Plan B stories

[pandapharmer]

Advertisement - Members don't see this ad

I have this running thing with one of the techs that I work with about plan B stories. Just ridiculous situations our patients put themselves in when they ask for plan B (not to mention the number of Texts From Last Night). My few:

1) Girl in military uniform, said she's on furlough or something of the sort. Brought a bottle of wine and steak to the counter, then asked for plan B. At least she planned ahead lol but wouldn't it have been easier to use condoms?

2) Group of about 5-6 teenage girls, waiting in line. An equally large group of teenage boys walk past and try to make conversation with them as they are clearly friends but they girls all looked very uncomfortable. When the girl who was purchasing the plan B came up to the counter, they all had to pool together cash to pay for it. They all looked like they were 16 or so, I didn't ring her up. It was kind of funny at the time for some reason but looking back now the whole thing was actually pretty sad.

3) Not a funny story but I did have a question on this sitch. This weekend I had a girl ask for plan B. nbd but then she asked me whether she should keep taking her birth control if she was going to take plan B or just throw the pack away. She explained that she was on antibiotics, but then said that she finished taking the ABx a couple weeks ago. I thought she meant that she had unprotected sex while taking the ABx and that plan B would only work w/i 72 hours. Apparently her MD told her that being on ABx decreases the effectiveness of the ENTIRE pack of birth control until you start a new pack not just while you're taking the ABx? Both the other intern (she is a P4, I'm only a P2 and the RPh was busy) and I told her that it wasn't necessary for her to get plan B since she was already done taking the ABx and she looked at us like we were crazy and walked away, only to come back 10 minutes later and asked one of the techs for it. Can anyone clarify on whether her MD is right?

 

[ronkoshy]

...

 

[Sparda29]

I'm at the pickup counter. Girl walks up, and is very shy and asks for Plan B. I ask the pharmacist who is at production if he can get Plan B out of the safe for me. He cracks a joke out loud, "What happened to Plan A."

I was trying hard not to laugh, but a smirk crept across my face and I couldn't change expressions until she left.

 

[psychoandy]

I loved the rxs for Plan B with 6 refills for our younger patients back when it was still wildly controversial. After thinking about it longer, it's better than teen mom + paying for teen mom's + child healthcare, but it still irked me that Medicaid was paying 40 bucks each time this girl picked it up. So many better options...

I also enjoyed awkward teenage male asking on the DL how to get plan B. Always a fun time.

I'm at the pickup counter. Girl walks up, and is very shy and asks for Plan B. I ask the pharmacist who is at production if he can get Plan B out of the safe for me. He cracks a joke out loud, "What happened to Plan A."

I was trying hard not to laugh, but a smirk crept across my face and I couldn't change expressions until she left.

Douche. I'd give you a whole women's health/access to care rant, but it wouldn't matter. Also, why is Plan B in the safe? Shrink?

 

[Sparda29]

Douche. I'd give you a whole women's health/access to care rant, but it wouldn't matter. Also, why is Plan B in the safe? Shrink?

Hey, the pharmacist was the one who cracked the joke. Yep, it was a lot of shrink, stuff was just disappearing. I think the birth control section of the pharmacy was the only area without camera coverage also.

 

[rph3664]

When my previous employer got Plan B, for the ER, we had a meeting and the director wanted to know if we had any (his words) conscientious objectors, although he said anyone could tell him in confidence. One did speak up right there - a woman - but because she was our clinical coordinator, she wouldn't really have handled it anyway.

Another pharmacist who at the time did some relief work in a college town an hour away said that this town's Planned Parenthood affiliate wrote for Plan B with 11 refills. He didn't like it because he felt that some of those women might be using it as their primary method of birth control, which is NOT its intent. Yes, I know it's OTC but you do need an RX for insurance coverage. And a poster on another board who used to volunteer at a crisis pregnancy center said that some women used Plan B so much, their cycles were totally messed up and they had no idea if they were pregnant or not. 😡

Shortly before I left, there were 3 people in the ER at the same time with the visit reason being "Possible sexual assault" and one of the techs said, "We're gonna need a lot of Plan B!" I replied that it wouldn't be necessary, because they were preteen boys. 🙁 Most likely, they were siblings going into foster care, and were being examined beforehand.

