Obtaining Adrenalin in the UK

Members do not see these Ads. Sign Up.

I am a private podiatrist in the UK and can not find a company who is prepared to supply small quantities (eg 5 ampoules) of Adrenalin.

Can anyone recommend a company that could help me?

 

Your local pharmacist will be able to help - and probably be very happy for the business.

Bill Liggins

 

Thanks for your reply. Have tried local chemists and hospital with no success. Will try again as advised pod society recommends we stock it if doing LA. Think prob may be we only need very small amount. Katie

 

Hi Katie,

I get mine from Boots. I am authorised to prescribe and supply antibiotics as well and have taken in a standard letter together with a copy of my latest First Aid /Anaphylaxis update cert and they are only too happy to sell it to you.

Normally comes with 10 in a pack but is pretty cheap. Even if you have to throw it away (and I hope you don't have to use it) it is tax deductible as a consumable.

They will also sell you Fluclocx/Erythromycin/Amoxicillin and anything else that you want from our prescribers list.

They now hold my details at the chemist and I just take in a separate letter/order with what I want. Often they can supply on the day but adrenaline they order and it normally comes in the following day.

If you want a copy of the letter that I use, send me a personal email and I'll send you a copy.

Best wishes

Nick

 

Thanks nick, email is katieibruce@gmail.com Also whilst I am here am finding great resistance from GPs to write prescriptions for imiquimod 5%cream to treat persistent VPs. Journal article from Ivan Bristow suggested might be worth a try when all elso has failed. Has anyone used and had success?

 

Hi Katie,

Ivan`s case reports on the 2 pts treated with imiquimod cream was very interesting. Unfortunately, as it is not licensed for podiatric use in the UK, you will be hard pressed to find a GP willing to prescribe it. Currently, it is only licensed for BCC, actinic keratosis and genital warts. Imiquimod stimulates acquired immunity (which enhances cell mediated immunity) in addition to creating an innate immune response.
You may find this paper interesting, or maybe it`s just me

Have you tried needling VP`s to produce an immune response?

 

Have sent it to you Katie. If you don't get it in your In box check your spam folder as it is from my from my web site address.

best wishes

Nick

 

I don't do ankle block which I presume would be needed for needling VPs. Re imiquimod cream have heard of some Gps who prescribe but unfortunately none in my area so they must be able to but just reluctant. If anyone has positive feedback it would add to my ammunition. Katie

 

Thanks nick have received. Will try again armed and confident. Katie

 

Yeah go for it.

Honestly you shouldn't have any problems. Most pharmacists just don't know what the HPC is (join the rest of the country) or know that we have the rights to prescribe etc (and why should they??)
If Boots pharmacist won't help you then try any GP surgery with chemist attached and maybe they will be more amenable? As I say I don't have a problem BUT the prcies of Fluclox and Erythromycin can vary quite a lot between different chemists. I charge the same as a NHS script and most are happy with that, especially if they can't get to see a GP easily or don't come from your area

Any other problems.... you have my email.

Best wishes

Nick

 

GP Supplies www.gpsupplies.com just need to supply them with your HPC reg number and it will be with you in 2 days

Judith

 

Thanks Judith. I think the adrenaline is more expensive than what I normally pay but the antibiotics are certainly cheaper.

Best wishes
Nick

 

Got mine from "Podiacare" with no problems. Can't remember offhand the cost but not much.
Anybody know where I can get liquid phenol in small quantities from? Am currently using NHS Tayside. It is cheap but only has 3/4 months use by date and am fed up of having to dispose of 99% of it and re-order.


Thanks

 

Have you tried Ez Swabs? DLT now do a pack of 12 instead of the large 30 swab pack.
Ask for long expiry date and I think they are about £40 pack + VAT at the moment. No mess, work well and easily carried around (or sold on to others if they need them)

Nick

 

Hi Neil,

I use E-Z swabs and they are excellent. I'm in Dundee and guessing since you order via NHS Tayside you are nearby. Feel free to get in touch and I'll give you some to try out if you like.

Regards

Dave

 

Neal

Algeos do liquid Phenol in 100ml bottles.Is that small enough? Find them at www.algeos.com.
Hope this is useful

 

Many thanks for all the advice re obtaining adrenaline. Went to boots armed with letter but had to be forceful as was initially advised they could not supply but insisted I had a right to purchase it. Katie

 

For anyone still meeting resistance in obtaining supplies for Epinephrine/Adrenaline in the UK. I tried a different local pharmacy for my supply this year (needed to replace unused out of date stock). Was met with jobs worth of highest order assistant! Pharmacist though was very helpful & advised in future to quote the following: http://www.mhra.gov.uk/Howweregulat...dicinesActrestrictions/Chiropodists/index.htm

Providing you have your HPC info & L/A competence certificate. Supply should not pose a problem.

Kindest regards,

Mandy.

 

Hi

Need some advice, Due to the high cost of adrenaline all in one style kits. I am looking at purchasing ampoules of adrenaline - there seems loads of advice already on here re this. However i have never drawn up adrenaline from a ampoule before, was wondering what gauge needle would be acceptable. More importantly Is there any post grad course you can go on to gain the required skills and knowledge to do this.

Also a little off topic but is there a post grad update type course available to do so i can brush up on my general nail surgery / injection technique. After seven years in practice i feel competent but a bit of education never did any harm.

Thanks

John

 

Hi John,

Go to Boots and give them a copy of your latest First Aid (anaphylaxis cert) and ana order form and they will sell you some adrenaline ((10 ampoules) and it isn't expensive (under £12)

23 gauge x 1 inch needle available from many suppliers (let me know if you cant't find one) and a small syringe.

Easy peasy.

Re CPD on nail surgery etc...if you haven't had any get onto yr local branch and ask them to arrange some! I think we do the refresher re local anaeasthetics etc at least every 3-4 yrs in Devon. Are you still doing LA and nail surgery...if so why worry?

Best wishes

Nick

 

Hi Nick

Many Thanks for the prompt reply.

What is a ANA (sorry its very early)!!!

Where would i best purchase the syringes and needles in your experience?.

The all in one kits are always ready to go. So if i was to go with this method do i need to have the adrenaline freshly drawn up and ready to go at each and every Nail surgery occasion?(disposed of after completion of NS procedure).

Are there any special storage issues with such adrenaline and needles other than the locked cupboard i currently use for my current NS stuff?

Many Thanks in Advance

John

 

Hi John,

Sorry ANA is a typo and should read 'and a'!

Needles and syringes you can get from a good farm supply place if you have one near you. Failing that ask your local vets if they will let you have a few. Or ask Boots if they can get you some, but the price will probably be higher. You don't want to buy 100 of them like LA needles.

The all in one pens are expensive (about £30) I think and often have short expiry date and definitely not viable IMHO. The adrenaline comes in ampoules and you don't need to draw up before surgery. God forbid you need to use it but it takes a second to snap the top off the top and how long does it take to pop out a syringe, fit a needle and draw up 1 ml? No time at all....and much much cheaper.

Re storage ... No no difference, just locked cupboard or drawer. Adrenaline comes in a small box with ten vials in it.

I always keep needles in my work station and never bother about them being locked away.

Hope that helps?

Best wishes

Nick

 

Hi Nick

Many thanks

John