Sydney's 'gay cure' doctorbanned

www.samesame.com.au
  • 24
  • 0
  • 1066

A doctor who prescribed chemical castration drugs to a teenaged man who sought a ‘cure’ for his homosexuality has now been banned from practicing as a GP in Sydney.

In 2008, Mark Christopher James Craddock wrote a prescription to an 18-year-old for the drug Cyprostat, which can work as a ‘chemical castration’.

Both Craddock, now aged 75, and the teenager were members of the secretive and anti-homosexuality religious sect the Exclusive Brethren at the time, but the younger man has now left the church.

At the time, the 18-year-old had told senior church members that he was gay, to which they replied “there’s medication you can go on.”

The Medical Council of NSW describes Craddock’s unsatisfactory conduct in its decision:

“Patient A was brought to Dr Craddock seeking help to cure his homosexuality. Dr Craddock failed to take a medical history or perform a proper examination for Patient A. He failed to refer Patient A for counselling or psychological support and he prescribed for him a medication which was not clinically indicated. The medication, Cyprostat, can be used to treat advanced prostate cancer or to manage sexual deviation, by the reduction of testosterone. Dr Craddock prescribed Cyprostat without obtaining an adequate sexual history, without discussing potential side effects and without arranging a follow up appointment. His consultation with Patient A took place in this home rather than in his surgery.”

Its decision: “The Committee is satisfied that in the interests of public health and safety and to foster confidence and appropriate standards in the medical profession, Dr Craddock should not practice [as a GP].”

Craddock himself now admits he should not have prescribed the medicine.

Social

Nobody has hearted this, be the first Be the first!

Comments

www.samesame.com.au arrow left
28844
Irene

Irene said on the 5th Sep, 2012

Sorry this is so long:
Cyprostat (cyproterone acetate)
Manufacturer: Bayer plc

How does it work?

Cyprostat tablets contain the active ingredient cyproterone acetate, which is a type of medicine known as an anti-androgen. Cyproterone acetate is also available without a brand name, ie as the generic medicine.

Androgens are male hormones such as testosterone. They have many actions in the body and work by binding to receptors on cells and influencing the actions of these cells. Prostate cancers generally require the androgen testosterone in order to grow and spread.

Cyproterone acetate is used in the treatment of prostate cancer. It works by preventing testosterone from binding to androgen receptors in the prostate gland. It also acts on an area of the brain called the hypothalamus, which ultimately results in a reduction in the amount of testosterone produced by the body. It therefore starves prostate cancer cells of testosterone, which prevents them growing. Eventually the prostate tumour will shrink.

In the treatment of prostate cancer, cyproterone acetate is usually used in combination with another type of medicine known as a gonadorelin or LHRH analogue. LHRH analogues are one of the standard treatments for prostate cancer and include medicines such as buserelin, goserelin, leuprorelin and triptorelin. This class of medicines also work by decreasing testosterone levels and starving the cancer of testosterone. However, at the start of treatment they can cause a short-term increase in testosterone levels that makes the symptoms worse (flare) before they start to improve. Cyproterone acetate is used to block the effects of this increased testosterone and prevent the symptom flare during initial treatment with this type of medicine.

Cyproterone is also used on its own to treat prostate cancer in men for whom LHRH analogues or surgery are not suitable. In this case, cyproterone is taken long-term to reduce the symptoms of the cancer.

Lastly, cyproterone is used to control hot flushes that may arise in men who are having treatment with LHRH analogues, or who have had their testicles removed (orchidectomy) as part of their treatment.

What is it used for?
Prostate cancer.

Warning!
This medicine can make you feel tired or weak and so may reduce your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your performance.
This medicine may sometimes cause liver problems. For this reason, your doctor will want to monitor your liver function before you start treatment and regularly during treatment. This will usually require a blood test. You should let your doctor know if you experience any symptoms that could indicate a problem with your liver during treatment, so that your liver function can be checked. Symptoms that could indicate liver problems include unexplained itching, nausea and vomiting, severe abdominal pain, loss of appetite or flu-like symptoms; yellowing of the skin or eyes (jaundice); or unusually dark urine.
On rare occasions this medicine may cause a type of anaemia. For this reason, your doctor will want to do a blood test to check your blood cells before you start treatment and regularly during treatment.
The functioning of your adrenal glands should also be monitored regularly while you are taking this medicine.
This medicine will decrease your sperm count, but this change is reversible on stopping treatment. This medicine can also cause more of your sperms than usual to be abnormal in shape. It is possible that these abnormal sperms could produce birth defects. For this reason it is recommended that you use contraception to avoid fathering a child during your treatment. You should discuss this with your doctor before you start treatment with this medicine. The decrease in your sperm count will not happen immediately and you should not rely on this medicine for contraception at any time.

