In the decades since, research and clinical evidence has led to expanded options for the medication’s administration. The FDA has approved changes that extended its use from up to seven weeks gestation to 10 weeks, as well as allowing virtual dispensing and administration. A reversal of these guidelines creates a complicated medical and legal landscape for medication abortion in the United States, and health care experts are uncertain about how things will play out.
“That sounds fine and good when it’s a really concerning medication, but it makes no sense for mifepristone, which we know is a remarkably safe drug.” Bucking REMS requirements could have more severe consequences for providers. For mifepristone, some of the regulations that would fall under this category are the need for in-person dispensing and follow-ups. These restrictions could pose potentially significant barriers to telehealth, which has become an increasingly sought-after option.
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