If You're Over 176 Pounds, The Morning-After Pill Might Not Work For You
If you're as heavy as a lot of American women, you can take Plan B, but you should also start thinking of baby names when you do.
Molly Redden writes at Mother Jones:
The European manufacturer of an emergency contraceptive pill identical to Plan B, also known as the morning-after pill, will warn women that the drug is completely ineffective for women who weigh more than 176 pounds and begins to lose effectiveness in women who weigh more than 165 pounds. HRA Pharma, the French manufacturer of the European drug, Norlevo, is changing its packaging information to reflect the weight limits. European pharmaceutical regulators approved the change on November 10, but it has not been previously reported.This development has implications for American women. Some of the most popular emergency contraceptive pills sold over the counter in the United States--including the one-pill drugs Plan B One-Step, Next Choice One Dose, and My Way, and a number of generic two-pill emergency contraceptives--have a dosage and chemical makeup identical to the European drug. Weight data from the Centers for Disease Control and Prevention (CDC) suggests that, at 166 pounds, the average American woman is too heavy to use these pills effectively.
These pills, which use a compound called levonorgestrel to prevent pregnancies, are the most effective morning-after pills available without a prescription. Other pills sold in the United States require a prescription, are less effective at preventing pregnancy, or cause side effects such as nausea or vomiting. Plan B One-Step, which retails for $50, is the only emergency contraceptive drug in the United States available to women of all ages without a prescription.
...An FDA spokeswoman tells Mother Jones the agency is evaluating whether to require US emergency contraceptive pill makers to change their labels.
What the government really cares about is the superfluous sticker peeling off your Camaro's sun visor.
UPDATE, from a Diana Fleischman tweet:
@sentientist
@amyalkon good correction of the plan B headline http://www.thedirtynormal.com/2013/11/27/how-likely-you-are-to-get-pregnant-if-you-weigh-176-pounds-and-take-plan-b-what-the-research-actually-said/







I wonder, how often are 176 pound women having off the cuff unprotected sex?
lujlp at November 26, 2013 6:04 AM
So can children born to these women prior to the change in the warning label sue the manufacturer for wrongful birth?
I R A Darth Aggie at November 26, 2013 6:13 AM
It's America! I am sure that not only will they sue, but heavy women will also sue for being discriminated against as they don't have an over the counter post sex pill, and probably men will sue too as they thought the donuts they bought to seduce the larger woman would not reduce the effectiveness of the morning after pill.
Mark at November 26, 2013 6:50 AM
Lujip, probably a lot. Heavier women have lower self esteem and are more likely to put out.
NicoleK at November 26, 2013 7:20 AM
I've never been a supporter of the morning after pill.
Not only does it seem to me to be advocating abortion as a birth control method, in the off chance it doesn't work, what happens to the kid? What kind of defects would the baby have to deal with?
And I can SO see larger women suing. It's that kind of society nowadays.
wtf at November 26, 2013 7:42 AM
166 pounds? Is that the mean? I would be curious to see the actual distribution of weight for American women, or men for that matter. Are they bell curves, or is there a cohort of very heavy people (>300 lbs.) throwing the average off?
And how do they collect that data anyway? It's not like they can just get it from the IRS. Not yet, anyway.
Cousin Dave at November 26, 2013 8:48 AM
Here's a handy weight distribution chart for white American women, Cousin Dave:
http://www.halls.md/chart/women-weight-w.htm
You can see that the 50th percentile for white women of child-bearing age (20 to 40 years) is 130 to 148 pounds or so, and that women max out in their 50s and tend to get lighter from there. For a 20 year old white woman, 166 pounds would put her in about the 80th percentile. The data here is from 2008, mind you, but the median weight can't have jumped by that much in 5 years. Black & Hispanic women would no doubt raise the national average, but 166 still seems dubious to me.
Martin at November 26, 2013 9:36 AM
Not only does it seem to me to be advocating abortion as a birth control method...
It appears you are mistaken and operating under one of the most common misconceptions about Plan B.
Plan B does not cause an abortion. Abortions can only occur after the pregnancy has started. Plan B prevents the pregnancy from starting. That's why you have less than 3 days to take it. If it "doesn't work," (or if you take it when you're already pregnant) the pregnancy proceeds as normal. You are likely thinking of another pill (RU-486), which DOES chemically induce abortion. But that's not the pill that this blog post is about.
sofar at November 26, 2013 10:09 AM
Seriously sofar? Facts in a internet debate about abortion? Why do you hate wymyn?