Use with caution in
Men who have ever had a blood clot in a vein (venous thromboembolism), eg in the leg (deep vein thrombosis) or in the lungs (pulmonary embolism).
Men who have ever had a blood clot in an artery, eg a stroke or mini-stroke (TIA) caused by a blood clot, or a heart attack.
Hereditary blood disorder called sickle cell anaemia.
Diabetes (particularly diabetes with complications, eg affecting the eyes, kidneys or blood circulation).
Advanced cancers.
Liver disease.
Long-term severe depression.

Not to be used in
Women.
Children.
People who have had a meningioma (a tumour in the protective membranes around the brain and spinal cord).

This medicine should not be used if you are allergic to any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.

If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Label warnings
Take this medication with or after food.

Side effects

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.


Very common (affect more than 1 in 10 people)
Decreased sex drive (reversible on stopping treatment).
Impotence (reversible on stopping treatment).
Decreased sperm count (reversible on stopping treatment).
Reduced volume of ejaculation (reversible on stopping treatment).


Common (affect between 1 in 10 and 1 in 100 people)
Weight changes.
Depressive moods.
Restlessness.
Enlargement and tenderness of breasts (gynaecomastia).
Fatigue.


Uncommon (affect between 1 in 100 people and 1 in 1000 people)
Rash.


Rare (affect between 1 in 1000 and 1 in 10,000 people)
Shortness of breath.
Liver disorders.
Abnormal blood clots in the blood vessels (thromboembolism).
Reduced growth of body hair and increased growth of scalp hair.
Lightening of hair colour.
Severe allergic reaction.

The side effects listed above may not include all of the side effects reported by the medicine's manufacturer.

For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

How can this medicine affect other medicines?

There are no significant interactions reported with this medicine.

ZoeB

ZoeB said on the 5th Sep, 2012

I take Cyproterone Acetate, and have done for 7 years. A lot of Intersex women do, and it's the drug of choice overseas as an anti-androgen in MtoF Transitions.

Things the label doesn't tell you:

1 in 3 who use it will experience some nasty side effects, including muscle breakdown and liver damage. However, blood tests will show obvious signs of this happening long before the damage is significant and not purely temporary. So blood tests every 3 months for a year are ***ESSENTIAL***!!!!! Without that, there is a very significant risk the patient will die. With that, it's at least as safe as aspirin, and within weeks of the first signs of damage being detected (and use discontinued) everything heals. About one in ten get severe clinical depression too.

It has the following properties -
1. Blocking testosterone so it has no effect
2. Lowering Follicular Stimulating Hormone and Lutinising Hormone (FSH and LH) so Testosterone production is reduced, and adrenal activity lowered.
3. Its breakdown products act as progesterols, increasing breast growth.

It's prescribed under three different PBS codes, for three different diagnoses.

For women - to treat "severe androgenisation of a non-pregnant woman" - it's possible Caster Semenya is being treated with it.

For men - to treat prostate cancer

For men also.... and this is the controversial part... to "reduce sex drive in deviant males". This involves being put on a list of sex offenders, and is usually offered to rapists in return for a reduction in sentence. It is truly "chemical castration". Temporary if treatment is for less than a year, but there are permanent and irreversible effects if used for much longer.

So "patient A" is on a register of sex offenders, the letters SD - sexual deviant - on his health records.

As am I, as I was originally diagnosed as an Intersex male in 1985, so was put on the list wgen prescribed it in 2005. A few weeks later, the tests showed I was an Intersex female, and I'm now being treated on that basis. In my case, it's taken only to reduce LH and FSH levels, as all sex glands of whatever kind had been removed by late 2006. I still need it though, the 3BHSD form of CAH can have nasty effects without it.

Intersex guys who need it get the SD mark, and some have been refused jobs at schools because of that. All Trans women likewise, they're regarded as male until post-operative.

A responsible physician would inform any male patient not being treated for prostate cancer of the legal consequences, and make sure the patient accepted them - or shouldn't prescribe it. The procedure's simple - phone a number, give provider number and medicare number, get an authorisation number for the prescription, and that's it.

A physician not guilty of gross negligence and malpractice would have arranged blood tests and also simple periodic psych evaluation for depression over the first year, and would discontinue after that to avoid permanent loss of fertility and possibly permanent impotence.