–ѕа°±б>ю€ dgю€€€e€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€м•ЅG њA bjbjОўОў *м≥м≥Uґ3€€€€€€]pppp444HHHH8А МH“+~і    РРРЧ+Щ+Щ+Щ+Щ+Щ+Щ+$P-фD/Tљ+4Р|РРљ+pp  FіР:p8 јR Ч+HHppppРЧ+l ИЮЫ(Ш®"Ч+ ® рLфХ7'…HH R3+d 6 October, 2008 Sean Dougherty Therapeutic Group Manager Pharmac PO Box 1- 254 Wellington 6143 E-Mail  HYPERLINK mailto:sean.dougherty@pharmac.govt.nz sean.dougherty@pharmac.govt.nz Dear Sean, We welcome the introduction on an alternative formulation of thyroxine. However we would like to propose that additional issues need to be explored when approving this new formulation. Babies and young children require small doses of thyroxine and the current formulation of tablets (Eltroxin) are not adequate to provide accurate dosing and flexibility of small dosage adjustment. Current options for babies and young children are making up of a suspension, which is unstable and needs to be renewed every fortnight, and can lead to dosage inaccuracies if not shaken and resuspended before administering. Another option is cutting the tablets, the current Eltroxin is not scored so dosing is again compromised. We would like to see the introduction of smaller tablets 12.5 mcg, 25mcg, 37.5mcg as well as the 50 and 100 mcg. We would propose at the very least that the proposed Goldsheild levothyroxine meets some of the needs of infants and children by being scored and able to be dissolved/formulated into a stable suspension. Yours sincerely, Dr Wendy Hunter on behalf of the Paediatric Diabetes and Endocrinology Special Interest Group THE PAEDIATRIC SOCIETY OF NEW ZEALAND Secretariat: Email:Denise Tringham P O Box 22 234 Wellington 6441 Tel: (04) 938 4827 Fax: (04) 976 4827 psnz@paradise.net.nz  УHealth of our children: Wealth of our nationФ mnЯ†°њјѕЏф  S T U V W | } ~ Х Ц      A ътъпъммижў”…њ”Ј≠Ј≠”¶ jUmH5БB*CJOJQJB*CJOJQJ5БB*CJ(OJQJ5БB*CJ$OJQJ 5БOJQJj5БOJQJUmH5Б5БCJCJ0JБjU jU$>FTdeЅ¬√ќѕ№Ёёпрстуф " T эээээээээээээээээээээээээээээ$>FTdeЅ¬√ќѕ№Ёёпрстуф " T U W } ~ Л М Н О П Ц ¶ µ ≈ ў н       > A ющщщщщщщщщщщщщщцуюуюсюс    6T U W } ~ Л М Н О П Ц ¶ µ ≈ ў н     эцлцё”””””ё””ћ≈”є≥± ∆ај! $$÷ цФu+#$ ∆Ој$ ∆О $ ∆ ај!Sn#јВ §р$ ∆ ај!Sn#јВ $§x$ ∆Кј$ ∆Кј   > ? @ A цффффофжффф$ ∆ај! ∆ај! $ ∆ ај!n#В (&P ∞В. ∞∆A!∞К"∞К#Р№$Р№%∞∞n∞”D–…кyщЇќМВ™K© sean.dougherty@pharmac.govt.nzа…кyщЇќМВ™K© dmailto:sean.dougherty@pharmac.govt.nzyXБф;Hѓ,В]ƒЕ'c•Ђ [L@с€LNormal$*$dЎ ∆™@Ию€CJOJQJmH 00 Heading 1$@&5Б00 Heading 2$@&>*†† Heading 3m$$*$@& ∆\ывэ≤ВR" т ¬Тb2“> Y!r"B%(в*≤-В0R3"6т8¬;Т>bA2DG“I5Б6Б@Ию€CJ00 Heading 4$@&CJ44 Heading 5$@&5БCJ44 Heading 6$@&5БCJ88 Heading 7 $$@&5БCJ44 Heading 8 $$@&5Б<A@т€°<Default Paragraph Font<ю<Address$5БOJQJhmH nH 0@0Header  ∆ај!CJ0 0Footer  ∆ај!CJ(U@Ґ!( Hyperlink>*B*8V@Ґ18FollowedHyperlink>*B* LB@BL Body Text$*$1$ ∆–p@ @Ию€hnH F>RFTitle$*$1$ ∆–p@ 5БCJ0hnH .Pb. 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Submissions

The Paediatric Society believes all children and youth should, by right, attain optimal physical, mental and social health and wellbeing.  By working as a coordinated national network of health professionals the Society dedicates its efforts and resources to making official submissions to both Government and Non-Government organisations on issues that will impact on the health and wellbeing of children and young people.

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