Dr Myhill Stripped of Her Right to Prescribe Valtrex Off label

Remy

Administrator
From an email Dr. Myhill sent to her patients:

13 August 2016


[fright]
stop-warning-road-sign.jpg
[/fright]We have a problem with me prescribing valacyclovir.

Yesterday I attended my annual appraisal. This is something all doctors have to do in order to revalidate with the General Medical Council. The appraisal is done by another doctor who looks at all aspects of one's medical practice to make sure that professional standards are being maintained..

My appraiser was concerned about the idea of me prescribing valacyclovir for EBV post viral chronic fatigue syndromes. Whilst valacyclovir is licensed for acute viral infection it is not licenced for post viral chronic fatigue . What this means is that should anything go wrong, (and that may not even be the prescribing which is at fault), then I would be blamed and be left without any defence. My appraiser would also be part responsible.

If I should go ahead and prescribe valaciclovir for post viral CFS then I would not be revalidated and then I would lose all prescribing rights. The fact that I would be following the guidelines as developed by Dr Martin Lerner is of little or no consequence.

The bottom line is that I cannot prescribe valacyclovir for post viral CFS until either the drug company (Glaxo Smith Kline) has a license to use this drug for post viral chronic fatigue syndrome or I can get ethical committee approval to do this.

Of course I shall be writing to the drug company and also to local ethics committee to see this can be put in place.

In the interim I cannot prescribe valacyclovir for post viral chronic fatigue syndrome. This is very disappointing because I now have several patients who have seen marked benefit as a result of this drug in the prevention of viral flares."
 
Last edited by a moderator:

Cort

Founder of Health Rising and Phoenix Rising
Staff member
W
From an email she sent her patients:

13 August 2016

We have a problem with me prescribing valacyclovir

Yesterday I attended my annual appraisal. This is something all doctors have to do in order to revalidate with the General Medical Council. The appraisal is done by another doctor who looks at all aspects of one's medical practice to make sure that professional standards are being maintained..

My appraiser was concerned about the idea of me prescribing valacyclovir for EBV post viral chronic fatigue syndromes. Whilst valacyclovir is licensed for acute viral infection it is not licenced for post viral chronic fatigue . What this means is that should anything go wrong, (and that may not even be the prescribing which is at fault), then I would be blamed and be left without any defence. My appraiser would also be part responsible. If I should go ahead and prescribe valaciclovir for post viral CFS then I would not be revalidated and then I would lose all prescribing rights. The fact that I would be following the guidelines as developed by Dr Martin Lerner is of little or no consequence.

The bottom line is that I cannot prescribe valacyclovir for post viral CFS until either the drug company (Glaxo Smith Kline) has a license to use this drug for post viral chronic fatigue syndrome or I can get ethical committee approval to do this.

Of course I shall be writing to the drug company and also to local ethics committee to see this can be put in place.

In the interim I cannot prescribe valacyclovir for post viral chronic fatigue syndrome. This is very disappointing because I now have several patients who have seen marked benefit as a result of this drug in the prevention of viral flares."
Wow - isn't that something!

One appraiser has that kind of power..It takes more than that in the U.S.
 

Andrew P

Member
this is a nightmare. i've just had the blood tests done for this. my ebv titers are off the scale, and hence valtrex is very much worth trying by the looks of things. i had my order in for the prescription from dr myhill when this happened

the nhs is a waste of time for me. not interested in doing anything to help; well i might be able to get some physio!!!! totally outrageous.

now the only option that i thought was open has been taken away.

looking into online pharmacies it looks very suspect to get valtrex without a prescription.

are there are uk based doctors that any knows about that will prescribe?

i've been in touch with gsk about compassionate use, but that's a no go too
 

zzz

Active Member
looking into online pharmacies it looks very suspect to get valtrex without a prescription.
Brandmedicines.com is a completely reliable online pharmacy; I've been using them for years and I've never had the slightest problem with them. They also often have some of the lowest prices on the Net. They carry brand name Valtrex at $29.60 per 10 tablets. No prescription is necessary.

Obviously, this isn't as good as getting it paid for by your insurance, but if it works, it may be well worth the money.
Alldaychemist are used by many cfsers and lyme patients. They are reliable and well priced.

http://www.alldaychemist.com/catalogsearch/
Just an option??
The link here points to an invalid page. However, a search shows that AllDayChemist does not carry Valtrex.
 

Andrew P

Member
Brandmedicines.com is a completely reliable online pharmacy; I've been using them for years and I've never had the slightest problem with them. They also often have some of the lowest prices on the Net. They carry brand name Valtrex at $29.60 per 10 tablets. No prescription is necessary.

Obviously, this isn't as good as getting it paid for by your insurance, but if it works, it may be well worth the money.

The link here points to an invalid page. However, a search shows that AllDayChemist does not carry Valtrex.
thanks, on the adc one, they carry a generic - it's called valcivir.
 

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