Request for everyone using compounded pergolide
I've seen everyone's comments, including about customer service, and that is certainly a valid consideration. However, I would like to ask everyone using compounded pergolide from any pharmacy to ask if they have conducted stability testing and if they would be willing to share that with the group. Obviously if you have good stability testing there would be no reason not to share it!
-- Eleanor in PA www.drkellon.com |
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Starshine Ranch
I would love to help but I do not have a
clue as to how to conduct a stability test.
I can only tell you that even tho my last two shipments came in thru the worst heat ever, they worked! As good if not better than expected. On 9/24/2022 1:48 PM, Eleanor Kellon,
VMD via groups.io wrote:
I've seen everyone's comments, including about customer service, and that is certainly a valid consideration. However, I would like to ask everyone using compounded pergolide from any pharmacy to ask if they have conducted stability testing and if they would be willing to share that with the group. Obviously if you have good stability testing there would be no reason not to share it! --
DON'T LET THE WORLD CHANGE YOUR HAPPINESS... LET YOUR HAPPINESS CHANGE THE WORLD. -- Linda in Grass Valley, CA 2020 Midnight and Ostara https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara |
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Sherry Morse
Linda,
The request would be to the pharmacy that you are using to find out if they test stability. If they do, the next question is if they would share those results. -- Thanks, PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet/Scutch%20Case%20History.pdf https://ecir.groups.io/g/CaseHistory/album?id=78891 |
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We use Wedgewood Pharmacy in NJ and can ask them. (Hopefully they won't get too many emails from everyone on this list.)
By the way don't look at our case history Buffalo's is way out of date. No laminitis, he looks gorgeous and his ACTH was down to 19 last fall so I figured I'd wait until the vet comes out next week to update it. -- ~ Alice July 2018 Litchfield, CT Buffalo's Case History Buffalo's Photos |
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Deb Walker
Dr. Kellon - I have sent your request to Mixlab Pharmacy and will share the results as soon as I get them.
-- Deb and Scotty I/R, PPID Pecatonica Illinois, May 13, 2019 Case History: https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty Photos: https://ecir.groups.io/g/CaseHistory/album?id=90619 |
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I can reach out to Avrio and Prescision as I am shopping for new RX for 12mg for Vinnie and 4.5mg for Summer, and Incan ask for stability tests st the same time.
Vinnie has had significant increases f pergolide this year to manage him so I am curious about the stability question in context to the progression of his disease. Summer too has had pergolide increases, as her ACTH came back at 49 vs 18 from a few months earlier. She was moved to an oil suspension because she started giving me trouble with capsules. Thanks Nancy -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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Donna Hedicke
I asked Avrio several times for their stability testing when they told me the compounded pergolide was fully effective 180 days and heat/moisture did not affect it. (The pharmacy they purchased - Pet Health Pharmacy out of Youngstown, AZ- told me it was only fully effective for 90 days and to order 100 pills at a time so they would be a fresh batch as we have 4 horses on it.)
We live in a rural area in the hot desert so I don't like it sitting in my metal mail box for long. I have it shipped overnight or second day. Phoenix (where the rx is compounded) is about 400 miles or 6 hours from us. So I used to get my pergolide Wednesday if I ordered Monday and they created a new batch. Since they were purchased by Avrio, the service has really gone downhill and the prices uphill. The last shipment went like so: Ordered August 9, arrived August 18 - VIA PUERTO RICO. When I told them it was in PR, they would not ship me another order without a vet rx, would not give a refund, or make any kind of an adjustment. Nor would they provide their stability testing data. My vet is really unhappy and she doesn't like to prescribe compounded. So, I'm hoping she will continue and I can find a new ethical compounding pharmacy.
DJ Hedicke July 2018, Southern New Mexico Star Case History https://ecir.groups.io/g/CaseHistory/files/DJ%20and%20Star%20-%20Charlie/Star%20Case%20History.pdf Charlie Case History https://ecir.groups.io/g/CaseHistory/files/DJ%20and%20Star%20-%20Charlie/Charlie%20Case%20History |
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Donna,
I agree that's not acceptable. Not even close. -- Eleanor in PA www.drkellon.com |
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All of you using compounded pergolide should ask for actual copies of their stability testing. If they don't have it - and if their volume is low that's reasonable - they should say so. The potential amount of business from this group for these pharmacies is huge. We deserve, and should demand, transparency.
-- Eleanor in PA www.drkellon.com |
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Alice,
I hope they get a request for the proof from every single one of their clients on this list! -- Eleanor in PA www.drkellon.com |
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can someone guesstimate the approximate number of members that use avrio? I think I might be able to use that in some leverage if I speak to them?
