Fant det på thyroidabout UK forumet, flere mld over tid.
Det er et brev fra MHRA som er tilsvarende RELIS www.relis.no her i Norge gjengitt på http://www.armourinfo.freeuk.com/document_2.html som sier at Armour eller Thyroid USP kan foreskrives.
Reseptene er ikke blå, men man får alt gratis når man får diagnosen hypothyreose hvis man slipper gjennom nåløyet. Det er mange som har fått Armour gratis nå i England. (fordi thyroxin ikke virket)
De trenger ikke lenger å få Armour på registreringsfritak.

"3) BTA: We note that Armour preparation is not on the British National Formulary but can be obtained on a named patient basis if a prescribing medical practitioner chooses to arrange this (as per advice provided by Dr Graham Matthews the Pharmaceutical Assessor of the Medicines and Health Care Products Regulatory Agency 29th June 2004).
(Named patient basis=søknad på registreringsfritak)

SheilaTurner: As we pointed out to you in our previous letter, prescribing on a ‘named patient basis’ no longer applies. All that is needed (by arrangement with Discord Medicines and MHRA) is that a doctor just writes on the prescription “required to treat hypothyroidism”.

4) BTA We note that the cost per month of Armour is £25-30 compared to an equivalent cost of £1 per month for thyroxine. According to the DOH, hypothyroidism is a medical exemption. It does not specify a treatment so in theory Armour could be prescribed. It could also be prescribed by GPs and dispensed by a community pharmacy despite it not being in the drug tariff. The problems may arise with a GP being asked to prescribe something they are not familiar with and a community pharmacy who may not be willing to try and source a supply of Armour. Any decision to approve this prescription will rest with the Primary Care Trust for that patient and opinion may vary.

Sheila Turner: It appears that ‘evidence based medicine’ is moving from relatively simple questions about a drug’s safety and effectiveness to thornier questions of relative clinical effectiveness and cost effectiveness. Your statement leads to an evaluation that is based more on cost than on effectiveness, within a framework of ethical values. Doctors are educated to prescribe the most ‘cost effective’ drug for hypothyroidism (Thyroxine).
"
Det er en egen aksjongruppe for Armour, og de har enget webforum og vi burde egentlig være flue på veggen der.
De sysler med å gjøre Armour kjent, og å få det dekket av NHS, hvert distrikt må dekke det og det er to som ikke har gjort det ennå.
Lois fra kanada er med av den grunn.

http://armourpack.ukweb.nu/
http://www.armourinfo.freeuk.com/

Sheila Turner poster også ofte på UK forumet hos thyroid.about.com.

Her poster hum om det å få Armour dekket av NHS, det er det lokale PCT som må dekke medisiner:
http://forums.about.com/ab-thyroiduk...es?msg=3121.12

"<Armour isn't for everyone, most PCT's refuse to fund it, >

This information is incorrect. most PCT's DO fund it now and they have no problem with this. Since we sent out our letter to all the PCT's, we have only heard of 2 who do not fund this, but we are working on them.

Luv - Sheila"


nora

PS: Interessant er også nr 3 http://www.armourinfo.freeuk.com/document_3.html Det er helt sant at ThyroidUSP ikke har vært "harmful" mens det har vært massevis av klager på levothyroxin, som ikke har gått gjennom godkjenningsprosedyren fordi legemiddelindustrien hevdet det var det samme som dessicated thyroid. I 1999 måtte alle som markedsførte levothyroxin søke på nytt. http://www.fda.gov/OHRMS/DOCKETS/98fr/081899b.txt
http://www.fda.gov/OHRMS/DOCKETS/98fr/992636gd.pdf
Vi vet at L-thyroxin og desiccated thyroid ikke kan sammenlignes.