Following the launch of our news article about the discontinuation of the manufacture of hydrocortisone sodium phosphate (liquid hydrocortisone) in the UK, we have received countless valid expressions of concern, incredulity and dismay from members of the adrenal insufficiency community. 
Individuals have shared their disappointment, anxiety and anger that this has happened, and how it might impact their safety in an adrenal crisis.

At the ADSHG, we are working hard behind the scenes, both independently and with other Patient Support Groups, to share the impact of this decision with people and organisations of influence, in an effort to drive change and improvement.   

But, we need your help and your voice...


Share your experiences and your concerns

Use our letter templates below to write to or email your Member of Parliament (England), Member of Senedd (Wales), Member of Scottish Parliament (Scotland), or Member of Legislative Assembly (Northern Ireland).

Let them know how the discontinuation of the manufacture of hydrocortisone sodium phosphate (liquid hydrocortisone - known as "pre-mixed" injection to many) has impacted you!

How can this help?

Letting your local MP know how you personally are affected by this decision allows them to see the true impact of the discontinuation. The more people who contact their MP, the greater the chance it will be acted upon. 

Being part of a rare community, we need to SHOUT LOUDER to be heard.

What does the letter say?

We have put together a template (one each for England, Wales, Scotland and Northern Ireland), asking your MP to raise awareness of this issue in Parliament.   

In the letter we:

  • Share the news about the discontinuation of hydrocortisone sodium phosphate
  • Explain what an adrenal crisis is, its prevalence, and how it is treated
  • Introduce the difficulties of using hydrocortisone sodium succinate (powder & water)
  • Give you space to share your personal experience and thoughts

Lastly, we ask them to support the following actions:

Find an alternative source of liquid hydrocortisone

Urge the Department of Health & Social Care to work to find an alternative source of hydrocortisone sodium phosphate for UK distribution.

Seek a UK license for Pfizer's ACT-O-VIAL product

Urge the Department of Health & Social Care to work with Pfizer to bring ACT-O-VIAL (dual compartment vial hydrocortisone product) to the UK.

Support the development of a pre-filled syringe or auto-injector

Urge the DHSC, OLS and MHRA to explore how best to support bringing a pre-filled syringe or auto-injector to the UK market for adrenal crisis prevention & treatment.


Next steps

  1. Search for your representative’s name and contact information online. The website TheyWorkForYou.com allows you to search for local representatives using your postcode.
  2. We have created templates to help shape your communications - our templates cover England, Wales, Scotland and Northern Ireland.
  3. Personalise it: Even if you use our template, include a few lines where indicated, about your personal experience and how you feel about the discontinuation of hydrocortisone sodium phosphate in the UK.
  4. Share on social media: Publicly tag your local representative in your social media posts, encouraging them to get involved.
Using our templates:
We recommend downloading the letter template on a laptop or computer, where the file is easier to locate. When downloading on a mobile phone, downloads go into a separate folder (this can vary between Android and iPhone), which can make it appear like the link is broken. Please check the downloads on your mobile phone or for ease access using a computer.

To send a letter in the post: download the Word document and update the areas in purple text. Print it, sign it and pop it in the post to your MP

To send an email: download the Word document and copy and paste the main section of the letter into your email. Update the areas in purple text.

đź“§ Use 'Urgent Patient Safety Concern: the discontinuation of liquid hydrocortisone for the prevention & treatment of life-threatening adrenal crisis' as the title for your email.

đź“® Ensure that you include your postcode in your communication, as MPs are only able to respond to people who are confirmed as constituents from their locality.

🤝 Please copy the ADSHG into your email so we can help follow up and target your MP. Please put our [email protected] address into the cc. section of your email.

Thank you for taking action to share your experience and to make your opinions heard. 
We are here to support you and to help amplify your voice!

Whether you're newly diagnosed or have lived with the condition for years - please join our community and support our cause! You'll receive the latest expert advice, guidance and ADSHG news, whilst being part of our inspiring and supportive community. Become a member today! 

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