Morning after pill

Be prepared with Levonelle or ellaOne standby morning after pill. Emergency contraception to keep in reserve for when you need it.

Read medical information and answer medical questions to buy treatment online.

Types of morning after pill

Prices
Levonelle

Levonelle (levonorgestrel 1.5mg)

1-2 doses from £12.80

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ellaOne

ellaOne (30mg ulipristal acetate)

1-2 doses from £24.40

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Prices

Morning after pill typeQuantityCost
Levonelle 1.5mg1 tablet (single dose)£12.80
Levonelle 1.5mg2 tablets (2 single doses)£19.80
ellaOne 30mg1 tablet (single dose)£24.40
ellaOne 30mg2 tablets (2 single doses)£44.40

Prescription issued online - small prescription fee per order.

Compare prices: Dr Fox prices are 25%-50% lower cost than other online clinics.

Prescription fees

Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.

Prescriptions are issued by our doctors online and sent electronically to our pharmacy.

If you have your own private or NHS paper prescription please post to our pharmacy (details).

Dr Fox prices are 25%–50% lower than other UK online clinics.

Order valuePrescription fee
up to £10£1.00
up to £20£3.00
up to £50£5.00
up to £100£8.00
over £100£10.00
Comparative costs of emergency contraception from UK online clinics (10 October 2016) - qualifying notes
*Dr Fox adds a small prescription fee not included in table above.
  1. The prices shown are listed by the online clinics named after a customer first enters consultation information and is offered prescriptions. It is possible these clinics may have special offers or lower prices for repeat supplies.
  2. Prices may change and are, to the best of our knowledge, accurate on the date stated.
  3. Dr Fox does NOT claim to provide a superior service to any of the online clinics listed. All the clinics listed, as far as we can tell, comply with all regulation and, as far as we can tell, operate to high ethical standards.
  4. Dr Fox adds a small prescription fee not included in the table (between £1 and £10 depending on value of the order).
  5. Some non POM items may be available at lower cost (OTC or P medicines) when supplied not on prescription.
  6. To amend the information in this table please contact us
  7. The prices listed in the table do not identify the cost of prescription medicine as online clinics charge a single fee to cover services which includes advice, consultations, prescriptions and dispensing and supply of treatments.
Morning after pillDr Fox*Dr EdLloydsPharmacy2USuperdrug
Levonelle 1500£12.80£16.00£25.99£24.00£27.00
ellaOne£24.40£34.00£43.00£35.00£35.00
UK Delivery£2.90£3.95£4.95£3.45included

Medical information

Morning after pill (Levonelle and ellaOne)

Levonelle (levonorgestrel 1.5mg) and ellaOne (30mg ulipristal acetate) are single dose morning after pills.

Levonelle taken within 72 hours (3 days) or ellaOne taken within 120 hours (5 days) of intercourse will prevent most pregnancies.

Women who are eligible can request 1 or 2 doses of a 'morning after pill' to keep as a standby treatment for use when needed. Levonelle and ellaOne should not be taken together.

Frequency of use: ellaOne is not recommended for use more than once in a menstrual cycle, whereas Levonelle can be used more than once in a cycle if needed (not available from Dr Fox, but under direct supervision of a doctor).

Regular contraceptive pills also available from Dr Fox.

Effectiveness of Levonelle and ellaOne

EllaOne is slightly more effective than Levonelle. Studies show, if they are taken in the first 72 hours (3 days) after intercourse, pregnancy rates are close to 2 in 100 with Levonelle and 1.5 in 100 with ellaOne. EllaOne remains effective up to 120 hours (5 days) after intercourse.

Levonelle or ellaOne work best if taken early and should be taken as soon as possible after intercourse.

Recent studies suggest Levonelle is less reliable in women who are overweight. Women with a BMI (Body Mass Indicator calculator) result of 30 or above should order ellaOne instead.

EllaOne and Levonelle interfere with regular contraceptive pills (both combined and progesterone only), but ellaOne disrupts pill function for longer. This effects how long it will take for your normal contraceptive to be effective again. Please also see below When and how to re-start your regular contraception.

When to use the morning after pill

  • After intercourse where other contraception has not been used.
  • After intercourse where a condom has failed (split, come off, etc).
  • Where a couple are using withdrawal and this has failed.
  • See details at the bottom of page about when emergency contraception is needed for women who have missed their regular contraceptive pill.

