Hormone-based pills have long been the most common form of birth control in the U.S., used by millions of women since the 1960s. But they have always required a prescription.
Many conservative groups stress they are only interested in curtailing abortion, and state bans often explicitly exclude contraception.
In each case, companies must show that consumers can understand the drug’s labeling, evaluate its risks and use it safely and effectively without professional supervision. HRA spent seven years conducting the FDA-required studies, including a trial that followed 1,000 women taking its pill for six months.
Birth control pills are available without a prescription across much of South America, Asia and Africa. Last year, Paris-based HRA won U.K. approval for the first birth control pill available there without a prescription. But estrogen also accounts for most of the blood clot risk associated with oral contraceptives. FDA’s labeling warns against their use in certain women already at risk for heart problems, such as those who smoke and are over 35.
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