/sarc
lujlp at November 26, 2013 10:44 AM
"Not only does it seem to me to be advocating abortion as a birth control method"
It's either that or sex education. Take your pick.
Gog_Magog_Carpet_Reclaimers at November 26, 2013 10:59 AM
If you're as heavy as a lot of American women, you can take Plan B, but you should also start thinking of baby names when you do.
_________________________________
Don't you mean "start thinking of how you're going to get an abortion, especially if you don't live in a big city and the local politicians make it hard for women to get abortions?"
After all, anyone who takes Plan B is likely to be open to the abortion option. That includes those women, young or middle-aged, who love to make life miserable for strangers entering clinics - and who then find themselves unintentionally pregnant. (A reminder to all: Even the PILL has a 5% real-life failure rate, so it is NOT an excuse not to use condoms - or some other back-up! Also, the IUD can help create ectopic pregnancies, even though it's pretty rare for that to happen - so, again, consider condoms in addition. Finally, if you want to takes your chances with herbs when your period is late, do NOT ingest herbal oil of any kind, IIRC - only leaf tea.)
lenona at November 26, 2013 11:00 AM
Re the myths surrounding Plan B: Weirdly, one almost never hears anyone referring to the IUD as an abortion instrument, even though, unlike Plan B, it DOESN'T prevent conception - it just prevents implantation.
lenona at November 26, 2013 11:03 AM
lol @luj
This blog is about a really interesting topic, and as soon as I saw WTF's post, I was like, "Nooo! Now this is going to devolve into a debate about something totally unrelated!"
To get back on topic: What's interesting to me about is that this could affect taller women. I mean, one of my good friends is 5'11". She lifts and does brazillian jiu-jitsu, and she competes in the upper weight brackets (so 175+). Looking at her, you wouldn't think "overweight" (actually you'd think "holy Amazonian Goddess!"), but it would seem Plan B could be ineffective for her.
sofar at November 26, 2013 11:06 AM
Yeah, I'm wondering about that too. Is it an ACTUAL weight limit, or is that a fat limit?
Does one pill simply disperse in that much mass regardless of it composition, and would taking too then be an option if it is a simple matter of dissipation? Or it a problem with the amount of fat in and of itself.
And if its the latter do you think they'll ever admit it?
lujlp at November 26, 2013 11:25 AM
Martin, thanks for the data. I was suspicious of that number when I saw it. It's awfully hard to find accurate data concerning Americans and weight.
Luj, I was sort of thinking along those lines when I read the article... I've read that, up to a point, there is a positive correlation between a woman's body fat percentage and a successful pregnancy. I wonder if it's a dispersion thing, or if it's a matter of a sufficiently healthy body overcoming the intended effect of the drug.
Cousin Dave at November 26, 2013 12:19 PM
And Lenona, I can assure you this, because I've witnessed it: Any woman in dirt-poor Marshall County, Alabama, can get an abortion if she calls Planned Parenthood, no matter what her circumstances. They will find a way.
Cousin Dave at November 26, 2013 12:21 PM
@luj, I just read the abstract of the study, and it refers to BMI.
But the warning drafted by the European manufacturer refers to a cutoff of of 165 lbs (no mention of height-weight relation).
I mean, that could be a CYA thing. Perhaps they figure not many people know their BMI off the top of their head, so they better put a clear-cut weight limit in the warning label.
sofar at November 26, 2013 12:24 PM
If 165 is indeed 80 percentile, then that's a pretty low cut-off... I mean, it doesn't work well for 20% of people?
NicoleK at November 26, 2013 12:40 PM
Why can't somebody just take two?
Radwaste at November 26, 2013 12:43 PM
Any woman in dirt-poor Marshall County, Alabama, can get an abortion if she calls Planned Parenthood, no matter what her circumstances. They will find a way.
Posted by: Cousin Dave at November 26, 2013 12:21 PM
_____________________________
What does that necessarily have to do with OTHER rural counties? Or teen girls who don't have any transportation money?
lenona at November 26, 2013 12:54 PM
Thank god for the 170 pounders with low self esteem.
jerry at November 26, 2013 2:31 PM
@NicholeK "Heavier women have lower self esteem and are more likely to put out."
