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The following safety information outlines important considerations and warnings regarding the use of this medication. It is crucial to read through these details and discuss any concerns with your healthcare provider.

• Avoid Use During Pregnancy: Ella (ulipristal) is designed to prevent pregnancy after unprotected intercourse and is not effective for terminating an existing pregnancy. If you are pregnant or suspect you might be, consult your healthcare provider for appropriate guidance. This medication is not a safe or effective method for ending a pregnancy.

• Ectopic Pregnancy Risk: Although rare, ectopic pregnancies can occur where the fertilized egg implants outside the uterus, posing serious health risks. Ella (ulipristal) will not cause an ectopic pregnancy, but such a condition may arise after using it. If you experience severe pelvic pain or unusual vaginal bleeding 3 to 5 weeks after taking the medication, seek medical advice immediately.

• Not for Regular Use: Ella (ulipristal) should not be used as a regular contraceptive method, as its safety for repeated use within the same menstrual cycle is not established. Consult your healthcare provider for a suitable regular birth control method. If you have used Ella (ulipristal) for emergency contraception, use a barrier method such as condoms until your next menstrual cycle begins.

• Drug Interactions: Inform your healthcare provider and pharmacist about any medications you are currently taking. Certain drugs, such as rifampin, may interact with Ella (ulipristal) and diminish its effectiveness, increasing the risk of pregnancy.

• Menstrual Changes: After taking Ella (ulipristal), it is normal for your next menstrual period to start a few days early or late. If your period is delayed by more than a week, it is advisable to take a home pregnancy test.

• Protection Against STIs: Ella (ulipristal) and most other birth control methods do not provide protection against sexually transmitted infections (STIs). Using condoms can reduce the risk of STIs. If you are concerned about potential exposure to STIs, consult your healthcare provider.

• Fertility Considerations: Fertility may return shortly after the effects of Ella (ulipristal) wear off, which occurs within a few days. To prevent pregnancy, continue using a reliable barrier method until your next period.

Contraindications:

• Do not use Ella (ulipristal) if you are pregnant or suspect you may be pregnant, as it could pose health risks. Always consult with your healthcare provider before taking this medication under these conditions.

When taking this medication, some individuals may experience common side effects such as headaches, nausea, and stomach pain. While these symptoms are usually mild and temporary, it's important to consult a healthcare provider if they persist or worsen. Other common side effects include tiredness, dizziness, and menstrual cramps. Occasionally, users might notice changes in their menstrual cycle, such as a delayed or early period.

On rare occasions, more serious side effects may occur, warranting immediate medical attention. One such severe side effect is ectopic pregnancy, characterized by intense pelvic pain and unusual vaginal bleeding. It is crucial to seek urgent medical care if these symptoms arise. Although very rare, severe allergic reactions are possible. Symptoms of such reactions include rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, and difficulty breathing.

Overall, while many people use this medication without experiencing significant issues, it is essential to be aware of these potential side effects and to contact a healthcare professional if any concerns arise.

Certain medications can reduce the effectiveness of emergency contraception, leading to an increased risk of pregnancy. For instance, griseofulvin, Modafinil, and rifamycins (including Rifampin and Rifabutin) may interfere with its function. Other drugs used for seizure management, such as barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate, as well as some HIV medications like nelfinavir and Nevirapine, can also affect emergency contraceptives.

When considering Ella (ulipristal), it is crucial to inform your healthcare provider about all medications and supplements you are taking, as it can interact with various substances. Notably, Tranexamic Acid should not be combined with Ella, as it is not recommended. Additionally, while some interactions may not be advised, they might still be necessary under certain conditions. In such cases, your doctor might adjust the dosage or frequency. Medications that could interact include amobarbital, carbamazepine, Dexamethasone, and several others, including herbal supplements like St. John's wort. Always consult with your healthcare provider for personalized advice.