erfathyroidJust had a good con­ver­sa­tion with Dr. Henri Knafo, the Direc­tor of Medi­cal Affairs at Erfa Canada, Inc.

On my post below from yes­ter­day, you will see hope­ful infor­ma­tion on get­ting this exce­llent Cana­dian desic­ca­ted thy­roid. And below is more infor­ma­tion you have been asking for as patients who know the effi­cacy of desic­ca­ted thyroid.

Erfa’s “Thy­roid” comes in three strengths: 30 mg, 60 mg, and 125 mg.  Amounts you can order, and costs, are as follows:

30mg             500 tablets  $52.00 US;    100 tablets $18.00 US

60mg             500 tablets  $70.00 US;    100 tablets   $39.00 US

125mg          500 tablets  $100.00 US;   100 tablets  $ 50.00  US

Erfa will charge a 10$ hand­ling fee (for first time users) and ship­ping is around $20 US.  Knafo sta­tes the pri­ces are equi­va­lent to Armour.

Erfa’s Thy­roid has been in pro­duc­tion for 30 years and they have 5000 Cana­dian patients on it.

Erfa’s Thy­roid is appro­ved by Health Canada (their equi­va­lent to FDA).  Erfa spoke to the FDA, and in order for their desic­ca­ted thy­roid to cross the US bor­der, you have to fill out and sign the FDA patient study form which is men­tio­ned below.

Erfa’s Thy­roid is made in Europe with the raw mate­rials, and they bought an excess of it. So there will be no pro­blem get­ting it and they expect no shor­ta­ges the rest of the year.

One cana­dian phar­macy you can use (and is not asso­cia­ted with Erfa) is the Canada Phar­macy Online.


  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
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  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

41 Responses to “More good info on Canada’s “Thyroid” by Erfa”

  1. carri said:

    Aug 26, 09 at 11:24 am

    Hi There, ever­yone is so exci­ted about what Efra has, but I’m a little con­cer­ned about the Mag­ne­sium Stea­rate, corn, and talc in it. I’ve heard some not so good things about those ingre­dients. Hope someone can check them out a little more before we all hop on the band wagon. I did write them about it, will let you know what they say to me. Thanks Carri

  2. Dawn said:

    Aug 26, 09 at 12:21 pm

    I feel that we who are stuck self medi­ca­ting under the NHS rules of not giving us NTH pro­bably won’t be able to get hold of this? Even though it is pro­du­ced in Europe (iro­nic eh?) we pro­bably won’t be able to get it back in unless they mar­ket the drug to a decent phar­macy that sup­plies us without a script.
    take care

  3. Joy said:

    Aug 26, 09 at 2:25 pm

    I have loo­ked over the Erfa site and have read the FDA docu­ment that they require be filled out by your phy­si­cian. The pro­blem is that the FDA form requi­res that the doc­tor say he is doing a cli­ni­cal study, and that he/she will share the results, etc. What doc­tor is going to sign that form?! I know mine wont! I wouldn’t even dare to ask, to be honest. I would be asking him to lie. I *des­pe­ra­tely* want to try Erfa’s Thy­roid, but wish there was another way to get it by prescription.

  4. Henry said:

    Aug 26, 09 at 2:27 pm

    I orde­red 500 tablets last week. That should last a little while!

  5. Dawn said:

    Aug 26, 09 at 2:42 pm

    Also Ms Sho­mon thinks there is something ‘going down’ that Medco knew about ear­lier and she either knows or feels that this may be the end of Natu­ral Thy­roid Hor­mo­nes, what do you think Janie?

    (From Janie: I think it’s nega­tive spe­cu­la­tion, Dawn, about the end of Natu­ral Thy­roid Hor­mo­nes in the US.

    On the other hand, I think each and very indi­vi­dual needs to shout to the world in their own way how desic­ca­ted thy­roid has chan­ged your life. Write the media; write to your poli­ti­cal lea­ders; write to anyone influen­tial. Send me your story for the Sto­ries of Others page. IF, and I say IF her quite-negative spe­cu­la­tion comes to pass, our first power lies in millions of voi­ces about the effi­cacy of natu­ral thyroid.)

  6. Enrique said:

    Aug 26, 09 at 11:14 pm

    I orde­red some Thy­roid last Tues­day and recei­ved it today. My doc­tor just faxed the presc­rip­tion to the toll free num­ber. Simple.