 

[Pharmavixen]

Another pharmacist who at the time did some relief work in a college town an hour away said that this town's Planned Parenthood affiliate wrote for Plan B with 11 refills. He didn't like it because he felt that some of those women might be using it as their primary method of birth control, which is NOT its intent. Yes, I know it's OTC but you do need an RX for insurance coverage. And a poster on another board who used to volunteer at a crisis pregnancy center said that some women used Plan B so much, their cycles were totally messed up and they had no idea if they were pregnant or not. 😡

Well, the thing is, do we care so much about people's health when it's not related to reproduction? Whenever there's a plan B thread, there's all this outrage related to the overuse of plan B, and I can't help but think, do all these folks really care that much about these women ending up with messed-up menstrual cycles?

Especially considering that the risk of Plan B overuse isn't known. I don't see one-tenth the outrage over the crap way that TII diabetics take care of themselves, and the risks there are totally known, are devastating, and result in tons of costs that impacts on everybody who carries health insurance.

I can see what you mean, though. When I worked retail, I used to take the women aside who were using lots of plan B and suggest to them that they take a daily OCP, telling them the LT consequences of using multiple doses of plan B simply are not known. I got a few people onto daily OCP. Nobody reacted badly, though that might be on account of my mad pt counselling skills.

 

[Quiksilver]

Well, the thing is, do we care so much about people's health when it's not related to reproduction? Whenever there's a plan B thread, there's all this outrage related to the overuse of plan B, and I can't help but think, do all these folks really care that much about these women ending up with messed-up menstrual cycles?

Especially considering that the risk of Plan B overuse isn't known. I don't see one-tenth the outrage over the crap way that TII diabetics take care of themselves, and the risks there are totally known, are devastating, and result in tons of costs that impacts on everybody who carries health insurance.

I can see what you mean, though. When I worked retail, I used to take the women aside who were using lots of plan B and suggest to them that they take a daily OCP, telling them the LT consequences of using multiple doses of plan B simply are not known. I got a few people onto daily OCP. Nobody reacted badly, though that might be on account of my mad pt counselling skills.

Its just the social stigma of repeatedly getting Plan B from the same pharmacist. I mean you can't even argue its for acne because it isn't. I know the pharmacist needs to remain professional but as a patient n if I were a chick I would be traumatized to go get Plan B more then once from the same place. But thats just me. It makes you look trashy IMO

 

[pharm B]

I'm at the pickup counter. Girl walks up, and is very shy and asks for Plan B. I ask the pharmacist who is at production if he can get Plan B out of the safe for me. He cracks a joke out loud, "What happened to Plan A."

I was trying hard not to laugh, but a smirk crept across my face and I couldn't change expressions until she left.

I've seen this happen, as well, and I only think of someone living in a glass house.

Our pharmacists tend to okay selling Plan B (it's at their discretion in Texas) so long as we have some in stock. Any time I noticed we were low, I would always be sure to order at least 5 more.

I would rather someone recover from a mistake than not. Jokes such as the one you wanted to laugh at aren't very funny or professional, and they do nothing but mock the patient when they're potentially most vulnerable.

 

[StallionRx]

Had someone ask me 2 weeks ago...

If they bought 3 packs would it be enough to abort the baby if they were pregnant.

 

[rph3664]

Had someone ask me 2 weeks ago...

If they bought 3 packs would it be enough to abort the baby if they were pregnant.

Sadly, this is not an uncommon question.

I also wonder what kind of birth defects we might see because of its indiscriminate use.

 

[All4MyDaughter]

I also wonder what kind of birth defects we might see because of its indiscriminate use.

Really??

"Plan B might cause birth defects ZOMG!" Now there's a responsible claim for a HCP to make.

 

[rph3664]

Really??

"Plan B might cause birth defects ZOMG!" Now there's a responsible claim for a HCP to make.

