Can I attach an addendum to your query? We are considering making a recommendation to our home care nurses to switch to oral therapy from monthly injections even in PA. There seems to be mounting evidence that attests to its efficacy.
Jon Brassey wrote:
> I've been asked by a number of clinicians about the frequency of B12 injections in patients with PA. The current UK consensus appears to be injections every 3 months. However, I've found one guideline (Canadian) that states every month.
> I hear the usual story from the clinicians - "we give injections every 3 months but the patients come back before 3 months is up asking for new injections".
> I've looked at the literature and can find very little 'evidence' to support either position. I suppose a couple of questions:
> 1) Anyone got any 'evidence'?
> 2) Has anyone else come across this problem?
> I hope you can help - it's starting to 'bug' me!
> Jon Brassey
> TRIP, Support Manager
> Director, ATTRACT Wales
> Phone: 01495 765105
> Mamhilad House,
> Mamhilad Park Estate
> Pontypool NP4 0YP
Dr Paddy Quail
Division Chief Continuing Care
Calgary Health Region
Phone 403 221 4370
Fax 403 221 4371