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Morning After Pill - Emergency Contraceptive
Emergency contraceptive pill —referred to simply as "emergency contraception," "ECPs," or "ECs", or "morning-after pill" —are hormones that act both to prevent ovulation or fertilisation, or possibly, post-fertilisation, subsequent implantation of a blastocyst (embryo). ECPs are not to be confused with chemical abortion methods that act after implantation has occurred.  The "morning after" pill consists of two doses of hormone pills taken as soon as possible within 72 hours after unprotected intercourse.

Barr Pharmaceuticals Inc. and the Food and Drug Administration are scheduled to meet Tuesday to discuss the company’s bid to sell its morning-after contraceptive Plan B without a prescription, the agency said Wednesday.  “The FDA and Barr Labs will meet on Tuesday in Washington, D.C. to discuss the letter we sent to the company” earlier this week, agency spokeswoman Susan Bro said.

In a letter to Barr Monday, the FDA said it was taking a new look at proposed sales of Plan B without a prescription. The agency said the pills would be kept behind pharmacy counters and women would need to ask for them. Women younger than 18 still would need a prescription.

The FDA added it that it hoped to wrap up Barr’s application, which has lingered at the agency since 2003, within weeks.  The pending decision over Plan B — a set of two pills that can prevent pregnancy if taken within 72 hours of sexual intercourse — has been controversial, with supporters and critics alike relentlessly lobbying the FDA. It has also held up confirmation of an FDA chief.

Plan B - No Prescription
Whether drugstores even agree to carry nonprescription Plan B will depend largely on whether such steps are required.  "A lot of it is going to be the ease with which it can be handled in the retail store," says Mary Ann Wagner of the National Association of Chain Drug Stores.

If FDA rejects nonprescription sales nationally, the small but growing Plan B state rebellion is sure to continue. It's legal for states to allow behind-the-counter sales because states, not the federal government, regulate how pharmacists practice, explains Dr. Alastair Wood of Vanderbilt University, a well-known pharmacologist who advises the FDA.

Still, Wood says conflicting state policy over a drug long considered safe makes little sense.  Plan B contains a higher dose of the hormones in regular birth control pills. It cuts the chances of pregnancy by up to 89 percent if used within 72 hours of rape, condom failure or just forgetting routine contraception.  The earlier it's taken, the more effective it is. But it can be hard to find a doctor to write a prescription in time, especially on weekends and holidays. Hence the push to allow nonprescription sales here, just as in Britain and Canada.

Few Side Effects
If a woman already is pregnant, the pills have no effect. They prevent ovulation or fertilization of an egg; they also may prevent the egg from implanting into the uterus, the medical definition of pregnancy, although recent research suggests that's not likely.  Contraceptive advocates and doctors' groups say easier access could halve the nation's 3 million annual unintended pregnancies.

FDA's own scientists call the pills extremely safe, used by more than 2.4 million Americans and millions more women abroad with few side effects. FDA's independent scientific advisers overwhelmingly backed over-the-counter sales in December 2003.  But FDA rejected that move, citing concern about young teens' use of the pills without a doctor's guidance.

Maker Barr Laboratories reapplied, asking that women 16 and older be allowed to buy Plan B without a prescription while younger teens continue to get a doctor's note. When FDA missed a January deadline to decide, members of Congress refused to seat the agency's new commissioner until he pledged a new deadline

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