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Author Topic: US Protests Over Morning-After Pill
Willowdale Wizard
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posted 16 February 2004 09:12 AM      Profile for Willowdale Wizard   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
village voice, feb 15

quote:
Five feminists committed a crime in broad daylight this afternoon before some 100 cheering accomplices at Rockefeller Plaza.

The offense? Giving a friend the emergency contraceptive known as the "morning-after pill," which is still only available by prescription.

Dr. Linda W. Prine was on hand at the New York rally to aid and abet. She wrote out prescriptions—with twelve refills—to anyone who asked, including this reporter.

The "MAP Conspiracy" pledge was delivered last week to FDA commissioner Mark McClellan, who had been due to grant or deny over-the-counter status to "Plan B," manufactured by Barr Laboratories, by February 20 but announced on Friday that he was delaying the decision for 90 days.

The pill, not to be confused with the home-abortion drug RU-486, is essentially a megadose of the same hormones contained in ordinary birth-control pills, but is much safer, with nausea as the only common side effect. It’s stocked on drugstore shelves in 38 countries, including Canada.



From: england (hometown of toronto) | Registered: Jan 2003  |  IP: Logged
BleedingHeart
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posted 16 February 2004 02:05 PM      Profile for BleedingHeart   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
The morning after pill can be achieved by taking extra doses of any of the high potency oral contraceptives. In my day it was Ovral, and I believe you* were to take 2 pills right away and 2 pills 12 hours later. This was a fact that we single medical students knew, "just in case" although it never even came close to being necessary in most cases.

Please don't quote me on the dose, it has been many years, I have no idea what oral contraceptives are available now or what adverse effects have been uncovered in the last 20 years.

*not actually you, but the poor woman with whom you had had unprotected sex at the wrong time in her cycle (14 days before the next menstrual period on average)


From: Kickin' and a gougin' in the mud and the blood and the beer | Registered: Nov 2002  |  IP: Logged
Michelle
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posted 16 February 2004 03:42 PM      Profile for Michelle   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
I'm not sure how it is that giving women the morning after pill without a prescription is a good protest. Birth control pills are by subscription - why shouldn't morning after pills either be by prescription or at least through emergency clinics?

I don't think strong drugs like morning after pills should be sold over the counter. Women should have medical care when taking something so potent, just as women should have professional care when starting any drug-based contraception.


From: I've got a fever, and the only prescription is more cowbell. | Registered: May 2001  |  IP: Logged
this little girl
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posted 17 February 2004 10:24 AM      Profile for this little girl     Send New Private Message      Edit/Delete Post  Reply With Quote 
yes, bleeding heart, you are correct. it's 2 ovral pills then 2 more 12 hours later. some women get queasy from it, so take 2 gravol with each dose if necessary. it's not advised to take ecp more than once per menstrual cycle, but every now and then is okay. there's no adverse effect if it's used like this - for emergencies. you can get ecp from your local planned parenthood, other birth control clinics, some medi-clinics, and some hospitals. all pharmacists across the country can prescribe it on the spot - no doctor's visit necessary, but watch out for those who are misinformed and misguided. good idea to call ahead! or you could stock up in advance. my local planned parenthood gives the ovral version for free and carries another brand called plan b which is sold for $15.00. the main difference between the 2 is that plan b is gentler on the stomach.

[ 17 February 2004: Message edited by: this little girl ]


From: fresh off the boat from virginia | Registered: Nov 2003  |  IP: Logged
googlymoogly
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posted 17 February 2004 10:37 AM      Profile for googlymoogly     Send New Private Message      Edit/Delete Post  Reply With Quote 
Plan b (unlike the other brand) is one pill every 12 hours instead of 2 each time. It's something like 9 dollars here at my local clinic.

[ 17 February 2004: Message edited by: googlymoogly ]


From: the fiery bowels of hell | Registered: Mar 2003  |  IP: Logged
Willowdale Wizard
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posted 17 February 2004 12:44 PM      Profile for Willowdale Wizard   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
Birth control pills are by subscription - why shouldn't morning after pills either be by prescription or at least through emergency clinics?

if it is supposed to be taken "the morning after", it's not very workable by prescription if it's the first time you're using it.


