Subject: Medical case_POEMS syndrom
From: Maia Nikoleishvili
To: Alisa Tsuladze <[email-masked]>
Cc: Ekaterine Adamia <[email-masked]>
Date: Wed, 14 Oct 2020 10:36:02 +0000

ალისა,

შენს მიერ გამოგზავნილი ექსპერტების პასუხების საფუძველზე მოვამზადე წერილის პროექტი.

აქ დასაზუსტებელია ამ დაავადების მკურნალობის დაფინანსების საკითხიც. ასევე, გთხოვ, გადაამოწმე მედიკამენტების ხელმისაწვდომობის საკითხი მათ შორის ტრამალის და ხვალისთვის მომაწოდე დაზუსტებული ინფორმაცია რომ დროულად გავუშვა, ასევე, გთხოვ მოიკითხე 4 წლის ბავშვის ქეისი.

მადლობა,

მაიკო

Dear Ms. Thürlemann,

Reference no: Mam

In response to your letter of September 28, 2020 I would like to kindly provide you with the requested information regarding the treatment services applicable to 55-year old Georgian citizen with POEMS syndrome, within the competence of the Ministry of Internally Displaced Persons from the Occupied Territories, Labour, Health and Social Affairs of Georgia:

In general, treatment of the POEMS syndrome in Georgia is possible, however it requires multidiscipline approach (neurology, endocrinology, cardiology) and therefore, it is quite difficult to organize. The treatment could be provided in multi-profile clinics, such as: High Technology Medical Centre, University Clinic (address: Tsinandali str. 9, Tbilisi), “New Hospitals” (address: Krtsanisi str. 12 Tbilisi).

The medications: Aspirine Cardio 100mg, Atovastatine 10 mg, Ramipril 5 mg, Hydrocortone 10 mg, Tirosint 112 mcg, Dafalgan 0.5 g, Movicol powder, Nexium mups 40 mg, Calcimagon-D3 Fort 1000/800, Laxoberon are available in Georgia.

Lixiana 60 mg (edoxaban) is not registered in Georgian pharmaceutical market. Alternatives to this medication are Eliquis (Apixaban) or Xarelto (Rivaroxaban), which are available in Georgia. As for medication Tramal 50 mg (tramadol), which contains narcotic substance is not available in Georgia.

According to the national legislation, patient is allowed to bring into the territory of Georgia certain amount (10 commercial packages) of medicines including unregistered medicines of 2nd and 3rd group for personal use. Drugs, which contain narcotic substances, could be also imported into the territory of Georgia for individual use in accordance with the procedures approved by the Order N01-32 / N of the Minister of Labor, Health and Social Affairs of Georgia In general, the cost of imported medicines should be covered by the patient.

Is the health insurance taking charge of the costs for this treatment and medication