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Related Concept Videos

Birth Control Methods01:22

Birth Control Methods

Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
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Intrauterine Drug Delivery Systems

Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
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The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
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Oral Drug Delivery Systems: Continuous-Release Systems01:26

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Continuous-release drug delivery systems offer a strategic approach to maintaining therapeutic drug levels over extended periods following oral administration. By modulating the release rate of active pharmaceutical ingredients, these systems minimize fluctuations in plasma concentrations, which enhances clinical efficacy and reduces the need for frequent dosing. Such characteristics make them particularly advantageous in managing chronic diseases where patient adherence and stable drug...
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Changes in polymorphic forms can significantly influence the bioavailability of poorly soluble drugs. Although the FDA defines pharmaceutical equivalence based on having the same active ingredient, dosage form, and route of administration, it does not automatically disqualify products with different polymorphic forms. This means two products with different polymorphs can still be deemed pharmaceutically equivalent. However, polymorphic differences can affect properties like wettability,...

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Published on: October 12, 2012

Over-the-counter contraceptive pill availability in New York State.

Carolyn Joyce1, Komal Keerthy1, Sedna Gandhi2

  • 1New York Medical College, Valhalla, NY, United States.

Contraception
|May 7, 2026
PubMed
Summary

Access to over-the-counter (OTC) norgestrel (Opill) is limited in New York. One year post-approval, many pharmacies do not stock this contraceptive pill, impacting accessibility.

Keywords:
AvailabilityBirth control pillsContraceptionOver-the-counterPharmacy

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Area of Science:

  • Reproductive Health
  • Pharmaceutical Access
  • Public Health Policy

Background:

  • The over-the-counter (OTC) availability of norgestrel 0.075mg (Opill) marked a significant step in contraceptive access.
  • Understanding the real-world availability of this medication is crucial for assessing its public health impact.

Purpose of the Study:

  • To evaluate the accessibility of norgestrel 0.075mg (Opill) in New York State one year after its approval for OTC sale.
  • To identify factors influencing the availability of OTC norgestrel in pharmacies.

Main Methods:

  • A random sample of New York pharmacies was contacted.
  • Researchers posed as minors inquiring about Opill availability.
  • Data on pharmacy type, location, stocking status, and ordering capabilities were collected.
  • Chi-squared tests were used to compare proportions.

Main Results:

  • Only 3.5% of registered New York pharmacies reached had Opill in stock.
  • An additional 46.06% could order the medication.
  • Chain pharmacies were significantly more likely to stock Opill than independent pharmacies (p<0.001).
  • No significant difference in availability was observed based on pharmacy location.

Conclusions:

  • Norgestrel 0.075mg (Opill) is not universally available in New York pharmacies one year after OTC approval.
  • Disparities in stocking exist, with chain pharmacies showing higher availability.
  • Further efforts are needed to ensure equitable access to OTC contraception.