From: england (hometown of toronto) | Registered: Jan 2003  |  IP: Logged
audra trower williams
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posted 17 February 2004 12:56 PM      Profile for audra trower williams   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
Heh. "Subscription".
From: And I'm a look you in the eye for every bar of the chorus | Registered: Apr 2001  |  IP: Logged
'lance
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posted 17 February 2004 12:58 PM      Profile for 'lance     Send New Private Message      Edit/Delete Post  Reply With Quote 
Join the "Pill-of-the-Month Club"!
From: that enchanted place on the top of the Forest | Registered: Jul 2001  |  IP: Logged
Willowdale Wizard
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posted 17 February 2004 01:04 PM      Profile for Willowdale Wizard   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
i think michelle's still thinking about magazines from another thread
From: england (hometown of toronto) | Registered: Jan 2003  |  IP: Logged
Michelle
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posted 17 February 2004 02:47 PM      Profile for Michelle   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
Haha!

Oh man. And you know, I actually CHANGED one of those words from "subscription" to "prescription" - I remember doing it and thinking it was funny that I would get it mixed up. It's one of those mental block things. I know the difference between the two.


From: I've got a fever, and the only prescription is more cowbell. | Registered: May 2001  |  IP: Logged
audra trower williams
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posted 17 February 2004 04:52 PM      Profile for audra trower williams   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
I know you do. If you didn't, I wouldn't make fun
From: And I'm a look you in the eye for every bar of the chorus | Registered: Apr 2001  |  IP: Logged
Loony Bin
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posted 17 February 2004 05:11 PM      Profile for Loony Bin   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
I don't think strong drugs like morning after pills should be sold over the counter. Women should have medical care when taking something so potent, just as women should have professional care when starting any drug-based contraception.

I agree with this pretty strongly. I also think that the "home-remedy" morning after pill as described above is a bit sketchy. There are websites that'll tell you how many of your own brand of pills you should take to get the MAP effect (assuming you're a pill-taker, I guess), and it scares me to think that some women would just refer to such a site (or their friends etc.), take two or four or six of their regular bc pills and never see a doctor about it. It just seems pretty dangerous to self-medicate with artificial hormones.

I think the better solution, and more important objective for repro-rights activists is to have the morning after pill become a readily available and freely advocated medication, but keep it within the realm of the doctor's office. It should be prescribed without judgement, and all pharmacists should be required to fill the prescription without judgement.

Just a note on the side: it's a good idea to get your doctor to write you a prescription for the MAP with a couple of refills, since accidents don't always happen during office hours. A woman-friendly, understanding doctor might even give you such a prescription when she writes the script for your regular pill, or at a routine check-up, even if you don't exactly need it at that moment.


From: solitary confinement | Registered: Feb 2004  |  IP: Logged
terra1st
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posted 17 February 2004 05:16 PM      Profile for terra1st     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
Originally posted by Lizard Breath:
I think the better solution, and more important objective for repro-rights activists is to have the morning after pill become a readily available and freely advocated medication, but keep it within the realm of the doctor's office.

and kids in small towns just trust that their doctor or pharmacist won't tell their parents, right?

you've got to be kidding me.


From: saskatoon | Registered: Oct 2003  |  IP: Logged
Loony Bin
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posted 17 February 2004 05:23 PM      Profile for Loony Bin   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
Well, I hadn't really thought about that kind of difficulty, but there are actually laws about doctor-patient confidentiality etc...

I suppose if the pharmacist is able to provide the same kind of information that a doctor could, then it might be reasonable to have it available from behind the counter, but I have a lot of qualms about it being available off the drug-store shelf like a box of condoms. I dunno...it just seems risky to have it totally freely available without any medical supervision or support. They really are quite potent drugs.


From: solitary confinement | Registered: Feb 2004  |  IP: Logged
Scout
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posted 17 February 2004 05:37 PM      Profile for Scout     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
They really are quite potent drugs.