It certainly couldn't be beneficial for a fetus if a pregnant woman has multiple exposures. 😕

 

[All4MyDaughter]

It certainly couldn't be beneficial for a fetus if a pregnant woman has multiple exposures. 😕

Wait, what?

Are you suggesting that someone is taking Plan B while pregnant? Or that multiple exposures to Plan B might be teratogenic in future pregnancies? Do progesterones induce some sort of changes in a woman's eggs that could lead to birth defects?

 

[Jabberwocky12]

I also wonder what kind of birth defects we might see because of its indiscriminate use.

Wait, what?

Are you suggesting that someone is taking Plan B while pregnant? Or that multiple exposures to Plan B might be teratogenic in future pregnancies? Do progesterones induce some sort of changes in a woman's eggs that could lead to birth defects?

I read that like women using it regardless of bring pregnant or not. A lot of women think it can be used effectively for abortion purposes as well instead of doing a doctor consultation.

I haven't read any real studies on the effects of Plan B on pregnancies but a pill meant to affect/override your hormones and force-start a period to avoid pregnancy probably isn't the best thing to be taken.

 

[rph3664]

I read that like women using it regardless of bring pregnant or not. A lot of women think it can be used effectively for abortion purposes as well instead of doing a doctor consultation.

I haven't read any real studies on the effects of Plan B on pregnancies but a pill meant to affect/override your hormones and force-start a period to avoid pregnancy probably isn't the best thing to be taken.

Agreed 100%. Once again, it is NOT intended for routine use!

 

[All4MyDaughter]

Plan B does not cause abortion. It will not induce an abortion in a viable pregnancy. There is no evidence that Plan B causes birth defects. To suggest otherwise is irresponsible and unscientific.

You realize that Plan B is just levonorgestrel? The same progesterone that is in tons of different oral contraceptives and the Mirena IUD. Of course the Plan B dosage form is not intended for routine use (because there are more effective, more economically reasonable alternatives), but levonorgestrel in other dosage forms is used routinely by millions of women. There is no evidence that using Plan B more frequently than X times per year has any adverse effects. If there was a "maximum safe # of uses" or a "lifetime cumulative dose" the manufacturer would be required to disclose that.

If a patient used Plan B six times in a given year, their exposure to levonorgestrel would be EQUAL to that provided by a regular regimen of a number of different birth control pills. Even if they use it MORE than six times, what is going to happen? Let's deal with facts here, if you have them.

 

[rxlea]

I don't see what's so funny about mocking patients or laughing at their situation. You have no ****ing clue what's going on in their lives and it is absolutely disgusting that you would laugh at them or even want to post some stupid story.

EDIT: and as A4MD pointed out, at least get your facts straight.

 

[All4MyDaughter]

I don't see what's so funny about mocking patients or laughing at their situation. You have no ****ing clue what's going on in their lives and it is absolutely disgusting that you would laugh at them or even want to post some stupid story.

I have to agree. Maybe I'm cynical, but I think all of this "concern" over alleged adverse effects from overuse and misinformation about whether it causes abortion is just another messed up way for people to put their judgment on women and try to control/restrict their reproductive rights. As vixen said, where's the outrage and worry over diabetes buying regular Coke?

EDIT: and as A4MD pointed out, at least get your facts straight.

Seriously. It scares me to think that health care professionals can believe and propagate such misinformation.

 

[sakigt]

I noticed a few places I worked would run out...and never get any back in.

Thought it was odd.

 

[rph3664]

Actually, people (not just women, but men too!) need to be educated on proper use of Plan B. There are situations where it is, and is not, appropriate.

End of story.

 

[All4MyDaughter]

Actually, people (not just women, but men too!) need to be educated on proper use of Plan B. There are situations where it is, and is not, appropriate.

End of story.

Please elaborate, using science based evidence.

 

[owlegrad]

I guess if we are telling our plan b stories I can chime in. I once had someone ask me what the name of the morning after pill is. I told them that was the name (at the time I thought it was). My RPh was not happy with me. Actually I think he thought it was hilerious, but still I felt like an idiot.

