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Glycopyrrolate cream is available in UK
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Thu Mar 27, 2008 8:44 pm    Post subject: Glycopyrrolate cream is available in UK Reply with quote

Some of you might have seen some old articles about glycopyrrolate cream being used for facial sweating, or to be rubbed in the hands etc.. I had read about one person having this made up by a derm.. but I heard nothing else from it. Well now I know it is available in the UK.

I exchanged some emails with a rep from Nova Laboratories, from whom you might remember you can get glycopyrrolate solution from for iontophoresis, and here's what they said (the first question I asked them about the availability of glycopyrrolate in oral form).


Quote:
Dear Richard

Nova doesn’t, I’m afraid, make a tablet form of glycopyrrolate and I am not aware of anyone in the UK who does. We do, however, make oral solutions in a variety of strengths. These like the topical solution you are currently using are unlicensed products available only on prescription which are made in small quantities when requested by a doctor. The oral solution and topical solution have different uses and your GP would need to decide whether the use of the oral solution was appropriate.

I hope this helps.

Andrew

Dr Andrew Twitchell MRPharmS

Compounding Manager

Nova Laboratories Limited
Martin House, Gloucester Crescent, Wigston
Leicester LE18 4YL


Tel: 0116 2643783 or 0116 2230100 ext. 3783



Quote:
Dear Richard


I’m not sure exactly what the oral solution is used for but I suspect it is not for hyperhydrosis.


We do make glycopyrrolate creams. These are made to order and can be prepared in a variety of strengths and in a variety of cream bases. Your doctor is welcome to contact either me or my colleague Janet Goodall (0116 2230101) is any further information is required.


Regards


Andrew
Tel: 0116 2643783 or 0116 2230100 ext. 3783
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idripswet



Joined: 29 Nov 2005
Posts: 226

PostPosted: Fri Mar 28, 2008 9:44 pm    Post subject: Reply with quote

be nice if they made that in the U.S.
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Fri Mar 28, 2008 11:52 pm    Post subject: Reply with quote

Someone posted on the SPW forum a while back saying they get the solution in the US, so it could be possible.

I'm gonna try this out asap
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idripswet



Joined: 29 Nov 2005
Posts: 226

PostPosted: Mon Mar 31, 2008 11:39 pm    Post subject: Reply with quote

hmmm...if you come across that post at SPW, please post or PM me the link...thanks!
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Fri Apr 11, 2008 4:55 pm    Post subject: Reply with quote

My doctor has ordered the 0.5% cream.. should recieve it some time next week.

The available strengths are 0.5% to 3.0%.

0.5% is 10 times stronger than the 0.05% glycopyrrolate solution I have from them so I have high hopes for this cream..
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Tue Apr 15, 2008 11:30 am    Post subject: Reply with quote

I recieved it this morning. One problem.. on the label it says 0.05% I thought it was 0.5% to 3.0%. Maybe they printed it wrong?

Dezza if you see your GP ask them to make it clear what the strengths are.



Last edited by Pinker on Wed Jun 18, 2008 10:09 pm; edited 3 times in total
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Tue Apr 15, 2008 1:12 pm    Post subject: Reply with quote

Got a reply..

Quote:
We have made creams ranging in strength from 0.01% to 10% with the most usual range being between 0.05 and 3%. If the 0.05% product is not effective your GP will probably increase the strength to find the lowest effective strength.


Regards


Andrew

Dr Andrew Twitchell MRPharmS

Compounding Manager
Nova Laboratories Limited
Martin House, Gloucester Crescent, Wigston
Leicester LE18 4YL

Tel: 0116 2643783 or 0116 2230100 ext. 3783
Fax: 0116 2230101

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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Wed Apr 16, 2008 2:45 pm    Post subject: Reply with quote

Day 1: not really any noticable change anywhere

I've made an appointment to go back and change the dose to like 3% or something. 0.05% is too low IMO.
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Sat Apr 19, 2008 5:19 pm    Post subject: Reply with quote

Day 3... The cream seems to be taking some effect on the sides of my feet, but not on my fingertips. I did an iontophoresis treatment yesterday so they do feel a little bit dryer at the moment.

I've got another GP appointment for next week. As someone said on the SFW forum if you read the case studies and reports on glycopyrrolate cream the patients are treated with 1% strength.. compared to the 0.05% cream i'm using this is 20 times stronger!

http://www.socialphobiaworld.com/postx16795-0-10.html
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dezza



Joined: 13 Aug 2007
Posts: 32

PostPosted: Tue Apr 22, 2008 3:00 pm    Post subject: Reply with quote

Hi Pinker,

Just thought I'd update on this, I saw my GP today and she prescribed the 1% solution - the cream wasn't on the computer system though, so it may take a couple of days longer for the pharmacy to get this in.

I tried a few pharmacies in the local area, and quite a few don't have an account or any contact with Nova, so they were unable to help. I have left it with one which say they'll call me tomorrow to say if they can or can't get it in.

How are you getting yours? Are you using a big pharmacy such as Boots? If so, how long's it taking them to get it in?

Dezza
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Tue Apr 22, 2008 9:21 pm    Post subject: Reply with quote

What strength solution did you use before? I used 0.05% so 1% must be really strong.

I get my prescriptions at the small chemist next door to the doctors.. i think its cohens. It only takes a few days. My doctors arranged with Andrew over the phone to get it on special prescription because theres no licence for glycopyrrolate in the uk.

I might ask for the solution again in a stronger strength.. but im not sure. ideally i dont want to use the solution but i'll be putting my hope in the cream.
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dezza



Joined: 13 Aug 2007
Posts: 32

PostPosted: Wed Apr 23, 2008 5:39 am    Post subject: Reply with quote

I've been prescribed the 1% strength cream, which I assumed would be one level up from 0.5%.

My GP was due to call Nova yesterday afternoon and get back to me if there was a problem, so now I'd assume everything is OK.

Do you know if it comes with directions on how to use? If so, do you know when it is applied and how often - is it like using Driclor, where it's applied at night and washed off next morning?
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Pinker



Joined: 23 Apr 2006
Posts: 503
Location: England

PostPosted: Wed Apr 23, 2008 12:12 pm    Post subject: Reply with quote

Oh right I thought you had been prescribed the 1% solution (liquid), not the cream. I was going to say iontophoresing the liquid is a hell of a lot stronger!

Looking forward to how you get on. Im seeing the GP on friday.. I think 1% or more is necessary for the hands and feet. It doesnt come with directions, but I apply it at night as I would a roll on.
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dezza



Joined: 13 Aug 2007
Posts: 32

PostPosted: Wed Apr 23, 2008 3:09 pm    Post subject: Reply with quote

I don't think I'd be in any rush to try the 1% liquid, seeing that it starts at 0.05%!
I'll post on here if it works or not - fingers crossed - would be interesting to hear how you get on with a stronger concentration.
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dezza



Joined: 13 Aug 2007
Posts: 32

PostPosted: Fri Apr 25, 2008 10:04 am    Post subject: Reply with quote

I've just picked up the cream, going to use it within the next couple of days.
I will try putting it on at night and washing it off in the morning - although may it be best to leave it on for say half an hour? If it's the same sort of strength as used in iontophoresis, is it safe to leave it on all night?
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