  7. Heidi said:

    Aug 27, 09 at 5:39 am

    From crossborderpharmacy.com:

    RESULTS FOR THYROID 125MG TABLET
    (THYROID) OR EQUIVALENT
    Canada
    ARMOUR THYROID 125MG TABLET
    This drug is mar­ke­ted under the name THYROID in Canada
    500 TABLET(S) $64.59 Canada ship­ping Fee $9.95
    All pri­ces are lis­ted in U.S. dollars

    This was how I orde­red it, so I don’t know how come the pri­ces above are so expen­sive unless you are going through another phar­macy. Yes, you need your doc­tor to call or fax a presc­rip­tion to them but that was it. It’s on it’s way! :) Try these peo­ple it’s the same thing, Thy­roid, made by ERFA. Just go to the web­site crossborderpharmacy.com and you’ll type in thy­roid in the search box and it brings up the dif­fe­rent strengths, the 125 mg being the best buy by far. It cost me total for a bottle of 500 $74.54 and that inc­lu­des ship­ping and hand­ling. Hope this helps!!!! Heidi

  8. Jerry said:

    Aug 27, 09 at 8:14 pm

    I’d like to per­so­nally thank “Kiwi,” for giving us all the infor­ma­tion on crossborderpharmacy.com, where I was able to get my Thy­roid meds. Without this post and her imme­diate con­cern in this mat­ter, none of us would have our thy­roid meds.

    It’s rare when someone will help in this world, but this per­son was remarkable…

    Many thanks !!!

  9. christina said:

    Aug 28, 09 at 2:12 pm

    thank you KIWI for the infor­ma­tion!!! i was able to order my new Rx through Crosstheborder

  10. Sheila Turner said:

    Aug 28, 09 at 10:40 pm

    I am in corres­pon­dence with Dr Henri Knafo who has told me that he is in dis­cus­sion with Idis World medi­ci­nes (the orga­ni­sa­tion who source unli­cen­sed drugs for use in the UK). He told me the few talks he has had with them so far about how they could acquire ‘Thy­roid’ were not com­ple­ted, but he says they will have a mee­ting to dis­cuss what stra­te­gies he will put in place to help UK patients.
    He pro­mi­ses to keep me upda­ted and he is posi­tive that he can find both a short and long term solu­tion for all in the UK.

  11. Vicki Jones said:

    Aug 29, 09 at 12:49 am

    Has any­body been able to get this Cana­dian pro­duct into Aus­tra­lia successfully?

    If so, can you please advise me the pro­cess to follow.

    many thanks

    Vicki

  12. Darlene King said:

    Aug 30, 09 at 3:20 pm

    I would like to know if anyone has recei­ved their Cana­dian thy­roid meds? I have heard that they are not being allo­wed across the bor­der. If that is the case then we would be was­ting our money.

  13. Enrique said:

    Aug 30, 09 at 6:40 pm

    Vicky and Dar­lene: Yes I got my order of Thy­roid from Canada and it only took 1 week. They made it across the bor­der somehow I guess. ;-)

  14. Jerry said:

    Aug 31, 09 at 12:19 pm

    Yes, I have recei­ved my Thy­roid ERFA from the Cana­dian phar­macy that “Kiwi” sug­ges­ted to all of us. She seems to be the only one who knows the correct infor­ma­tion. There are no issues with it being sent through the mail sys­tem and so far the meds are wor­king famously. I sug­gest you email her and ask her any ques­tions you may have. She’s extre­mely helpful.

  15. Jamie said:

    Aug 31, 09 at 3:33 pm

    Who is using the Erfa or Thyroid-S? What are your expe­rien­ces so far, and how equi­va­lent is it to your Nature-throid or Armour dosage?

  16. Darlene King said:

    Sep 01, 09 at 9:21 am

    Jerry, Did you order it from Canada Phar­macy Online?

  17. Janet B. said:

    Sep 10, 09 at 8:54 pm

    Just FYI — Cross Bor­der Phar­macy has dou­bled their pri­ces since the above info. was posted.

  18. Dianne said:

    Sep 13, 09 at 10:28 am

    Yes, they have defi­ni­tely gone up! I orde­red on Sept 8th and my doc­tor faxed the rx the same day. The price at that time was 70 something dollars for 500 60 mg tablets. I just noti­ced that I was billed $129 on my cre­dit card.

    I wrote down the actual price but I can’t find that paper now. Does anyone remem­ber what the price was before it sky­roc­ke­ted? I was thin­king $72.94 or something like that. Any help would be appre­cia­ted because I am going to dis­pute this higher charge.