Nice stereotype.
KLC at November 26, 2013 2:47 PM
"It appears you are mistaken and operating under one of the most common misconceptions about Plan B."
Allright, so it actually doesn't terminate the pregnancy, it prevents it from starting. IF it works. That doesn't alter my point.
The main gist of my point, is it makes it far easier to be irresponsible and forgo protection when you can just take a pill the next morning and make it all go away. Same goes with abortion. While I am not against abortion, I also don't believe it should be used as a birth control method. As Lenona said,
"After all, anyone who takes Plan B is likely to be open to the abortion option."
IMO, abortion should only be used in extreme cases, like that of rape of extreme birth defects. Like Plan B, it makes it a helluva lot easier to be irresponsible. Unprotected one night stands seem a helluva lot less appetizing when faced with 18 years of consequences.
As for the weight limit, I don't believe fat or muscle enter into the picture. The Dr. doesn't usually take fat or muscle into account when inquiring weight to prescribe anti-biotics, I doubt it would be different with Plan B.
What are the chubby chasers gonna do now?
wtf at November 26, 2013 2:50 PM
"It's either that or sex education. Take your pick."
Sex ed please.....And what the hell happened to parents giving their kids "the talk"? While I don't disagree with the schools supplementing sex ed, (actually I think it's a great idea...) I think parents need to wake up and teach their kids about sex. BEFORE they get to high school.
wtf at November 26, 2013 2:56 PM
From the Mother Jones article: "A dose increase of levonorgestrel is not proven to be a solution for this problem," notes [Karina] Gajek, the HRA Pharma spokeswoman.
Conan the Grammarian at November 26, 2013 3:08 PM
Hey, listen up all you meanies. I'm 5'11", 55 years old and weigh 174, and I look pretty freaking good. Maybe a tad of extra padding but not a fatty, folks. 174 for those of us who are tall isn't all that. So stop being haters, umkay?
Laurie at November 26, 2013 3:14 PM
Pics, Laurie, or we have no cause to believe you
lujlp at November 26, 2013 3:34 PM
This doesn't surprise me. Doctors do not often adjust dosage for birth control pills for larger women. This is why I chose Implanon.
Cat at November 26, 2013 4:35 PM
"IMO, abortion should only be used in extreme cases, like that of rape of extreme birth defects."
Why?
Why limit the abortion to rape of extreme birth defects? How about the just extreme birth defects? Does it make any difference to the baby just about to be killed no matter his/her mother is raped or not?
Have you heard the name of the French painter, Lautrec, who was inbred with birth defects? I am so glad that they did not have the technology to detect the birth defects back then for the abortion purpose.
I am starting to think that science is not an answer to everything but the "decency (hi, Crid)" is.
http://en.wikipedia.org/wiki/Henri_de_Toulouse-Lautrec
chang at November 26, 2013 6:01 PM
I haunt your soul. As well I ought.
Crid [Cridcomment at gmail] at November 26, 2013 7:20 PM
Chang;
So you believe a woman who was raped should be forced to have a baby, of someone who violated her at that, whether she can afford it or not, whether she wants to or not, when she had no say in the matter in the first place?
Seriously?
You and Crid are a good team!
wtf at November 26, 2013 8:42 PM
Amy Alkon
http://www.advicegoddess.com/archives/2013/11/26/if_youre_over_1.html#comment-4080081">comment from Crid [Cridcomment at gmail]I haunt your soul. As well I ought.
Have missed your hauntings. Not sure I have a soul.
Amy Alkon
at November 26, 2013 9:34 PM
I always thought that being 175 pounds was the contraceptive method!
but (thanks sofar), i can see i was wrong, it's a high bmi which is a contraceptive method.
nico@HOU at November 26, 2013 9:53 PM
> Not sure I have a soul.
It's in the vault, been there since '07, next to Tressider's; It will be returned to you upon demonstration of good works and pure heart.
Crid [Cridcomment at gmail] at November 26, 2013 10:10 PM
No complaints with the post itself. It's notable that commenters of each gender won't pass up a chance for snark, because fat chicks.
> It's either that or sex education.
Why?
> Take your pick.
