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Tuesday 12 August 2003

The Last Birth Control Pill without Lactose

By: Searl

Lactose is used as a filling or coating in hundreds of medications, both prescription and over-the-counter.

Most categories of medicine, fortunately, have several lactose-free choices. Birth Control Pills (BCPs), of all things, were the one exception. The only lactose-free BCP was Demulen.

Then came the rumor that Demulen had added lactose. Panic city.

Demulen is made by Searle, which is a division of Pharmacia, a part of Pfizer. Prizer has information on its Demulen page, a page in .pdf format, which means you need the free Adobe Acrobat reader to see it. However, I'll save you the trouble. Good news! The rumor, like most rumors, was at best only half true.

Here are the facts.

BCPs come in 21-day doses, to cover the active portion of a woman's cycle. But experience showed that some woman forgot to start up the new cycle on time if they had to take a week off without any pills. So the pharmaceutical companies came up with seven-day placebo or spacer pills, inactive pills that were simply place-holders, allowing women to take a pill every day and make it into the kind of automatic habit that left no gaps.

Well, the Demulen 21-day active pills still are lactose-free. It's just those additional 7-day placebo pills that now contain lactose. This may be an annoyance, but it doesn't affect the value of the active pills. Ask your doctor for Demulen 1/35-21 or the higher dosage 1/50-21, not the 1/35-28 or the 1/50-28.

If you don't want to chance even the slight amount of lactose in the placebo pills, check with your doctor to see if there is a different placebo that you can take. Or get creative in ways to mark off the week's gap between cycles by taking different pills or just marking off a calendar.

Just don't believe every rumor until you check them out.

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