Frequently Asked Questions - Consumers

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When did you have unprotected sex or birth control failure?

Answers to Frequently Asked Questions About Next Choice One Dose™

1. What is Next Choice One Dose™?

Next Choice One Dose™ is emergency contraception in a single pill. It is a generic product that is FDA approved and is comparable to Plan B One-Step®. It is a backup method of preventing pregnancy and is not to be used routinely. It helps prevent pregnancy after birth control failure or unprotected sex, for example:

  • If a birth control method fails (such as when a condom breaks or slips)
  • If you don’t take your birth control pills as directed
  • If a forced sexual encounter occurs

Next Choice One Dose™ contains levonorgestrel, a hormone that has been used in many birth control pills. It differs from regular birth control pills in that it contains a larger dose of levonorgestrel.

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2. How does Next Choice One Dose™ work?

Next Choice One Dose™ prevents a pregnancy in a way similar to regular birth control pills. It is believed that Next Choice One Dose™ prevents the egg from being released from the ovary (ovulation). It may also work by preventing fertilization of an egg (uniting of sperm and the egg) or by preventing attachment (implantation) to the uterus (womb).

Next Choice One Dose™ contains levonorgestrel, a hormone used in birth control pills for many years. The dose of levonorgestrel in Next Choice One Dose™ is higher than in a birth control pill. When taken as directed, it will not end a pregnancy and is not likely to cause harm to you or your pregnancy.

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3. Can Next Choice One Dose™ be used as a method for regular birth control?

No. Next Choice One Dose™ should not be used to replace your regular method of birth control. Next Choice One Dose™ is simply not as effective as most traditional birth control methods when they are used correctly. It is an emergency method of contraception to be used only when regular birth control fails or is not used. It is important to remember that if you have unprotected sex after taking Next Choice One Dose™, it will not help protect you from getting pregnant. To help prevent pregnancy, you should take Next Choice One Dose™ as soon as possible AFTER unprotected intercourse.

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4. When should Next Choice One Dose™ be used?

Next Choice One Dose™ is an emergency method of birth control. It should be used within 72 hours (3 days) after unprotected sex or contraceptive failure if you do not want to become pregnant.

For example, Next Choice One Dose™ can help prevent unplanned pregnancies when:

  • A birth control method fails (such as when a condom breaks or slips)
  • You don’t take your birth control pills as directed
  • You do not use birth control (such as when there is a forced sexual encounter or you forget to use your current birth control method)
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5. When should I NOT use Next Choice One Dose™?

Next Choice One Dose™ should only be considered an emergency method of contraception. It should not be used if you:

  • Are relying on it for regular birth control. Most other methods of birth control are more effective when used properly and consistently
  • Are already pregnant, because it will not work
  • Are allergic to levonorgestrel or any ingredients in Next Choice One Dose™
  • Want protection against HIV (the AIDS virus) or other STDs because Next Choice One Dose™ does not protect against HIV or other STDs
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6. When should I take Next Choice One Dose™?

Next Choice One Dose™ should be taken as soon as possible, but not later than 72 hours (3 days), after unprotected sex, forced sexual encounter, or a known or suspected contraceptive failure and if you do not want to become pregnant.

If you throw up within 2 hours of taking the medication, call a healthcare provider to determine if a repeat dose will be needed.

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7. How can I get the best results with Next Choice One Dose™?

After unprotected sex, you only have a few days to try to prevent pregnancy. The sooner you take Next Choice One Dose™, the better it will work. Be sure to take Next Choice One Dose™ as soon as possible but not later than 72 hours (3 days) after unprotected sex, forced sexual encounter, or a known or suspected contraceptive failure.

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8. How will I know if Next Choice One Dose™ worked?

For most women, the next menstrual period will come at the expected time or within 1 week of its expected time. If it is delayed beyond 1 week, you could be pregnant. You should take a pregnancy test and follow up with your healthcare provider.

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9. What if I am already pregnant and use Next Choice One Dose™?

There is no medical evidence that Next Choice One Dose™ would harm a developing baby. If you take it (accidentally) after you are already pregnant or it does not work and you become pregnant, it is not likely to cause any harm to you or your pregnancy. The pregnancy will continue. Next Choice One Dose™ will not work if you are already pregnant.

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10. How often can I use Next Choice One Dose™?

Next Choice One Dose™ should only be used infrequently when emergency protection is needed. If you require emergency contraception more often, please consult with your healthcare provider for guidance on birth control and the prevention of STDs.

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11. Are there any side effects associated with Next Choice One Dose™?

When used as directed, menstrual changes (such as spotting or bleeding prior to a period), nausea (feeling sick to your stomach), vomiting, stomach pain, tiredness, headache, dizziness, or breast pain may occur. Your next period could be heavier or lighter, earlier or later. If your period is more than a week late, you should get a pregnancy test, and follow up with your healthcare provider.

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12. Are there warnings that I should know about with Next Choice One Dose™?

Next Choice One Dose™ does not protect against HIV (the AIDS virus) or other STDs. It is not for women who are already pregnant (because it will not work), allergic to levonorgestrel or any of the ingredients in Next Choice One Dose™, or looking for a regular birth control method.

Possible side effects include menstrual changes (such as spotting or bleeding prior to a period), nausea (feeling sick to your stomach), vomiting, stomach pain, tiredness, headache, dizziness, and breast pain.

If you experience severe pain in the lower stomach, you may have a pregnancy outside the uterus, which is called a tubal pregnancy. A tubal pregnancy requires immediate medical treatment, so you should see a healthcare professional right away in these types of situations.

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13. When can I begin taking my regular birth control pills after taking Next Choice One Dose™?

Be sure to check with your healthcare provider for instructions on how to take your oral contraceptive. Rapid return to fertility is likely following use of Next Choice One Dose™, therefore routine contraception should be continued or initiated as soon as possible following use of Next Choice One Dose™ to ensure ongoing pregnancy prevention.

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14. Where can I learn more about Next Choice One Dose™?

If you have questions or need more information about this product, call our toll-free number, 1-866-9WATSON, or talk to your healthcare provider.

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Important Safety Information

Next Choice One Dose™ is an emergency contraceptive that helps prevent pregnancy after unprotected sex or birth control failure. Next Choice One Dose™ should not be used as regular birth control. Next Choice One Dose™ is available without a prescription for women 17 years of age or older. If you are younger than 17, a prescription is required. Next Choice One Dose™ should not be used if you are already pregnant. If you become pregnant or have severe lower abdominal pain after taking Next Choice One Dose™, you should be evaluated for a pregnancy outside the uterus, which is called a tubal pregnancy. A tubal pregnancy requires immediate medical treatment, so you should see a healthcare professional right away. If you are already pregnant, Next Choice One Dose™ will not work. If your next expected period after taking Next Choice One Dose™ is more than one week late, you may be pregnant. Next Choice One Dose™ does not protect against HIV or other sexually transmitted diseases (STDs). Next Choice One Dose™ contains the color additive FD&C Yellow #6. Side effects may include heavier menstrual bleeding, nausea, lower stomach (abdominal) pain, tiredness, headache, and dizziness. If you vomit within 2 hours of taking the medication, call a healthcare professional to find out if you should repeat the dose.

To report side effects of prescription drugs to the FDA, visit fda.gov/medwatch or call 1-800-FDA-1088.

For more information about Next Choice One Dose™, please call our Medical Communications Department at 1-866-9WATSON or see full Prescribing Information.

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