FAQs



Mistletoe Therapy FAQs

What are the differences between AbnobaVISCUM® and Iscador®?

What are the differences between AbnobaVISCUM® and Iscador®?

  • Manufacturer: Both brands are manufactured in Germany. Although each brand does have their own way of production, both do carry out manufacture and quality control procedures according to legal regulations and in strict adherence to international standards and rules of “good manufacturing practice”, i.e. the GMP guidelines. These regulations are applied and continually updated according to the most current knowledge and technology. 
  • Evidence: From the references on my Mistletoe Therapy page, the papers which did investigate different brands of mistletoe extracts, none but one, stated them to be different. The one paper which made a difference quotes: "...ADR (adverse drug reactions) frequency differed with respect to preparation type, with Iscador® preparations showing a higher relative frequency, compared to Abnoba viscum®..."
  • Distributor: 
        • Iscador® Oral drops and injections are distributed by Customised 4U Pharmacy: tel: 0800 035 3078, fax 0800 035 3079. Email: enquiries@customised4upharmacy.co.uk. Address: Unit 2 Regents Drive, Low Prudhoe, Industrial Estate, Northumberland, NE42 6PX
        • AbnobaViscum® injections are distributed by Village Pharmacy Charlton Ltd: tel 0208 858 0907, tel/fax 0208 265 5222. Email: chamaine.patel@nhs.net. Address: 9 The Village, Charlton, SE7 8UG
        • Feel free to contact them is case you do have any question.
      • Processing the prescription: Once we had our telephone consultation, I send the repeat prescription directly to the corresponding pharmacy and they will process it. For AbnobaViscum®, The Village Pharmacy usually do contact my patients within 1-2 working days to arrange payment and postage. For Iscador®, patients have to contact the Customised 4U Pharmacy (0800 035 3078) 24 hours after I did send the prescription.
      • Postage: 
        • Customised 4U Pharmacy (Iscador®) does charge £7 for postage. 
        • The Village Pharmacy (AbnobaViscum®) does charge £15 for postage.
      • Prices: you can check prices on my Mistletoe Therapy site.
      • Prescription: Both brands can be prescribed privately (£30 for prescription and telephone consultation), however, Iscador® can be prescribed on the NHS with no extra charge. For that you do need an appointment with me at The Royal London Hospital for Integrated Medicine.
      • Supply: 
        • Iscador® injections do come in boxes of 7 ampoules each and the price remains the same no matter how many boxes I do prescribe.
        • AbnobaViscum® injections do come in boxes of 8 ampoules each, and for a 4 months supply (48 ampoules) they offer a discount (check prices on my Mistletoe Therapy site). 
      • Needles and syringes: 
        • Customised 4U Pharmacy (Iscador®) does not send needles and syringes per post. For Iscador® injections you can go to your GP and request a prescription for subcutaneous needles (0,5x16mm, 25G 5/8", or insulin needles) and 1ml syringes or get them at boots or online.
        • The Village Pharmacy (AbnobaViscum®) does send needles and syringes together with the AbnobaViscum® ampoules.

I want to travel, should I take the mistletoe extract with me and do I need to keep it refrigerated?

  • If you are on Iscador® Oral drops, and you travel for less then 1 month, it will be fine to have a few weeks break from it. If you wanted to take it with you or you are leaving for more then 1 month, I recommend that you take enough supply with you. If you are traveling with an already opened bottle and the journey takes less then 8-12 hours, don't worry, otherwise, I'd recommend you take a small refrigerating box with you to keep to cool.
  • If you are on injections, and you are traveling for less then 1 week, it should be fine. If you are leaving for a longer period, I'd recommend that you take enough supply with you. If the journey takes less than 4-6 hours there shouldn't be any problem. Otherwise, I recommend you take a small refrigerating box with you to keep it cool.

Can the Mistletoe Therapy be used instead of chemotherapy?

The Mistletoe Therapy is not a replacement for conventional medicine and it can be considered to be used alongside appropriate conventional cancer treatments.

Studies have shown that the Mistletoe Therapy can reduce side effects of conventional treatments such as chemotherapy, radiotherapy and hormone therapy. In addition, it seems to increase their tolerability, increasing the likelihood of continuity on recommending dosages.

Chemical interference on treatment outcome, according to research, appears unlikely. Read more

For how long should I take the Mistletoe Therapy?

The overall duration of treatment is not restricted but will be individualised in each case.

Generally, after two years of continuous treatment, the frequency of injection can be reduced to 2 ampoules (2 injections) per week.

From the 3rd year onwards, treatment-free intervals can be taken, always adapted specially to each case.

