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During the question and answer session, Professor Chatterjee and Dr Gurnell explained
that the status of DHEA as a medical product is unclear.
It is not licensed as a medicine in the UK, so the small
number of hospitals who have obtained supplies have done
so on an individual basis, usually importing the drug from
the USA where it is available cheaply as an
over-the-counter, health food supplement. However, if
clinical trials show that it is beneficial, it may well be
licensed or become more widely available in Europe.
They also explained that not
everyone with adrenal insufficiency will necessarily do
better on DHEA. Anyone who feels well on their current
medication should not simply rush out and try it. If you
do decide to try it, they recommend that blood levels of
DHEAS are checked about four weeks after starting to
establish that the dosage is correct. It may not be
advisable for anyone with a personal or family history of
breast cancer or prostate cancer to take DHEA.
Professor Chatterjee has promised
the ADSHG a write-up of the full results from the study
once they are available. This is likely to be in December
this year, once the report has been submitted for
publication in a medical journal. Moreover, after they
have completed analysis of the current 12 month trial, his
research team are hoping to do a further long-term study
on DHEA in Addison's disease. They would like to enrol
further volunteers from the ADSHG for that study which
should start in 2003, and hope there will still be members
who have not yet tried DHEA available, so they can monitor
the long-term effects of DHEA in a proper study.
The results of the earlier three
month clinical trial were published in the Journal of
Clinical Endocrinology and Metabolism 85 (12) in the
article:
“Improvement in mood and fatigue after DHEA
replacement in Addison’s disease”, P.J.Hunt el al, Dec
2000
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