APPENDIX K: Emergency Contraceptive Pills :: Child Abuse Evaluation & Treatment for Medical Providers :: Child Abuse MD :: SUNY Upstate Medical University

APPENDIX K: Emergency Contraceptive Pills

This table is for information only and should not serve as the sole source for prescribing information or clinical decision-making.

Trade name

Pills per dose

Ethinyl estradiol
per dose (mµ g)

Levonorgestrel
per dose (mg)

Cost *

Ovral ^{(a, b)}

2 white pills

100

0.50

$47

Alesse

5 pink pills

100

0.50

$29

Levlite

5 pink pills

100

0.50

$28

Nordette ^(a)

4 light orange pills

120

0.60

$30

Levlen ^(a)

4 light orange pills

120

0.60

$30

Levora

4 white pills

120

0.60

$27

Lo/Ovral ^{(a, b)}

4 white pills

120

0.60

$31

Triphasil ^(a)

4 yellow pills

120

0.50

$29

Tri-Levlen ^(a)

4 yellow pills

120

0.50

$28

Trivora

4 pink pills

120

0.50

$28

Ovrette ^(b)

20 yellow pills

0.75

$31

Dedicated Products

Preven ^{(c, d)}

2 blue pills

100

0.50

$20

Plan B ^(d)

1 white pill

0.75

$20

* Cost to the pharmacist based on wholesale price, rounded to nearest dollar amount, as listed in Red Book. Montvale, NJ: Medical Economics Data; 1999.

^(a) These products were declared safe and effective for use as emergency contraception by the U.S. Food and Drug Administration (FDA) in February 1997. The other products listed are bioequivalents.

^(b) The progestin in Ovral, Lo/Ovral andOvrette is norgestrel, which contains two isomers, only one of which (levonorgestrel) is bioactive; the amount of norgestrel in each tablet is twice the amount of levonorgestrel.

^(c) Preven comes with a pregnancy test kit.

^(d) Both Plan B and Preven are labeled by the FDA for emergency contraceptive use.

NOTE: Course of therapy is one dose taken within 120 hours of unprotected intercourse; second dose taken 12 hours later. Alternately, a single dose of 1.5 mg of levonorgestrel was found to be as effective as the standard 2 dose levonorgestrel regimen.

Information from Twelve brands of emergency contraceptive pills in the United States. J Am Med Women's Assoc 1998; 53:213.

Adapted from Wertheimer RE. Emergency postcoital contraception. American Family Physician 2000; 62:2287-92.

Additional References:

American College of Emergency Physicians. Evaluation and Management of the Sexually Assaulted or Sexually Abused Patient. Second edition. 2016. https://indianacesa.org/wp-content/uploads/2016/06/Sexual-Assault-e-book-1.pdf (PDF)

Arowojolu AO, Okewole IA, Adekunle AO. Comparative evaluation of the effectiveness and safety of two regimens of levonorgestrel for emergency contraception in Nigerians. Contraception 2002; 66:269-73.

International Consortium for Emergency Contraception. http://www.cecinfo.org/

Society Of Obstetricians and Gynecologists of Canada (SOGC) Clinical Practice Guidelines. Emergency Contraception. No. 131, August 2003.

von Hertzen H, et al. Low dose mifepristone and two regimens of levonorgestrel for emergency contraception: a WHO multicentre randomised trial. Lancet December 7, 2002; 360:1803-10. In Walling, AD. Effective single-dose emergency contraception. American Family Physician 2003: May 1.

Wertheimer, RE. Emergency postcoital contraception. American Family Physician 2000; 62:2287-92.

Appendices Appendix B: A Sample Continuum of Medical History Questions and Confidence in the Responses Appendix C: Body Diagrams Appendix D: Burn Assessment - Rule of Nines Appendix F: Common Types of Diaphyseal Fractures Seen in Childhood Appendix G: Findings That May Be Confused with Abuse Appendix H: Differential Diagnosis Table Appendix I: List of Community Services Appendix J: Supplemental Resources Appendix K: Emergency Contraceptive Pills

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