After 5-7 years in total (from the beginning of treatment) treatment can be discontinued, or switched to oral drops if the patient’s condition and prognosis are favourable.

Iscador® Oral Drops are generally recommended to be taken continuously for 2 years. From the 3rd year onwards, treatment-free intervals are recommended in a progressively increasing regime, always adapted to each case. Generally, the recommended overall duration is 5 years, however, in some cases, therapy can be extended up to ten years (from the 6th year up to the 10th year, treatment-free intervals will progressively exceed treatment intervals).

How should I take the Iscador® Oral Drops?

The standard recommendation is to take 6 drops in the morning and 9 drops in the evening, from Monday to Friday only, for 3 weeks and then to have one full week break before a new bottle is started. Variations may be recommended to adjust to each case.

I did forget to take the Iscador® Oral Drops, what should I do?

If you didn’t take the drops in the morning, you can take them in together with drops in the evening. (Example: you usually take 6 drops in the morning and 9 in the evening, and you didn’t take you 6 drops in the morning, then take 15 drops in the evening and continue as usual the following day)

If you didn’t take the drops in the evening, you can take them in together with drops the next morning. (Example: you usually take 6 drops in the morning and 9 in the evening, and you didn’t take you 9 drops in the evening, then take 15 drops the next morning and continue as usual having 9 drops in the evening)

If you missed a complete day of treatment, divide the number of drops in 2 half and add each half on the following two treatment days. (Example: you usually take 6 drops in the morning and 9 in the evening, and you missed one day: 6+9=15, 15/2=8, 15+8=23, so for the next two days you have 23 drops in total, 10 drops in the morning and 13 drops in the evening)

If you didn’t take the drops on a Friday, take them on Saturday.

In order to gain the most benefits from the mistletoe therapy, make sure that you take them as prescribed and following the instructions.

How should I store the Iscador® Oral drops?

Before opening, Iscador® Oral Drops should be stored at room temperature (15 - 25 ºC).

Once opened, Iscador® Oral Drops should be stored in the fridge (2 - 8 ºC).

The expiry of Iscador® Oral Drops is 3 weeks from opening.

How should I store the ampoules containing mistletoe extract?

The mistletoe extract has been protected from oxidation under the strictest conditions during the entire manufacturing process. For this reason, injections must be given immediately after breaking open the ampoules; the contents of opened ampules cannot be used at a later time.
Ampoules containing brown-coloured liquid may not be used as this indicates that the preparation has been exposed to oxygen and spoiled.

AbnobaVISCUM® 20 mg to 0.02 mg strengths and all Iscador® ampoules must be stored in the fridge (2 to 13 °C). The ampoules may not be frozen. If ampoules are transported, e.g. from the pharmacy to the patient’s home, continual cooling at the above-mentioned temperatures is not necessary. However, extreme temperatures such as frost or heat (over 25 °C) should be avoided.

There are no particular storage recommendations for abnobaVISCUM D6 to D30 strengths. These ampoules do not have to be kept in the fridge, although they should not be stored or transported at temperatures above 25 °C.

How should I take the mistletoe injections?

Standard regime recommends having 3 injections weekly, on Mondays, Wednesdays and Fridays, at any time of the day.

Adjustments can be recommended as part of an individualised treatment considering each patient’s situation.

I do have a red patch around the injection site, is it normal?

Yes! The skin provides us with reliable information about how your body reacts to the mistletoe extract. Check Are there any side effects? for more information.

If you have any question, please, contact me.

Are there contraindications with mistletoe therapy?

In the case of acute infections or diseases accompanied by fever (body temperature above 38°C), mistletoe therapy must be discontinued until the fever or infection subside.

The mistletoe therapy should not be administered if there is any known hypersensitivity to mistletoe preparations.

I do have fever, what should I do?

The mistletoe extract does stimulate the immune system, therefore, a raise in the body’s temperature can happen, most frequently within 12 hours following the injection. It usually does not last longer than 1 day, and it should not be suppressed with fever-fever-reducing medicines.

If you experience fever for more than 24-48 hours following the injection, it is unlikely to be caused by the mistletoe extract and other causes should be addressed.

If you have any question, please, contact me.

I did forget to inject myself, what should I do?

You can inject the mistletoe extract at any time of the day.

Generally, take the injection as soon as you notice that you have forgotten.

If you remember the next day, inject the mistletoe extract that day and then have the following injection(s) 1 day apart until the weekend. Then continue as usual.

