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[ellie66]

Dandelion,

Whoops I have had several thoughts and suggestions. I have sent you 3 messages let me know when you get them as I do not want to bombard you but I will then message you my email address as it may be easier.

Ellie

[honeybun]

I really think all these different thoughts and ideas may be confusing and cause panic.

Dandelion emailed and payed for Dr Curries advice and has been prescribed exactly what she wanted.

Surely much better to start with the months course and see how it goes.

There is no need to complain and rock a boat that does not need rocking.

She has not been refused.....She has been given a month's course which is what a lot of doctor's do.

What is the problem as I just don't get it anymore.


Honeyb
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[ellie66]

There are 2 issues:

1. Dandelion has only been prescribed 25mcg of Estradot not what seems to be the standard 50mcg.

2. The GP is trying to use the CCG Prescribing Formulary as an excuse not to prescribe Utrogestan even though GP's can use their discretion and prescribe outside it.

I strongly suspect Dandelion has a rubbish GP!

Ellie 

[honeybun]

Surely best to start low and minimize side effects as more will be absorbed by using patches and Dandelion is in peri.


The GP has given Dandelion what Dr Currie prescribed.

I still think she should start with what has been prescribed and start from there....she has not been refused the HRT she requested.

Dandelion ....Sorry....also worries a lot and this really can't be helping.


Honeyb
x

[ellie66]

I still think Dandelion is right this needs to be sorted out once and for all. A patient needs to know an long term prescription is actually correct. The uncertainty is quite appalling. It is very bad practice to use the CCG Prescribing Formulary as an excuse.

The other point is the GP should have the CCG Formulary in front of them on the computer my GP does! It is a standard document.

[honeybun]

But it's not a long term prescription....It's for a month and then a review.

Once that's sorted then presumably then it will be a three month prescription and then a further review.

That's pretty standard for HRT. This time there has been no excuse....the prescription has been given for the type of HRT she asked for.

Surely it's wasteful to give someone a long term prescription for something that may not suit.
When I tried Dandelions combination I was given one month. It was sequi and I hated it so after the month was up I was given another prescription for a month's conti. Again it did not suit. There was no waste of medication and my GP was happy to prescribe something else.

It's tried and tested prescribing.

I again don't see the issue. Dandelion. has wanted this for so long.....She has got it....at least just try without over thinking things again.


Honeyb
x

[ellie66]

Honeyb,

The issue is it may be stopped after the month with the GP using the CCG Formulary excuse.

This is not a normal try it and we will review prescription. The GP has already said to Dandelion she may not be able to prescribe Utrogestan after the first month due the CCG Formulary.

Ellie
 

[honeybun]

That would be unfortunate, so in that case she could ask for a private prescription. I guess if it's down to an areas budget then that's it. Maybe some areas have a bigger budget than others

Still don't know if this mix will work but hopefully it will and she can take it from there. At least get settled before worrying again.


Honeyb
x

[CLKD]

I've never heard such issues as not getting a prescription because of the reasons given  .  GPs will prescribe what is required by the patient and if it means a cheaper option then so be it - it's the basic ingredient that makes the medication work and most Companies use the basic ingredient! 

As stated: the GP has been given the details from Dr Curry and is giving a month's supply to see if it works - if it does then I expect a repeat prescription will be recommended with reviews.  I've never heard of a patient requiring a private prescription: pets yes, because one can get medications cheaper directly from the Companies: but not an NHS patient unless they go totally private to a consultant for long-term treatment: i.e. it cost me a tenner for removal of a stitch   

Take the medication and don't expect over-night miracles?

[ellie66]

One of my prescriptions (not HRT) I pay for privately as the CCG does not like it on cost grounds and their alternative is rubbish. The alternative is a drug I use to work with in clinical trials in the pharmaceutical industry. It really is a rubbish alternative 

[Dandelion]

Surely best to start low and minimize side effects as more will be absorbed by using patches and Dandelion is in peri.


The GP has given Dandelion what Dr Currie prescribed.

I still think she should start with what has been prescribed and start from there....she has not been refused the HRT she requested.

Dandelion ....Sorry....also worries a lot and this really can't be helping.


Honeyb
x

Of course I am worrying, I have severe perimenon anxiety.

I've seen three female GP's all rubbish.
I dunno why they are all hostile instead of giving me the utrogestan and sufficient oestrogen I need.
I cannot see what their problem is, they treat me like I am asking for opiates or some other controlled abusable drug, not a hormone.
They are putting pointless obstacles in my way.
I might have to just ask for private prescription, cos I cannot be aresed fighting with egocentric doctors who are too arrogant to even consider dr curries advice.
The last doctor scowled and said its really complicated, and she thought I was confusing bioidenticals with phytooestrogens.
I just dont have the energy to explain cos I cannot see why they are all begrudging me what I need. Maybe they are just stubborn and immature.

if femo 2/10 not enough thrn what good is 25mcg oestrogen gonna do.

Ellie seems to get me, I do need sorting out once and for all.
Maybe the doctors play ego games and prescribe based on strength of character, a bit like clicky school or cliquey work.
I cant be arsed with it, just gimme sufficient so I can get on with the rest of my life in good health. I know what I need and I am not getting it.

[Hurdity]

Hi Dandelion

Thinking about it, I do agree with honeybun, good to start low and get your body used to this different method of deliver ie transdermal. You don't know how much oestrogen your body was absorbing from the tablets especially because of your IBS.

Start this new treatment with a positive outlook rather than dwelling on your unhelpful doctors at this point - and hopefully you will begin to feel better ...and don't forget to ask for help with the smoking and alcohol if you need it 

Hurdity x

[Liz]

HI Dandelion - hope the new HRT regime helps you.  Just to let you know that I've only been prescribed one month's Oestrogel to start with...... (GP wants to make sure it suits me and will then prescribe 3 months hopefully), so I don't think that's unusual to just be prescribed 1 month initially.

Hopefully, once you tell the GP that the Utrogestan suits you, they'll prescribe it for you.  I'd take it one step at a time and see how you go on the first month.  Good luck!

[Dandelion]

HI Dandelion - hope the new HRT regime helps you.  Just to let you know that I've only been prescribed one month's Oestrogel to start with...... (GP wants to make sure it suits me and will then prescribe 3 months hopefully), so I don't think that's unusual to just be prescribed 1 month initially.

Hopefully, once you tell the GP that the Utrogestan suits you, they'll prescribe it for you.  I'd take it one step at a time and see how you go on the first month.  Good luck!

Hi Liz, thanks, yeah one month does seem to be standard when starting on new hrt, but my doctor has only given me half the standard dose.
I know Hurdity has addressed this above though.

[honeybun]

Have you found anyone to help on the Daisy site yet.


Although that is for really early meno you might get some better info. Did your periods stop completely when you were in your early 40s ?


Honeyb
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