Sez who, Mr. Bossy Pants? I can imagine ten thousand options.
> Here's a handy weight distribution chart> for white American women, Cousin Dave:
There's really no limit to the detailed fascination the United States engenders in the hearts of people from—
> It's that kind of society nowadays.
—other places. ("Handy!")
> I was like, "Nooo! Now this is going to
> devolve into a debate about something
> totally unrelated!"
If you know exactly how this ought to go —you know what other people are supposed to say, and you know how you're supposed to respond, and you know when we're "devolving"— why not just turn off your router and type it all into Microsoft Word? Then you can print it out and put it in an envelope and mail it to, um... An office. Somewhere. Maybe a publisher, who'll sell it as a novel or something.
> Why can't somebody just take two?Carcinogens are distinct in that the incidence of cancer they cause varies in proportion to their presence in an organism's environment. We may be swimming in thousands of carcinogens that we don't know about, because their presence, and thus their impact, is too small to be distinguished from the statistical noise of other cancers... Illnesses which will claim too many of us no matter what. (Cathy Seipp said she'd never puffed a cigarette, and I believed it.)
But there are plenty of poisons that kill only once you have too much of them, while smaller amounts won't hurt at all. Apple seeds contain Cyanogenic acids, which are dangerous only in larger doses. I've been eating apple cores for thirty years, but I thrive in good health. (My masculine bearing is the envy of the gymnasium. My scalp is a lustrous, inviting thicket. My keen sense organs intrigue UCLA Medical School's graduate students of physiology, who study me covertly as I move through Los Angeles; they know that at some point, I'll show evidence of middle age. So they wait... And wait....)
Not a chemist, not doctor, but it's easy to imagine that a compound like Norlevo could have components like that, small hazards that would approach some inviolable boundary if delivered in quantities sufficient for a bigger gal…
…Une whose health, and company, deserve rhetorical respect.
Crid [CridComment at gmail] at November 26, 2013 11:42 PM
Sez who, Mr. Bossy Pants? I can imagine ten thousand options.
And yet, you dont offer any. Why?
lujlp at November 27, 2013 1:55 AM
The point had been made: I'm deft that way.
(If you simply must have a partial listing, send a SASE and thirty dollars... But it would be better if you thought it through for yourself.)
Crid [CridComment at gmail] at November 27, 2013 2:12 AM
"What does that necessarily have to do with OTHER rural counties? Or teen girls who don't have any transportation money?"
To me it is self-evident that if a woman can get an abortion in Marshall County, Alabama, without a dime to her name, she can get one anywhere. You would have to visit there and see for yourself to appreciate the gravity of that statement. Just as there are no longer any truly "dry" areas in the United States, there are no longer any areas where a woman can't get contraceptives or an abortion with just a smigden of effort.
Cousin Dave at November 27, 2013 6:07 AM
"It's in the vault, been there since '07, next to Tressider's; It will be returned to you upon demonstration of good works and pure heart."
Bloody hell, Crid. If you're going to make it that easy, you may as well just give it to her.
Cousin Dave at November 27, 2013 6:09 AM
"So you believe a woman who was raped should be forced to have a baby, of someone who violated her at that, whether she can afford it or not, whether she wants to or not, when she had no say in the matter in the first place?"
A woman or man never had a say in the deal of making babies and never will.
The baby making sex acts (not Clinton style)done between a man and woman by force or choice will result in new life, just like you and myself.
However, the ingredients to make that life have nothing to do with you. You have not done a damn thing to create the DNA mix, which was started and perfected millions of years ago by Mother Nature.
What makes you think that you get to decide that the life, which is not created by you, lives or dies when your only memorable involvement is getting drunk and gazed at the eyes of a tall stranger you just met at the bar?
chang at November 27, 2013 6:21 AM
"What makes you think that you get to decide that the life, which is not created by you, lives or dies when your only memorable involvement is getting drunk and gazed at the eyes of a tall stranger you just met at the bar?"
You really are an idiot aren't you?
Did you read my post?
wtf at November 27, 2013 7:30 AM
How eerie is it that we hadn't heard from Crid in a long while, and we hadn't heard from Chang either. So now that Crid starts posting again, here comes Chang.
What a coinky-dink!
Flynne at November 27, 2013 8:35 AM
The point had been made: I'm deft that way.
