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xeniax ⏚
@Xeniax@mastodon.ml  ·  activity timestamp 2 weeks ago

Dear Fedi friends.

As some of you may know, I have a wonderful daughter Lila who had a severe form of epilepsy at the age of 5 months. This epilepsy is called West Syndrome.

We had to go through a hell of a treatment to stop her seizures. The thing that helped her was called "Synacthene Retard". It's basically ACTH, a synthetic hormone similar to adrenocorticotropic hormone produced by our anterior pituitary gland.

My daughter was one of the last kids who had a chance to get the Synacthene Retard from the lab that produced it (Alpha Sigma). This was late March 2024. And in May 2024 Alpha Sigma said they discontinued this product without ANY public explanation.

I am trying to inquire about the disappearance of Synacthene Retard from French pharmacies. I am looking for contacts of a medical journalist or an expert in pharmaceutics to help me lead this investigation. It may save lives of dozens of other kids with that suffer from West Syndrome. Thank you!

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FIAR Light
@LightFIAR@med-mastodon.com replied  ·  activity timestamp 2 weeks ago

@Xeniax I agree with the post--it is also known as Cosyntropin and may be made by other companies, like Mylan?
Side query--has your daughter tried cannabidiol? It seems to help with some forms of epilepsy.
https://pubmed.ncbi.nlm.nih.gov/34624613/

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GoGhostly
@GoGhostly@mastodon.social replied  ·  activity timestamp 2 weeks ago

@Xeniax an experienced doctor with big pharmaceutical connections can probably guess why

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xeniax ⏚
@Xeniax@mastodon.ml replied  ·  activity timestamp 2 weeks ago

@GoGhostly I will try to ask our neuropediatrician, but she is so hard to get! Hyper busy and also not willing to discuss research side of things...

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GoGhostly
@GoGhostly@mastodon.social replied  ·  activity timestamp 2 weeks ago

@Xeniax I think that the unwillingness to discuss the research is very telling
Often, doctors will not tell other doctors about pharmaceutical companies trying to keep ppl sick because it is very demoralizing

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Kierkmas, merry-ish
@Kierkegaanks@beige.party replied  ·  activity timestamp 2 weeks ago

@Xeniax There is a statement saying it’s being rationed for hospital use only because production suffered some kind of disruption

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xeniax ⏚
@Xeniax@mastodon.ml replied  ·  activity timestamp 2 weeks ago

@Kierkegaanks exactly. But this disruption is not explained

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Ing. Sand
@Galamadryade@piaille.fr replied  ·  activity timestamp 2 weeks ago

@Xeniax
No explanation on the ANSM website.

But synacthene (without "retard") is still available.

France is experiencing A LOT of availability problems from several years.

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BakersRelay
@BakerRL75@m.ai6yr.org replied  ·  activity timestamp 2 weeks ago

@Xeniax Promoting to #Epilepsy #WestSyndrome

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VulcanTourist
@VulcanTourist@autistics.life replied  ·  activity timestamp 2 weeks ago

@Xeniax

You know likely reason why it was discontinued: no profit in a drug needed by a small minority. It's the same reason my wife had no treatment opportunities for her very rare autoimmune disease that affects only hundreds of people globally.

We don't need to privatize government agencies. We need to publicize Big Pharma and other corporations in control of the means of (life-saving) production.

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Acratopège
@acratopege@autistics.life replied  ·  activity timestamp 2 weeks ago

@Xeniax @vivet_lili a peut-être une piste 🤔 🤷

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Lilinote
@vivet_lili@piaille.fr replied  ·  activity timestamp 2 weeks ago

@acratopege @Xeniax Je viens de regarder sur Vigirupture, il n'y a pas moyen de faire une recherche dessus contrairement au Synacthène simple. L'arrêt de commercialisation a plus d'1 an et demi... La probabilité qu'il en reste dans une pharmacie française est proche de zéro à mon avis. Je suis désolée.

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PostcardsFromParadise
@PostcardsFromParadise@mastodon.social replied  ·  activity timestamp 2 weeks ago

@Xeniax

It seems that the formal name of the drug is Tetracosactide.

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Benjohn
@benjohn@todon.nl replied  ·  activity timestamp 2 weeks ago

@Xeniax I'm glad you found a helpful treatment.

