Mifepristone Is Under Legal Threat. The Other Abortion Pill Could Be Next

BY ALICE PARK
APRIL 25, 2023

The abortion pill mifepristone has been on uncertain legal ground ever since a Texas judge ruled that the U.S. Food and Drug Administration (FDA)’s approval more than two decades ago should be suspended. After the Department of Justice appealed the decision and requested that the Supreme Court step in, the high court decided that mifepristone should remain available while courts continue to decide its legal fate in a potentially lengthy appeals process.

With one abortion pill in legal limbo, experts are now worried about possible threats to the other one: misoprostol. The drug is FDA approved to treat ulcers and, when used with mifepristone, to induce abortion in the first trimester of pregnancy. Taking the pills together is more effective and linked to fewer side effects than using misoprostol alone. In many parts of the world, however, doctors use misoprostol alone for abortions. Health-care providers can still use misoprostol on its own for abortions or to manage miscarriages in what’s called “off-label” use, a common practice that allows them to prescribe any approved drug for purposes other than those for which they are indicated.

Continued: https://time.com/6274075/abortion-pill-misoprostol-legal-threat/


USA – Lawyers suggest a way around abortion pill restrictions but doctors may be afraid to try it

Doctors can prescribe abortion pills off-label if courts impose restrictions. Will they?

By ALICE MIRANDA OLLSTEIN
04/24/2023

The Supreme Court’s Friday decision punts the fate of the abortion pill mifepristone back to lower courts — maintaining the current level of access for now but leaving in jeopardy the most common method of terminating a pregnancy.

Some legal experts have argued that doctors can circumvent a key piece of the restrictions lower courts may impose by prescribing the pill off label. But physicians say it’s not that simple, and focusing on that technicality misses the larger peril facing doctors who help patients have an abortion.

Continued: https://www.politico.com/news/2023/04/24/off-label-abortion-pill-prescribing-00093377


U.S.: We Need Abortion Laws Based on Science

Graphic: Kelly Blair

By USHMA D. UPADHYAY
AUG. 30, 2016, New York Times

San Francisco — Sixteen years ago next month, the Food and Drug Administration approved the first “abortion pill,” and today medication abortion accounts for about a quarter of all nonhospital abortions in the United States. Not only is it safe and effective, but for women who live in the 89 percent of American counties that lack even a single abortion provider, it is often the only feasible option.

Not surprisingly, state legislatures bent on eliminating abortion access have targeted medication abortion, passing several new laws with the stated intention of safeguarding women’s health and safety. But in a research paper I co-wrote on Tuesday in the online journal PLOS Medicine, my colleagues and I found that such laws are not just covers for restricting abortion access — they can actually harm women’s health.

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Source: New York Times