Be prepared with Levonelle (levonorgestrel 1.5mg) morning after pill as standby emergency contraception.
- Prevents pregnancy up to 72 hours (3 days) after intercourse
|Morning after pill||Quantity||Cost|
|Levonelle 1.5mg||1 tablet (single dose)||£12.80|
|Levonelle 1.5mg||2 tablets (2 single dose treatments)||£19.80|
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 paper prescription please post to our pharmacy (details).
Dr Fox prices are 25%–50% lower than other UK online clinics.
|Order value||Prescription fee|
|up to £10||£1.00|
|up to £20||£3.00|
|up to £50||£5.00|
|up to £100||£8.00|
|Morning after pill||Dr Fox*||Dr Ed||Lloyds||Pharmacy2U||Superdrug|
Levonelle is an established 'morning after pill' which can be taken to prevent pregnancy up to 72 hours (3 days) after unprotected intercourse. A newer and more expensive morning after pill, ellaOne is effective when taken up to 120 hours (5 days) after intercourse. Both are available from Dr Fox.
Women who would like to obtain a supply of Levonelle from Dr Fox, to keep as a standby for use at short notice, MUST first read an important medical information and then complete short yes/no online questionnaire. At the end of the questionnaire women can request one or two Levonelle tablets, enter a delivery address and make a payment.
Doctors review each request and issue prescriptions for the Levonelle tablet(s). Medication is posted from a UK registered pharmacy.
If intercourse has already taken place and a morning after pill is needed a pharmacist or doctor should be consulted straightaway.
An online delivery service should NOT be used when immediate treatment is required. There will be a delay of a day or more before tablets are delivered.
How does Levonelle work?
Levonelle contains levonorgestrel 1.5mg and reduces the chance of a fertilised ovum implanting in the womb. It also inhibits the release of eggs from the ovaries at the time of ovulation. Levonelle may be slightly less effective at preventing ovulation than ellaOne during brief periods in the middle of a menstrual cycle.
How effective is Levonelle?
Levonelle is licensed to be taken up to 72 hours (3 days) after intercourse. Studies show the rate of pregnancy after Levonelle is taken to be close to 2 in 100. EllaOne may be slightly more effective, with pregnancy rates of close to 1.5 in 100.
Recent studies suggest Levonelle is less reliable in women who are overweight. Women with a BMI (Body Mass Indicator) result of 30 or above should order ellaOne instead.
Levonelle is most effective if taken early, preferably in the first 12 to 24 hours. It is largely ineffective if taken more than 72 hours (3 days) after intercourse.
Levonelle is a single dose tablet which should be taken as soon as possible after unprotected intercourse, no later than 72 hours (3 days) after.
If vomiting occurs within 3 hours a repeat dose should be taken.
As time of ovulation is unpredictable, even in women with regular cycles, emergency contraception should be taken regardless of the day of the cycle when a woman has unprotected sexual intercourse. Levonelle should not be used more than once in the same cycle without advice from a doctor or family planning clinic.
Levonelle should not be taken with or in the same cycle as ellaOne.
Cost of Levonelle
The manufacturer's price of Levonelle is lower cost than ellaOne. Dr Fox prices reflect this difference in supply costs. Typically Dr Fox prices are 25%–50% lower than other online clinics for the same medications. Websites advertising cheap Levonelle at lower cost with a prescription included are likely to be supplying fake generic Levonelle.
There is a non-prescription preparation of Levonelle available from pharmacies without a prescription (Levonelle One Step), which can be supplied for emergency use. The recommended retail price of Levonelle One Step is higher than the Dr Fox online price.
Side effects of Levonelle
Levonelle has the potential to cause side effects, although these are usually not severe and do not occur in most cases. The commonest side effects are dizziness, nausea, lower abdominal pain, bleeding not related to periods and fatigue.
A list of the side effects of Levonelle can be found in the manufacturer's Patient Information Leaflet supplied with medication.
Levonelle can cause intermenstrual bleeding (spotting or bleeding between periods). Periods can arrive late or early and the next period may be shorter or longer than expected.
Period delay after taking Levonelle of more than 5 days requires investigation to exclude pregnancy. Unexplained bleeding or abdominal pain after taking a 'morning after pill' could be caused by an ectopic pregnancy (pregnancy outside the uterus/womb) and a doctor should be consulted as soon as possible. Ectopic pregnancy is not increased after Levonelle or ellaOne, however an ectopic pregnancy is potentially serious and requires urgent medical attention.
Some medications may reduce the effectiveness of Levonelle. These include primidone, phenytoin, carbamazepine, herbal medicines containing Hypericum perforatum (St. John's Wort), rifampicin, ritonavir, rifabutin, griseofulvin. Cyclosporin also interacts with Levonelle.
The active ingredient, levonorgestrel 1.5mg, is excreted in breast milk. Potential exposure of an infant can be reduced by taking Levonelle immediately after feeding.
Contraception and Levonelle
Levonelle is a 'morning after pill' for emergency use AFTER unprotected intercourse. It should be used only when other contraception has not been used or has failed, not to replace routine regular contraception, which is more reliable and effective.
Women taking a contraceptive pill, who need to take Levonelle after missing one or more pills in a cycle, should NOT stop taking their contraceptive pill after taking Levonelle.
Pregnancy and Levonelle
Studies have shown no evidence that Levonelle will cause harm to the foetus if it is taken by a woman who is already pregnant. It is recommended women who know or suspect they are pregnant should not take Levonelle. If Levonelle is taken inadvertently during pregnancy, a doctor should be consulted.
Patient information leaflet
The 'Patient Information Leaflet' supplied with medication must be read before taking tablets.Start order
Authored 28 November 2012
by Dr Tony Steele, MB ChB
Reviewed 28 November 2016 by Dr B. Babor, MB ChB
Last updated 8 November 2017
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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