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Hi gang;
Feb. 10th. marks one year since I volunteered for a clinical study of
the drug tolcapone.

It's been essentially a very smooth ride for me.  The first month
consisted of first testing on 100 mg. tablets to see if you could
tolerate the drug.  If you could (with minimal adverse side effects)
and you perceived any benefit then you were encouraged to continue
with double blind studies where you were given tablets but you did
not know if you were getting 100 mg. or 200 mg. or a placebo.  By
documenting perceived benefit a drug dosage was selected and the
study continued.  After I think 9 mo. the double blind was lifted and
my dosage was revealed - 200mg. tablet 3x aday at 6 hour intervals
combined with Sinemet CR 50/200 also at 6 hour intervals.  The study
is essentially complete after 1 year and I have a small quantity of
study supplied meds left.  When they're gone I will have to purchase
my meds and apply to my plan for reimbursement.  I've been advised to
keep all receipts (goes without saying) request a "special
authorization form" from the insurance company, have it filled out by
the neuro, and if approved I would then be reimbursed.  I would
imagine this advise might apply to any new drug until it is officialy
on the formulary lists the claims adjudicators use to make
reimbursement a "gimmee".

TASMAR(R) (tolcapone) was approved for Europe Aug. 27/97

http://webster.syntex.com/roche/news/mrel97/e970827a.htm

Received regulatory clearance from Health Canada Oct. 30th/97
and assigned an 8 digit DIN number.

http://www.parkinson.ca/pnet84-3.html

US Food and Drug Administration has cleared TASMAR(R) (tolcapone) for
marketing in the US (See press release of Feb. 3rd. 98)

http://www.pathfinder.com/money/latest/press/PW/1998Feb03/739.html

Now we just have to cross our fingers and hope that it will soon be
placed on the approved list for reimbursement by medical plans.

Special thanks to Judith Richards and Anne Rutherford for assistance
in ferreting out info. on approval processes.

Good health..............Murray
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