Ulipristal acetate

• ella is an emergency contraceptive that helps prevent pregnancy after unprotected sex or if your usual birth control failed.
• It works best the sooner you take it after sex, and it must be taken within 5 days.
• ella is only for occasional, emergency use. It is not meant to replace your regular birth control method.

• Swallow the tablet whole with a glass of water.
• You can take ella with or without food.
• Take it as soon as possible after unprotected sex, and no later than 5 days afterward. The sooner you take it, the better it works.
• If you throw up within a few hours of taking ella, contact your healthcare professional, since you may need to take another tablet.

If you miss a dose

• This is a one-time dose taken after unprotected sex, so there is no regular dosing schedule to miss.
• If you are not sure whether you took ella correctly, or you need it again after another act of unprotected sex, talk to your healthcare professional.

• Do not take ella if you are already pregnant or think you might be pregnant, since it will not end a pregnancy and its safety in pregnancy is not established.
• Do not breastfeed for one week after taking ella. Pump and throw away your milk during this week to keep up your milk supply, then resume breastfeeding as normal.

• Tell your healthcare professional if your period is late or you have signs of pregnancy, such as breast tenderness or morning sickness, since you may already be pregnant.
• Tell your healthcare professional if you have severe liver disease.
• Tell your healthcare professional if you are lactose intolerant, since this medicine contains lactose.
• Tell your healthcare professional if you are breastfeeding.
• Tell your healthcare professional about any allergies you have.

Important warnings

• ella does not protect you from sexually transmitted infections, including HIV. Only condoms help protect against these infections.
• ella will not end a pregnancy that has already started. If you think you might already be pregnant, talk to your healthcare professional.
• ella only protects you from the one act of unprotected sex it was taken for. You can get pregnant again right away, so use a reliable barrier method, such as condoms, for the rest of your cycle.
• Do not take ella more than once in the same menstrual cycle.

• Headache, dizziness, or feeling tired can happen.
• Nausea or stomach pain can happen.
• Menstrual cramps, back pain, or breast tenderness can happen.
• Your next period may come a few days earlier or later than usual.
• Spotting or breakthrough bleeding before your period can happen.
• Mood changes or acne can happen.

When to get emergency help

• Get emergency help for signs of a severe allergic reaction: hives, a skin rash, swelling of the face, lips, tongue, or throat, or trouble breathing or swallowing.

When to contact a healthcare professional

• Contact your healthcare professional if your period is more than 7 days late, or is unusually light or heavy.
• Contact your healthcare professional if you have stomach pain, breast tenderness, nausea, or vomiting after your expected period, since these can be signs of pregnancy.
• Contact your healthcare professional if you think you might be pregnant, so you can be tested and get the right care.
• Contact your healthcare professional if you find yourself needing emergency contraception often, so you can discuss a regular birth control method that works for you.

• Tell the Care365 care team about all medicines you take, including ones for seizures, tuberculosis, HIV, fungal infections, and heartburn, since several of these can make ella less effective.
• Tell the Care365 care team if you take St. John's Wort, an herbal product, since it can also make ella less effective.
• If you use hormonal birth control, such as the pill, patch, or ring, wait several days after taking ella before starting or restarting it, and use a barrier method like condoms until your next period.
• Do not take ella together with another emergency contraceptive that contains levonorgestrel.

• Store at room temperature, in the original sealed package, away from light and moisture.
• Keep out of reach and sight of children.