If intercourse has already taken place and a morning after pill is needed a pharmacist or doctor should be consulted straightaway.

An online service should NOT be used when immediate treatment is required. There will be a delay of a day or more before tablets are delivered.

We are unable to supply contraception online to women aged 55 years and above.

Side effects of Levonelle and ellaOne

As with any medicine, there is a potential for side effects, although these are usually not severe, and do not occur in most cases.

  • The commonest side-effects are headache, nausea, dysmenorrhea (painful period), abdominal pain, fatigue and dizziness.
  • If vomiting occurs within three hours of taking a tablet the dose should be repeated.
  • Periods may come early or be delayed after taking a morning after pill. If a period is more than 5 days late a pregnancy test is required.

How morning after pills work

Morning after pills impair ovulation and reduce the chance of fertilised eggs implanting in the womb.

Cautions

  • Regular contraceptive pills should not be stopped after a morning after pill has been taken.
  • Regular contraceptive pills cannot be relied on in the same menstrual cycle after a morning after pill has been taken and additional barrier contraception or abstinence is required for the remainder of the cycle (further details).
  • A morning after pill should not be used more than once in a menstrual cycle.
  • The morning after pill is for use after intercourse, not before.
  • Morning after pills are for occasional emergency use. There are better methods of contraception for routine regular use.
  • There is no increased risk of ectopic pregnancy after taking a morning after pill. However, ectopic pregnancy can still occur. Seek medical advice if there is abdominal pain and vaginal bleeding 4-5 weeks after taking a morning after pill as there is a chance these could be symptoms of an ectopic pregnancy.
  • If a woman becomes pregnant after taking a morning after pill, or was already pregnant when it was taken, there is no evidence of adverse effects.

Breastfeeding

The active ingredient of Levonelle is excreted in breast milk. Potential exposure of an infant can be reduced by taking Levonelle immediately after feeding.

The active ingredient of ellaOne may pass into breast milk for up to 36 hours. Breastfeeding should be avoided during this time as risk to the infant cannot be excluded.

Alternative treatments

Doctors and family planning clinics sometimes offer to insert an IUCD (intrauterine contraceptive device) up to 5 days after unprotected intercourse. This would be more effective than the morning after pill and provides ongoing contraception.

I've missed a pill, do I need emergency contraception?

The risk of getting pregnant after missing pills (including at the beginning of a pack, i.e. starting a pack late) depends on how many pills are missed and when in the pack the pills are missed. You are actually protected even if missing doses; you may not be at risk of pregnancy nor need emergency contraception.

Ordinary contraceptive pills (mini pill information below)

If you forget to take a pill, and it's not more than 24 hours late, it is fine – take it as soon as you remember. If it is more than 24 hours late, this is called a missed pill. This is still not a problem. Take the missed pill as soon as possible (even if means taking two pills at once) and you are still protected. Just continue taking the rest of the pack and your seven-day pill-free break as usual.

Missing 2 or more pills (or starting a pack 2 or more days late) can mean the contraceptive is not effective. This is true of the start of the pack. It will have been 9 days since your last pill and the hormone levels will have decreased such that the ovaries are not suppressed and may release an egg.

Take the last missed pill as soon as possible (even if means taking two pills at once) discarding any earlier missed pills. Continue taking the rest of the pack as normal and use additional (barrier) contraception for the next seven days. You will need emergency contraception if you have had unprotected sex in the previous seven days and have missed two or more pills (you are taking your pill more than 48 hours late) in the first week of a pack. Then you should finish the packet and have the usual pill-free interval.

If the pills are missed in the second week of a pack (pills 8-14), the contraceptive effect has built up and there is no need for emergency contraception (as long as the pills in the first seven days of the pack were taken correctly). Then finish the packet and have the usual pill-free interval.

If the pills are missed in the third week of a pack (pills 15-21), you are protected, but start the next pack of pills straight away without the pill free break. If taking a packet with dummy/placebo pills, throw these away and start the new pack. Emergency contraception is not required.

If more than seven pills are missed, the effect of the pills may have worn off. If you have had intercourse you will be at risk of pregnancy. If it is too late for emergency contraception you will need to see your doctor to test for pregnancy before re-starting the pill on the first day of your period.

