Groups Want Old Mifeprex Labeling Restored

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The American Association of Pro-Life Obstetricians and Gynecologists and the American College of Pediatricians are petitioning FDA to restore and strengthen elements of the Mifeprex (mifeprostol) regimen and prescriber requirements approved in 2000 and retain the Mifeprex REMS limiting dispensing of the drug to patients in clinics, medical offices, and hospitals by or under the supervision of a certified prescriber. A 3/29 petition says that in 2016 FDA increased the maximum gestational age for Mifeprex use for abortion from 49 days to 70 days, and changed the method of administration from oral to buccal.

“However,” the petition says, “drug-induced abortion regimens demonstrate an increase in complications and failures after 49 days’ gestation.” The petition also challenges other changes made in the labeling, including substituting “healthcare provider” for “physician” and no longer including language requiring access to appropriate medical care should an emergency arise.

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