Alendronic Acid – Take a break!

Take a break to prevent a break!

“Don’t use it for more than five years!”

We recently came across this article about the long term effects of Alendronic acid and thought we should bring it to your attention.  The long and the short of it is that it is not a good idea to use the drug for periods of longer than 5 years,  as it has the effect of making your bones go brittle and actually causing breaks.

Naturopath,  Jacob Schor, ND, FABNO,  writes:

“The drugs that have been used with apparent success to treat osteoporosis may now have a problem. Alendronate may weaken bone and lead to increased fracture risk. Continue reading

"Making Contact" – Brenda Snow

There’s an interesting article written in this month’s “Pharmaceutical Marketing Europe” magazine entitled “Make Contact” by Brenda Snow who suffers from MS.

It states that “taking the time to listen to sufferers’ stories helps patients, doctors and industry relate and benefit.”

There’s a lot that will ring true for people with birdshot – below I post a part of her introduction:-

“Life isn’t always fair, it’s a lesson we all have to learn eventually.  It’s how we deal with those bouts of unfairness that help define us as individuals.  Sometimes, dealing with adversity can actually have positive outcomes.

The pharmaceutical company/patient relationship is changing and should continue to change and develop, moving forward.

The pharmaceutical company/patient relationship has traditionally been: patient gets ill; patient visits doctor; doctor talks to patient; doctor prescribes medication for patient; patient receives medication from pharmacist, and hopefully patient reads patient information leaflet.  In essence there has not been any kind of real relationship or genuine connection.

My first suggestion is that pharmaceutical companies need to listen to patients in order to focus more on what matters to the patient population.  Many pharmaceutical companies are doing this already.  Those that are not should at least be cognizant of what is being said about them, specifically online.  This is a plea for pharmaceutical companies to connect with the patient communities they serve.”   Follow this link to read the whole article.

I called Brenda Snow because I was interested  to see if she had any ideas about what could be done to ease the supply of cellcept, or change Roche’s decision in relation to Zenapax.  She was very friendly and helpful.

She suggested that if the supply of Cellcept was so difficult, we could perhaps ask our doctors to consider prescribing a very similar drug called Myfortic,  which apparently has an enteric coating on  it which makes it less harsh on the stomach, but it uses similar ingredients to cellcept as is often used successfully for transplant patients.

As far as Zenapax was concerned she said she said she would try to see what could be done, including find out if there are any generic versions of the drug.

We’ll let you know what we find out.  Annie

Battle to find Cellcept

Rea has just had another battle to get hold of cellcept. Usual story – all supplies used up. She finally got it from her very local, small pharmacist who is now trying to find further stocks for her and one other patient they have on cellcept. Rea is not alone. Annie’s pharmacist has experienced a recurrent problem getting hold of the pills, but he has, up to now, never let her down.

The difficulty seems to be that wholesalers use up their quota of cellcept quite quickly. Smaller pharmacists seem, in our experience, much more willing to order direct from Roche (the manufacturer of Cellcept), if the wholesalers have used up their supplies. Smaller pharmacists are, in our opinion, also able to build up a relationship with their customers and understand their illness, and the complications inherent in each type of medication their customers are using. As Rea said: ‘My local pharmacist spends a lot of time with me, working out when I am next likely to need medication, and trying to ensure that the medication will be readily available’.

If faced with a problem in getting hold of cellcept, BUS recommends that it is best to build up a relationship with a local pharmacist rather than rely on the larger chemists who don’t apparently understand the difficulties for people with Birdshot when they do not have access to their prescribed brand of immuno-suppressant.

One person we know was told by the “large chemist”, to just ask your GP to prescribe a different immuno-suppressant!

Annie always tries to make sure she has at least two weeks of pills left when she requests her repeat prescription to allow her pharmacist enough time to hunt down a supply.

Do others encounter this difficulty? Perhaps we need to draw the problem to the attention of Roche. What do you think?

Zenapax (Daclizumab) discontinued

I read today that Roche has announced that it has discontinued Zenapax (daclizumab sterile concentrate for injection), an IgG1 monoclonal antibody. They say that the  decision to discontinue Zenapax is due to the diminishing market demand and the availability of alternative treatments and is not due to any safety issue. The existing supply of Zenapax is expected to be depleted by January 2010 based on current demand.

Zenapax has been used successfully to treat a number of patients with birdshot in the US  who have failed to control their birdshot with other medications or been unable to tolerate the side effects of other drugs.    It will leave a number of people who are prescribed this, angry, as the news about the withdrawal of this drug was at short notice and their doctors will now have to find alternative medication.  Often this will not be straightforward as this drug will have been prescribed only after a number of the more usual combinations have been tried and have failed.

I do not believe that this medication has  been widely used in the UK for birdshot treatment but it is a major blow that one of our speciaist arsenal of drugs has been removed though no real good reason other than economics.

If you have been affected by this decision by Roche we would welcome your feedback.

Birdshot logo

This is the fabulous logo for Birdshot Uveitis Society that member David Bethell has designed for us. David who is a graphic artist has had birdshot since September 2006. It is absolutely fantastic to have a professional artist/graphic designer helping us with this and our other publicity material. In January David has kindly agreed to work on our letterhead, leaflets and poster designs for us to get into eye clinics, so watch out for them. You can see more of David’s work on his website at www.myspace.com/DavidJBethell.

Eye new 8 (corner)If others have skills that they’d like to offer BUS, we’d be delighted to hear about them! Please do get in touch via birdshot@live.co.uk.

Happy New Year to everyone who has registered on the birdshot website and thanks so much for all the support and the enthusiastic feedback that we are getting.