Saturday, January 02, 2010

More on Plan B One-Step and i-Pill/ Nextime, Next Choice and Plan B

Princeton's Reproductive Health Technologies Project has a great chart of FDA approved emergency contraceptive pills (.pdf) currently available in the US.

Print it out, memorize it, and keep it handy! [May I suggest right next to your bed, you know, because there's nothing quite like whipping out a reference chart to enhance the mood.]



Two important things you should know:

1. Plan B, the two-pill packet, is being phased out (it's been discontinued). Don't be concerned if you cannot find it anymore. Use Next Choice, the two-pill generic instead or, even better, use Plan B One-Step or i-Pill / Nextime, the one-pill pack.

If you use Next Choice, disregard the package insert instructions to "take first tablet as soon as possible within 72 hours after unprotected intercourse and the second tablet 12 hours after the first dose". You should take both tablets as soon as possible after unprotected intercourse, up to 120 hours (5 days).

2. i-Pill / Nextime, the same as Plan B One-Step from Cipla / Paras, is available from (of all places!) Amazon for only $19.98.

Bottom line: If you are of reproductive age, sexually active and not planning a pregnancy, the emergency contraceptive pill should always be within your reach. Don't wait for an emergency to happen and then launch into a mad dash to find a place that stocks it. Be prepared and have the emergency contraceptive pill handy.

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37 Comments:

At 4:50 PM, OpenID womenshealthnews said...

Lazy question - why the instruction to disregard the package insert?

 
At 7:00 PM, Blogger ema said...

Good question. It has to do with compliance. Since research has indicated that both doses can be taken at the same time (one Next Choice pill is 0.75 mg levonorgestrel, two are 1.5 mg; Plan B One-Step/i-Pill tablet is 1.5 mg) by taking both pills at once you eliminate the risk of forgetting/something preventing you from taking the second dose 12 hrs later.

 
At 11:16 AM, Anonymous Womens Health Meds said...

ya that disclaimer is on every singel medication on the market today. it is also there so that you do not self medicate. They want you to consult a doctor for the FULL scoop on any medication though they put everything of highest importance in the leaflets.

ALWAYS check with your doctor or pharmacist before taking a new medication and be sure to tell them about all pre-existing conditions and medications you have taken within the last 2 weeks.

 
At 3:54 PM, Blogger Stacey said...

There's also an online coupon for $10 off Plan B One Step available at their website. Not sure if it can be combined with Amazon.com's deal.

 
At 4:03 PM, Blogger ema said...

Stacey,

Thank you for the pointer. Unfortunately, the i-Pill has a different manufacturer, so I doubt it can be combined. Still, $10 off is a good deal.

 
At 2:05 AM, Anonymous Anonymous said...

if you took the pill and still hav eto take the other pill 12hrs later but have unprotected intercouse in between will the pill still work or would you have to take another 2 again?

 
At 3:23 AM, Blogger ema said...

Anon @ 2:05 AM,

If you had unprotected sex immediately after taking the first pill, just take the second pill right away. Then make sure to watch out for the onset of your period. Should come around the expected time.

[If you need to use ECPs in the future DO NOT WAIT 12 hours between doses. Take both pills at the same time. Also, keep in mind that one dose (2 pills) only protects against ONE act of unprotected sex.]

And, most important, consider using a regular method of birth control for the future like the Pill, the vaginal ring (Nuva Ring), or the IUD.

 
At 3:32 AM, Blogger Kim said...

I have a question...
I have been on the Ortho Evra patch for a week had unprotected sex and took Next Choice?? Did I make a mistake by doing that?? It is bad to have two forms of birth control?? I know I proably have thrown my body for a loop.

 
At 3:34 AM, Anonymous Anonymous said...

I have a question... I have been on Ortho Evra for a week, had unprotected sex and then took Next Choice to make sure because I was not sure how long it would take for the patch to work?? I am sure I have thrown my body for a loop??

