Basic Plan B Information

• INN (International Nonproprietary Name): Levonorgestrel
• Brand Names Available in Canada: Plan B One-Step, Take Action, Next Choice One Dose, My Way
• ATC Code: G03AD01
• Forms & Dosages: Oral tablet (1.5 mg)
• Manufacturers in Canada: Foundation Consumer Healthcare, Teva Pharmaceuticals, Perrigo
• Registration Status in Canada: OTC / NPN or DIN
• OTC / Rx Classification: Over-the-Counter

Everyday Use & Best Practices

Morning Vs Evening Dosing in Canadian Routines

Timing is crucial for the effectiveness of Plan B (Levonorgestrel). It's recommended to take this emergency contraceptive as soon as possible after unprotected sex or contraceptive failure, ideally within 72 hours. The sooner you take it, the better the efficacy. To help integrate this medication into daily routines, consider these practical tips:

• Set an alarm on your phone as a reminder.
• Keep Plan B in a visible place, like your nightstand or medicine cabinet.
• Utilize reminders through calendar apps to ensure you don't forget.

Moreover, in case of daytime routines, if taking it in the morning, consider associating it with meal times, such as breakfast or prepping it while making coffee. This way, it fits seamlessly into your daily activities.

Taking With Or Without Meals (Canadian Diet Context)

Taking Plan B does not require any specific dietary restrictions. You can take it with or without food, which is convenient for Canadians enjoying diverse meal habits. Consider your eating routines—for instance, breakfast, lunch, or during a snack break at work. Canadians often enjoy a range of foods from hearty breakfasts to light snacks, ensuring flexibility in how and when they take Plan B:

• Breakfast: A common meal where individuals may feel comfortable taking their medication.
• Lunch or Dinner: Particularly helpful for those who may have had contraceptive failures during the previous night.

If nausea is one of the side effects you experience, having some food beforehand may help mitigate that. However, it is not essential; just remember to follow the direction for use—taking it as soon as possible.

Buying Guide

Pharmacy sources

Locating Plan B can be straightforward, but knowing where to look is key. Common pharmacies across Canada where Plan B is available include:

• Shoppers Drug Mart
• Rexall
• Jean Coutu
• London Drugs

Each province may have different hours of operation, so checking in advance is advisable. For those in urban areas, accessibility tends to be high, with many pharmacies offering handy locations. However, rural patients might encounter challenges with stock availability—it's often beneficial to call ahead. It's also worth noting that Plan B packaging includes bilingual labeling, making it clear for both English and French-speaking customers.

Price comparison

When considering costs, Plan B tends to vary based on where it's purchased. Generally, in-store prices range from $30 to $50 CAD. Buying online might offer competitive prices but takes into account shipping costs and delivery time. For those shopping close to the border, prices in the U.S. can differ significantly, often cheaper due to different health care policies. However, Canadian shoppers should weigh in potential duty fees if purchasing south of the border.

What’s Inside & How It Works

Ingredients overview

Plan B's effectiveness comes from its active ingredient, Levonorgestrel, available in a single dose of 1.5 mg. Besides Levonorgestrel, there may be excipients in the formulation, such as lactose and magnesium stearate. While most people tolerate these ingredients well, individuals with allergies must verify to avoid potential reactions.

Mechanism basics

Levonorgestrel provides emergency contraception primarily by preventing ovulation. The pill works by inhibiting the release of eggs and may also prevent fertilization if taken right after unprotected sex. While it's an incredibly useful option, it’s crucial to remember it should ideally be taken within 72 hours after the incident for maximum effectiveness.

Main Indications

Approved uses in Canada

In Canada, Plan B is strictly approved to serve as emergency contraception following unprotected intercourse or contraceptive failure, as per Health Canada's regulations. It’s a go-to solution for many looking to prevent an unintended pregnancy.

Off-label uses by Canadian physicians

Some physicians may recommend Plan B off-label in specific cases, such as after incidents of contraceptive mishaps or unprotected sex not typically classified as emergencies. Off-label usage does require close medical supervision to ensure safety and efficacy for the patient.

Interaction Warnings

Food interactions

While there are no explicit food interactions that reduce the effectiveness of Plan B, it's advisable to limit alcohol or caffeine intake. Excessive consumption of these substances may contribute to common side effects such as nausea or dizziness, which can be uncomfortable already after taking the pill.

Drug conflicts

Potential conflicts with other medications can diminish the efficacy of Plan B. Some anti-seizure medications and certain herbal supplements may interact negatively with Levonorgestrel. Always consult a pharmacist or healthcare provider regarding any new medication changes to clarify that Plan B will remain effective.

Latest Evidence & Insights

Recent studies from Canadian and international institutions highlight the effectiveness of Plan B (levonorgestrel) as emergency contraception. Findings show that its efficacy significantly depends on the timing of intake post-intercourse. A systematic review conducted in Canada by the Canadian Journal of Public Health demonstrated that Plan B is most effective when taken within 12 to 24 hours after unprotected sexual intercourse, with a potential effectiveness rate of up to 95%. In contrast, studies indicate that taking the pill between 24 to 72 hours post-intercourse yields effectiveness rates of about 89% to 75%.

Research from global health organisations reinforces the necessity of timely access to Plan B. A report from the WHO suggests increasing awareness and education regarding emergency contraceptive methods, especially in regions with limited access to healthcare.

Alternative Choices

• Ulipristal acetate (ella): - Effective up to 120 hours post-intercourse. - Prescription required. - Slightly more effective than Plan B, especially in heavier individuals.
• Copper IUD: - **Mechanism:** Provides immediate contraception by preventing sperm from fertilising the egg. - **Pros:** Most effective form of emergency contraception, can stay in place for up to 10 years as a regular birth control method. - **Cons:** Requires a healthcare provider to insert.
• Yuzpe regimen (combined oral contraceptives): - Can be used as an emergency contraceptive but is less effective with more side effects.

Regulation Snapshot

Health Canada regulates Plan B as an over-the-counter medication (OTC), making it accessible without a prescription. The Drug Identification Number (DIN) is crucial for consumers, as it verifies the legitimacy of the product during purchase. This regulation streamlines access to emergency contraception, allowing individuals to obtain Plan B promptly when needed.

FAQ Section

Can Plan B terminate an existing pregnancy?
No, Plan B is not an abortion pill and will not affect an existing pregnancy.

Do I need a prescription for Plan B?
No, Plan B is available over the counter in Canada without a prescription.

What if I take Plan B close to my period?
Taking Plan B close to your period typically won't affect its efficacy, but it could cause delays in your menstrual cycle.

Guidelines for Proper Use

Consulting a pharmacist can provide additional insights into Plan B and its use. Depending on provincial health authority guidelines, here are some tips for proper use:

• Store in a cool, dry place at room temperature.
• Take as soon as possible after unprotected intercourse for optimal effectiveness.
• Be aware of possible side effects, which can include dizziness, nausea, and changes in menstrual bleeding.

If experiencing severe side effects, consult a healthcare professional immediately. Always use Plan B as a backup, not a primary birth control method.

Delivery Information