Medicines and preparations of unknown origin used illegally for pharmacological abortive purposes
Keywords:
medical abortion, pharmacology, forensic study, identificationAbstract
The paper comprises the discussion of forensic studies results obtained in National Medicines Institute in 2007–2011 period of preparations in a form of tablets and capsules secured by the police and prosecution in connection with illegal abortions. The literature overview on legal an illegal medical abortion in Poland and selected countries in the world has been supplied. A qualitative analysis of these products was performed by means of instrumental methods. Preparations contained the following active ingredients: misoprostol (Cytotec, Misoprostol 200 μg), misoprostol and diklofenac (Arthrotec), mifepristone (Mifepristone Tablets 200 mg), prednisone (Encorton), acetylsalicic acid, methotrexate. Also capsules with omeprazole were studied. Preparations with misoprostol or omeprazole are used in stomach and duodenum inflammatory conditions whereas those with misoprostol and diclofenac in joints inflammatory and degradation conditions treatment. The use of such medicinal products for abortion is in Poland illegal and their action is based on undesirable side effects reported for upper mentioned therapies. Encorton containing prednisone does not cause miscarriages but its use during pregnancy can be involved in infants’ adrenal gland deficiencies. During some experts reports preparations it was found that the preparations offered on the market consist of pure lactose and do not contain any active ingredient.
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Ustawa o planowaniu rodziny, ochronie płodu ludzkiego i warunkach dopuszczalności przerywania ciąży. 1993 Dz. U. Nr 17, poz.78 ze zmianami.
Sygn. akt K 26/96 – Orzecznictwo Trybunału Konstytucyjnego rok 1997, Nr 2, poz. 19.
Ustawa o planowaniu rodziny, ochronie płodu ludzkiego i warunkach dopuszczalności przerywania ciąży. 1993 Dz. U. Nr 17, poz.78 ze zmianami, art. 4a ust. 1 pkt. 4.
Ustawa o planowaniu rodziny, ochronie płodu ludzkiego i warunkach dopuszczalności przerywania ciąży. 1993 Dz. U. Nr 17, poz.78 ze zmianami, art. 4a ust. 1 pkt 1-3,
Sprawozdanie Rady Ministrów z wykonywania oraz o skutkach stosowania w roku 2009 ustawy z dnia 7 stycznia 1993 r. o planowaniu rodziny, ochronie płodu ludzkiego i warunkach dopuszczalności przerywania ciąży. Druk nr 3724, Sejm RP Warszawa, 14 grudnia 2010 r. 55-61.
Prawa reprodukcyjne w Polsce, skutki ustawy antyaborcyjnej, Nowicka W. ( red.), Raport, Wydawca: Federacja na rzecz Kobiet i Planowania Rodziny ul. Nowolipie 13/15, 00-150 Warszawa, wrzesień 2007, 1-103.
Grimes D. A., Unsafe abortion: the silent scourge, British Medical Bulletin 2003, 67, 99-113.
Kodeks karny Dz. U. 1997.88.553, art. 152 § 1 i 2.
Kodeks karny Dz. U. 1997.88.553, art. 152 § 3.
Kodeks karny Dz. U. 1997.88.553, art. 154.
Kodeks karny Dz. U. 1997.88.553, art. 157a.
Kodeks cywilny Dz. U. 1964.16.93, art. 4461 .
Kodeks cywilny Dz. U. 1964.16.93, art. 444.
Kodeks cywilny Dz. U. 1964.16.93, art. 446.
Mesce D., Clifton D., Abortion, Facts & Figures, Population Reference Bureau, Washington, www. prb.org (04.2011).
Tang O.S., Gemzell-Danielsson K., Ho P.C., Misoprostol: Pharmacokinetics, profiles, effects on the uterus and side-effects. International Journal of Gynecology and Obsterics, 2007, 99, 16-167.
Niimäki M., Medical compared with surgical management induced abortions and miscarriages, Acta Universitas Ouluensis, D Medica 1032, 2009, 1-91.
Ipas, Medical Abortion Study Guide, Ipas, Chapel Hill N.C. 2009, 1-85.
Patel L., Bennett T.A., Halpern C.T., Johnston H.B. Suchindran Ch.M., Support for provisions of early medical abortion by mid-level providers in Bihar and Jharkhand, India, Reproductive Health Matters, 2009, 17(33) 70-79.
Banfi R., Pavone E., Cerri R., Menichetti M., Mifepristone in Italy: the case of drug trapped between ethics and clinical practice. Pharm World Sci 2007, 29, 400-403.
Szymańska M., Knapp P., Opinions of gyneacologists on prenatal diagnostics in first/second trimester and abortion – ethical aspect. Advantages in Medical Science, 2007, 52, 182-185.
Blum J., Swica Y., Proposal for the inclusion of misoprostol in the WHO list of essential medicines, WHO, 17th Expert Committee on the Selection and Use of Essential Medicines, Geneva, March 2009, 1-20.
Antommattei O., Khanfar N.M., Mujtaba B.G., Global Abortion and Marketing Challenges for Misoprostol (Cytotec), Future of Women’s Health, International Business & Economic Research Journal, January 2009, 8, 1, 105-112.
Klimek-Wierzbicka P., Czarny rynek mizoprostolu, Manager apteki, 10.10.2010, 8-9.
Mazanek-Mościcka M., Brożek J., Skuteczność mizoprostolu podanego dopochwowo w porównaniu z aspiracją zawartości jamy macicy w przypadku niepowodzenia ciąży w I trymestrze, Opracowanie w internetowym portalu dla lekarzy Medycyna Praktyczna, http://www.mp.pl, (21.04.2008).
Watoła J., Aborcja tabletkami na wrzody, Gazeta Wyborcza 21.04.2011, 5.
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