Home Forums Main Forum Experts Corner Compounding Testing & compounding

Viewing 15 posts - 1 through 15 (of 17 total)
  • Author
    Posts
  • #1368
    Williamrobinson
    • Topics: 4
    • Replies: 5
    • Total: 9
    • Novice
    @williamrobinson

    Hi does anyone know where you can get daclatasvir tested and compounded in New Zealand ? Haveing a problem finding anybody..

    #1369
    Avatar photoChapel
    • Guardian Angel
    • ★★★★★
    @chapel

    Hi William, I researched this a little bit earlier. To my surprise, my local chemist in Wainuiomata agreed to put my powder into capsules as long as I had a prescription from a NZ doctor, but he was very cautious about it. He said it was a first for him, mentioned some wastage, the need to obtain the empty caps to fill and that there would be `a fee.” No doubt much higher than the A$80 it has cost in Aus. He is a common pharmacist not a compounder. No doubt you have tried some of the listed compounders?
    As for testing, perhaps the same prescription requirement would apply at a lab. I did not try to arrange testing of my powder.


    M, 57, Live in Wellington,NZ.
    Genotype 1a diagnosed in 2013.
    Treating for the first time since October 31 with Buyers Club Sof/Led. Thanks so much guys. Minimal side effects apart from sore throat at the start..
    Viral load 5.4m when treatment started, Undetected at 4 weeks, 8 weeks, End of Treatment and 12-weeks post EOT. Yay!

    #1429
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Hello there, I am wondering the same for UK.


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #1439
    wilko johnson
    • Topics: 5
    • Replies: 47
    • Total: 52
    • Recovery Champion
    • ★★★★
    @wilko-johnson

    hi,i think its unlikely in uk.for compounding there is the diy option.there is a guide on how to do this somewhere on this site or go to greg jefferys homestead site.


    gt3 started sof dac jan 2016 now 48 wks svr. not the real wilko johnson just have the same real name. shropshire uk

    #1442
    wilko johnson
    • Topics: 5
    • Replies: 47
    • Total: 52
    • Recovery Champion
    • ★★★★
    @wilko-johnson

    best option is just go through buyers club


    gt3 started sof dac jan 2016 now 48 wks svr. not the real wilko johnson just have the same real name. shropshire uk

    #1444
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Hi Wilko, Is that still an available option?
    Have a feeling that’s all a bit up in the air for UK patients?
    Thanks, for your reply.


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #1447
    Avatar photoChapel
    • Guardian Angel
    • ★★★★★
    @chapel

    From Greg Jefferys homestead site
    Sept 20, 2015:

    (Making capsules from API (active ingredient powder)

    Last time we were in touch, I was looking for a doctor to give me a
    prescription for Indian Sofosbuvir. I didn’t find one and ended up
    ordering APIs from Mesochem.

    My Sovosbuvir and Ledipasvir APIs arrived this week and I have been
    looking for a compounding chemist to make up the capsules. I found one
    on Friday afternoon who was happy to make it up (maybe she hadn’t read
    her mail yet). I asked her what the procedure was for encapsulating APIs
    and the system she told me was far simpler and more accurate than
    anything I have come across on the web. I give it here in case you want
    to publish it for anyone else who is in this position.

    She first weighs out the total amount of the API. So in my case, that’s
    400 mg Sofosbuvir + 90mg Ledipasvir for 12 weeks, so 84x400mg = 33.6
    grams of Sof and 84x90mg = 7.56 grams of Led. Note that this does not
    require a multi thousand dollar milligram scale. 1/10th gram accuracy is
    plenty. 1/10th gram over 84 capsules is .1/84 = 1/840 = about 1
    milligram error for each capsule. This is well inside any reasonable
    tolerance. A .1 gm scale costs under $100.

    Then put the weighed APIs into a measuring cylinder. Measuring cylinders
    cost under $10 at any laboratory glassware dealer. Use the smallest that
    will hold the entire batch. Add excipient (e.g. lactose) to the cylinder
    to make up the correct volume. The chemist already knows the correct
    volume, because she’s done this before, but the rest of us have to find
    the correct volume before we start, which is done by carefully filling
    84 capsules with lactose and pouring them into the cylinder. Whatever
    volume results is what we have to make up the final mixture to.

    Pour the API/excipient mixture into a bowl and mix well. This sounds
    like the hardest part of the whole procedure.

    Fill the 84 capsules with the mixture. If everything has been done
    carefully and accurately the mixture will just fill the capsules without
    any waste. If it was thoroughly mixed, the APIs are now distributed
    evenly at the correct dosage over the 84 capsules.

