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How is it decided which drug to prescribe

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Community Champion

Re: How is it decided which drug to prescribe

Bellas Mum

 

Everything crossed for you

 

I know when I asked about my Teva I was told they are £30 per pack and the generic ones were £3 a pack.  At the end of the day it is about us we have to take these for a long time xxx

Member

Re: How is it decided which drug to prescribe

Hi Helena

 

am willing to give anything a go and am due to pick up the prescription today. Can’t believe the price difference, just a mere £88! A box of Letrozole costs £2:30 whereas the Femara is £90! Have told my GP that if there is no difference then I will take the generic to make sure they are not forking out too much. However the GP did say if I need it then I need it. 

 

Wish me luck x

Community Champion

Re: How is it decided which drug to prescribe

I am 71 years old and am ER+ve, stage 4 BC with lung metases. I have been on Letrozole for 18 months and appear to have negligible side effects. I do better on Teva brand than Accord. Letrozole really does lock down oestrogen , although I am very very careful to minimise oestrogen intake, including soya based foods. I take my Letrozole at night, and manage my night sweats as I did my menopausal flushes. I have a chill pillow which I used all summer, and drink lots of water , especially at night. Everyone is so different and we all need to do the best we can to keep going. Trying different brands, exercising, diet. Whatever it takes. Hugs to all Letrozole ladies . X

Community Champion

Re: How is it decided which drug to prescribe

Bellas Mum

 

I was prescrbed Teva brand at the start and I have managed to keep on that as my pharmacist is of the mind that I will be on it for 10 years and if it suits me then that is what is important, I do know that it is much more expensive than the generic brands but also read that that the side effects are as a result of the coating on the tablet as the ingredient are all the same whatever the brand.

 

Helena xx

Member

Re: How is it decided which drug to prescribe

My GP has just agreed to prescribe me Femara despite being unconvinced there will be a difference. However having spoken to others they have reported less side effects on Femara as opposed to the generics. I am willing to give it a try as the side effects are pants but not everyone gets the same side effects and some are unaffected 

In relation to the others AI,s I think it may depend on the consultant. Been told that the NHS is trying to stop the prescription of Femara due to cost. Think it all boils down to how much it is. 

 

Good luck

Community Champion

Re: How is it decided which drug to prescribe

Sorry meant to say that because of the results of the dexa scan my oncologist, who was originally going to prescribe letrozole, changed it to tamoxifen.  Helena x

Community Champion

Re: How is it decided which drug to prescribe

willowherb

 

I have been on tamoxifen for nearly two years now.  I am post manopausal and the reason I was put on that was because it is kinder on the bone density which is better for me as I have osteoporosis of the spine.  I have a bone density test every two years so that it can be monitored, the first was a month before i was diagnosed and was as a result of my mum having it and her doctor suggested I had one.  As a result of it I am on a combined vit d/calcium tablet which I take twice a day.  Just had my second scan a few months ago and all is good there is no deterioration.

 

WHat you need to remember is that everyone is different.  Some ladies have absolutely no side effects at all and other will have some or a lot, however you will find that the ones who have no side effects generally do not post as they are doing ok on it. 

 

On the whole I have been ok on it.  When I first started taking it my emotions were a bit squiff for the first 6/8 weeks.  I have a hot flush about an hour after I take it which last for a couple of minutes and I might have some during the day but not always.  Yes occasionally my joints ache, however I am 60 and they are going to at my age so I can not blame it on the hormone tablets.

 

Helena xxx

Member

How is it decided which drug to prescribe

I am post monpausal and I can see there are at least 3 drugs which are given to ladies like me.

 

How does the consultant decide which is best for each patient?

 

My followup in is October so I would like to be able to rememeber to ask the right questions!

 

Ar they all as horrible as they sound?