Something that is produced in bulk quantity like that has more room for error. Not only that but it would naturally affect many lives in the porcess. For example one batch going to a pharmacy for onr child would be Quite fatal. Pharmacy based suspension is less likely to cause a problem and be less likely to cause harm. When something is manufactured they need to look at adding stuff to preserve it, and they tend to go over board adding stuff. The good thing about suspension made weekly is that it does not have the additives or other stuff thrown in. It's unfair to label all suspension unstable when one manufacturer stuffed up. Even if they do read this message board people have a right to talk about their grievances where this is concerned. It was an error and caused loss of life and should not have to be kept to contraints of e-mail. It's tragic that kids were affected and parents need to make sure that such does not happen again, but basically I have never heard of kids being sick on the pharmacy made suspension. The hospital here and in the UK fax or send the pharmacist specific recipe and instructions to follow and a specific protocol to use where making the meds is concerned. I am not sure about there. A pharmacist has his livelihood to think about and very rarely make mistakes. Mine is very good as you would have seen reading my posts. (I tried to post this before nut it did not go through) My guess is that it does cost more and is more labour intesive, but then that is what we pay our insurances and taxes and acc levies (as they are in NZ) for. If the kids have diabetes they get what they need in the form that they need it no argument. Diabetes is not as common as CAH when you consider that the late onset one occurs every 1 in a 100 to a 1000 does it? I guess there is that and then Addisonians and the transplant kids also. This is just a few really as sometimes kids with asthma need it. So it is not technically because cah is rare that they cannot justify making a 1mg pill, because that is just not a sufficient excuse. The hysone sound quite interesting. That could be split to 1mg technically for older kids. Unfortunately I have no control over what this PHARMAC company and the government will subsidize or supply. Even Ash's doctor had not heard of it, but then I don't suppose that they familairize themselves with all meds not available in the country. For now I'll work in 1.25mg because I perceive that that is better than working in the 2.50mg dose increases. Guess if I do that, I am using less tablets in my scripts and it may just pinch em that way instead. Perhaps everyone should do that.