 

[Pharmavixen]

Actually, people (not just women, but men too!) need to be educated on proper use of Plan B. There are situations where it is, and is not, appropriate.

There are many drugs for which that applies.

 

[Pharmavixen]

I guess if we are telling our plan b stories I can chime in. I once had someone ask me what the name of the morning after pill is. I told them that was the name (at the time I thought it was). My RPh was not happy with me. Actually I think he thought it was hilerious, but still I felt like an idiot.

Before plan B came on the market, we used to dispense a "morning after pill" consisting of 2 Ovral tablets + 2 more in 12 hours (its official name was "emergency contraception").

My story: a couple came in asking if they needed Plan B. They'd had sex for the first time, and they had one condom, which they used "over and over." They didn't remember how many times they did it 😱 So they were talking to some friends who told them to seek advice about Plan B. I thought, if they were young enough that they could do it enough times to lose count, they were probably massively fertile, and leakage seemed likely. So I recommended it.

 

[Naidim]

I have to agree. Maybe I'm cynical, but I think all of this "concern" over alleged adverse effects from overuse and misinformation about whether it causes abortion is just another messed up way for people to put their judgment on women and try to control/restrict their reproductive rights. As vixen said, where's the outrage and worry over diabetes buying regular Coke?

Seriously. It scares me to think that health care professionals can believe and propagate such misinformation.

I don't remember the part of the Constitution where it said women have the right to reproduce. 😉

Seriously though, I agree completely. Unless the customer is a close friend we don't have the whole story and judging someone for the OTC meds they purchase is ridiculous.

 

[fullmetalphrm]

This thread depresses me... it seems like some people exercise a blatant disregard for their future/personal health and the happy magical pill picks up the pieces later. But the "What happened to Plan A" story was pretty humorous, so I'm back to square one since it counteracted this.

 

[rph3664]

This thread depresses me... it seems like some people exercise a blatant disregard for their future/personal health and the happy magical pill picks up the pieces later. But the "What happened to Plan A" story was pretty humorous, so I'm back to square one since it counteracted this.

Someone in the ER actually asked me why it was called Plan B, and I said, "Because it's not supposed to be used as Plan A."

 

[All4MyDaughter]

This thread depresses me... it seems like some people exercise a blatant disregard for their future/personal health and the happy magical pill picks up the pieces later. But the "What happened to Plan A" story was pretty humorous, so I'm back to square one since it counteracted this.

What I underlined is true, but it's not a specifically Plan B issue. People eat big Macs, large fries with extra salt and drink 50 oz Cokes and expect that metformin, lisinopril and simvastatin will make it all OK. Be outraged about that. That sort of behavior has far wider reaching consequences than Plan B overuse.

Don't be fooled. This whining about "misuse" of Plan B is a thinly veiled way to be judgmental and prudish about sexuality and womens' reproductive freedom. IMO.

 

[rph3664]

All4mydaughter, you must not have had the lecture yet where the professor described the misuse of birth control. Those stories about people eating contraceptive jelly are NOT urban legends, and the stories about oral contraceptive misuse are so crazy, they can't be made up.

There was a woman whose 3-month supply ran out in 5 weeks. How? She was married and cheating on her husband with two other men, and took a pill every time she had sex.

There was also another woman whose pills kept running out early, because her husband took them too.

And yet another who swore she took the Pill faithfully but got pregnant anyway. Sweetheart, they're NOT designed for vaginal use!

How about a girl who loans her Nuvaring to her best friend, because the friend is going to give up her virginity tonight? A generation or two ago, girls would swipe their mom's diaphragms for the same reason.

I feel that instruction in recognition of appropriate situations for Plan B and the like enhance reproductive freedom, by preventing women from ruining their health by misuse of these drugs. Why do you think Plan B is priced so incredibly high, anyway?

 

[All4MyDaughter]

All4mydaughter, you must not have had the lecture yet where the professor described the misuse of birth control. Those stories about people eating contraceptive jelly are NOT urban legends, and the stories about oral contraceptive misuse are so crazy, they can't be made up.

There was a woman whose 3-month supply ran out in 5 weeks. How? She was married and cheating on her husband with two other men, and took a pill every time she had sex.

