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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 7 - Obstetrics, Gynaecology, and urinary-tract disorders 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
07.03.05 Emergency Contraception
BLMK Emergency Contraception Guidance
07.03.05 Hormonal methods
BLMK Emergency Contraception Guidance

Levonorgestrel
(1.5mg Tablets)

GREEN
Second Choice

Cu-IUD is the most effective method of EC - offer to all women provided the criteria for insertion is met and is acceptable.

Up to 72 hours after UPSI 

(to aid decision making, consult FSRH decision making algorithm or CKS guidance)

or

between 72 hours to 96 hrs after UPSI

• If other EC methods are unsuitable or declined, Levonorgestrel may be used up to 96 hours after UPSI (FSRH guidance, off-label use).

• Levonorgestrel is ineffective if taken more than 96 hours after UPSI.

See BLMK Emergency Contraceptive Guidance for further information.

Entry reviewed: October 2024

BNF BNFc SPC

Ulipristal (EllaOne®)
(30mg Tablets)

GREEN
Second Choice

Cu-IUD is the most effective method of EC - offer to all women provided the criteria for insertion is met and is acceptable.

Up to 72 hours after UPSI

(to aid decision making, consult FSRH decision making algorithm or CKS guidance)

or

between 72 hours to 120 hrs after UPSI if other EC methods are unsuitable or declined.

See BLMK Emergency Contraceptive Guidance for further information.

Entry reviewed: October 2024

BNF BNFc SPC
07.03.05 Intra-uterine device
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.