The issue is that Plan B is on the table now as well. Like I said, I have no use for such a thing and haven’t for many years. This is why I am asking folks who might know more than me.
I haven’t risked falling pregnant for over 45 years, I have no clue about this stuff nowadays.
When the hospital I worked at got it for the emergency room, our director called a pharmacists’ meeting and wanted to know if there were any (his words) conscientious objectors. He didn’t need to know then, but one person did speak up, a woman whose job duties were such, it would be unlikely she would have handled it anyway. Another pharmacist said he sometimes did relief work in a college town an hour’s drive away, and he said that the Planned Parenthood there would write prescriptions for Plan B with 11 refills, and he was really uncomfortable with that. (No, they didn’t require a prescription for purchase, but they did for insurance coverage.) I do know that Plan B is very expensive, and often makes women really sick for a day or two afterwards.
And here is the problem. Plan B is not an abortion pill. It will do nothing if a woman is already pregnant. It is for women who have unprotected sex and is only effective a short time later. No babies will be harmed, but one of her ova will not implant THAT month.
The local woman’s shelter closed a month or so ago, or I’d just donate them.
Plan B has a shelf life of four years. For the exact month and year that the Plan B is set to expire, you can refer to the information printed on the side of the box. Store the product at room temperature between 68‑ and 77‑degrees Fahrenheit.
When it was first being sold over the counter, I remember paying $30 (at least 16 years ago). Today it starts around $10 ($5.50 on Amazon for Prime Day)
Years ago the U.S. Army found itself with lots of expired medication. To avoid waste, they conducted a study to evaluate the safety and efficacy of expired medications. This ultimately led to the Shelf Life Extension Program (SLEP).
In short, they found that the majority of tested medications, especially those in hard tablet form (as opposed to capsules or liquids), were safe and effective for years past their expiration dates, especially if they were stored under ideal conditions. A 2006 study found that two-thirds of 122 medications tested through SLEP remained effective for an average of at least four additional years.
Plan B comes in hard tablet form. I would have no hesitation in recommending that someone take it even if it is past the expiration date.
Thank you for that answer, that really was my question.
As it happens, I was asking a local friend what she thought I should do and she told me that she would give them to her very LGBT preacher because he keeps that sort of thing handy for anyone who asks. I’ll go and have a talk with him this afternoon.
It comes down to data. The product was tested repeatedly for literally years (and ongoing batch testing happens for product that have been sold) and the data supports the package expiration date. There is hard science and reams of test results to back that up; this drug product with x mg of ingredient has not degraded and still has x mg and no toxic impurities and has been shown to dissolve in stomach acid in exactly the same timeframe as the day it was made after being stored at Y conditions for Z years.
Enormous amounts of tediously obtained, documented and audited data.
What you don’t have is any data for Z years + 1 day and you certainly have nothing for Z years + 6 months, or more…
Obviously drugs aren’t a time bomb. Things don’t suddenly change from ok to not ok. There’s just literally no data to consistently say “yeah it’s good for a week more, a month more, a year more…” for every batch of every product made by every production line etc etc. It’s a pure unknown when something begins to lose efficacy.
If costs and access aren’t a concern, it’s probably best to only purchase what you think you might use, and to replace when expiration dates come around.
Access is threatened in red states which is why I was looking at long term storage. But, thank you for all of the excellent info, it is appreciated.
For the record, this all worked out very well. The preacher’s side gig is collecting up monthly supplies for homeless women, which is a cause I can get behind as well.
To add to that, assuming it’s a hard tablet, your instincts on storing it in a freezer are correct. Lower temperatures will almost certainly slow down any degradation that might occur. Just make sure it’s well sealed to prevent ice getting in. And even if you don’t store it in a freezer, keeping it away from light is a good idea anyway - the UV radiation can cause some chemicals to degrade.
From my days in pharmaceutical development, as a rule of thumb, a storage temperature reduction of 10C will approximately double shelf life. So sticking it in the fridge should approximately double that part of the shelf life which remains. So if you have two years of shelf life left, that’s what you would be doubling. Obviously it would be better just to replace at end of shelf life, but if you can’t do so this is probably your best work around.
(The reason this isn’t done commercially is that fridge storage is expensive. Also…
…with the result that package information would be a further four years out of date, and newly identified, potentially significant adverse reactions would be missing. This is the reason that regulatory authorities don’t grant shelf lives of six or seven years, irrespective of how stable the medication is.)