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Author Topic: Private Prescription Costs  (Read 16223 times)

KayJay

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Private Prescription Costs
« on: March 16, 2016, 10:01:58 AM »

Morning ladies

Do any of you know how much it costs for a private prescription and the cost of the medication for Oestrogel and Ultrogestan?

I've read a few people appear to have gone the private route and I wondered how much it would be to obtain the medication.

Thanks in advance and wishing you all a lovely day x :)
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dazned

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Re: Private Prescription Costs
« Reply #1 on: March 16, 2016, 11:11:26 AM »

You normally would have to see a specialist privately then they usually give the first private prescription then they write to your gp with their findings,you should then be able to get next prescription on nhs,well thats how I did it .
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lisa789

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Re: Private Prescription Costs
« Reply #2 on: March 16, 2016, 12:08:59 PM »

I saw a consultant recently and that cost £120 and the Utrogestan for 15 200mg pessaries & applicators was £30. I'll see how I get on with them and if I'm ok I'll see if my GP will prescribe them. I don't know how much the gel is as I'm on Evorel 50 for oestrogen.
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ruthae

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Re: Private Prescription Costs
« Reply #3 on: March 16, 2016, 01:16:48 PM »

I saw a private GP - after my Dr refused to give me prescription recommended verbally by menopause clinic.  He charged £60 for an appointment and the prescription (Femoston) was only £2-3 more expensive than the usual prescription - the Oestrogel and Utrogestan will be moreI guess but not massively expensive.

(Femostan didn't agree with me so I changed to a new NHS Dr and they have prescribed Oestrogel and Utrogestan without any problem)

Rx
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Hurdity

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Re: Private Prescription Costs
« Reply #4 on: March 16, 2016, 04:51:13 PM »

Hi KayJay

You should not need to get a private prescription for Estrogel or utrogestan as they are NICE approved HRT available on NHS. If you go to your GP armed with the information (printed from this website and the web if necessary) and justification as to why you want to choose these particular types,  find a GP who is sympathetic to HRT and stand your ground. If they won't prescribe it because they haven't heard of it ( eg Utrogestan or micronised progesterone) then direct them to the information and ask for another appointment very soon so that you can be prescribed it when they've read up about it!

It is only testosterone gel that you will most likely need a private prescription for at least initially - although the NICE guidelines also suggest its use by women off licence for loss of libido.

Hurdity x
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Mary G

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Re: Private Prescription Costs
« Reply #5 on: March 16, 2016, 08:06:04 PM »

I now load up in Spain and buy all mine OTC in the pharmacy.  The good thing is you can go in to any pharmacy and place a bulk order and they can usually get it in by the next day - they all take credit cards.  The Oestrogel costs about €4.00 and a box of 100mg Utrogestan is about the same. 

The Oestrogel comes in a toothpaste type tube with a slide to measure the gel so the packaging is different but the actual gel is exactly the same and the UK one.

Can't get the testosterone OTC there though. 
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KayJay

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Re: Private Prescription Costs
« Reply #6 on: March 17, 2016, 07:53:26 AM »

Thank you ladies for the information

Mary G did you not need a prescription in Spain is it just over the counter?

I agree Hurdity in an ideal world but my GP not familiar with Ultogestan so she wants to put me on Femoston continuous despite monthly/fortnightly periods. I asked her to check the combination Oestogel and ultrogestan but she would rather send me to Menopause Clinic (upto 18 weeks) I've booked a private consultation on Friday and would rather buy them than wait that long. I thought after the first prescription the GP should have a letter then from private consultation.

xx
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Mary G

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Re: Private Prescription Costs
« Reply #7 on: March 17, 2016, 01:26:50 PM »

KayJay, you don't need a prescription for HRT in Spain, you can buy it yourself over the counter in any pharmacy without a prescription - great stuff.

I agree that in an ideal world we should be able to get it on the NHS but half the time it's like trying to get blood out of a stone.  Many GPs know so little about HRT they are not even in a position to be prescribing it.  One can only hope that are suitably clued up on other types of medication that have more serious consequences.

Many of us have no option other than to do our own thing.  You can't be expected to waste 18 weeks of your life because someone can't do their job properly.  What angers me is that it is people like you who pay the price for this. 

Why not buy some online and give it a try and then book a holiday to Spain!