-- LJ Friedman Nov 2014 Vista, Northern San Diego, CA Jesse( over the rainbow) and majestic ‘s Case History
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I use Wedgewood, and requested testing results if available. On Sat, Sep 24, 2022 at 4:48 PM Eleanor Kellon, VMD <drkellon@...> wrote: I've seen everyone's comments, including about customer service, and that is certainly a valid consideration. However, I would like to ask everyone using compounded pergolide from any pharmacy to ask if they have conducted stability testing and if they would be willing to share that with the group. Obviously if you have good stability testing there would be no reason not to share it! Jen McCabe Angel Investments: https://angel.co/jen-mccabe-1 Professional Profile: LinkedIn Cell: 301-904-5136 SOP: I scan email all day, but usually answer/schedule in 2 bursts: morning + evening (PST). If you need faster than 24 hour turnaround, please TEXT 301-904-5136 or WECHAT jensmccabe. Thanks! --
Jen McCabe Laytonsville, Maryland Joined 2022 + Odin (2010 BLM Mustang Gelding - IR, dx 2022), Bella (2008 BLM Mustang Mare - PPID/Cushings dx 2000) + Fiki (2015 Arabian, ok so far!) Odin and Bella Case Histories |
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I reached out to Chewy and was told they would contact me soon.
-- Jean and Amber (over the bridge) Nikki (EC) Jessee (EC) and Buster (IR) South Carolina August 2004 NRCPlus 0412; CIR 0813, 1211; NAT 0612 https://ecir.groups.io/g/CaseHistory/files/Gloria%20and%20Amber |
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Eben Haber
-Eben _._,_._,_ Hi, Eben. Thank you for contacting us about Pergolide stability. The answer is a bit complicated so I will summarize our thoughts and please feel free to ask any questions you have. -- Eben & Comet in Cupertino, 2019 Case Study Photos |
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That is a non-answer. The 180 days refers to the base raw material, not the compounded drugs. Specifying the supplier of the raw material means nothing, and they cannot speak to what other suppliers do. Bottom line is they have no stability data. Many years ago another member asked Thriving Pets if they had stability data and it was claimed they were doing it, then supposedly something happened to destroy the samples. Obviously nothing has been done since then.
-- Eleanor in PA www.drkellon.com |
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Sherry Morse
Basically the Thriving Pets answer is 'contact Teva and ask them for stability studies' is how I take that response. Everything else is in that email is just static (not relevant).
Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet https://ecir.groups.io/g/CaseHistory/album?id=78891 |
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I have contacted Avrio and am awaiting a call back from one of the pharmacists.
-- Alisa and Andante
San Diego County, CA 1/2014
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I have also requested this information (in writing) from Avrio and have not received anything yet.
-- Bobbie and Maggie Desi (over the rainbow bridge 7/21) Utah, Nov 2018 ECIR Group Primary Response https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Maggie https://ecir.groups.io/g/CaseHistory/album?id=271156 https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Desi https://ecir.groups.io/g/CaseHistory/album?id=78821 |
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I can make a survey maybe using survey monkey? This would be good information, including finding out what everyone is paying so that there are not huge discrepancies.
-- Sharon Bice December 2020 Sandia Park, New Mexico Taillight's Case History: https://ecir.groups.io/g/CaseHistory/files/Taillight%20Case%20History Taillight's Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=257590 |
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Deb Walker
This is the answer I received from Mixlabs:
My team had forwarded me your message regarding pergolide and the conversation you had with your veterinarian regarding stability information on this medication. Also thank you very much for the kind words on the customer service experience- our team here is truly talented!
Regarding the pergolide- the data we have and require our vendors to provide we don't openly publicize for regulatory and competitive reasons. As a compounding pharmacy we are restricted from publicizing certain information that may be perceived as making a claim to a compounded medication. We are able to share specific chemical batch data directly with your veterinarian.
Our current quality processes require all of our active ingredients (pergolide included) to have an analysis of the potency, purity, and impurities (among many other tests). Additionally, all of our vendors are located within the US and Canada with an active FDA registration.
I apologize that I am not able to provide you with specific documentation at this time, but would gladly speak to you further regarding any questions you may have on the sources or quality of the medications we provide.
Regards,
Kory Muto, PharmD Sr. Director of Pharmacy Operations (888) 901-4480 -- Deb and Scotty I/R, PPID Pecatonica Illinois, May 13, 2019 Case History: https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty Photos: https://ecir.groups.io/g/CaseHistory/album?id=90619 |
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