  19. Makenzie said:

    Sep 15, 09 at 1:52 pm

    Does anyone know of a doc­tor in the US or Canada who does online (skype) con­sul­ta­tions? I’m a patient of a doc­tor in Brooklyn, but have redu­ced to the point of tears by his his office staff (or, one per­son in particular).

    Is it unrea­so­na­ble of me to expect help from my MD’s ofice when dea­ling with something like a nation­wide shor­tage? The only res­ponse I get when I call is that I called at the wrong time because she is having a really bad day. In the mean­time, my symp­toms are pro­gres­si­vely going back to what they were before. It’s a shame too, because this doc­tor is a fan­tas­tic MD.

    I’m not sure where to turn to get the Erfa meds since my own MD’s office told me to “take a num­ber” and “call back when it’s less crazy”. It seems faxing a script is something they are unwi­lling to do, and I am at the mercy of this doctor’s staff.

    What can I do? I can only think of get­ting a MD to do an online con­sult, but can­not find any natu­ral thy­roid MD’s who do so. If anyone knows of one, please let me know. I’ve star­ted back to school full time thanks to Armour giving me back my life, and I may have to with­draw as my symp­toms go back to before.

    Thank you so much in advance.

  20. Jen Q said:

    Sep 17, 09 at 1:26 pm

    Maken­zie,
    Please try to make an appoint­ment with the doc­tor as soon as pos­si­ble. This way she see’s you face to face. Since you were already on Armour, tell her you want her to write a script for when it comes back in stock. Have her write on the presc­rip­tion for “Des­si­ca­ted Thy­roid” not Armour. This way, you can get any brand of des­si­ca­ted thy­roid you want. If she won’t write one, please find another doc. If she does, your next step would be to find an online Cana­dian phar­macy that you feel com­for­ta­ble with. Most allow you to scan in your presc­rip­tion or mail it in. I used the scan in method. Go to pharmacychecker.com for a list of trust­worthy phar­macy web­si­tes. Be care­ful because some are bogus. On the pharmacychecker.com site, type in Thy­roid and the strength you take. The site will then come up with a list of phar­ma­cies that have your dosage and the price they charge. Then you go to the site, create an account, and scan or mail the script. Most take 1 – 2 weeks for you to receive your meds. All you need is a doc to write a script for des­si­ca­ted thy­roid. This is not something most docs are willing to do on a phone con­sult. I feel your frus­tra­tion, because I went through the same thing. Hope this info helps you get the medi­cine you need. Feel bet­ter :)

  21. G. Beatty said:

    Sep 21, 09 at 7:36 pm

    I have orde­red Efra thy­roid from the Cana­dian Phar­macy — it came today ship­ped from Vanuatu (South Paci­fic island).
    This see­med risky orde­ring out of Uni­ted Sta­tes with the
    Cana­dian sup­plier, but now it comes from a small island.

    How could I ever trust this med — having other phy­si­cal issues?

  22. chris moore said:

    Sep 22, 09 at 1:08 pm

    http://www.canadameds.com/order_your_medication_by_fax.html#option_a
    You can get Cana­dian meds online without filling out that weird form for the FDA.
    cmoore

  23. Larry said:

    Sep 22, 09 at 1:13 pm

    If the thy­roid came from Vanautu it is pro­bably not of Cana­dian ori­gin. Most likely it came from India. I’ve dealt with one Vanuatu phar­macy for the last ten years and have always got­ten good pro­duct. India makes a qua­lity thy­roid pow­der so it is likely okay. You’ll know by the results.

  24. Maude said:

    Oct 02, 09 at 10:14 am

    I think Erfa wants you to fill out those forms so they can adver­tise them­sel­ves to drs here in the sta­tes so maybe they can get a foothold here. I have seen seve­ral peo­ple post now who are orde­ring online from canada without the FDA form and they have no pro­blem, I think they are pre­ying on our fears that “us peo­ple who buy drugs from canada will get into pro­blems. total mar­ke­ting ploy but thats just my opinion.

  25. Hugo Chavez said:

    Oct 12, 09 at 11:46 am

    I got Erfa from my local phar­macy in Ger­many orde­ring via an inter­na­tio­nal phar­macy. After half year on Armour I was really devas­ta­ted to hear the sad news what was going on with Armour. So I had to switch on synthe­tics t3/t4 what was even more devas­ta­ting and anxiously awai­ting my ship­ping from Canada. But even with an Armour presc­rip­tion everything went fine and after two very strange synthe­tics weeks I had my ship­ment. I am still not sure whether dosage is Armour equi­va­lent — at least it tas­tes like good old Armour. I had to pay 100€ for 500 1 grain which is a subs­tan­tial mark up for ship­ment etc… Howe­ver it is still chea­per than Armour and by now I think I will stick to it. It would be nice to know how others com­pare Erfa to Armour?

