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12-19-2015, 01:03 AM   #1
Catherine
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Join Date: Jan 2012
Location: Melbourne, Victoria, Australia

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U.k. - imuran

A question for our Uk members. Can a GP prescribe imuran?

Background:- My 20 year old daughter has been imuran since dx almost 4 years ago. She doesnot have a specialist in the UK.
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Catherine
Mother of Sarah dx aged 16, Jan 2012
DX - CD 1/12, asthma
Small bowel to small bowel fistula

Meds: ), azathioprine 200mg, Mesalazine 1.2g x 2, seretide 250 x 2 (asthma), ventolin (as needed)

Currently no supplements.

Has previously taken Multi B, Caltrate, B12 & Iron

Prednisolone (from 30 mg 01/02/2012 to 17/06/2012, 30mg 24/10/12-28/12/12, 50mg 24/1/13-27/4/13)
12-19-2015, 02:14 AM   #2
littlemissh
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Location: United Kingdom

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Under a shared care policy they can. ie if under a specialist in the UK who will advise what to do if the blood monitoring shows abnormalities. It is a secondary care prescribable drug that GP can prescribe under these arrangements.

At a stretch you may find the odd GP who will prescribe if your daughters gi at home is accessible for advice.
12-19-2015, 06:52 AM   #3
nitty
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Join Date: Dec 2011
Location: United Kingdom

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My blood tests and prescribing were transferred to my GP after about 18mths on Imuran, but I carried on seeing the IBD nurse every 3 months at the hospital, too.

I think you would have to make further enquiries to find out for certain, or whether she will need referral to a UK GI specialist first.

Sorry I can't be of more help.
12-19-2015, 10:13 AM   #4
Grumpy
 
Join Date: Dec 2015
Location: United Kingdom
When I came off azathioprine and later wanted to go back on, my GP wouldn't prescribe it (even though I'd been on it for ~10 years).

It's a pretty specialist drug and your daughter's GP better be proficient in dosing (a) 3-5 mg / kg body weight and (b) being able to spot any irregularities in (hopefully regular) blood tests. Still, it's been 4 years...just seems a bit wrong to me. I hope she's been fully informed about it, for example, if she's planning a family any time soon.
12-19-2015, 04:26 PM   #5
Catherine
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Join Date: Jan 2012
Location: Melbourne, Victoria, Australia

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She has been in the UK for almost 9 months. She has Uk GP who has being arranging blood test as per a letter from her Australia GI. She has a few month supply left.

As far as know she hasn't asked the GP whether they can prescribe it or whether she needs a referral to a GI. She said would at her next appointment.

How long does a referral take?
12-19-2015, 04:32 PM   #6
Crohns11
 
Join Date: Feb 2013
Location: United Kingdom

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My GI prescribed it me first then sent letter to GP to continue to prescribe it, as my GP couldn't prescribe azathioprine without a letter from my GI. I hope all goes well


12-20-2015, 04:06 PM   #7
old_motters
 
Join Date: Jul 2011
Location: Worthing, United Kingdom
I asked my GP to prescribe immunosuppresants and she said she couldn't and that i needed the GI doc to do it.
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