Enteric 1mg pred: Does anyone in the UK get coated... - PMRGCAuk

PMRGCAuk

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Enteric 1mg pred

diana1998
diana1998

Does anyone in the UK get coated 1mg tablets? I know they are more expensive. But seems strange the 2.5mg are always the brown coated ones but 1mg and 5mg round here are plain.

28 Replies

Yes I have them - a creamy buttery colour. Not sure what you mean.

Have never seen enteric coated 1 and 5mg, like the 2.5mg. My body prefers coated rather than white. However, will call pharmacy to find out.

It sounds like the 2.5mg you are getting are enteric coated and the 5mg and 1mg are not coated. The coated 5mg is red and the coated 1mg is pale yellow.

I have exactly the same situation. 5mg and 1 mg are white and powdery but 2.5 mg are gastric resistant and brown. The advantage of the 5 mg being white is that they have a line down the middle which means I can split them. Never been offered anything else

DS

You can get plain 2.5mg but you need to specify & make the Pharmacy aware that is what you want.

MrsN

diana1998
diana1998 in reply to MrsNails

No, I like them all coated and not white!

MrsNails
MrsNails in reply to diana1998

Just ask your GP to ensure it’s written on your Prescription EC (enteric coated) & you should be OK

diana1998
diana1998 in reply to MrsNails

Will do, thank you

I think for a long time there were only 5mg & 2.5mg Coated Pred plus 5mg/1mg plain but you can now get 2.5mg Uncoated.

If you want either type specifically you need to get your Prescription changed & speak to your Pharmacist so they are aware!

Occasionally my Pharmacy send me coated 2.5mg but l want the uncoated

PMRpro
PMRproAmbassador

The brown 2.5mg tablets are enteric coated. There are also 2.5mg non-coated pred tablets - they are yellow. 1mg e/c weren't available at all until 2016 and then there was a hiccup a year ago because the batches made then were running out and the company decided not to continue making them, transferring the rights to another company. There was a bit of a delay in the role out and it was not possible to get up to date batches last autumn but supply has been back to normal since December. What usually happens is that both doctors and pharmacists will tell you they don't exist or that the supplier doesn't have any .

medicines.org.uk/emc/produc...

There was a fair bit of discussion last autumn about it - Phoenix were quite helpful I think.

I do wonder how many people end up with problems in symptom control and dose because doctors/pharmacists mix them indiscriminately. The absorption curves for plain pred and enteric coated pred are very differrent - and you are likely to achieve a lower peak level in the blood depending on how you take them, However, it seems to benefit some because there is pred in the blood stream over a much longer time and that extends the duration of action.

PS - enteric coated 5mg are red

Coffeebeans
Coffeebeans in reply to PMRpro

I was one of those patients receiving a mix of 'what ever they had on the shelf' I have better control since asking GP to specify coated only on prescription.

I've also had a good improvement in morning stiffness by taking before bed as we discussed - thankyou for that nugget! These things all add up and make a real difference to a crappy condition.

I have all 3 strengths in "gastro-resistant" pred - that's the wording to ask for, as printed on the packets. I'm OK with the 1mg and 2.5mg tablets, but I wash the red colouring off the 5mg tablets as it makes me breathless - E 124 ponceau 4R.

Good luck!

tangocharlie
tangocharlie in reply to Rugger

I also have to wash the red coating off and find even if I get it on my hands they start to itch. I'm wondering if I should report this somehow? I have vaguely heard of the 'Yellow card scheme'

PMRpro
PMRproAmbassador in reply to tangocharlie

Might be worth writing to the company about it - bring it to their attention.

Rugger
Rugger in reply to tangocharlie

The Yellow Card Scheme is at mhra.gov.uk/yellowcard

I was told 1mg didn’t come coated. I have coated 2.5mg (&5mg) in past as I have stomach problems, but when Cutting dose down I had to have uncoated 1mg

PMRpro
PMRproAmbassador in reply to panther50

It does - see the link I posted

panther50
panther50 in reply to PMRpro

Oh yes. Sorry I read this in a hurry and missed your earlier comment. Thanks for correction. Useful to know.

I have 1mg enteric coated gastro resistant but obviously you can’t cut them in half. I also have a packet or ordinary 1mg specifically for the purpose of cutting them.

PMRpro
PMRproAmbassador in reply to Dxn12

You don't need to cut until you get to a 2mg dose: 2.5+ 5 plus 1mg for doses above 7.5mg and 2.5 plus 1mgs for doses below allows 1/2mg reductions.

Lonsdalelass
Lonsdalelass in reply to Dxn12

Me too.

Yes I have the 1mg tablet all the time although I had to fight for them they are cream and made by Alliance

diana1998
diana1998 in reply to Fitch1

Oh great. Thanks for that. Will drop note to gp

PMRpro
PMRproAmbassador in reply to diana1998

Not Alliance anymore - Phoenix in Meath

Highlandtiger
Highlandtiger in reply to PMRpro

They still come with Alliance branding. The box has exactly the same branding/colours/design as before but it's a much larger box, for reasons no-one can fathom out!

Alliance Global Healthcare is the distributor, not manufacturer, formerly owned by Boots, sold in Jan '21 to AmerisourceBergen for £5bn - so I guess the package was made bigger for the USA! Big money, big package...So long as we still get our pred 🚐🚑🛵🛴🪂🚁?

Yes, I noticed that straight away, quite odd I thought! 🤣

Yes I have 1mg enteric coated. There was a supply issue last year now resolved.

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