As of August 1, Armenia will require a doctor’s prescription for sales of Cytotec, a Pfizer-made stomach-ulcer drug that Armenian women often misuse for at-home abortions. But while specialists have hailed the new regulation, the medication still appears to be available for sale without a prescription in some Armenian pharmacies.
Cytotec is contraindicated for pregnant women because it causes severe uterine contractions, which can result in bleeding and miscarriages. The Ministry of Health stated that it removed the drug from over-the-counter sales because of the potential effects, ranging from post-hemorrhage anemia to death, that it can have on pregnant women who ignore those contraindications.
Countries other than Armenia also require a prescription for its use.
But despite the ministry’s new rule, sales of Cytotec appear to be continuing without a prescription. Clerks at nine pharmacies visited by EurasiaNet.org on August 1 in the Armenian capital, Yerevan, said that they still had the medication available for sale without a prescription.
After August 2, however, such sales will be “difficult,” the clerks said. Hundreds of Cytotec pills have been sold in the days leading up to the August-1 switchover to prescription-only sales, they added.
At just 200 drams (50 cents) for a 200-microgram tablet, Cytotec's cost is 100 times lower than that of a hospital abortion.
According to Ministry of Health data provided to EurasiaNet.org, imports of Cytotec to Armenia soared by tenfold between 2010 and 2011, the latest year for which complete data is available, to 26,655 packs.
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