Qlaira is a pill with 26 active tablets and just two inactive tablets. As there aren't 21 pills, the rules are different, please read and follow the manufacturer's missed pill advice. Zoely has 24 active tablets, and 4 inactive tablets. Again special rules apply as per the manufacturer's instruction leaflet.

Mini Pill (progesterone only pill)

Take your pill as soon as you remember, even if then taking 2 on the same day. If you are more than 3 hours late (12 hours for desogestrel pills such as Cerazette) then contraception cover is not guaranteed and additional contraception is required for two days. Emergency contraception should be sought if there was unprotected sexual intercourse in the 2-3 days before the missed pills, or there has been intercourse since the missed pill(s).

When and how to re-start your regular hormonal contraception

If Levonelle (levonorgestrel 1.5mg) is taken, then your pills are to be continued, a new ring is to be inserted, or a new patch applied within 12 hours of taking your morning after pill. Hormonal contraception cannot be relied upon to provide contraception in the same menstrual cycle after Levonelle has been taken and an additional barrier method of contraception (condoms or caps) should be used for seven days with the patch, the ring, and the combined pill (nine days for Qlaira), and for two days with the progestogen-only pill.

If ellaOne is taken, you should wait for five days after taking ellaOne before taking your pill, inserting a new ring, or applying a new patch. Additional barrier contraception should be used during these 5 days and after re-starting hormonal contraception: with the patch, the ring, and the combined pill for seven days (nine days for Qlaira), and with the progestogen-only pill for two days.

Buy treatment

Dr Fox supplies the morning after pill on prescription – you are required to answer a short medical questionnaire before your order can be completed.


Authored 29 November 2012 by Dr Tony Steele, MB ChB

Reviewed 28 November 2016 by Dr B. Babor, MB ChB

Last updated 1 December 2016


  1. Medical questions
  2. Choose treatment
  3. Complete order

Answer medical questions to order(morning after pill)

Women only

Have you read the medical information about 'morning after pills?

Do you require Levonelle or ellaOne for immediate use now?

  • Morning after pills work best if taken early, delay can result in failure.
  • Do NOT order for immediate use - see a doctor or pharmacist if you need a morning after pill straight away - postal orders are NOT fast enough.

Are you aware that women who are already taking a regular contraceptive pill who have missed pills do not always need a morning-after-pill?

  • There is information about 'missed pills' and 'restarting regular contraception' at the bottom of the medical information.
  • If you need to take the morning-after-pill now, do NOT order online as the delay in delivery will be too long. Instead consult a surgery or pharmacist.

Have you taken any of the following in the last 4 weeks?

  • Barbiturates, Primidone, Phenytoin, Carbemazepine (used predominantly to treat epilepsy)
  • Rifampicin or Rifabutin (usually for tuberculosis)
  • Ritonavir (for HIV infection)
  • Griseofulvin (for fungal infections)
  • Ciclosporin
  • Herbal remedies containing St John's Wort, Hypericum perforatum
  • Antacids and anti-ulcer medication

Have you been diagnosed with any of the following?

  • Severe liver problems
  • Severe digestive problems e.g. Crohn's disease
  • Previous ectopic pregnancy, fallopian tube surgery or pelvic inflammatory disease

Are you aware that 'morning after pills' are not 100% effective?

  • When taken in the first 3 days after intercourse, pregnancy rates are close to 1.5 in 100 (ellaOne) or 2 in 100 (Levonelle)
  • Levonelle can be taken up to 3 days and ellaOne up to 5 days after intercourse.

Do you think you are already pregnant?

  • Levonelle and ellaOne will NOT terminate an existing pregnancy. There is no evidence they will harm an ongoing pregnancy.

Are you aware Levonelle should NOT be ordered by women who are overweight because it is less effective?

Are you aware Levonelle and ellaOne should NOT both be taken in the same menstrual cycle (period)?

  • Take either Levonelle or ellaOne, NOT both
  • Levonelle and ellaOne should also NOT be taken more than once in the same cycle (period)

Do the following apply to you?

  • I will read the information leaflet supplied with my tablets
  • I am over 18
  • The tablets are for my own use
  • I agree to the terms and conditions

The order process

Answer short medical questionnaire

Choose treatment, register, and pay

Doctor issues prescription online

Medicine posted direct from pharmacy


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