Really...? Just what are they gonna be used for that's so dangerous or what terrible thing will happen if taken for no reason? This isn't RU486 you realize? Right?


From: Toronto, ON Canada | Registered: Oct 2001  |  IP: Logged
Michelle
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posted 17 February 2004 05:50 PM      Profile for Michelle   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
Originally posted by terra1st:
and kids in small towns just trust that their doctor or pharmacist won't tell their parents, right?

you've got to be kidding me.


You trust the cashier at the drug store where someone might buy it over the counter more than a pharmacist or doctor to not breach confidentiality?

Regarding the comment about not having time to get a prescription - that's why I believe I mentioned either through a doctor's prescription, or through a clinic. If you have time to go to the drug store and buy the pills, you'd think there would be time to go to a drop-in clinic and get them there. Besides, they're not just the morning after - they can be used up to three days after.


From: I've got a fever, and the only prescription is more cowbell. | Registered: May 2001  |  IP: Logged
Loony Bin
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posted 17 February 2004 05:51 PM      Profile for Loony Bin   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
You're talking to someone who gets nervous about overdosing on vitamin supplements.

I tend to think that artificial hormones fall into a category of consumables that should come with at least a little bit of medical advice. Even if it's just the very first time you ever take it, like with yeast infection treatments, I think a doctor's visit isn't unreasonable.


From: solitary confinement | Registered: Feb 2004  |  IP: Logged
windymustang
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posted 17 February 2004 06:01 PM      Profile for windymustang     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
If you have time to go to the drug store and buy the pills, you'd think there would be time to go to a drop-in clinic and get them there

Not all communities have drop in clinics. Hell, out here in rural Manitoba, a lot of our small towns don't even have clinics or hospitals anymore, same goes for Saskatchewan and Alberta.
Edited to add:
It's often the poorer people who require these services, and they don't have a car to get to the next town to see a doctor. Often they don't have the money for a two way bus ticket $15-20 to get to the next town.

[ 17 February 2004: Message edited by: windymustang ]


From: from the locker of Mad Mary Flint | Registered: Oct 2003  |  IP: Logged
Anchoress
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posted 17 February 2004 07:30 PM      Profile for Anchoress     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
Originally posted by windymustang:
[QB]
It's often the poorer people who require these servicesQB]

Is that because the poorer a person is the more likely she is to mess up her birth control? Have unprotected sex? Treat a potential pregnancy as unwanted?


From: Vancouver babblers' meetup July 9 @ Cafe Deux Soleil! | Registered: Nov 2003  |  IP: Logged
Michelle
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posted 17 February 2004 10:37 PM      Profile for Michelle   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
Originally posted by Anchoress:
Is that because the poorer a person is the more likely she is to mess up her birth control? Have unprotected sex? Treat a potential pregnancy as unwanted?

Possibly the poorer you are, the more likely it is that you can't afford birth control and possibly have unprotected sex, and perhaps not feel you are financially stable enough to have a child. I doubt that windy was trying to say that poor people are irresponsible.


From: I've got a fever, and the only prescription is more cowbell. | Registered: May 2001  |  IP: Logged
BleedingHeart
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posted 17 February 2004 11:30 PM      Profile for BleedingHeart   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
quote:
and kids in small towns just trust that their doctor or pharmacist won't tell their parents, right?


Just about every doctor I knew in general practice would not tell the parents if they prescribed the pill to a teenager and some of them took a lot of flak when they were caught.

Pharmacy is of course a different matter. I'm thinking of the episode on the 70s Show where Donna goes on the pill.

A friend of mine had a potent reproductive misadventure in Jamaica so he phoned a doctor to get a prescription for Ovral and was told that they are available over the counter in Jamaica.

Lots of dangerous drugs are of course available over the counter like aspirin and Tylenol. The one reservation I have about oral contraceptives over the counter is not that they'll get used but rather they won't get used correctly.


From: Kickin' and a gougin' in the mud and the blood and the beer | Registered: Nov 2002  |  IP: Logged

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