There was also another woman whose pills kept running out early, because her husband took them too.

And yet another who swore she took the Pill faithfully but got pregnant anyway. Sweetheart, they're NOT designed for vaginal use!

How about a girl who loans her Nuvaring to her best friend, because the friend is going to give up her virginity tonight? A generation or two ago, girls would swipe their mom's diaphragms for the same reason.

I feel that instruction in recognition of appropriate situations for Plan B and the like enhance reproductive freedom, by preventing women from ruining their health by misuse of these drugs. Why do you think Plan B is priced so incredibly high, anyway?

🙄

All of those situations are clearly incorrect use of drug products. But they are a FAR cry from judgmental pharmacists making up reasons to lecture women about the "proper" use of Plan B and shame them from buying it when they need it. You've yet to identify even one evidence based reason using Plan B more than [insert whatever number YOU think is appropriate] times will cause adverse effects or make it ineffective. All the practices you've described above are issues of safety or efficacy. Your thoughts about the "safety" of Plan B are at best, theoretical. If you have anything to back them up, please share and enhance all our learning.

Plan B is priced according to what the market will bear. It's not expensive to discourage people from using it. That is not how the market works and I refuse to believe you don't understand basic economics. It's expensive (relatively) because the manufacturer has carefully calculated what women will be willing to pay for it and priced it at just under the max $ amount that would cause the consumer to defer the purchase in favor of other options or just taking their chances with nature.

 

[pandapharmer]

Sorry I didn't mean to be offensive by opening up this discussion. I realize that it is a bit crass to be poking fun at others misfortunes but sometimes people just make you wonder. Anyways, my main question was to get your guys's opinion on what the MD said in my 3rd situation since I'm still kind of in shock that the patient thought we were amazingly stupid for suggesting something opposite of what the doctor said, and when the pharmacist returned and I explained the situation and how she came back and bought Plan B anyway, she said "she can do whatever she wants." Yes, the patient is absolutely free to do what she wants I just didn't know why she completely discounted my and the P4's opinion on her health. We weren't trying to shame her into not buying it, just explaining that it wasn't actually necessary but I guess if 40 bucks makes her feel better/safer, then who am I to stop her.

 

[All4MyDaughter]

Sorry I didn't mean to be offensive by opening up this discussion. I realize that it is a bit crass to be poking fun at others misfortunes but sometimes people just make you wonder. Anyways, my main question was to get your guys's opinion on what the MD said in my 3rd situation since I'm still kind of in shock that the patient thought we were amazingly stupid for suggesting something opposite of what the doctor said, and when the pharmacist returned and I explained the situation and how she came back and bought Plan B anyway, she said "she can do whatever she wants." Yes, the patient is absolutely free to do what she wants I just didn't know why she completely discounted my and the P4's opinion on her health. We weren't trying to shame her into not buying it, just explaining that it wasn't actually necessary but I guess if 40 bucks makes her feel better/safer, then who am I to stop her.

My guess is that she had unprotected sex and was scared because her physician told her that the entire pack of BC pills was bad d/t the antibiotics. Even though that's questionable, the prospect of getting pregnant when you don't want to be pregnant is terrifying. People in that sort of position tend to dwell on the miniscule chance of something going wrong and not think about the much greater odds that everything will be fine.

As far as why she'd believe her MD over you and other student, welcome to reality. We've put MDs up on a pedestal for a long time in this country, and many patients take everything they say as gospel. Most patients aren't sophisticated enough to discern good physician advice from bad. It's only apparent to us b/c we're educated enough to know better.

 

[Jabberwocky12]

My guess is that she had unprotected sex and was scared because her physician told her that the entire pack of BC pills was bad d/t the antibiotics. Even though that's questionable, the prospect of getting pregnant when you don't want to be pregnant is terrifying. People in that sort of position tend to dwell on the miniscule chance of something going wrong and not think about the much greater odds that everything will be fine.

As far as why she'd believe her MD over you and other student, welcome to reality. We've put MDs up on a pedestal for a long time in this country, and many patients take everything they say as gospel. Most patients aren't sophisticated enough to discern good physician advice from bad. It's only apparent to us b/c we're educated enough to know better.