    One thing she mentioned was that 400 mg Sof + 90 mg Led is a lot to put
    in one capsule, and its probably easier to make 168 capsules of 200 mg +
    45 mg (i.e. 2 capsules per day), which is easily done by changing the
    volume the mixture is made up to.
    I left my APIs with her since she said she could have them ready by
    Tuesday, but since I need 24 weeks of therapy, I will probably make up
    the next batch myself.
    …….
    (I should also add that in conversations I have had with two doctors on this subject they have both told me that minor variations in the amount of active ingredient between capsules is not critical. Even with factory manufactured meds the absorbsion of active ingredients by the body varies slightly from day to day so we do not have to worry if one capsule has 400mg of API and the next has 394mg and the next 406 milligrams.)
    ENDS


    M, 57, Live in Wellington,NZ.
    Genotype 1a diagnosed in 2013.
    Treating for the first time since October 31 with Buyers Club Sof/Led. Thanks so much guys. Minimal side effects apart from sore throat at the start..
    Viral load 5.4m when treatment started, Undetected at 4 weeks, 8 weeks, End of Treatment and 12-weeks post EOT. Yay!

    #1448
    Avatar photoAlsdad
    • Guardian Angel
    • ★★★★★
    @alsdad

    You won’t find a chemist in the UK who will encapsulate API’s for you LondonGirl, unless you know one who will do it as a personal favour. Here is a more detailed version of my method that Greg asked me to put together for him:

    Encapsulating Daclatasvir API into useable form

    The Process

    1) I bought some ‘precise digital scales’ from myprotein.com, which I first calibrated with a couple of quantified small weights. These scales weigh in increments of 10mg.

    2) I then put the Daclatasvir into the big end of pharmaceutical grade gelatin capsules (size 3, which I had check weighed at 40mg), which I had bought from The Alchemists Apothecary on ebay.

    3) I then weighed them with the capsule cap loosely fitted. It was trial and error, but I soon got a feel for aproximately the correct amount (60mg + 40mg capsule weight) without having to re-weigh several times.

    4) I weighed each batch of 20 filled capsules to check that the total weight was 20×1 dose + 20 capsules, which they were. I did this process 4 times.

    5) I followed the same methodology as above (4) to produce 5 more loaded capsules.

    6) I check weighed the whole batch, divided the weight by 85 and subtracted 40mg (the capsule weight) from this to triple check that I had the correct dosage per capsule.

    7) I pressed all the capsules tight (the large section and cap click together). I then put them into an empty re-sealable vitamin container with a sachet of silica (it helps eliminate moisture from the air in the container).

    Notes

    1) myprotein.com is a UK company. You should be able to obtain a similar product in most countries. It should be easy to find them by Googling ‘precise digital scales’.

    2) If I was to do this again, I would try to find scales that weigh in increments of 1mg if they were not too expensive. This would eliminate the need for so much check weighing (though I would probably still check weigh for peace of mind).

    3) The Alchemists Apothecary is also a UK company (you can collect from the ebay counter in Argos stores). But, again, it should be easy to find capsules through Google in your own country.

    4) Don’t get the enteric-coated delayed release capsules. This medicine is designed for immediate release in the stomach.

    5) This method is best suited to encapsulating individual medicines, but the same process with adjusted dosages can be used for Ledipasvir (90mg) and Sofosbuvir (400mg).

    #1451
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Thank-you both chapel and alsdad, but I can’t see myself taking this route – Can’t see me having he patience for it at all and think it would make me nervous – I do appreciate your time and effort to advise though :)


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #1454
    Avatar photoAlsdad
    • Guardian Angel
    • ★★★★★
    @alsdad

    Greg is now offering 3 months supply of tested and compounded Dac delivered to anywhere in the world for £200 (less in Australia).

    You can read about it and contact him here:

    http://hepatitisctreatment.homestead.com/generic-harvoni.html

    The info is at the end of the 23 September entry.

    #1475
    Avatar photoNadia
    • Guardian Angel
    • ★★★★★
    @nadia

    Hi London Girl,
    I filled cupsules with Dac myself. It took me 5 hours to do 24 week’S supply. It’s not a rocket science. You just need the right scales and some empty gelatine capsules.


    Virus not detected from 14.10.2015

    #1476
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Thanks Nadia, Think there’s no need for that now, hopefully.


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #1477
    Avatar photoAlsdad
    • Guardian Angel
    • ★★★★★
    @alsdad

    We must work at the same pace Nadia. It took me about 2 – 2 1/2 hours :)
    I agree, once you get past the starting nervousness it’s as easy as shelling peas.

    #1478
    Avatar photoNadia
    • Guardian Angel
    • ★★★★★
    @nadia

    :)


    Virus not detected from 14.10.2015

    #1479
    Avatar photoAlsdad
    • Guardian Angel
    • ★★★★★
    @alsdad

    Oops! Forgot to say that I made 12 weeks supply! :blush:

Viewing 15 posts - 1 through 15 (of 17 total)
  • You must be logged in to reply to this topic.