If your point is you cant back up your claims, then yes it has been made
What makes you think that you get to decide that the life, which is not created by you, lives or dies when your only memorable involvement is getting drunk and gazed at the eyes of a tall stranger you just met at the bar?
My convenience.
lujlp at November 27, 2013 10:23 AM
From fat jokes in the first comment to "convenience" in the last, you toil to convey dissatisfaction and detachment and imperious anger. For years you've been struggling (through clumsy typos) to share your bitterness. With strangers. Here.
It's not about principle... You follow no star but your own resentment: We understand this.
Do we care?
Crid [CridComment at gmail] at November 27, 2013 11:45 AM
Something is missing here. As questionable as Mother Jones magazine might be, I wonder just how it is anyone arrived at the initial dose of this medicine in the first place – that it can't be increased to compensate for additional weight.
Radwaste at November 27, 2013 12:24 PM
To me it is self-evident
_____________________________
Maybe, but that's hardly a scientific attitude. How about some PROOF that anyone, anywhere, of any age, can get an abortion without even gas or bus money? Or a highly inconvenient waiting period? Or having to be grilled by a judge?
I mean, I've heard that Austin is a pretty liberal city. That hardly makes it typically Texan, from everything else I've heard.
lenona at November 27, 2013 12:43 PM
There's really no limit to the detailed fascination the United States engenders in the hearts of people from—
> It's that kind of society nowadays.
—other places. ("Handy!")
Don't start that shit again. We've been down this road a time or two. You wind up a blustering bag of wind every time. Not even on the site for 48 hours and already pickin fights. Not just with them damn furiners, but seemingly at random, because you can. Hmmm, wonder why some think you're an ass?
And, again, (and again and again and again and again........cause it seems you're willfully stupid that way) our societies, excepting healthcare and gun-control, are virtually identical.
I too, would like to hear those ten thousand options. You're strangely silent on the matter.
A welcome back, just for you.
http://www.youtube.com/results?search_query=square+dance+eminem&sm=1
"If your point is you cant back up your claims, then yes it has been made"
Agreed!
wtf at November 27, 2013 3:48 PM
Woops....
Damn Kids....
http://www.youtube.com/watch?v=t0kjCwOFIXQ
wtf at November 27, 2013 3:51 PM
"My convenience."
I think that will be one of the reason why the Western Civilization will eventually self destruct itself.
When "my convenience" triumphs over the Mother Nature's rule, SHE will destroy you with the extreme vengeance.
I think that is the reason why the cave dwelling Muslims are increasing their population everywhere specially in Europe.
The days of Western Civilization is numbered as soon as Muslims start to vote under democracy, which they learned from the Western Civilization.
Things will play out just as the Mother Nature wanted.
chang at November 27, 2013 4:16 PM
> Don't start that shit again.
Can't help it— I'm a compulsive shit-starter, especially with goofy young foreigners who feign special insight into American character, when they perhaps ought to be tending to their, own, y'know, national beeswax.
> It's that kind of society nowadays.
…As if you've watching THAT closely and for THAT long....
What's it like to be so heart-achingly obsessed with something fantastic of which you're not a part?
'Sgotta hoit.
Crid [CridComment at Gmail] at November 27, 2013 4:28 PM
"Can't help it— I'm a compulsive shit-starter,"
Well you're half right.......
"What's it like to be so heart-achingly obsessed with something fantastic of which you're not a part?"
What's it like to be so heart-achingly obsessed with goofy young foreigners because you're just trying so damn hard to recapture a youth that will never be again?
I used to think you were a bigot, now I realize you're obsessed cause some sweet young thing (like me....) broke your heart.
Awww, 'sgotta hoit.....was it all the small thing(s)?
Don't hate me cause I'm young, hate me because....wait, no, that's ok, hate me because I'm young and you wish you were! That works!
Missed ya babe! Mwah!
http://www.youtube.com/watch?v=_PDCoCiK3u0
wtf at November 27, 2013 6:28 PM
The dosage on birth control pills are not often increased for larger women.
Every single incidence I have ever personally known of their failure has been a larger woman.
Cat at November 27, 2013 6:31 PM
It's not about principle
Thats a rare moment of honesty there crid, I dont think you meant to admit that.
You know what you problem is? Arrogance.