+1

If Greg House was a pharmacist people would go to pharmacists for everything. If ER, Scrubs, Grey's Anatomy, etc. had a pharmacist on the show then people would respect pharmacists a little more. Is that undeserved respect? I would count it as such since it's TV propaganda, but it would get you guys into the door to earn the respect you deserve. And it's not like other professions take advantage of it, too.

We just had a discussion about that in my bio class. A lot of people aren't pre-med, they're a mix of others (pharm, optom, dentist, nursing, podiatry, and vet) and they talk about how they are looked down upon for doing all this but not "being a real doctor." Most people think it's all about House nowadays.

Give pharmacists a TV show then people will listen to you.

 

[Sparda29]

+1

If Greg House was a pharmacist people would go to pharmacists for everything. If ER, Scrubs, Grey's Anatomy, etc. had a pharmacist on the show then people would respect pharmacists a little more. Is that undeserved respect? I would count it as such since it's TV propaganda, but it would get you guys into the door to earn the respect you deserve. And it's not like other professions take advantage of it, too.

We just had a discussion about that in my bio class. A lot of people aren't pre-med, they're a mix of others (pharm, optom, dentist, nursing, podiatry, and vet) and they talk about how they are looked down upon for doing all this but not "being a real doctor." Most people think it's all about House nowadays.

Give pharmacists a TV show then people will listen to you.

Forgot the episode where the pharmacist turned in the pick up logs to the Detective? House had picked up a dead man's oxycodone and it needed Cuddy to commit purgery to get him off the hook.

 

[Jabberwocky12]

Forgot the episode where the pharmacist turned in the pick up logs to the Detective? House had picked up a dead man's oxycodone and it needed Cuddy to commit purgery to get him off the hook.

I remember that. It just makes the pharmacist look like the bad guy, like when he told Wilson he no longer had a valid DEA for controlleds. Or in the pharmacy where they give a kid colchicine rather than a cold medicine they treat the pharmacist like he is ******ed and later find out the guy was dispensed the wrong meds.

 

[Sparda29]

I remember that. It just makes the pharmacist look like the bad guy, like when he told Wilson he no longer had a valid DEA for controlleds. Or in the pharmacy where they give a kid colchicine rather than a cold medicine they treat the pharmacist like he is ******ed and later find out the guy was dispensed the wrong meds.

I think the best pharmacist encounter on House was when they are in the clinic. Some guy gets up and starts running around screaming, House is standing next to the pharmacist.

Pharmacist - Should I get a sedative?
House - No, I'm good, thanks.
Pharmacist - Goes to get it anyway.
House - Grabs random paralytic from pharmacy and injects patient.
Pharmacist - Here's the sedative.
Cuddy - It's too late, we injected him already.
House - No, we can use it.
Cuddy - What did you inject him with?
House - A paralytic, the running and screaming was driving me insane.

 

[Ackj]

If a patient used Plan B six times in a given year, their exposure to levonorgestrel would be EQUAL to that provided by a regular regimen of a number of different birth control pills.

Not a really big fan of this argument. Let's take 6 grams of lisinopril every January 1st. Your blood pressure will be controlled all year long!

Even if they use it MORE than six times, what is going to happen? Let's deal with facts here, if you have them.

Lack of data on the negative effects does not equal safety. Just like with pregnancy data, class C doesn't mean it's necessarily bad, but there haven't been any human studies. Sometimes we don't have facts to deal with, and should err on the side of caution. Instinct should tell you that repeated large doses of hormones seem like something that MIGHT not be a good idea. Sure there's nothing concrete to back me up here, but does it SOUND safe? Will you chance it? Why are you so opposed to counseling the patient on alternate (read: preemptive) methods of birth control? I'm absolutely with rph on this one: there is a place for Plan B, and the name just about says it all.

 

[Phlame217]

I have been done with CVS for a while, I was a tech there for 3 years, but Plan B always gave me a laugh.

