Emergency contraception: Knowledge and attitudes of Nova Scotian family physicians, Driven to distraction, doctors and patients are renegotiating virtual visits, Increasing safety concerns over medical licensing exam, Public health experts are learning from Canada’s anti-mask protests, Reproductive health, infertility & pregnancy. What should I expect? This is completely false. (Canadian residents only) Get $5 off* *Offer not available in Québec. Canada has become the fifth country in the world to approve the off-the-shelf sale of levonorgestrel (Plan B), the emergency contraception drug, after the National Association of Pharmacy Regulatory Authorities recommended it come out from behind the pharmacy counter. Plan B® comes in a one-pill dose (levonorgestrel 1.5 mg). Plan B® is also available at many CISSS. This matters because emergency contraception is a product needed urgently by people who have just had unprotected sex and don’t want to get pregnant. Last month, during a routine grocery run, I noticed out of the corner of my eye a card on the shelf advising customers looking for Plan B One-Step to go to the pharmacy or customer service desk. According to Harris Teeter’s own materials, the chain’s “pharmacies provide shoppers with a number of services to make their experience easier.”. After I posted about it on Twitter, a member of Harris Teeter’s social media team sent me the following direct message: Hi! Copyright 2020, Joule Inc. or its licensors. The picture in Alberta is also uncertain. As an OB-GYN, I can attest that emergency contraceptive use is extremely underreported and rarely discussed with a physician. Still, putting a card on the shelf for presentation to the pharmacy seems to be an awfully convoluted practice of making a product available over the counter. Plan B One-Step and generic levonorgestrel emergency contraceptives prevent pregnancy by stopping egg release, fertilization, or implantation. The brand-name product is now the only emergency contraceptive product available OTC to younger adolescents. You may experience some spotting a few days after taking Plan B®, but this is not your period. If you're going to have sex, it is crucial you be smart and cautious enough to protect yourself from an STD or unwanted pregnancy. If you can't go in person, call and discuss Plan B® with them over the phone. question to your already anxiety-ridden mind. Hesitantly I went up to the counter and asked if they had Plan B. Indeed, thanks to a convoluted regulatory history that Rewire editor in chief Jodi Jacobson called “a decade-long case of scientific and public health malfeasance,” it is true that some years ago a person buying emergency contraception had to be a certain age and fork up a driver’s license. without a contraceptive or have a contraceptive accident? … I will probably give the Plan B to Elana for her dorm because one of the girls there is a lot more likely to need it than I will.”. Having a complete stranger acknowledge that fact (while exchanging currency) can ignite a spiral of shame. Plan B® is the emergency contraceptive pill, most trusted by Canadian women† and their healthcare providers.*. However, it is recommended that it be taken withinÂ 72 hours. The FDA framework does not force retailers to put Plan B One-Step and other forms of levonorgestrel emergency contraception on the shelf. Mid-Atlantic regional grocer and pharmacy chain Harris Teeter is continuing to direct customers to the pharmacy or the customer service desk in order to purchase the emergency contraceptive. “Several days later me, my mother, and Elana decided to go to the Harris Teeter with a pharmacy …. The sooner you take Plan B®, the better it works. For shoppers, product placement can make an obscure product practically invisible. Good to know: Plan B® is available over the counter in all provinces and territories except Québec, where it is kept behind the counter. It is similar to the feeling a woman experiences when she buys condoms. The Canadian Pharmacy Association had asked the National Association of Pharmacy Regulatory Authorities to delay its decision about levonorgestrel until after it convened a task force to consider whether its scheduling decisions should be based on more than just science. Cost is definitely a barrier to access, particularly for young women, and qualitative research suggests that privacy issues have been a barrier as well, she says. Representatives from the Kroger grocery store chain, which bought Harris Teeter in 2013, did not return requests for comment. You have hours remaining to take Plan B®. The Canadian Medical Association, meanwhile, asked the National Association of Pharmacy Regulatory Authorities not to change the drug's status until it had time to consult its members and was “surprised not to have been consulted,” says Briane Scharfstein, associate secretary general for professional affairs. Why? The sooner you take Plan B®, the better it works. Don’t forget to call ahead to be sure that Plan B® is in stock. But, it's in a much higher dose in the morning-after pill.