You make claims and get pissed that others fail to simply take you at your word.
You expect levels of deference from others that you refuse to extend yourself.
You want others to back up thier claims when you disagree and whine like an 8yr old girl when anyone dares to ask the same of you
The thing I dislike the most about you is you never actually bother to refute anyone who dares to question you. No you bitch about their country of origin or their spelling.
Your the kind of guy who ignores that which he does not wish to accept.
Whats worse is your the type of guy who having the truth given to him would not only ignore it, but ridicule the person who penned its handwriting; as if penmanship were what was REALLY important.
And what makes you particularly despicable is upon discovering the person with the bad handwriting wrote it with his feet cause he had no arms would go on ridiculing the poor penmanship at every turn because you are pathologically incapable of admitting you might ever be wrong and must find someway to justify ignoring what someone questioning you writes.
Welcome back. But grow up already, its beyond pathetic ridiculing the spelling of a dyslexic
lujlp at November 28, 2013 11:15 AM
"My convenience."
I think that will be one of the reason why the Western Civilization will eventually self destruct itself.
Actually, "My convenience" created and expanded western civilization. If it werent for "My convenience" you probably wouldnt even be alive, statistically you'd have died in childhood from polio or small pox
When "my convenience" triumphs over the Mother Nature's rule, SHE will destroy you with the extreme vengeance.
Right, and where does she live exactly that she is plotting the downfall of civilization?
lujlp at November 28, 2013 11:17 AM
"You want others to back up thier claims when you disagree and whine like an 8yr old girl"
HA!
Actually luj, I have an 8 yr old. He's worse. You can actually prove my daughter wrong.
And if this is the writing of a dyslexic, it's very hard to tell.
"The days of Western Civilization is numbered as soon as Muslims start to vote under democracy, which they learned from the Western Civilization."
Yes yes, truly an idiot. You do realize that to be truly Islamic means to be anti-democracy? That it is a dictatorship by definition? That Islam did not "learn"anything from Western Civilization but declared war against it due to it's democratic principals?
Dumbass.
"Things will play out just as the Mother Nature wanted."
Yes, as Mother Nature wants, not you.
wtf at November 28, 2013 12:02 PM
To be fair to crid, when I was flirt on this board I was using IExplorer which didnt tell you when a word was misspelled.
And I was using chrome for more than a year before anyone clued me into the fact that you could left click on the misspelled word to get the right one.
Even now its kinda hit and miss on a few things, when I mis use who for who and vice versa it doesnt show up cause they are spelled correctly
lujlp at November 28, 2013 12:53 PM
who for HOW
see what I mean?
Personally I could care less that crid can be a dick, his double standards are what pisses me off.
lujlp at November 28, 2013 12:56 PM
"vice versa it doesnt show up cause they are spelled correctly"
I friggin hate that. I'm francophone, so I sometimes have trouble with grammar and such. It drives me bat-shit.
"Personally I could care less that crid can be a dick, his double standards are what pisses me off."
Everyone can be a dick at times, especially when discussing their passions, or when dealing with someone particularly obtuse. As per my previous comment to chang.
I actually enjoy exchanging insults with Crid, he's actually semi-intelligent. What bothers me is he picks on people for things that have absolutely fuck-all to do with the thread, and not in a friendly way. As you see above. Please, someone explain to me what the fuck being Canadian has to do with birth control???
That, and picking on people because their opinion differs from his. I thought debate was part of the process?
wtf at November 28, 2013 2:02 PM
"Actually, "My convenience" created and expanded western civilization."
Agreed.
I look at Western Civilization the same as union movement in America.
It was a good thing at the beginning until it became too good for the companies they were working for. The companies simply moved their operation to China or India. Now, the ex union members work for the Walmart.
The Mother Nature is moving HER operation to Muslim culture, which produce next generation without insisting "my convenience".
The Muslims will inherit the earth as the Western Civilization is not sustainable.
Inconvenient Truth.
"Demographers[who?] forecast Marseille will be the first Muslim-majority city in Western Europe.[8] Demographers[who?] forecast that Muslims will comprise the majority of the population of Brussels by 2030.[9]"
http://en.wikipedia.org/wiki/List_of_cities_in_the_European_Union_by_Muslim_population
chang at November 28, 2013 2:58 PM
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