i-pill

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What Is i-Pill?

i-Pill is a branded emergency contraception pill containing levonorgestrel 1.5 mg as a single oral dose. It reduces the chance of pregnancy after unprotected sex or contraceptive failure (split/slipped condom, missed pills, sexual assault). Manufactured by Piramal.

How it works: levonorgestrel primarily delays or prevents ovulation. If ovulation has already occurred, emergency levonorgestrel is much less effective. It does not terminate an established pregnancy — it is not an abortifacient. Once implantation has happened, levonorgestrel has no effect.

When to Use i-Pill

• Unprotected sex (no contraception used).
• Condom broke, slipped, or came off.
• Missed 2 or more combined oral contraceptive pills in the first week of a pack.
• Missed a progestin-only pill by more than 12 hours (or more than 3 hours for older POPs).
• Sexual assault.
• Dislodged or expelled IUD.
• Depo-Provera injection more than 14 weeks ago (not 12 weeks).

How Effective Is i-Pill?

Faster is better. Take as soon as possible. Every hour matters because ovulation can happen at any point in the window.

How to Take i-Pill

1. Take the single tablet as soon as possible after unprotected sex. Maximum efficacy is in the first 24 hours.
2. Can be taken with or without food.
3. If you vomit within 3 hours, take another tablet. Vomiting is more common on empty stomach.
4. After emergency contraception, use barrier contraception (condoms) until your next period. Emergency contraception does not protect against future sex in the same cycle.
5. Resume or start regular contraception. Your next period may come earlier, later, or be different (heavier/lighter) than usual.
6. If your next period is more than 7 days late, take a pregnancy test.

Important Efficacy Caveats

• BMI over 26: levonorgestrel efficacy drops significantly. Ulipristal acetate (ellaOne) performs better at higher BMI. BMI over 30: copper IUD is the most effective emergency contraception — insertion within 120 hours is nearly 100% effective regardless of weight.
• Ovulation has occurred: if you are mid-cycle and already ovulated, levonorgestrel efficacy drops to near zero. The copper IUD is the better choice.
• Enzyme-inducing medications (rifampicin, carbamazepine, phenytoin, St John’s Wort): reduce levonorgestrel effectiveness. Use copper IUD or double the levonorgestrel dose to 3 mg if these drugs are present (seek clinical advice).
• Repeated use in one cycle: levonorgestrel can be taken more than once in a cycle, but cycle disruption is likely. Consider switching to copper IUD for additional unprotected sex in the same cycle.

Side Effects

Common (transient): nausea (~15%), vomiting (~5%), fatigue, breast tenderness, headache, lower abdominal pain, dizziness, altered next period (earlier, later, heavier, or lighter).

Less common: breakthrough bleeding before expected period, mood changes.

Rare: allergic reaction. Serious side effects are very uncommon — levonorgestrel single-dose has a strong safety profile.

Who Should Not Use i-Pill

• Known or suspected pregnancy — emergency contraception does not work on established pregnancy (and is not an abortion pill).
• Known hypersensitivity to levonorgestrel.
• Severe liver disease — caution; discuss with clinician.
• Concurrent enzyme-inducing medication — use copper IUD or higher-dose LNG with clinical supervision.

Alternatives to Levonorgestrel Emergency Contraception

• Ulipristal acetate (ellaOne, EllaOne) — 30 mg single dose, effective up to 120 hours (5 days), more effective at higher BMI. Requires prescription in most countries. Do not combine with LNG.
• Copper IUD (Paragard) — insertion within 5 days is the most effective emergency contraception (>99%), regardless of BMI. Provides ongoing contraception up to 10 years.
• Yuzpe regimen (combined OCP) — historical and less effective than LNG or UPA. Use only if nothing else is available.

Emergency Contraception Is Not Regular Contraception

Emergency contraception is meant for occasional use after failure of regular contraception or unprotected sex. It is not intended for ongoing birth control — less effective than combined pills, POPs, IUDs, or implants, and has a higher side-effect burden per unit of contraceptive protection. If you are using emergency contraception repeatedly, review your regular contraceptive method with a clinician.

Storage

Store at room temperature (15–25 °C). Keep sealed in packaging. Away from direct sunlight. Keep out of reach of children. Check expiry before use — expired emergency contraception is unreliable.

Frequently Asked Questions

Is i-Pill an abortion pill?

No. Emergency contraception works by delaying or preventing ovulation. It does not affect an established pregnancy. Abortion is a different medical procedure (mifepristone/misoprostol, surgical, etc.).

When should I take i-Pill?

As soon as possible after unprotected sex — ideally within 24 hours. Efficacy drops from ~95% (first 24h) to ~58% (48–72h). Beyond 72 hours, consider ulipristal acetate or a copper IUD.

What if my BMI is over 26?

Levonorgestrel efficacy drops. Ulipristal acetate works better at higher BMI. Copper IUD is the most effective option regardless of weight. Discuss with a clinician or pharmacist urgently.

Can I take i-Pill if I am already on the regular pill?

Yes — you can take emergency contraception even if you are already on COC/POP. After taking it, continue your regular pills and use condoms for 7 days (COC) or 2 days (POP).

Will i-Pill affect my next period?

Your next period may come earlier, later, lighter, or heavier than usual. If it is more than 7 days late, take a pregnancy test.

How many times can I take i-Pill in one cycle?

You can take levonorgestrel more than once in a cycle, but cycle disruption is likely and effectiveness decreases if you have already ovulated. Repeated use is a signal to switch to reliable regular contraception.

Does i-Pill protect against STIs?

No. Use condoms or get STI testing if recent unprotected sex involved a partner of unknown status.

What if I vomit after taking i-Pill?

If you vomit within 3 hours of taking the tablet, take another dose. If no spare is available, see a pharmacy or clinician urgently.

Related Contraceptive Products

• Yasmin (Drospirenone + EE)
• Yaz (Drospirenone + EE 0.02)
• Ovral-L (Levonorgestrel + EE)
• Ovral-G (Norgestrel + EE)
• Loette (LNG + EE ultra-low)
• Duoluton-L (LNG + EE)
• Triquilar (Triphasic LNG + EE)

Related Alternatives

Other products in Women's Health that customers also view:

• Yasmin
• Danogen
• Femilon
• I-Can (Pregnancy Detection Kit)
• Loette