The display of medicines in a pharmacy showcase differs markedly from the location of goods in a regular store. If people are free to purchase meat, vegetables or sweets at their own request, then many medicines are protected from casual buyers by prescription. These include birth control pills.
The law is harsh
Having made the Rules for Dispensing Medicines in Pharmacy Organizations stricter several years ago, the Russian Ministry of Health began to fight the long-standing tradition of self-medication. While antibiotics and hormones were easy to buy, pharmacists could display samples on display cases and even advise shoppers, for example, on birth control pills.
A pharmacist can only sell barrier contraceptives without a prescription. If he sells pills without a doctor's prescription, then he is breaking the law.
As a result, without going to a doctor, many people accepted what a specialist would not prescribe based on their symptoms and contraindications. Moreover, some previously over-the-counter drugs made it possible to obtain cheap narcotic substances during processing or acted on the body like a drug by themselves.
Now the law prohibits the sale of these products without a doctor's prescription, which means there is no point in advertising them. Therefore, not only samples of such drugs disappeared from the pharmacy stands, but also leaflets with booklets that convinced them of their benefits.
Why do you need a doctor?
Birth control pills affect the hormonal background of the female body, blocking ovulation. This is why picking them up yourself is dangerous. Only a gynecologist-endocrinologist has the right to evaluate the patient's test results and prescribe the necessary pills.
In addition to examining a doctor, it is important to do an ultrasound of the pelvis and mammary glands, a biochemical blood test, a coagulogram, an oncocytological smear. In some cases, coloscopy.
Moreover, at different ages, the doctor can prescribe pills with a different composition to the same woman. Young nulliparous girls - micro- and nasco-dose drugs, women aged or having children - medium- and low-dose or gestagenic drugs. The choice of a specialist is also influenced by the patient's smoking and the state of her internal organs. Even among tablets of the same dosage, it is important to determine the manufacturer - sometimes their effectiveness depends on this. And if a woman tries to prescribe contraceptives for herself and finds a pharmacy that will agree to sell them without a prescription, there is a high probability of harm to her health.
Consequences of risk
In case of an erroneous independent choice of contraceptives, the woman's body reacts sharply to the drug. Some side effects disappear as you get used to the pills. But others signal malfunctions in internal organs. And the more they manifest themselves, the more dangerous the consequences can be.
Inappropriate hormonal birth control can cause nausea and vomiting, intermenstrual bleeding, pain in the head and mammary glands, irritability and depression, hair loss, and changes in skin oiliness. And in the most difficult cases - strong weight gain, absence of menstruation, migraines, fainting, increased pressure, itching, and malfunctioning of the organs of perception.
Thus, the strict terms of the contraceptive trade protect the health and sometimes even the lives of many women.