    Gree­tings from Germany

  26. Carolin said:

    Oct 15, 09 at 1:08 pm

    I’m in Ger­many too and orde­red Erfa thy­roid from a phar­macy here. I ori­gi­nally wan­ted to try out 100 tablets but they only had bott­les of 500, so I got 500 ins­tead for 95€ (for 125mg tablets).

    I only got star­ted on them today; I’m not sure if 125mgs equal 2 grains of Armour exactly, as Armour was 120mgs? But I’ll treat it as if it was and see how it goes.

    BTW, I was told there is a new law in Ger­many that says that you can only import pro­ducts if Ger­many doesn’t have an equivalent…but as no Ger­man phar­ma­ceu­ti­cal com­pany makes anything like Armour/Erfa/etc., this wasn’t a problem.

  27. Deb Raterman said:

    Oct 17, 09 at 6:38 am

    i have been taking the erfa 125 for about two weeks now. i wake up with hea­daches every day. i know it is not from any food or vita­mins i take. today i found out that the erfa has corn in it– that’s a trig­ger for me. are there any other thy­roid meds that don’t have corn or sugar in them?

    (From Janie: http://www.stopthethyroidmadness.com/armour-vs-other-brands )

  28. Carol P. said:

    Oct 17, 09 at 3:15 pm

    I orde­red “Thy­roid” online from Canada’s Univeraldrugs.com. It took about 2 weeks to get my meds in the mail. I have been taking it for only a few days and I am noti­cing symp­toms: muscle aches, slee­pi­ness, hea­dache. I am inte­res­ted to see how others do on these drugs. I also had a pro­blem with the refor­mu­la­ted Armour; mostly sinus trou­ble and simply not fee­ling “well”. I will be very happy to see Nature-throid or Westh­roid back on Ame­ri­can shelves.

  29. Carla said:

    Oct 18, 09 at 9:21 am

    I orde­red 2 bott­les of 500 30mg ERFA Thy­roid directly from ERFA Canada in late Sep­tem­ber. Within a cou­ple of days I got a phone call and let­ter from the FDA that they had detai­ned my pac­kage. After calling the FDA and telling them that I can­not get des­si­ca­ted thy­roid in U.S. they relea­sed the pac­kage after chec­king with head­quar­ters. After severe hypothy­roid symp­toms while on Armour Thy­roid for the past few months inc­lu­ding memory loss, hair loss, dry skin, low body tem­pe­ra­ture, low heart rate, and extreme fati­gue I was happy to be relie­ved of many of those symp­toms within only a few days of being on ERFA Thy­roid. For me, ERFA Thy­roid works bet­ter than Armour ever wor­ked, my mor­ning tem­pe­ra­ture went up from 97 to 98 within one day, my energy came back within a cou­ple of days, my extre­mely rough, dry skin became smoother within a week, I am no lon­ger get­ting sleepy in the middle of the day, my hands are no lon­ger cold and dry but are warm and moist, my heart rate is nor­mal ins­tead of going into the low 50’s and my mens­trual cycle was regu­lar for the first time in over a year. For those of you who became hypothy­roid while on the refor­mu­la­ted Armour I highly recom­mend that you try ERFA Thy­roid and see if it works for you. If it does get con­fis­ca­ted by the FDA you just need to call them and explain that you can­not get “des­si­ca­ted thy­roid” in the U.S. and they will agree to release your medication.

  30. mair jones said:

    Oct 21, 09 at 1:13 pm

    Hi all,
    My doc just wrote a script for erfa 60mg tabs for me which I faxed direct to erfa (Im in uk);but I am a little con­fu­sed as to dosage.
    I’m a 100kg woman with Hashi’s and par­tial thy­roi­dec­tomy
    (so no thy­roid to speak of)
    The old Armour 60mg was 38t4/9t3
    Erfa 60mg is 100t4/25t3
    Has anyone else switched from Armour to Erfa and got their dosage spot on yet?Or has anyone got info that could help me ? Much obli­gued.
    Mair.

  31. Kathy said:

    Oct 22, 09 at 11:04 pm

    Hi Mair,

    I think the Erfa num­bers are off.

    Here is what Janie wrote is in the Erfa 60mg
    “In each Erfa 60 mg tablet embos­sed “ECI 60”, there is 35 mcg. of T4 and 8 mcg. of T3;” vs. Armour 38T4/9T3.

