any unwanted effects.

Although you are using this medicine to prevent pregnancy, you should be aware that using this medicine during pregnancy may harm the unborn baby. Your doctor may do a pregnancy test before you start using this medicine to make sure you are not pregnant. If you think you have become pregnant while using this medicine, tell your doctor immediately.

Call your doctor immediately if you have severe abdominal or stomach pain 3 to 5 weeks after taking this medication. You may have a pregnancy outside the uterus (womb), called an ectopic pregnancy. An ectopic pregnancy can be a serious and life-threatening condition. It can also cause problems that may make it difficult for you to get pregnant in the future.

You may experience blood spots a few days after taking this medicine. If bleeding continues for more than a week, contact your doctor immediately.

This medicine may cause your next period to occur a few days later than expected. If your next period is more than a week late after taking this medicine, contact your doctor immediately for a pregnancy test.

This medicine does not protect you from getting HIV/AIDS or other sexually transmitted infections. If this is a problem for you, talk to your doctor.

Your usual birth control methods, such as birth control pills or patches, may not work as well while you are using this medicine. You must use two forms of contraception after using this medicine. Use birth control pills or patches along with another form of birth control, such as birth control. Such as a condom, diaphragm, or contraceptive foam or jelly, during all other times you have sexual intercourse during the same monthly period that you took this medicine.

Do not take any other medicines unless you have discussed this with your doctor. This includes both prescription and non-prescription (over-the-counter [OTC]) medicines and herbal (e.g. St. John's wort) or vitamin supplements.

Side effects of Next Choice

In addition to the necessary effects, a medicine may also have some undesirable effects. Although not all of these side effects may occur, medical attention may be required if they occur.

Consult your doctor immediately if any of the following side effects occur:

More common

• Starke oder leichte Menstruationsblutung

Incident not known

• Ausbleibende oder unregelmäßige Menstruationsperioden
• Krämpfe
• unregelmäßige Menstruation
• Schmerz
• Schmerzen im Becken
• Stoppen der Menstruationsblutung

Some side effects may occur that usually do not require medical attention. These side effects may disappear during treatment as your body gets used to the medicine. Your doctor may also be able to give you ways to prevent or reduce some of these side effects. If any of the following side effects persist or are bothersome, or if you have any questions, contact your doctor:

More common

• Bauch- oder Magenschmerzen
• Schwindel
• Kopfschmerzen
• Brechreiz
• Empfindlichkeit der Brüste
• ungewöhnliche Müdigkeit oder Schwäche
• Erbrechen

Less common

• Durchfall

Some patients may also experience other side effects not listed. If you notice other side effects, contact your doctor.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Commonly used brand names

In the USA

• Auf meine Art
• Nächste Wahl
• Plan B
• Plan B One-Step

In Canada

• Option 2

Available dosage forms:

• Tablette

Therapeutic class: contraceptives, progestins

Pharmacological class: Progestin

• Kann Plan B Ihre Periode verspäten oder Blutungen verursachen?
• Darf man nach der Einnahme von Plan B Alkohol trinken?
• Wie effektiv ist Plan B und wie spät kann man ihn anwenden?
• Wie hoch ist die Gewichtsbeschränkung für Plan B?
• Wie oft können Sie Plan B einnehmen?
• Mirena, Kyleena, Skyla & Liletta – Was ist der Unterschied?

More information