Person passing another a packer of tablets. Can i take EllaOne and Levonelle together? | e-Surgery

Why do we need the morning after pill?

Occasionally, we may find ourselves in unexpected situations. And, regardless of the circumstances, it’s vital to make sure that you’ve taken the appropriate measures to deal with the situation effectively.

This article, will discuss the two most common morning-after pills, and answer questions like can I take Ellaone and Levonelle together?


What is emergency contraception/morning after pill?


The morning-after pill is a type of emergency contraception that can be used after unprotected sex to reduce the likelihood of pregnancy. The morning-after pill is used by women worldwide to reduce their chances of becoming pregnant in the event of a missed pill, unprotected sex, or a condom that splits. Levonelle and Ellaone are two types of emergency contraceptive pills. Both contraceptives act by delaying or blocking the ovulation cycle (release of an egg). For a successful outcome, emergency contraception should be used as soon as possible. [1]

Woman taking morning after pill


What is Ellaone?


Ellaone is one of the most effective morning after pill medicines available.  This medicine is also known as a selective progesterone receptor modulator. A molecule called ulipristal acetate is the active ingredient, and it comes in the shape of a single tablet.

Ellaone is 95% effective when taken within five days following unprotected intercourse. It’s worth noting that those who don’t want to get pregnant should take ellaone as soon as possible after sex, rather than waiting the full 120 hours. [2]


What is Levonelle?


The emergency contraceptive pill levonelle is the most extensively used morning after pill on the market today. Levonelle contains a synthetic form of the natural hormone progesterone called levonorgestrel. Progesterone aids ovulation and prepares the uterus to accept a fertilized egg in a woman’s body. Some research still has to be done on how levonelle works. However, it is assumed to work primarily by blocking or delaying ovulation.

Additionally, levonelle doesn’t get in the way of your usual contraception. Although it is less effective than ellaone and may only be used within 72 hours of unprotected intercourse, it is a less expensive and a more flexible alternative.[1])


Can I take ellaone and levonelle together?


Ellaone should not be combined with another levonorgestrel-containing emergency contraceptive medication (Levonelle one step or Levonelle 1500). EllaOne is likely to make levonelle less effective, rather than having a combined impact with it.

Woman choosing between two morning after pills

Furthermore, ellaone may temporarily reduce the effectiveness of hormonal contraceptives such as tablets and patches. If you’re presently using hormonal contraception, keep using it as usual, but make sure you’re using condoms every time until your next period.[3] Regular contraception also has some other benefits such as reducing period pain and reducing hormonal acne. If you are looking to temporarily pause your period for a holiday or event, period delay pills like Norethisterone are an effective solution.

Which is better Levonelle or Ellaone?

Depending on preference, time frame, and availability, it is hard to say which treatment is better. If you are looking for an over the counter option, Ellaone would be the better solution. If you are happy with a prescription alternative that comes at a lower price point, then Levonelle may be better. Speak to your GP or Pharmacist if you are unsure and they will be able to discuss this with you.


Are there any side effects to emergency contraception?


Taking the emergency contraceptive pill has no major or long-term side effects. However, in rare cases, one or more of the following side effects may occur:

• Stomach pain

• Muscle, back or pelvic pain

• Irregular bleeding

• Nausea

• Headache

• Fatigue

• Tender breasts

• Changes in sex drive

• Anxiety

• Diarrhea

• Dry mouth

• Dizziness

• Vomiting (If you vomit within two hours of taking levonelle or three hours after using ellaone, consult your doctor since you’ll need to take another dose or get an IUD)

If you’re taking any other prescription medications for a health issue, talk to your pharmacist or doctor before taking ellaone or levonelle. 

If your symptoms don’t go away after a few days, see a doctor or nurse, or if:

• Your next period is more than 7 days late

• You think you might be pregnant

• Your period ends early and is lighter than usual

• You feel a sudden pain in your stomach- a fertilized egg may have implanted outside the womb (ectopic pregnancy)


Can I order emergency contraception online?


You can get the following emergency contraception pills from e-Surgery online:

EllaOne 30mg film coated tablet from e-Surgery Levonorgestrel Morning After Pill 1.5mg tablet from e-Surgery Levonelle levonrgestrel 1500 microgram tablet from e-Surgery

All buyers will have to fill out a brief 2-minute health questionnaire, which will be submitted to UK-registered prescribers. Your prescription will be delivered to your door once it has been approved. [4]

Patients should always see their doctor before starting a new medicine to ensure that there are no drug interactions.


Other emergency contraception options


The morning after pill, also known as ellaOne or Levonelle, isn’t the only type of emergency contraception available. Another option is the Intrauterine Device (IUD), sometimes known as the copper coil, which can be used for up to 5 days following sexual activity.

The IUD is also widely used as a continuous form of contraception, and it is both an excellent routine contraception method and the most effective emergency contraception option. However, the IUD requires pre-planning, making the morning after pill more convenient for those who find themselves in unexpected and undesirable situations.[1]




  1. I’ve had unprotected sex – Contraception (NHS inform)
  2. Understanding the different types of emergency contraception (Insider)
  3. Patient information leaflet for EllaOne (
  4. ᐅ Morning After: What Is Emergency Contraception? (E-Surgery)

Further Reading

  1. Emergency contraception (morning after pill, IUD) (NHS)
  2. Emergency Contraception What are my options? (Sexual Health Sheffield NHS)