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Morning-after pill approved without prescription.

http://www.cnn.com/2006/HEALTH/08/24/morning.after.pill.ap/index.html

Morning-after pill to be available without prescription
Buyers must prove they're 18 or older

Thursday, August 24, 2006; Posted: 11:24 a.m. EDT (15:24 GMT)

Plan B will be available over the counter to women 18 or older, the Food and Drug Administration says.
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Manage Alerts | What Is This? WASHINGTON (AP) -- Women may buy the morning-after pill without a prescription -- but only with proof they're 18 or older, federal health officials ruled Thursday, capping a contentious 3-year effort to ease access to the emergency contraceptive.

Girls 17 and younger still will need a doctor's note to buy the pills, called Plan B, the Food and Drug Administration told manufacturer Barr Pharmaceuticals Inc.

The compromise decision is a partial victory for women's advocacy and medical groups that say eliminating sales restrictions could cut in half the nation's 3 million annual unplanned pregnancies. Opponents have argued that wider access could increase promiscuity.

The long delay had ensnared President Bush's nominee to head the FDA. Thursday, two senators lifted their blockade on the nomination, making confirmation of Dr. Andrew von Eschenbach as FDA's commissioner likely next month.

"While we urge the FDA to revisit placing age restrictions on the sale of Plan B, it is real progress that millions of American women will now have increased access to emergency contraception," Sens. Hillary Rodham Clinton, D-New York, and Patty Murray, D-Washington, who had held up the confirmation, said in a joint statement.

The pills are a concentrated dose of the same drug found in many regular birth-control pills.

When a woman takes the pills within 72 hours of unprotected sex, she can lower the risk of pregnancy by up to 89 percent. If she already is pregnant, the pills have no effect.

Barr has said it hopes to begin nonprescription sales of Plan B by the end of the year.

The pills will be sold only from behind the counter at pharmacies, so the pharmacist can check photo identification.

There isn't enough scientific evidence that young teens can safely use Plan B without a doctor's supervision, von Eschenbach said in a memo obtained by The Associated Press.

But Barr did prove that over-the-counter use is safe for older teens and adults -- and licensed pharmacies are used to checking for proof of age 18 before selling tobacco and certain other products, von Eschenbach wrote in explaining the agency's age cutoff.

"This approach should help ensure safe and effective use of the product," he concluded.

Plan B's maker was disappointed that FDA imposed the age restriction and pledged to continue trying to get the agency to try to eliminate it.

"While we still feel that Plan B should be available to a broader age group without a prescription, we are pleased that the agency has determined that Plan B is safe and effective for use by those 18 years of age and older as an over-the-counter product," said Bruce L. Downey, Barr's chairman.

As a condition of approval, Barr agreed to track whether pharmacists are enforcing the age restriction, by, among other things, sending anonymous shoppers to buy Plan B.

The two-pill pack of Plan B costs from $25 to $40. A Barr spokeswoman estimated that pharmacists dispense about 1.5 million packs a year.

Did politics trump science?
The age restriction remains controversial even inside FDA.

The FDA approved prescription-only sales of Plan B in 1999, and the quest to sell nationwide without a doctor's note began in 2003. That year, the agency's independent scientific advisers overwhelmingly backed nonprescription sales for all ages, and FDA's staff scientists agreed.

But higher-ranking officials rejected that decision, citing concern about young teens' use of the pills without a doctor's oversight. Last August, the FDA postponed a final decision indefinitely, saying the agency needed to determine how to enforce those age restrictions.

FDA's handling of Plan B sparked a firestorm: Critics charged that political ideology had trumped science; a reproductive-rights group sued to force FDA to settle the issue; and congressional auditors concluded the agency may have made decisions without reviewing all the evidence.

Still, nationwide nonprescription sales were widely considered a doomed issue until last month, when the FDA reversed itself and said it would reconsider if Barr agreed to an age 18 restriction. That surprise announcement came on the eve of a Senate committee hearing on whether to confirm von Eschenbach as FDA's new head.

"While I am glad that the drumbeat for a return to a science-based FDA has had some positive impact, this decision still represents a compromise, one that could have the unintended consequence of hurting young women's health," said Dr. Susan Wood, who resigned as FDA's women's health chief to protest the agency's 2005 delay.

But opponent Wendy Wright, president of Concerned Women for America, said Plan B's wider availability could give women a false sense of security, since it isn't as effective as regular birth control. Wright also worries that adult men who have sex with minor girls could force the pills upon them.

"Statutory rape is a very serious problem. This decision is going to allow statutory rapists to rely on this drug to cover up their abuse," Wright said.

Copyright 2006 The Associated Press. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.



In my opinion the most important aspect of this decision is that von Eschenbach's confirmation should sail through the Senate easily next month.


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