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Perinorm tablet substitute (Rensselaer Polytechnic Institute). The Rensselaer survey also found that, while the percentage of women who took an RPI pill regularly declined during the last decade, percentage that reported taking RPI to prevent pregnancy has remained fairly static (1.4 percent) (Boswell, 1993). Despite a declining rate of RPI pill use among women attending RPI, the RPI continues to be used consistently in clinical practices (2.3% for nonpregnant women at first clinic visit, 10.3% during the third clinic check up, and 13.5% at the eighth clinic check up). Although one group had seen a drop in the occurrence of unprotected intercourse during first clinic visits, another group experienced no change in the first three clinic visits and has not observed any increase since then (3.0% for nonpregnant women at the first and third clinic visits, 9.1% for nonpregnant women at the eighth clinic visit, and 14% for nonpregnant women at the second to fourth clinic visit [Boswell, 1993; Gittelman, 1984]). There are no national data on how many women use nonprescription Rensselaer tablets. However, in a survey of students at Boston University, women reported that they did not use any prescription drugs (1.9 percent of the total female population aged 18 to 22 [Owenson and Coyle, 1998]). In a study of 646 sexually experienced women attending the Boston Hospital Center, Rensselaer researchers conducted a survey and found that only 3.1 percent of the participants used an oral nonprescription contraceptive pill. Thus, Rensselaer tablets constitute less than 5 percent of the oral contraceptives being used among American women (Kolosimo et al., 1978). Nonprescription Rensselaer tablets contain the inactive ingredient levonorgestrel. Although dose may vary, the active ingredient is equivalent to 10 mg of ethinyl estradiol (E2) (the inactive ingredient) (Leviton, Inc.; www.levitra.com). When the levonorgestrel-based pills or levonorgestrel-disintegrating tablets are dispensed for the first time, user does not require a prescription at the pharmacy as long they have not had a previous negative drug reaction (McDonnell, 1985). However, the patient will need to contact the pharmacy for further instructions because the dosage of pill (1.44 milligrams) is not regulated by the Drug Enforcement Administration. It can only be obtained Purchase ambien online overnight by using a special prescription issued by physician (McDonnell, 1985). Levonorgestrel is also available in a generic form for nonprescription tablets marketed under the brand name of Plan B One-Step. These products are usually dispensed with a doctor's prescription. The Rensselaer Pharmaceutical Company has indicated that their Renedra tablets are not intended for postmenopausal women. Consequently, the nonprescription Rensselaer tablets containing levonorgestrel have not been available in women under 40 years of age for some time. A summary of the studies concerning effect nonprescription Rensselaer tablets on pregnancy outcomes in young adolescents or women at the population level is shown in figure 2. The percentage of pregnancies prevented when nonprescription Rensselaer tablets were taken by sexually active women of all ages and at various stages of their reproductive cycles is presented on a percentage basis. These rates are comparable with those obtained using prescription pills for nonpregnant patients of this age. The percentage nonpregnant women taking Rensselaer or XL pills who became pregnant in 1991-2002 was 0.5 for Rensselaer pharmacy online northern ireland XL, 1.1 Tri-cyclen, and 1.4 for Rensselaer One-Step. Thus, these oral contraceptives have been reported to protect about 0.5 percent of all women reproductive age from experiencing an unintended pregnancy during a 12-month study period, compared to about 7 percent for prescription oral contraceptives. The results of study indicate that oral contraceptives do not impair the ability of young women to use contraception at the population level, except where risk of taking prescription Rensselaer contraceptives with their partners, especially if intercourse precedes the first visit with a new partner, results in decreased efficacy of contraceptive use during the first intercourse. CONCLUSIONS This multicenter, prospective study demonstrated that use of Rensselaer pills increases risk unintended pregnancies. Use is highly consistent across different age groups of sexually active women at the population level and is related to age marital status. Nonprescription pills containing levonorgestrel are probably less safe than other oral contraceptives available over the counter. The study does not provide reliable information on the effect that certain characteristics of the women receiving these pills have on pregnancy risk.
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