Re: I'm inserting my two cents here!
1/13/02 5:56 AM

I am not in support of liquid cortef here?  But what is the alternative---are these kids to be sustained in stupid doses of tablets and have side effects?  Yes I would agree, cortef was wrong.  However, many children were sustained on it for much longer than three months because of doctors not using their initiatives and taking them OFF.  It is good to hear though that your doctor appeared to have some sense and see the growth spurt and ACT upon the results on his/her clinical assessments.  But could you tell me, was this near to when they withdrew the product from the market when MOST doctors would have been warned by that time, or was it before THEY would accept that the cortef was faulty?  I mean I have always thought about what can possibly go wrong with something and if I came up with any number of things then as far as I was concerned they were very real possibilities.  For example degrading of a product not stored correctly in the pharmacist.  The other day I walked in my pharmacy and they had hair colours going cheap in a basket out side in the sun baking.  On the packet it says store in a cool dark place!  Transporting that kind of thing causes it to be degraded if it is sat in a couriers van for any length of time or whatever.  It happened in the UK and I also had a friend have it happen to her here too!  The medicine did not work.  What could go wrong with a tablet?    Far less chance of it degrading under the same circumstances. 

Everyone has no doubt got their individual stories to tell but can I just outline something here.  Until they make a 1mg pill, the only way to dose a child their exact dose of this stuff is to get the pharmacy to make it.  This is not like manufacturing thousands of bottles and boxing it and not knowing thereafter how it will be handled.  It is completely different.  They use basic ingredients.  Cortef may have been bad---but NO ONE anywhere has ever had their pharmacy made suspension NOT DO THE JOB that I heard of.   You cannot label ALL suspension in the same league.  I think if we are to move forward though, it is with tablets and in Paediatrci doses and unfortunately Pharmacia are major manufacturers and are quite capable of making these things.  I guess drug companies stuff up a great deal--not just Pharmacia.  Did you ever think they may actually learn by their past mistakes and come up with a top quality product after such catastrophe?  That is generally what happens when you give folks half the chance.

Val
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