Japan to start OTC sales of emergency contraceptive in February

Daiichi Sankyo announced it will begin over-the-counter sales of the emergency contraceptive Norlevo on February 2, marking the first time such a pill is available without a prescription in Japan. The pill must be taken in the presence of a trained pharmacist for safety reasons.

Daiichi Sankyo announced on December 18 that it will launch over-the-counter sales of the emergency contraceptive pill Norlevo starting February 2 next year. Produced by Aska Pharmaceutical, the drug received approval from the health ministry in October for OTC availability, making it the first of its kind in Japan without requiring a prescription.

There are no age restrictions on purchasing Norlevo, allowing anyone to buy it. However, for safety, it must be taken under the supervision of a trained pharmacist. The pill is effective in preventing pregnancy in about 80% of cases when taken within 72 hours of intercourse. Its suggested retail price is ¥7,480 per pill.

This move aims to improve access to contraception, offering a new option for women's health management in the country. Key terms include pharmaceuticals, health, pregnancy, and birth control.

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Illustration depicting a woman self-screening for medication abortion eligibility using prototype OTC packaging from a JAMA study.
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Study finds many patients can self-screen for medication abortion eligibility using prototype labeling

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A study published April 6, 2026, in JAMA Internal Medicine found that people seeking medication abortion often reached the same eligibility conclusions as clinicians when using prototype “over-the-counter-style” packaging and a drug facts label. Researchers and outside experts said the results add to evidence that self-screening could work, though any move to over-the-counter sales would face major regulatory and political hurdles.

The Diet passed legislation requiring higher co-payments for about 1,100 prescription drugs that resemble over-the-counter products, with the changes set to begin in March 2027.

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The U.S. Supreme Court on Thursday issued an emergency order permitting the mail distribution of the abortion drug mifepristone to continue nationwide. The unsigned ruling temporarily blocked a federal appeals court decision that had struck down a Biden-era policy allowing online prescriptions and shipments.

A unanimous three-judge panel of the U.S. Court of Appeals for the Fifth Circuit on Friday issued a temporary nationwide order that freezes federal rules allowing mifepristone to be prescribed via telemedicine and sent by mail, siding with Louisiana in a lawsuit challenging the FDA’s 2023 changes.

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Chile's Public Health Institute (ISP) issued a pharmaceutical alert ordering the voluntary recall of Laboratorio Chile S.A.'s loratadine syrup 5 mg/5 ml after detecting out-of-specification impurities in stability studies. The action targets batches EWOA, EWOB, and EWOC, expiring in September 2026.

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