this post was submitted on 03 Jan 2024
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Medication abortion accounts for more than half of all abortions in the U.S., and typically involves two drugs: mifepristone and misoprostol. A research letter published Tuesday in JAMA Internal Medicine looked at requests for these pills from people who weren’t pregnant and sought them through Aid Access, a European online telemedicine service that prescribes them for future and immediate use.

Aid Access received about 48,400 requests from across the U.S. for so-called “advance provision” from September 2021 through April 2023. Requests were highest right after news leaked in May 2022 that the Supreme Court would overturn Roe v. Wade — but before the formal announcement that June, researchers found.

Nationally, the average number of daily requests shot up nearly tenfold, from about 25 in the eight months before the leak to 247 after the leak. In states where an abortion ban was inevitable, the average weekly request rate rose nearly ninefold.

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[–] Sterile_Technique@lemmy.world 16 points 8 months ago (2 children)

This makes me worried about shelf life. Medication expires, but it's not like food where you can give it a whiff to assess if it's still good. It'll look, feel, and taste the same; it'll just slowly start losing its potency. Someone who needs it might take it as instructed on the bottle, but only actually be receiving a quarter dose or something. I'd guess there's threshold in which a dose isn't strong enough to terminate the pregnancy, but is strong enough fuck up the physiology involved, for both the mother and fetus. So, she'll still be in need of an abortion, but other health risks could pop up, and she may not know it until the fetus develops into some fucking nightmare fuel due to a partial medication dosage.

If any pharmacologists happen to read this, please weigh in. I'd guess the solution would be some kind of calculation like "if it's ___ months past its expiration date, take ____ pills to match the potency of one non-expired pill" and if that's the case, we need to get that info circulating asap.

[–] homura1650@lemm.ee 9 points 8 months ago (2 children)

I'm not aware of any research on plan B specifically; but most medicines retain there effectiveness for decades past their stated expiration date.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040264/

[–] Sterile_Technique@lemmy.world 1 points 8 months ago

That's definitely comforting - hopefully Plan B is among the 90%, but I still wouldn't feel comfortable with leaving it at 'probably'.

...or, y'know, we could stop passing laws that are designed to be as evil as fucking possible, and this whole conversation becomes moot. -_-

[–] urist@lemmy.blahaj.zone 1 points 8 months ago* (last edited 8 months ago) (1 children)

Plan B is contraception, not an abortion drug.

It’s for when the condom breaks, not for when you are already pregnant. It’s also legal in states where abortions are illegal (because it isn’t an abortion drug).

The drugs that are being stockpiled are probably Misoprostol and Mifepristone. (Edit- I read the article more thoroughly, they are specifically talking about these two drugs not plan B)

[–] bigMouthCommie@kolektiva.social 0 points 8 months ago (1 children)

I think it's awful that I need to preface this with "I oppose all laws, including those that make abortions illegal" but let that suffice

if a sperm meeting and egg and beginning cellular division is the beginning of a human life, and plan b prevents that zone from embedding in the urine weak, then it is arguably whether plan b is an abortion. you have stated that it is not, but without defining an abortion, and I think it's obvious, by most definitions of abortion, plan b is an abortion.

[–] urist@lemmy.blahaj.zone 2 points 8 months ago

We are on the same side. That said:

  1. the FDA recognizes that plan b stops or delays ovulation, so it’s method of contraception is not what you describe: Link to FDA faq. This page specifically addresses the claim that plan B prevents implantation (the fda says it does not).

  2. the article is specifically about two drugs that are not plan B and are abortifacients.

[–] TalesFromTheKitchen@lemmy.ml 8 points 8 months ago

My exact thought when reading this. I might not throw away a pack of ibuprofen if its over the shelf life, but with hormone based products this might be a whole different story.