Overview
| Generic Names: | Levonorgestrelum [INN-Latin]; SOH-075 |
|---|---|
| Trade Names: | 72-HOURS; Follistrel; Jadelle; Levlen; Levlen Ed; Levonelle; Levonova; Levora-21; Levora-28; Logynon Ed; Malloside; Microgest Ed; Microgyn; Microgynon 21; Microgynon 28; Microgynon 30 Ed; Microgynon Cd; Microlution; Microval; Minivlar 30; Mirena; Monofeme 28; Neogynon 21; NorLevo; Nordet; Nordette; Nordette 21; Nordette 28; Norplant; Norplant 2; Norplant II; Ovral-Lo; Ovranette; Ovrette; Plan B; Postinor-2; Stediril 30; Tri-Levlen; Tri-Levlen 21; Triagynon; Triciclor; Trifeme 28; Trigoa; Trinordiol 21; Trinordiol 28; Trivora |
| Brand Mixtures: | Alesse 21 Tablets (Ethinyl Estradiol + Levonorgestrel); Alesse 28 Tablets (Ethinyl Estradiol + Levonorgestrel); Min-Ovral 21 (Ethinyl Estradiol + Levonorgestrel); Min-Ovral 21 Tab (Ethinyl Estradiol + Levonorgestrel); Min-Ovral 28 (Ethinyl Estradiol + Levonorgestrel); Min-Ovral 28 Tab (Ethinyl Estradiol + Levonorgestrel); Preven Tablets (Ethinyl Estradiol + Levonorgestrel); Rigevidon 21+7; Triphasil 21 (Ethinyl Estradiol + Levonorgestrel); Triphasil 21 Tab (Ethinyl Estradiol + Levonorgestrel); Triphasil 28 (Ethinyl Estradiol + Levonorgestrel); Triphasil 28 Tab (Ethinyl Estradiol + Levonorgestrel); Triquilar 21 Tab (Ethinyl Estradiol + Levonorgestrel); Triquilar 28 Tab (Ethinyl Estradiol + Levonorgestrel) |
| PharmGKB Accession Id: | PA450218 |
Description
A synthetic progestational hormone with actions similar to those of progesterone and about twice as potent as its racemic or (+-)-isomer (norgestrel). It is used for contraception, control of menstrual disorders, and treatment of endometriosis. PubChem (source: Drug Bank)
Indication
For the treatment of menopausal and postmenopausal disorders and alone or in combination with other hormones as an oral contraceptive. (source: Drug Bank)
ATC Therapeutic Categories
- G02BA:Intrauterine contraceptives
- G03AC:Progestogens
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Binds to the progesterone and estrogen receptors. Target cells include the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Once bound to the receptor, progestins like levonorgestrel will slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH (luteinizing hormone) surge. (source: Drug Bank)
Pharmacology
Levonorgestrel is a progestin or a synthetic form of the naturally occurring female sex hormone, progesterone. In a woman's normal menstrual cycle, an egg matures and is released from the ovaries (ovulation). The ovary then produces progesterone, preventing the release of further eggs and priming the lining of the womb for a possible pregnancy. If pregnancy occurs, progesterone levels in the body remain high, maintaining the womb lining. If pregnancy does not occur, progesterone levels in the body fall, resulting in a menstrual period. Levonorgestrel tricks the body processes into thinking that ovulation has already occurred, by maintaining high levels of the synthetic progesterone. This prevents the release of eggs from the ovaries. (source: Drug Bank)
Food Interactions
Avoid alcohol.
Avoid excessive quantities of coffee or tea (Caffeine).
Increase dietary intake of magnesium, folate, vitamin B6, B12, and/or consider taking a multivitamin.
Take at the same time everyday.
Take with food.
(source:
Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Hepatic (source: Drug Bank)
Protein Binding
55% (source: Drug Bank)
Absorption
Levonorgestrel is not subjected to a "first-pass" effect and is virtually 100% bioavailable. (source: Drug Bank)
Toxicity
LD<sub>50</sub>>5000 mg/kg (orally in rats) (source: Drug Bank)
Isomeric SMILES Code:
CC[C@]12CC[C@H]3[C@H]([C@@H]1CC[C@]2(C#C)O)CCC4=CC(=O)CC[C@H]34 (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
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ACSL1 |
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AR |
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ATP1A1 |
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ATP1B1 |
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BCL6 |
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C7orf68 |
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CRP |
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CXCL12 |
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HSD11B2 |
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KLF4 |
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NET1 |
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PGR |
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PPL |
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S100P |
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TSC22D3 |
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VCAM1 |
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Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| ESR1 |
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(source: Drug Bank) |
| PGR |
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(source: Drug Bank) |
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| amobarbital |
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Phenobarbital decreases the effect of levonorgestrel (source: Drug Bank) |
| butalbital |
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Phenobarbital decreases the effect of levonorgestrel (source: Drug Bank) |
| carbamazepine |
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Carbamazepine decreases the contraceptive effect (source: Drug Bank) |
| hexobarbital |
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Phenobarbital decreases the effect of levonorgestrel (source: Drug Bank) |
| mephenytoin |
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Phenytoin decreases the contraceptive effect (source: Drug Bank) |
| methylphenobarbital |
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Phenobarbital decreases the effect of levonorgestrel (source: Drug Bank) |
| pentobarbital |
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Phenobarbital decreases the effect of levonorgestrel (source: Drug Bank) |
| phenobarbital |
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Phenobarbital decreases the effect of levonorgestrel (source: Drug Bank) |
| phenytoin |
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Phenytoin decreases the contraceptive effect (source: Drug Bank) |
| primidone |
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Phenobarbital decreases the effect of levonorgestrel (source: Drug Bank) |
Curated Information
The following diseases are in curated knowledge about this drug.
| Disease | Relationship | Evidence | |
|---|---|---|---|
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Colorectal Neoplasms |
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Publications |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
Additional Datasets
These datasets are minimally curated and are sorted alphabetically by title.
LinkOuts
Common Searches
Search PubMed
Search Medline Plus
Search PubChem
Search CTD
Non-Curated Publications
A list of non-curated publications that mention this drug is available.
