Sample letter for patients travelling abroad
with apomorphine / apomorphine infusion pump

TO WHOM IT MAY CONCERN

APO-go (apomorphine hydrochloride)

Britannia Pharmaceuticals Limited supplies APO-go (apomorphine hydrochloride) for use in the treatment of Parkinson’s disease and has loaned this APO-go infusion pump for the purpose of providing medication*. Apomorphine hydrochloride possesses no narcotic properties and is not a controlled drug in any country.

APO-go (apomorphine hydrochloride) is a treatment prescribed by a medical practitioner and is used in accordance with his or her directions. Accordingly, it is necessary for patients to carry supplies of apomorphine hydrochloride, needles and injectable pens/syringes with them at all times together with their apomorphine infusion pump* and your co-operation in this regard is appreciated. Please also note that APO-go should be stored at room temperature (at or below 25°C) and protected from light.

*optional text

Yours faithfully

To be signed by prescriber doctor