Your healthcare provider has prescribed Emerres® for Emergency Contraception. Understanding how to take Emerres® correctly and what might make it less effective is essential to reduce your chances of an unwanted pregnancy.
You should read your patient information leaflet (PIL) carefully. This is the leaflet contained in your pack of Emerres® or you can download a replacement copy of the PIL or read about Emerres® on this website.
Only your healthcare provider knows your full medical history, so if there is any information in the patient information leaflet or this website that you want to know more about or worries you, please talk to your doctor or other healthcare professional for advice and guidance.
It is estimated that 84 per cent of pregnancies will be prevented if this morning-after pill is taken within 72 hours of unprotected sex. The tablet is more effective at preventing pregnancy the earlier it is taken, so it is important to take it as soon as possible after unprotected sex, rather than delay to the third day.
- If you are allergic (hypersensitive) to levonorgestrel or any of the other ingredients of Emerres® (see section 6)
Warnings and precautions
Talk to your doctor, pharmacist or nurse before taking Emerres®.
In all women, emergency contraception should be taken as soon as possible after unprotected intercourse. There is some evidence that Emmeres may be less effective with increasing body weight or body mass index (BMI), but these data were limited and inconclusive. Therefore, Emmeres is still recommended for all women regardless of their weight or BMI.
You are advised to speak to a healthcare professional if you are concerned about any problems related to taking emergency contraception.
If any of the following applies to you, talk to your doctor before taking this medication as emergency contraception may not be suitable for you. Your doctor may prescribe another type of emergency contraception for you.
- If you are pregnant or think that you may already be pregnant. This medicine will not work if you are already pregnant. If you are already pregnant, Emerres® cannot terminate pregnancy, as Emerres® is not an “abortion pill”
You may already be pregnant if:
- Your period is more than 5 days late, or you have experienced unusual bleeding when your next period is due
- You have had unprotected sex more than 72 hours ago, and since your last period
The use of Emerres® is not advised if:
- You have a disease of your small bowel (such as Crohn’s disease) that inhibits the absorption of the drug
- You have severe liver problems
- You have a history of ectopic pregnancy (where the baby develops somewhere outside the womb)
- You have a history of salpingitis (inflammation of the Fallopian tubes)
A previous ectopic pregnancy and a previous infection of the fallopian tubes increase the risk of a new ectopic pregnancy.
If you are worried about sexually transmitted diseases
If you did not use a condom (or if it has been torn or slid down) during the intercourse, it might be possible that you have caught a sexually transmitted disease or the HIV virus.
This medicine will not protect you against sexually transmitted diseases, only condoms can do this. Ask your doctor, nurse, family planning clinic or pharmacist for advice if you are worried about this.
Other medicines and Emerres®
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including other medicines.
The medicines listed below, including non-prescription drugs, can reduce or inhibit the effect of Emerres®:
- some drugs used to treat epilepsy (phenobarbital, phenytoin, primidone, carbamazepine)
- some drugs to treat HIV infection (ritonavir)
- some drugs used to treat infections (rifabutin, rifampicin, griseofulvin)
- herbal products containing St. John’s Wort (Hypericum perforatum)
Pregnancy breast feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking any medicine.
You should not take this medicine if you are already pregnant. If you do become pregnant even after taking this medicine, it is important that you see your doctor. There is no evidence that Emerres® will harm a baby that develops in your uterus/womb if you use Emerres® as described. Nevertheless, your doctor may want to check that the pregnancy is not ectopic (where the baby develops somewhere outside the womb). This is especially important if you develop severe abdominal pain after taking Emerres® or if you have previously had an ectopic pregnancy, Fallopian tube surgery or pelvic inflammatory disease.
Very small amounts of the active ingredient of this medicine may appear in your breast milk. This is not thought to be harmful to the baby. If you are worried you can take your tablet immediately after a breast-feed and avoid nursing for at least 8 hours after taking Emerres®. In this way you can reduce the amount of active ingredient your baby may take in with the breast milk.
Emerres® increases the chances of menstruation disturbances which can alter when your egg is released and therefore effect when you can become pregnant, however, there are no fertility data in the long term.
Driving and using machines
Emerres® is unlikely to affect your ability to drive a car or use machines. However, if you feel tired
or dizzy do not drive or operate machinery.
Emerres® contains lactose
If you have been told by your doctor that you have intolerance to sugars, contact your doctor before taking this medicine.
If you are already using a regular method of contraception such as the contraceptive pill, you can continue to take this at your regular times.
If another unprotected intercourse takes place after the use of Emerres® (also if this is during the same menstrual cycle), the tablet will not exert its contraceptive effect and there is again the risk of pregnancy.
Use in children and adolescents
This medicine is not recommended for use in children. Very limited data are available in women under 16 years of age.
What to do if you are sick (vomit)
If you are sick (vomit) within three hours of taking the tablet, you should immediately take another tablet.
Once you have taken this medicine, talk to a pharmacist or doctor if your next period is more than 5 days late or you suspect you may be pregnant.
If you get any lower stomach pain or discomfort, talk to a doctor straight away.
- Feeling sick (nausea)
- You might have some irregular bleeding until your next period
- You might have lower abdominal pain
Common (may affect up to 1 in 10 people):
- Being sick (vomiting). If you are sick, read the section ‘What to do if you are sick’ (vomit)
- Your period might be different. Most women will have a normal period at the expected time, but some may have their period later or earlier than normal. You might also have some irregular bleeding or spotting until your next period. If your period is more than 5 days late or is unusually light or unusually heavy, you should contact your doctor as soon as possible
- You might have tender breasts, diarrhoea, feel dizzy after taking this medicine
Very rare effects (may affect up to 1 in 10000 people):
- Rash, urticaria, pruritus, swelling of the face, pelvic pain, painful period
If any of the side effects get serious or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist
This medicinal product does not require any special storage conditions.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
Marketing Authorisation Holder
Morningside Healthcare Ltd
115 Narborough Road
Leicester, LE3 0PA