Thursday, April 3, 2008

The search for Ephedrine Sulfate

On March 9, 2006, President Bush signed the Combat Methamphetamine Epidemic Act of 2005 (CMEA), which is title VII of the USA PATRIOT Improvement and Reauthorization Act of 2005 (Pub. L. 109-177).

This is important for anyone who has a medical need for Ephedrine, because Ephedrine is one of the main ingredients in making Methamphetamine.

I've been searching for Ephedrine for the last several weeks, after being told by my pharmacy that the medication is backordered at the manufacturer- West-Ward Pharmaceuticals. After numerous calls, I finally spoke with Melanie who told me that Generic Pharmacy Services, Inc. (GPSI) is a contractor who supplies gelatin banding for their Ephedrine capsule product, and that GPSI is waiting for proper licensing from the U.S. Drug Enforcement Agency.

If you are suffering with a medical condition, and have been told that Ephedrine is backordered- you can thank your government.

Helpful Information-

West-Ward Pharmeceuticals (A Hikma Company)
Phone - 732-542-1191
Customer Service (Melanie x2819), x2812, x2820

Generic Pharmacy Services, Inc. (GPSI)
Phone - 631-348-6900
Web - http://gpsipackaging.com/

U.S. Drug Enforcement Agency
N.J. District Office
Phone - 973-776-1300, 973-776-1172

Anyone else have any useful information?




Tuesday, March 18, 2008

Mestinon, Ephedrine, 3,4 DAP, EN101

If you have CMS, these are pretty much your treatment options right now. Well, really...Mestinon is your only option unless you don't mind jumping through a bunch of hoops.

Let's review-

Ephedrine is derived from Ephedra which comes from the Ma Huang plant- largely used in traditional Chinese medicine for the past 5000 years. It's used primarily as a decongestant and to treat low blood pressure.

On April 12, 2004, the US Food and Drug Administration issued a ban on dietary supplements containing ephedra because of it's use in making crystal methamphetamine. As a result, there is now only one place to get Ephedrine Sulfate, and that's West-Ward Pharmaceuticals.

3,4 DAP or 3,4-Diaminopyridine is a research chemical currently being used to treat Lambert-Eaton myasthenic syndrome, and some flavors of CMS (apparently mine). In order to get 3,4 DAP your neurologist will have to administer lab tests every 3 months, serial ECG's and an electroencephalogram. It looks like there are some chemical supply websites that will sell 3,4 DAP - Spectrum Chemical has it for $45.25 per gram.

EN101 is a research medication made by Amarin Corporation and is currently in Phase IIa clinical study- mainly in the UK and Israel. EN101 is being developed as a replacement for Mestinon.

So there you have it.

Thursday, February 7, 2008

I need help finding Ephedrine.

I've been taking Ephedrine Sulfate USP capsules 25mg three times per day for the past 2-3 months at the recommendation of my neurologist, Dr. Ringel. I had my doubts about Ephedrine working, to be honest- but it does help my CMS. I was surprised after just the second day on the Ephedrine, I found myself able to skip-a-step going up the stairs, whereas before I would have to literally drag myself up. I'm holding my kids again, which is awesome, and it's much easier to shower and dress myself- which means I get a shower every day if I want again, yay!

Ever since my normal dosage of Mestinon decided to just stop working...i've been panicked that I'd be suffering with the CMS effects the rest of my life. I feel lucky in that the Mestinon has seemed to work very well for me the past 35+ years.

Ephedrine has really made a difference in my ability to do all those things I was doing....but i'm having trouble getting it.

King Soopers pharmacy had trouble filling my first prescription and I complained, so then they thought they were getting smart by ordering an extra bottle...but now they're telling me it's backordered from the manufacturer- West-Ward Pharmaceutical Corporation.

I called West-Ward, and whomever answered the phone told me "a license is needed to distribute" and it won't be available until mid-April. Well, that didn't make sense to me, so I called back and after a bit of pressing, was told that they're actually waiting on a vendor to obtain the license. I asked to speak with a supervisor, and was put into Melanie's voice-mail. I left a message, but Melanie has not called back!

Does anyone know? Is West-Ward the only game in town for Ephedrine?

I have a valid U.S. prescription, and I NEED Ephedrine Sulfate. If you know where to find any, please contact me. I have a compounding pharmacy to work with if you don't have capsules, and i'll pay top dollar! I prefer not to suffer until mid-April at the hands of beauracracy. Thx!!! ;)

Sunday, February 3, 2008

I have Congenital Myasthenic Syndrome (CMS)

About a year ago, I fell down the stairs- twice in less than a week. This was unusual, because I almost never fall down. I started to notice that I was losing strength/energy to do normal things around the house- mowing the lawn, shoveling snow, even cooking was difficult. Things got worse, and I found myself unable to bathe or dress myself, chew or swallow, or pick up and hold my kids.

What is happening?

I have Congenital Myasthenic Syndrome (CMS) which is a relatively new term for what i've always been told I have- Congenital Myasthenia Gravis. I was diagnosed with this when I was a toddler by Dr. Robert S. Zeller- a Houston, TX child neurologist. I had always had a very weak cry when I was an infant, and didn't make some of the developmental milestones at an early age. My parents became most concerned when I nearly choked to death several times graduating from baby food. Nobody could figure out what was wrong with me, and I had many, many tests. Finally, Dr. Zeller was asked to meet me, and when he took one look at me he said- "Myasthenia Gravis". I was given a Tensilon test, which immediately gave me my energy and strength back. I've been taking Mestinon ever since- as much as 180mg 3 times per day.

Life was pretty much normal for me after that- although I grew up a little bit skinny and weak- I could still mountain bike, snowboard, jog, weight train and tons of other activities.

Why isn't this Mestinon stuff working anymore?

Over the past couple years, I had been developing stomach probems- cramps, bloating, difficulty going to the bathroom with increasing severity....and after several different gastro doctors- finally discovered that I was lactose intolerant. I had hoped that fixing my stomach issues would help improve my CMS, but unfortunatly that didn't happen. I suppose i'm happy that the Mestinon wasn't causing the stomach problems (which I had feared).

I was sent to an Endocrinologist for thyroid tests, my neurologist (Dr. Ringel) ordered an EMG, and my bloodwork was shipped off for genetic testing to determine exactly what flavor of CMS I have. After a few weeks, my results were back- no thyroid problems, and the genetic work shows a defective Epsilon sub-unit in my acetylcholine receptor- but BOTH sides of the chromesome are defective. My dad was adopted, and both of my parents are from the Dallas, Texas area- so it's entirely possible that my parents are somehow related.

Dr. Ringel offered a prescription of Ephedrine Sulfate 25mg capsules 3 times per day- to be taken in conjunction with Mestinon 60mg tablets 3 times per day. He also presribed Sertraline to help combat stress and depression.

I had my doubts about the new drug combination working, but it does work! I am again able to do many of the daily activities I once enjoyed. Let's hope it lasts!