Madonna One Special Precautions

Effect on menses: Menstrual bleeding patterns are often irregular among women using progestin-only oral contraceptives and in clinical studies of levonorgestrel for postcoital and emergency contraceptive use. Some women may experience spotting a few days after taking levonorgestrel. If there is a delay in the onset of menses beyond 1 week, consider the possibility of pregnancy.
Sexually transmitted disease: Levonorgestrel does not protect against HIV infection (AIDS) and other sexually transmitted diseases.
Carbohydrate metabolism: The effects of levonorgestrel on carbohydrate metabolism are unknown. Some users of progestin-only contraceptives may experience slight deterioration in glucose tolerance, with increases in plasma insulin; however, women with diabetes mellitus who use progestin-only oral contraceptive do not generally experience changes in their insulin requirements. Nonetheless, monitor diabetic women while they are taking levonorgestrel.
Use in Pregnancy: Ectopic pregnancy: Consider a history of ectopic pregnancy a contraindication of using the emergency contraceptive method. However, be alert to the possibility of an ectopic pregnancy in women who become pregnant or complain of lower abdominal pain after taking levonorgestrel.
Pregnancy may occur despite the correct use of this drug.