Should cost determine the treatment given for a condtion.

[classic33]

Which medication is it. I worked with one gent that swore Epilim worked better than generic sodium valporate

Epanutin, as written on the prescription. But its the cost of this to the chemist, that wants to make them give me the cheaper alternative.

If I remember from when taking it, Epilim is Sodium Valporate. But even thats available in different forms. Also was his changed by his doctor or the chemist?

 

[The Brewer]

Epanutin, as written on the prescription. But its the cost of this to the chemist, that wants to make them give me the cheaper alternative.

If I remember from when taking it, Epilim is Sodium Valporate. But even thats available in different forms. Also was his changed by his doctor or the chemist?

Prescription actually said Epilim the chemist would hand over SV. Explained the situation and it eventually got sorted after a bit of pestering and I believe the pharmacy records were changed.
We're in Wales though so the funding issues may impact differently.

 

[classic33]

Prescription actually said Epilim the chemist would hand over SV. Explained the situation and it eventually got sorted after a bit of pestering and I believe the pharmacy records were changed.
We're in Wales though so the funding issues may impact differently.

I was started on the chewable type, but disliked the taste & ended up on the solid tablets because of that. That change made by the doctor though.

I'm also not entirely certain of how I'd react to the alternate version that they want to supply. Nor are they, for that matter.

 

[fossyant]

The cost is at the practice, not the chemist. The GP controls the budget, and if they are not giving you what is prescribed, then that's breaking the law. You can't go in for paracetamol, and come out with a batch of codeine.

Been prescribed a few anti epilepsy drugs myself in the past, for nerve pain, not funny. Had the lot. Fortunately, me being an ass we got to the bottom of it, fix inflamed muscles that pressed on nerves.

 

[Andrew_Culture]

The cost is at the practice, not the chemist. The GP controls the budget, and if they are not giving you what is prescribed, then that's breaking the law. You can't go in for paracetamol, and come out with a batch of codeine.

Yes! Testify, testify!

 

[classic33]

The cost is at the practice, not the chemist. The GP controls the budget, and if they are not giving you what is prescribed, then that's breaking the law. You can't go in for paracetamol, and come out with a batch of codeine.

Been prescribed a few anti epilepsy drugs myself in the past, for nerve pain, not funny. Had the lot. Fortunately, me being an ass we got to the bottom of it, fix inflamed muscles that pressed on nerves.

The chemists don't want to supply what the GP has prescribed. So the problem isn't with the GP.

 

[classic33]

Yes! Testify, testify!

How?

 

[fossyant]

I will also add my wife has been diagnosed with an under active thyroid. She has researched it to the depths, and knows more than the GP, which is easy.

She managed after a big battle to get prescribed a mix of t3 and t4, where just t4. Is usually prescribed, as t3 is expensive. It works, and she insisted she went to see the regional specialist in thyroid who said this meds seem the best for her, and he recommended staying on it. S it was an up yours to the GP.

Our GP is nice, but she hates me and the missus going in, as she knows her stuff, and so do I. I never go in for general health stuff, but have been regular with my shoulder, being fit they dismiss you, but eventually I got it sorted. Next was my balls after the snip. There was no way I should be in the pain I was being fit..ohh it can take weeks... I said, hang on its usually a couple of weeks not a couple of months...

It sometimes don't work being a working healthy fit person. You really have to get down to it sometimes.

 

[fossyant]

The chemists don't want to supply what the GP has prescribed. So the problem isn't with the GP.

Go back to the GP.

I have had a mare just buying cocodamol over the counter from the Lloyds at my Health Centre. Only want the low dose tablets, erm no we can't sell you them. Go to GP get prescription for 4x dose. FFS.

I complained to my GP about the pharmacy, so we will see what happens.

 

[classic33]

I will also add my wife has been diagnosed with an under active thyroid. She has researched it to the depths, and knows more than the GP, which is easy.

She managed after a big battle to get prescribed a mix of t3 and t4, where just t4. Is usually prescribed, as t3 is expensive. It works, and she insisted she went to see the regional specialist in thyroid who said this meds seem the best for her, and he recommended staying on it. S it was an up yours to the GP.

Our GP is nice, but she hates me and the missus going in, as she knows her stuff, and so do I. I never go in for general health stuff, but have been regular with my shoulder, being fit they dismiss you, but eventually I got it sorted. Next was my balls after the snip. There was no way I should be in the pain I was being fit..ohh it can take weeks... I said, hang on its usually a couple of weeks not a couple of months...

It sometimes don't work being a working healthy fit person. You really have to get down to it sometimes.

Don't have to worry on that part, cancer saw them removed. The day before the last solar eclipse of the last century.
I'm not fighting the doctor, just the chemist.

 

[AnythingButVanilla]

Which medication is it. I worked with one gent that swore Epilim worked better than generic sodium valporate

My ex was on meds for acid reflux and swore blind that there was a difference between the branded and generic tablets, like going from Kellogg's cornflakes to Asda's own.

 

[Rohloff_Brompton_Rider]

Get a repeat prescriptions and goto another dispensary. Drugs for epilepsy shouldn't be messed about with by the pharmacist without an MDT meeting with your gp. The ones you use may work for you, but the new ones may be of a different compound.

I'm sure your gp will ask why you need a repeat so soon, explain the situation and let the gp deal with the pharmacist.

 

[ASC1951]

I hate that money and budgets are put before health.

Do be realistic. There is a limit to the amount that we can afford to spend on the NHS. If clinicians were allowed to prescribe whatever they wanted without regard to cost, and hospitals run on that basis, the country would rapidly run out of money.

 

[Andrew_Culture]

How?

I wish I had the answers. Sorry.

 

[classic33]

Do be realistic. There is a limit to the amount that we can afford to spend on the NHS. If clinicians were allowed to prescribe whatever they wanted without regard to cost, and hospitals run on that basis, the country would rapidly run out of money.

True. But if I were to stop taking them or have problems with alternatives, then that cost could well rise. In case you're asking why? its because I may end up back in hospital via A&E, with travel by ambulance(Because of the nature of the condition) with inter hospital transfer by ambulance.