Example: You usually inject yourself on Mondays, Wednesdays and Fridays. However, on a Tuesday you realise you didn’t have your injection the day before. No worries! Have one injection on Tuesday, then the next ones on Thursday and Saturday. Continue the following week as usual (Mon, Wed, Fri).

If you do realise that you did forget one injection 48 hours after, just continue as usual.

Example: You usually inject yourself on Mondays, Wednesdays and Fridays. However, on a Wednesday you realise you didn’t have your injection on Monday. Have now one injection on Wednesday and continue as usual (Fri, Mon, Wed, Fri…).

Can I have mistletoe therapy during pregnancy and/or lactation?

To date, no effects are known to contraindicate administration of mistletoe extract during pregnancy. Particular caution should be exercised, however, and therefore, during the first three months of pregnancy, the mistletoe therapy should be administered strictly according to the prescribed indications.

There is insufficient knowledge available to make recommendations for administration of mistletoe extract during breastfeeding.

Are there any mistletoe therapy side effects?

The following symptoms appear in almost all patients taking the correct “individual dosage”:

Skin: Injection site inflammation up to 5 cm in diameter mostly disappears 8 -12 hours after the injection; rarely lasting longer than 24 hours

General: Minor increase in body temperature within 12 hours following the injection

Blood and lymph system: Temporary, minor swelling of nearby lymph nodes

The symptoms described above are harmless and present no cause for concern; they signal the patient’s responsiveness to treatment. The minor increase in body temperature (up to 38 °C) triggered by the mistletoe extract should not be suppressed with fever-reducing medicines or remedies.

Rare side effects:

Skin: Larger injection site inflammation over 5 cm in diameter, injection site nodule

General: Pyrexia over 38 °C, fatigue, chills, malaise, headache, short spells of dizziness, triggering of inflammations

Blood and lymph system: Injection site lymphadenopathy

Digestive tract: Diarrhoea

Urogenital tract: Increase urge to urinate

The general symptoms described here do not indicate an intolerance of the medication but rather that the dosage is effective. However, if these symptoms do not subside during the course of the day following the injection, or if you are unable to tolerate the symptoms, please, contact me as soon as possible (this may indicate a reduction in dosage)

Very rare allergic reactions:

Skin: Injection site or generalised urticaria, blistering, rash, erythema multiforme (one documented case), angioneurotic oedema

General: Generalised pruritus, chills

Circulation system: Anaphylactic shock

Airways: Dyspnoea, bronchospasm

If any of these symptoms appear, discontinue administration of the mistletoe extract immediately. Emergency medical measures should be taken immediately.

I did forget to inject myself, what should I do?

You can inject the mistletoe extract at any time of the day.

Generally, take the injection as soon as you notice that you have forgotten.

If you remember the next day, inject the mistletoe extract that day and then have the following injection(s) 1 day apart until the weekend. Then continue as usual.

Example: You usually inject yourself on Mondays, Wednesdays and Fridays. However, on a Tuesday you realise you didn’t have your injection the day before. No worries! Have one injection on Tuesday, then the next ones on Thursday and Saturday. Continue the following week as usual (Mon, Wed, Fri).

If you do realise that you did forget one injection 48 hours after, just continue as usual.

Example: You usually inject yourself on Mondays, Wednesdays and Fridays. However, on a Wednesday you realise you didn’t have your injection on Monday. Have now one injection on Wednesday and continue as usual (Fri, Mon, Wed, Fri…).

I broke one ampoule by accident, what should I do?

Just use another ampoule and continue as usual.

I haven’t injected myself for more than a week, what should I do?

Each case needs to be addressed individually as it depends on many different factors.

Generally, if you didn’t have the mistletoe therapy for less then a month and you were having only minor skin reaction, the therapy can be continued on the same dose. However, some adjustments should be made. If theses your case, please, request a telephone consultation.

If the therapy was interrupted for a longer period of time, the mistletoe therapy can be continued but starting on a lower dose is generally recommended. Here as well, individual adjustments should be made taking different factors into account. For more information, feel free to request a telephone consultation.

I want to start the mistletoe therapy, what should I do?

The first thing to do is to book an appointment with me (for Integrated Medicine).

During this appointment, I’ll explain how it works and what to expect.

After this appointment, you can have different follow-up modalities . The quickest option is the “Mistletoe Therapy F/U” where you will create an online account entering only the required data of your medical record. This account is password protected and encrypted and your data are stored according to the GDPR legislation. Every time you need a repeat prescription, you can log in, answer a few questions about your current state and response to the mistletoe extract, and then book an appointment for the telephone consultation where we will have a brief catch-up.

* I may recommend you to come and see me in person if your medical state does require so.


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