I don't remember what it was called, but CVS's system always had predictive ordering where it would analyze years past and recommend ordering certain meds during peak usage times (such as allergy meds in the spring, etc).

Every fall around the end of August our system would have us order 3x the Plan B as usual and it was always right. It "seemed" to coincide with Rush week at the three surrounding colleges. Always got a good laugh out of it.

 

[HeartandSoul]

I had a woman come in once who was in her early 30s, she was with her friend and started talking about how wonderful Plan B was, and how it always came in handy...She proceded to ask me if we sold it in BULK 😱...She said buying the pills in bulk would probably save her money in the long run...She was very disappointed when I said no...

 

[Tinkerbell22]

I used to work in a small town so I personally knew half of our patients. I sold Plan B to high school friends, friend's parents, etc. Not a big deal... but they always seemed embarrassed.

 

[Pharmacy Kid]

Wait, what?

Are you suggesting that someone is taking Plan B while pregnant? Or that multiple exposures to Plan B might be teratogenic in future pregnancies? Do progesterones induce some sort of changes in a woman's eggs that could lead to birth defects?

Levonorgestrel is contraindicated in pregnancy. While I agree accidentally taking it once or twice during pregnancy won't cause permanent effects, repeated doses are not a good thing. Per Lexi-Comp, "In doses larger than those used for oral contraception, progestins have been reported to increase the risk of masculinization of female genitalia."

 

[All4MyDaughter]

Levonorgestrel is contraindicated in pregnancy. While I agree accidentally taking it once or twice during pregnancy won't cause permanent effects, repeated doses are not a good thing. Per Lexi-Comp, "In doses larger than those used for oral contraception, progestins have been reported to increase the risk of masculinization of female genitalia."

I agree it shouldn't be taken during pregnancy.

I was (and am) still mostly concerned with the suggestion that Plan B *might* cause birth defects when women use it multiple times. Non-preganant women, that is. I don't think there is any evidence that it harms future pregnancies.

 

[shedara2008]

if i was on facebook i would like this comment!!!

 

[mipharmd]

not to side track- but are p2 allowed to give out advise without confirming or having the pharmacist ok? (im asking because I don't know what P2's level of responsibility)

 

[Dezixn]

Not to mock the situation like a few others were, but I just had to share a funny story about it.

This was when I was a tech at CVS (still am a tech, don't get my intern license until the summer, just not working atm really)...

A young guy comes up to me and asks me if we have "that thing for when you splooge in your girlfriend." He kinda laughs and I tried hard but couldn't resist cracking a small smile and asking if he means Plan B.
He responds "yeah that's the one!".

 

[pharm B]

Not to mock the situation like a few others were, but I just had to share a funny story about it.

This was when I was a tech at CVS (still am a tech, don't get my intern license until the summer, just not working atm really)...

A young guy comes up to me and asks me if we have "that thing for when you splooge in your girlfriend." He kinda laughs and I tried hard but couldn't resist cracking a small smile and asking if he means Plan B.
He responds "yeah that's the one!".

If there was ever somebody that definitely needed it...

 

[WVUPharm2007]

One of my coworkers told me a story about a woman that came to the counter and started talking about how she was raped and needed Plan B...she started talking about what happened and said she didn't even try to fight off the rapist because she had AIDS and thought that the best course of action was to just go with it and infect him with HIV as "a lesson."

One of the most ****ed up things I've ever heard on several different levels...

 

[PharmDstudent]

One of my coworkers told me a story about a woman that came to the counter and started talking about how she was raped and needed Plan B...she started talking about what happened and said she didn't even try to fight off the rapist because she had AIDS and thought that the best course of action was to just go with it and infect him with HIV as "a lesson."

One of the most ****ed up things I've ever heard on several different levels...

Maybe he contracted it, maybe not. It depends on if she was "undetectable" or not at that time.

 

[deleted205891]

not to side track- but are p2 allowed to give out advise without confirming or having the pharmacist ok? (im asking because I don't know what P2's level of responsibility)

Technically, you should check with the pharmacist for everything.
Practically, it depends on how comfortable your pharmacist is with you counseling.