AMENDED instructions to GPs regarding B12 injections being denied to P.A. patients , who cannot absorb tablets .

[wedgewood]

Could someone please give me a link/ reference to the amended instructions about B12 tablets instead of Injections being given to P.A. patients . I’ve just heard of someone with P.A. who was denied injections because of the edict , who needs to know the amended instructions which our Chairman , Martyn Hooper was able help with. I would be very grateful — thank you .

[fbirder]

b-s-h.org.uk/media/18259/bs...

The need for intramuscular (IM) hydroxocobalamin should be discussed with each patient individually. We recommend that screening questions for COVID-19 infection are asked before patients attend their GP surgeries. Alternatives to attending the GP surgery such as local pharmacies or home administration by district nurses should be explored.

As an alternative, oral cyanocobalamin can be offered at a dose of 1 mg per day until regular IM hydroxocobalamin can be resumed, i.e. once GP surgeries are able to do so safely, aiming to have a shortest possible break from regular injections.

Patients should be advised to monitor their symptoms and should contact their GP if they begin to experience neurological or neuropsychiatric symptoms such as pins and needles, numbness, problem with memory or concentration or irritability.

Patients who are already self-administering IM hydroxocobalamin should continue to do so but we do not recommend a patient switching to self-administration during the COVID-19 pandemic since instruction is likely to be difficult.

[wedgewood in reply to fbirder]

Thanks 1,000,000 fbirder . That will really help a P.A .patient who is being refused injections , and having the original edict quoted , having tried the tablets which have not helped, and is now totally exhausted and feeling desperate. 👍