    This is the link: http://www.stopthethyroidmadness.com/2009/09/02/erfas-canadian-thyroid-details/

  32. lisa said:

    Nov 03, 09 at 8:37 pm

    I star­ted taking efra thy­roid after not being able to get Armour, which I’ve been on for 15 years. I did not have a good reac­tion! It made my heart race, kept me awake and made me feel like I was jum­ping out of my skin! It almost felt like a panic attack! Not good!
    I think the ratio must be off for me, or else the dose just doesn’t trans­late. I am con­si­de­ring taking a half (60 mg tablet) but am actually too ner­vous to try it since the fee­ling was just too awful. Any thoughts?

  33. Mel D said:

    Nov 18, 09 at 10:07 pm

    Hello

    Just rea­ding your posts on ERFA Thy­roid meds .… I’m in Aus­tra­lia and can’t get any more of the Armour or Nature thy­roid I had been taking — I’m won­de­ring is ERFA a por­cine based pill too ? Where exactly can I order some ?

    many thanks in advance

    Mel xxx

  34. Pinky said:

    Nov 24, 09 at 6:10 am

    I’d like to offer another way of trea­ting whilst this current fiasco is insitu. A few years ago i tried the ori­gi­nal Soma­to­med by Ves­pro and was impres­sed but at the time did not know it was a nine month treat­ment then it’s a mana­ge­menmt dose after. It assists your own glan­du­lar sys­tem to release it’s own hormones,it sup­ports liver func­tion too,it was tria­lled in the nine­ties for chro­nic fati­gue syn­drome with favou­ra­ble results. I tried with no ill effects and felt it worked,and it was sug­ges­ted by a doc­tor! in 2002 and now aim to try it out for good properly,it also has the buil­ding blocks of amino acids,it is con­si­de­red homeopathic/herbal,it has Mumiyo a Rus­sian herb in it too. ALSO Glu­ten actually stops the Pitui­tary Gland from pro­du­cing Growth hormone.

  35. Ruth said:

    Feb 02, 10 at 12:57 pm

    Bought a 500 bottle of 60 mg Erfa thy­roid tabs Sept ’09, $100 total deli­ve­red cost to US, wor­ked great. Having trou­ble re-ordering 500 bottle outside of Canada (Erfa dele­ted orde­ring). Erfa said perhaps could do 500s Spe­cial Order from inside Canada. Is FDA/Customs/US gov medd­ling somewhere in there, or Cana­dian hoarding?

  36. Alexi said:

    Feb 14, 10 at 6:36 pm

    Has anyone orde­red Erfa Thy­roid in 2010? I orde­red one bottle of half grain which cost $18 and they char­ged me $31 to ship to the US!! I could not believe it…is this the norm?

    (From Janie: Alexi, it’s too bad you didn’t define who they” is or was. Ship­ping rates and even the price of Erfa is dif­fe­rent from place to place. http://www.stopthethyroidmadness.com/options-for-thyroid-treatment )

  37. Paula said:

    Apr 24, 10 at 3:37 pm

    Hope this helps anyone who is worried where their meds are being manu­fac­tu­red.
    When I orde­red my Thy­roid meds from cross­bor­derphar­macy they let me select which coun­tries I would accept my medi­ca­tion to be made in and ship­ped from. I only put a check mark in the boxes for Canada and the US as those were the only coun­tries I was com­for­ta­ble with

  38. Samantha said:

    May 11, 10 at 6:18 pm

    I’ve heard great things about Indian meds but haven’t found one (repu­ta­ble or other­wise) that sells des­si­ca­ted thy­roid. Dis­re­gar­ding the fact that I’m appa­rently blind, does anyone have a favo­rite Indian site?
    Thank you so much! S.

  39. Nancy said:

    Jun 06, 10 at 9:24 am

    Why isn’t any­body tal­king about com­poun­ded phar­ma­cies. I have one that is going to use rice flour filler ins­tead of the cellu­lose. I still have some old Armour to use up before I try it. Have peo­ple have any luck using com­poun­ded, it seems less hassle than get­ting from Canada? What about Nutri-meds they 2 dif­fe­rent glan­du­lar desic­ca­ted thyroids?

  40. shari said:

    Jul 15, 10 at 2:37 pm

    I was told by the com­poun­ding phar­macy in my town,that as long as the brand Armour was avai­la­ble, they couldn’t sell the com­poun­ded one.

  41. kelly said:

    Jul 22, 10 at 3:10 pm

    This efra is crap. I have gined almost 10 punds in one month and feel like I could sleep for a year. Please where can I find ARMOUR!!!


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