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ruthae

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Re: Private Prescription Costs
« Reply #8 on: March 17, 2016, 01:42:42 PM »

Ooooh, I am going to Spain in May, will take an extra suitcase  ;D thanks for the tip Mary G
x
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Mary G

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Re: Private Prescription Costs
« Reply #9 on: March 18, 2016, 03:22:54 PM »

An old friend of mine from years ago made a joke about going on holiday to Spain and chucking away all his clothes at the end of the holiday so that he could fill up his case with booze and fags!  I think most people on here would be loading up with Oestrogel!

With the holiday season looming, I thought you might also be interested to know that you can buy oestrogen patches and pills OTC and without prescription in Portugal but NOT Oestrogel for some reason - you would have to drive into Spain for it.  The gel is not available at all in Portugal and I did ask why but the woman in the pharmacy seemed to get a bit shirty with me.  You can buy Ovestin OTC which might be of use of some.

You can buy all UK HRT products OTC and without prescription in pharmacies Gibraltar (Main Street only but not Morrisons) but they are the same price as the UK so no real savings here, just the advantage of not having to faff about getting a prescription.   

Hope that helps and PMs welcome for further advice and contacts.





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pamb

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Re: Private Prescription Costs
« Reply #10 on: March 18, 2016, 04:13:21 PM »

Would it not be the case that you need to be taking HRT treatments under medical supervision?


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Mary G

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Re: Private Prescription Costs
« Reply #11 on: March 18, 2016, 04:30:15 PM »

Most people who are on private prescriptions are taking HRT under supervision, this is merely a cheaper way of obtaining it.  I am a patient of Professor Studd.

My NHS GP is in no position to supervise my HRT regime because she knows very little about the menopause and virtually nothing about HRT and what little knowledge she does have is frighteningly out of date - I know more than she does.  Frankly, if doctors are not well versed on all the different types of HRT they should not be prescribing it.  It is also worth noting that many GPs are still dishing out ineffectual and outdated forms of HRT. 

Having had no help whatsoever from my GP, I have been doing my own research on the menopause and HRT for years and consider myself capable of making an informed choice regarding HRT and being able to buy it OTC - something that is perfectly legal in Spain and many other EU countries. 

It is a very sad state of affairs but if help is not available you have to do your own thing.  I am certainly glad that I did. 

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pamb

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Re: Private Prescription Costs
« Reply #12 on: March 18, 2016, 04:43:06 PM »

I thought that would probably be the case.   I'm in the process of possibly going down the HRT route myself but having read through some of the threads and seeing how bad some GPs are at advising and treating women for the menopause, it's put me off a bit from even making an initial appointment.

I think that this sort of thing needs a bit more than the usual 10 minute appointment so I was wondering if I may be better asking if I can be referred to someone privately, or do most GPs think that it would be unnecessary and that they could do just the same thing in their practice.
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Mary G

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Re: Private Prescription Costs
« Reply #13 on: March 18, 2016, 05:08:29 PM »

I know how you feel!  You could try making an appointment with your GP and sounding them out but if you don't get anywhere or feel you are being fobbed off, it might be worth seeing a private specialist like Professor John Studd, Dr. Annie Evans or Dr. Nick Panay, they are all excellent and you don't need a GP referral, you can just ring up and make an appointment.  You will then get a private prescription that costs more, hence the subject of this thread!

The NICE guidelines have been changed and GPs are supposed to prescribe HRT but the problem is, you cannot force them to if they don't want to.  Also, even if they are willing to prescribe HRT, many of them don't prescribe the right type and this inevitably leads to women becoming disillusioned with HRT and often results in them giving up on it. 

Make sure you print off a copy of the new NICE guidelines and take it along to your GP appointment, it might help.

This is how we have ended up where we are now and why so many of us have had to seek help privately, myself included.  You could try to get referred to an NHS Menopause Clinic but there is a fairly long waiting list at most of them. 

The system is seriously flawed and women are not getting the help they need.  This is why I constantly bang on about the need for Family Planning Clinics and Menopause Clinics to merge thereby offering women a joined up service.  There is a definite overlap between the two services with many women using the BCP and Mirena coil during the menopause and most GPs are not really well enough versed in HRT to be able to prescribe the right type.  It is a fairly specialised area of medicine (although not the most challenging) that really needs to be supervised by a well trained gynaecologist, rather like the one I had at my old FPC who used to fit coils etc. 

I hope that helps.



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pamb

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Re: Private Prescription Costs
« Reply #14 on: March 18, 2016, 05:27:46 PM »

Thanks for your reply Mary G.

I'm not sure if I'm in the same area as you (North East England) to access those private doctors but perhaps there are a few up here I could try and see.

Good advice
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