SHARE
COPY LINK

HEALTH

Deaths prompt probe into contraceptive pill

French health regulator ANSM has launched a probe into the drug Diane-35, used to treat acne and also as a contraceptive, after linking it to four deaths over the past 25 years.

Deaths prompt probe into contraceptive pill
Photo: Zimpenfish/Flickr

Produced by the German drugmaker Bayer, Diane-35 is authorized in 135 countries and sold in 116.

In 2012, about 315,000 women in France used the drug, ANSM said in a statement on Sunday.

Four deaths due to thrombosis – a kind of blood clot – were linked to the use of Diane-35, ANSM said, promising to release a full report on the drug and its risks next week.

Three other deaths reported by French newspaper Le Figaro on its website as connected to the drug were linked to existing health conditions, the regulator confirmed.

Diane-35, also sold as Dianette in some countries, is a hormone tablet that treats certain types of acne for women and is also used as a contraceptive.

A database of information from French doctors shows 125 cases of thrombosis related to Diane-35 or other forms of the drug since 1987, when the drug was first released onto the market.

In response, Bayer said on Sunday that the blood clot risk was "known and clearly indicated in the patient information leaflet".

Bayer added that the drug was only supposed to be prescribed for acne, and in the context of a medical consultation addressing all the precautions of use.

In France, Diane-35 is only authorized for the treatment of acne, but its hormone make-up means it could work as a contraceptive by blocking ovulation.

France announced last year that so-called third generation birth-control pills – newer pills that contain variants of the hormone progestin – will no longer be reimbursed by the social security system from March.

Earlier this month, ANSM launched a probe into the use of newer contraceptive pills on the market over fears of blood clots after a woman sued Bayer over an alleged clot caused by her pill.

One French lawyer told French media on Sunday that around 100 women had contacted him, intending to sue both Bayer and ANSM for not raising the alarm sooner.

Member comments

Log in here to leave a comment.
Become a Member to leave a comment.
For members

HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

SHOW COMMENTS