What is Ulipristal (Ella)?

Ulipristal (brand name: Ella) is a medication used for emergency contraception to prevent pregnancy after unprotected intercourse or contraceptive failure. It works by delaying or inhibiting ovulation. Ulipristal (Ella) is most effective when taken as soon as possible, within 120 hours (5 days) after unprotected sex.

In some cases, ulipristal may also be used for managing symptoms of uterine fibroids, such as heavy menstrual bleeding or pain.

• Generic name: ulipristal acetate
• Brand name: Ella
• Drug classes: Selective progesterone receptor modulators (SPRMs)

Warnings

• Ulipristal is not intended for regular contraceptive use and should not replace a primary birth control method.
• Do not use ulipristal if you are already pregnant; it will not terminate an existing pregnancy.
• Ulipristal may interact with hormonal contraceptives. Avoid using hormonal contraceptives for at least 5 days after taking ulipristal.
• Consult a healthcare provider if your period is delayed by more than 7 days after using ulipristal, as this could indicate pregnancy.

Before Using This Product

• Do not use ulipristal if you are allergic to it or any of its ingredients.
• Inform your healthcare provider if you have a history of liver disease or other medical conditions.
• Disclose any medications you are currently taking, as some drugs (e.g., rifampin, St. John’s wort) may reduce the effectiveness of ulipristal.
• Ulipristal is not recommended for use during breastfeeding.

How Should I Take Ulipristal (Ella)?

• Dosage: Take one 30 mg tablet of ulipristal as soon as possible within 120 hours (5 days) after unprotected intercourse.
• With or Without Food: Ulipristal can be taken with or without food.
• Do Not Delay: The sooner ulipristal is taken, the more effective it is in preventing pregnancy.

What Happens If I Miss a Dose?

• Ulipristal is typically taken as a single dose. Missing a dose is unlikely.

What Happens If I Overdose?

• Symptoms of overdose are unlikely but may include nausea or headache.
• Seek medical attention if you suspect an overdose.

What to Avoid

• Avoid starting hormonal contraceptives within 5 days of taking ulipristal to prevent reduced effectiveness.
• Avoid alcohol or other substances that may interfere with the medication's absorption.

Ulipristal Side Effects

Common side effects may include:

• Nausea
• Headache
• Fatigue
• Abdominal pain
• Menstrual changes

Seek immediate medical attention if you experience severe or unusual symptoms, such as:

• Severe abdominal pain
• Allergic reactions, such as swelling of the face, lips, or tongue
• Persistent or heavy bleeding