 
At 8:27 AM, Anonymous Anonymous said...

I had my last 'start date' period on 1/01/11. Im currently a virgin, but on 1/27/11 @ 9pm, me & my bf were fooling around but only had his penis rubbing on my "V"... NO intercourse at all! He did not cum, but felt pre cum. So i worried since THEY RUMOR VIRGINS GET PREGNANT, right? So i was suppose to get my period on 1/29/11 due to the 28 day Menstrual Cycle yet we are on 02/05/11 and i still havent got it. I did take two Next Choice pills [same time] 69hrs after "1/27/11 @ 9pm", Which is three days after [on 1/30/11]. Should i be expecting my period soon? IM REALLY WoRRIED! :( Ive never done this in my life! [Im 23yrs old]!

 
At 11:57 AM, Blogger ema said...

Anon @ 3:34 AM,

It's OK, the body can handle it. Your next "period" will probably be a little off but that's about it.

Anon @ 8:27AM,

After taking NC (both pills at the same time, very good!) it's normal for the onset of your next period to be a little off.

No need to be worried. The likelihood of pregnancy is very low--2 days before menses, no penetration, and you took NC. Just keep an eye out and make sure your period does come w/in the next 10 days or so.

And for the future consider discussing condom use with your boyfriend.

 
At 2:52 AM, Blogger vinhtvp said...

what happen if i follow the direction, and take the second pill 12 hours later, will it still be effective?

 
At 2:56 AM, Anonymous Anonymous said...

will the pill still be effective if i follow the direction and take the 2nd pill 12 hours later?

 
At 10:51 AM, Blogger ema said...

Anon @ 2:56AM,

Yes, it will. Just make sure to remember to take the second pill.

 
At 4:22 AM, Anonymous Anonymous said...

What if you take the second pill first and the first pill second will the process still be effective

 
At 5:22 AM, Blogger ema said...

Anon @ 4:22 AM,

Yes, both pills have the same amount of active ingredient. However, it's best to take both pills at the same time.

 
At 1:30 PM, Anonymous Anonymous said...

I took one of the next choice tablets a little more than 24 hours after sex, it was during my fertile window but not sure if I had already ovulated I was charting temps or anything. I took the pill in a panic but after having a serious talk with my husband we came to the realization that we do want to have another child I guess my question is if I don't take the other tablet, can I still become pregnant during this cycle? And if I don't when would I expect a period... Early or late thanks so much

 
At 1:29 PM, Anonymous Anonymous said...

I took a next choice tablet 2hrs after unprotected sex which was at 1pm.. had to take the 2nd at 1a.m..but fell asleep and didn't take it till 8 the next morning will it still work?

 
At 12:58 AM, Blogger ema said...

Anon @1:30 PM,

Yes, you could. As to when to expect the period, usually around the same time as the regular one, up to 3 weeks later.

Anon @ 1:29 PM,

Yes, you should be fine.

 
At 5:35 PM, Anonymous Anonymous said...

What if i had unprotected sex 3 times within a 12 hr period and took the first next choice pill 6 hrs after? I took the 2nd pill 24 hrs later as i read it wrong n overlooked the 12 hrs later...? Will the pills be effective at all? Thank you

 
At 1:23 AM, Blogger ema said...

Anon @ 5:35 PM,

Hard to tell. The problem isn't so much taking the 2nd pill 24 hrs later (for just one act of unprotected sex it should be OK), it's the fact that you had unprotected sex x3. One full NC course (two pills) only covers *one* act.

Make sure to keep track of your next period; it should come on schedule/up to 3 weeks later. If nothing happens by then, take a pregnancy test and talk to your Ob/Gyn.

 
At 5:18 AM, Anonymous Anonymous said...

What if you took next choice but you took the 2 pill not the first one does it still work? Are the pills the same? Does matter wat pill I took first?? Pls reply asap!

 
At 9:56 PM, Blogger ema said...

