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Ulipristal

Brand names: ella

Ulipristal (ella) is a prescription emergency contraceptive that works up to 5 days after unprotected sex.

Brand namesella
Type of medicineEmergency contraception
Prescription?Prescription (also from some pharmacists and online)
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It works better than levonorgestrel later in the 5-day window and may work better at higher body weights.

What it's used for

  • Preventing pregnancy after unprotected sex or birth control failure

How to take it

  • Take one tablet as soon as possible, within 5 days (120 hours).
  • Wait 5 days before starting or restarting hormonal birth control, and use condoms until your next period.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Headache
  • Nausea
  • Belly pain
  • Changes in your next period
Call 911Severe lower belly pain 3 to 5 weeks later (possible ectopic pregnancy)

Warnings

  • Not for regular birth control.
  • Avoid breastfeeding for 1 week after taking it.

Other medicines, foods, and alcohol

  • Rifampin, some seizure medicines, and St. John's wort make it less effective.
  • Hormonal birth control taken too soon can make it less effective.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Not for use if already pregnant.

Missed doses, overdose, and storage

If you miss a dose

Not applicable: it's a single dose.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.