USA: Exploring the Feasibility of Obtaining Mifepristone and Misoprostol from the Internet

0

ABSTRACT

Objectives.
We aimed to document the experience of buying abortion pills from online vendors that do not require a prescription and to evaluate the active ingredient content of the pills received. Study Design. We searched the internet to identify a convenience sample of websites that sold mifepristone and misoprostol to purchasers in the United States and attempted to order these products. We documented price, shipping time and other aspects of ordering. We sent the samples received to a testing laboratory that measured the amount of active ingredient in individual tablets.

Results. We identified 20 websites and ordered 22 products: 20 mifepristone-misoprostol combination products and two that contained only misoprostol. We received 18 combination products and the two misoprostol products from 16 different sites. No site required a prescription or any relevant medical information. The time between order and receipt of the 20 products ranged from 3-21 business days (median 9.5 days). The price for the 18 combination products ranged from $110 to $360, including shipping and fees; the products without mifepristone cost less. Chemical assays found that the 18 tablets labeled 200 mg mifepristone contained between 184.3 mg and 204.1 mg mifepristone, while the 20 tablets labeled 200 mcg misoprostol contained between 34.1 mcg and 201.4 mcg of the active ingredient.

Conclusions. Obtaining abortion medications from online pharmaceutical websites is feasible in the US. The mifepristone tablets received contained within 8% of the labeled amount of active agent. The misoprostol tablets all contained that compound but usually less than labeled.

IMPLICATIONS STATEMENT
Given our findings, we expect that some people for whom clinic-based abortion is not easily available or acceptable may consider self-sourcing pills from the internet to be a rational option.

Continued at source: http://www.contraceptionjournal.org/pb/assets/raw/Health%20Advance/journals/contra/CON_8985.pdf

See also this Commentary: http://www.contraceptionjournal.org/pb/assets/raw/Health%20Advance/journals/contra/CON_8984.pdf

Read more

U.S.: FDA urged to let abortion pill be sold at pharmacies

0

FDA urged to let abortion pill be sold at pharmacies

Posted: Wednesday, February 22, 2017
Associated Press

NEW YORK - The so-called abortion pill — now dispensed only in clinics, hospitals and doctors' offices — should be made available by prescription in pharmacies across the U.S., according to a group of doctors and public health experts urging an end to tough federal restrictions on the drug.

The appeal to the Food and Drug Administration came in a commentary published Wednesday in the New England Journal of Medicine. Among the 10 co-authors were doctors and academics from Stanford, Princeton and Columbia universities, as well as leaders of major reproductive-health organizations.

Continued at source: Chronicle Journal: http://www.chroniclejournal.com/life/health/fda-urged-to-let-abortion-pill-be-sold-at-pharmacies/article_7c2f39d3-1afe-56b1-99b7-f0a61474e46b.html

Read more