I'm not an expert, but I understand (might be wrong) that part of patent law is that patent holders are required to license a patent if they do not wish to exploit it directly. You can't "block" use of a patent because you hold it.

So, perhaps the patent holder could be persuaded to license it?

I hope you find a solution!

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xeniax ⏚
@Xeniax@mastodon.ml replied  ·  activity timestamp 2 weeks ago

@benjohn thank you! Thats precious

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Benjohn
@benjohn@todon.nl replied  ·  activity timestamp 2 weeks ago

@Xeniax Apparently this is the case in the UK (and perhaps other places) – https://www.legislation.gov.uk/ukpga/1977/37/section/48 … but it may not be in the US (and perhaps other places) https://en.wikipedia.org/wiki/Compulsory_license

I con't know how this would be resolved internationally!

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Patrick Dufour
@pdufour@mastodon.online replied  ·  activity timestamp 2 weeks ago

@Xeniax I am not a medical journalist, just a psychologist! I am living in France and checked the situation of "Synacthene Retard". The article below describes the situation.

Bottom-line: the product is hardly available in France and Europe. In order to maintain product availability for as long as possible, the prescription and dispensing of SYNACTHENE and SYNACTHENE RETARD must be strictly reserved for its indications in cases deemed a priority.

<https://www.sfendocrino.org/rupture-de-stock-de-synacthene/#:~:text=En%20raison%20de%20difficult%C3%A9s%20d'approvisionnement%2C,de%20SYNACTHENE%20RETARD%201%20mg>

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xeniax ⏚
@Xeniax@mastodon.ml replied  ·  activity timestamp 2 weeks ago

@pdufour Merci beaucoup pour l'article Patrick. Je sais que Synacthene est devenu difficile voire impossible à trouver en Europe, pas qu'en France. Le problème avec cette formulation de ne le prescrire qu'en cas jugés prioritaires est que cela devient une raison pour les neuropédiatres d'arrêter de le prescrire alors qu'il est très efficace là où les autres traitements échouent. Les neuropédiares commencent à prescrire que de l'hydrocortisone qui est plus accessible mais peu efficace. C'est un serpent qui se mord la queue. C'est pour cela qu'il faut rendre le synacthene plus facilement accessible...

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Eddorodzz
@Eddorodzz@mastodon.social replied  ·  activity timestamp 2 weeks ago

@Xeniax sharing

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Luu
@Luu@mastodon.social replied  ·  activity timestamp 2 weeks ago

@Xeniax
https://en.iranhormone.ir/product/synacran-tetracosactide-acetate/
Sun Pharmaceutical Industries Ltd can do this medicine too.

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Sebastian Crane
@seabass@social.seabass.systems replied  ·  activity timestamp 2 weeks ago

@Xeniax Boosted - good luck in your search. Is Lila okay now or does she still need the medication? The Wikipedia article suggests that most children 'grow out' of the condition; I hope your daughter is similarly better now.

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lxskllr
@lxskllr@mastodon.world replied  ·  activity timestamp 2 weeks ago

@Xeniax

Beth Mole from arstechnica might have some info or interest.

https://arstechnica.com/author/beth/

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Chris Jakobsen
@Chris@mastodon.green replied  ·  activity timestamp 2 weeks ago

@Xeniax ask your national medicines agency.
Or even EMA, the European Medicines Agency.
I don't know about the legislation on compassionate use in your country.

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Jingle Blues
@APBBlue@thepit.social replied  ·  activity timestamp 2 weeks ago

@Xeniax Oh no, that's awful. hoping for the best for you and Lila. (I have a niece with tuberous sclerosis, so I understand how challenging epilepsy can be.) ❤️

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Tris
@tris@chaos.social replied  ·  activity timestamp 2 weeks ago

@Xeniax cc: @wonderfall any idea?

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Woodoo Prod
@WoodooProd@mastodon.cloud replied  ·  activity timestamp 2 weeks ago

@Xeniax

Une piste?

"Le laboratoire Sigma-Tau, titulaire de l'autorisation de mise sur le marché en France, n'a pas pu identifier d'autres spécialités équivalentes en Europe, et le recours à une version commercialisée outre-Atlantique n'est pas actuellement possible pour le marché français."..

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