Â The progestin-only pills are available as a single pill (Plan B One-Step) or two pills that have to be taken 12Â to 24 hours apart (Plan B and Next Choice). All rights reserved. These professionals know all about Plan B® and will treat your request sympathetically and confidentially. All rights reserved. Quebec is now a member of the association but it's unclear whether levonorgestrel will remain behind the counter. More information about buying Plan B® in Québec. “I am in the process of making a locking-glass display near the register, and we will most likely keep it there.”, Who buys Plan B One-Step? “We feel that the scheduling factors are too narrow, and dated, to consider all the patient care issues with emergency contraception. The new packaging now has the words “New! According to its website, Harris Teeter operates more than 230 stores in seven states and the District of Columbia. A mini you stands on your left shoulder. You feel timid. I saw things that had the word ‘prenatal’ so I looked at that area and I still couldn’t find it,” Lerdau wrote to me. Poor guy. “We thought that counselling on a whole lot of issues related to sexual health was important for people who might be using emergency contraception.”, The association also wanted to see any studies about whether moving the drug to non-prescription status in 2005 improved access, and had any negative effects on health, as well as requirements for counselling, follow-up and “appropriate contraception going forward.”. Available for all women who need it . All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries. You should expect your period to be off that month. † Find a pharmacy. Use quotes to search for exact phrases. Oct 15, 2020 Otherwise ask anyone in the store where it’s located. But policies like these can make it embarrassing or unnecessarily complicated. * Find it on the shelf at your local pharmacy. 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They are indicated for use up to 72 hours after unprotected sex, and they are more effective the sooner they are is taken. “It’s really simple. Just know that if the test is negative, you will probably miss your period. 2. Although the National Association of Pharmacy Regulatory Authorities agreed to convene a task force, which is to report back on scheduling criteria by Nov. 2, 2008, it refused to delay the decision about levonorgestrel. According to the Plan B One-Step website, “you can start by looking for Plan B One-Step in the aisle. The most common side effects include abdominal pain, nausea, breast tenderness, dizziness and fatigue. This latest change means women aren't obliged to receive counselling from the pharmacist prior to getting the drug. She estimates 25%–30% of women don't need the medication when they ask for it. It has been more than 72 hours since you had unprotected sex or a contraceptive accident. It's important for sexually active people to be aware of the different types of contraception available. Visit us today! Plan B® can help prevent pregnancy if taken within 72 hours, and preferably within 12 hours, after a contraceptive accident or unprotected sex. (Although, I'm not positive that this effect isn't just the anxiety associated with taking emergency contraception. Ambulatory Care Review and Recertification Activities, Sterile Compounding Review and Recertification Activities, Age, sale restrictions lifted for Plan B One-Step, Obama administration withdraws appeal of Plan B ruling. It's currently sold for up to $50, which includes markup, and dispensing and counselling fees, the latter typically running at about $20. If taken within 72 hours (three days) and preferably within 12 hours of a contraceptive accident or unprotected sex, Plan B® can prevent pregnancy. Plan B® contains 1.5 mg of levonorgestrel—an ingredient that is also commonly found in birth control pills. Yua all contraception pills have a definite expired date, I know that these kind of pills Plan B One-Step is a type of emergency contraception. If taken within 72 hours (three days) and preferably within 12 hours of a contraceptive accident or unprotected sex, Plan B® can prevent pregnancy. We do not capture any email address. “When we arrived at Harris Teeter we discovered that there was no pharmacy.” This represents just one level of unnecessary complication in Harris Teeter’s reported process for selling emergency contraception, since theoretically a person can go to the customer service desk if there is no pharmacy or the pharmacy is closed, but that was not clear to three people motivated to find the product. Ontario, Manitoba, New Brunswick and Nova Scotia are expected to act on the recommendation immediately, while Newfoundland, British Columbia and usually Saskatchewan require 6 weeks to 3 months to do so. When someone needs emergency contraception, the last thing they need is a retail obstacle course. It will not work if you happen to already be pregnant, and it will not affect a pregnancy that has already started.
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