Anon @ 5:18 AM,

It doesn't matter which pill you took first, they're the same dosage. The important thing is to take the full dose (both pills), not just one.

 
At 8:48 AM, Anonymous Anonymous said...

The condom broke tonight around 8:00, i got the "next choice" and took the first pill at 11:30 (3:30 hours after), and i am reading this messages and its best to take both at the same time so i just took the other one @ 12:30. is that ok?
i guess i am just freaking out, because i just off the IUD (nov.21.11) and my periods are still crazy and got some spotting a week after was taken out but hard to tell if that was my period and nothing else since then. please if you know about the subjects advise me.


nooo! :(:(:(:( what to do

 
At 7:18 AM, Blogger ema said...

Anon @ 8:48 AM,

Yes, it's OK, you are fine as far as the NC is concerned. Now, as far as the "cray periods", consider using a regular method of birth control like the Pill or the NuvaRing or condoms.

 
At 8:06 AM, Anonymous Anonymous said...

So if I took the first pill at 10am and forgot to take the second pill at 10pm and took it at 1 am will I be ok???

 
At 10:42 PM, Anonymous Anonymous said...

What happens if you take tablet 2 of next choice first by accident instead of tablet 1? Will the pills work or it doesn't matter which one is taken first?

 
At 7:28 PM, Anonymous Anonymous said...

What if you only take one of the Next Choice pills . Does that mean it isn't effective and you can still be at a high risk of getting pregnant ?

 
At 12:21 PM, Anonymous Anonymous said...

I took the second pill 16 hours instead of 12 hours later... will it still work??

 
At 12:33 PM, Anonymous Anonymous said...

I took the second pill 18 hours later rather than 12...I took the first pill 12 hrs after the act...will next choice still work??

 
At 12:26 PM, Anonymous Anonymous said...

what happens if you fall asleep and dont take the pill 12 hours later axact what if its like 6 hours after u were suppost to?

 
At 5:10 AM, Blogger ema said...

Taking the second pill a few hrs later (possibly up to 24 hrs) should be OK. However, best to take both pills at the same time to avoid forgetting the 2nd dose, or, even better, use a one-pill brand like Plan B On-Step, i-Pill.

 
At 5:10 AM, Anonymous Anonymous said...

I had unprotected sex twice in a 24 hour window, and then took the pill about 60 hours after the first time..
I'm a bit late with my period, should i be worrying?

 
At 8:12 PM, Anonymous Anonymous said...

i was fooling around with my bf last month on 6/07/12..i had my periods end on 4/07/12
though we dint had sex..his penis may b just touchd my V .. i was realy woried so i took i pill within 48 hrs..i m supposd to get my periods in month end ..its now almost 15 days late...m realy gng crazy :( help wat shud i do ? i evn had preha test...it was ngtv

 
At 8:10 AM, Anonymous Anonymous said...

Should i still get the morning after pill?
i have a 31 day cycle. My lmp was nov. 8th. I looked on a ovulation calendar and it says my most fertile day was the 25th of this month. I had sex twice on the 26 th where i can still possibly be fertile. Im very worried. I wasnt trying to have a baby at all. I guess what im asking is should i go ahead and get the morning after pill today the 27th or is it too late

 
At 9:41 PM, Anonymous Anonymous said...

Novah23:
I had unprotected sex February 7th with my ex then with a different guy at 2am on the 9th. He finished inside. So, That same morning at 12pm i took the next choice pill because i do not want to have the guys baby. except Then took the second one 24hours late. I totally fell asleep :( But then had sex 4times for 3days unprotected with my ex again. Im pregnant. Whose baby is it?

 
At 8:18 PM, Anonymous Anonymous said...

I had my period last month like and of the week. 8/24/2013 had a sex but not inside my "V" but around it. I am expecting my period at least this week or next week. Will I get pregnant? I also just took the plan b one step to be more relaxed. I'm just 18.

 

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