Allen Booth, Author at CanadaDrugstore
CanadaDrugstore

Viscosupplementation – Injections for Relief for Painful Osteoarthritis in the Knees

According to the Arthritis Foundation it is estimated that as many as 54.4 million adult Americans have doctor-diagnosed arthritis. In fact, according to a 2017 study by the foundation, the number may be higher, with as many as 91 million Americans suffering from this painful and sometimes crippling condition. Of the more than 100 different types of arthritis and related conditions, osteoarthritis is the most common type, affecting nearly 21 million Americans age 25 and older.

Osteoarthritis is the gradual wearing away of the cartilage in the knee joint. It is known as a degenerative form of arthritis, and while there is no cure for osteoarthritis, but there are treatments available.

Doctors will usually suggest lifestyle changes such as weight loss, physical therapy and changes in activity level to help ease discomfort of osteoarthritis in early stages. Certain pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDS) or acetaminophen can also be recommended by doctors.

The next phase of treatment usually involves viscosupplementation with some form of hyaluronic acid.

Let’s start with the facts: Also known as hyaluronan injection or hyaluronic acid (HA) injection, viscosupplementation is a procedure during which a doctor will inject a lubricating fluid or gel into a joint, usually as a treatment for osteoarthritis in the knee, to help the joint move easier and relieve pain and inflammation. In this article we will discuss three medications used to treat osteoarthritis in the knee and what they are made of.

Hyaluronic acid may sound ominous but it is actually a natural substance in the fluid surrounding your joints. This fluid is the synovial fluid. The hyaluronic acid is like a gel that helps the bones move around each other and helps protect them from impacting against each other. When you suffer from osteoarthritis you have less hyaluronic acid than you should, and viscosupplementation helps by replacing that lost hyaluronic acid and therefore reduces pain and helps protect your bones and improve movement. The procedure usually involves several shots over several weeks. If effective, the injections may be repeated after 6months or so, depending on your results and your doctor’s orders.

There are different types of injectable hyaluronic acid viscosupplements used by doctors as treatment for osteoarthritis in the knee.

Orthovisc®

Orthovisc ® is made of highly purified sodium hyaluronate (aka hyaluronan) in physiologic saline. It comes in a prefilled syringe containing a 2 mL dose. Your doctor will inject Orthovisc® into the affected joint once a week, sometimes up to three weeks. The dose is determined by your doctor according to your individual medical condition. Side effects may include headache, swelling, pain, redness or warmth and bruising at the site of the injection. If any of these side effects get worse or persist, inform your doctor immediately. Always consult your prescription medication information sheet for all interactions, side effects and instructions.

Further information on Orthovisc  can be found at the following link: Learn More

Synvisc ® (hylan G-F 20)

Synvisc® is an also an injectable fluid, containing hylan A fluid, hylan B gel, and salt water. Both Hylan A and hylan B are derived from hyaluronan, made from chicken combs. It was approved by the FDA in 1997, and is considered a treatment, not a drug. Synvisc® injections are usually given as a series of injections, once a week for three weeks, and is only used for treatment of osteoarthritic knees. Synvisc® comes in a 2.25 mL glass syringe containing one 2 mL dose of hylan G-F 20. For best results most doctors will remove osteoarthritic synovial fluid from the knee before the first injection is given.

Further information on Synvisc  can be found at the following link: Learn More

Synvisc-One ® (hylan G-F 20)

Synvisc-One® is another injectable gel that can provide up to six months of osteoarthritis knee pain relief with only one injection, compared to Synvisc® which is given in a series of 3 injections. Like Synvisc®, Synvisc-One® is made from hyaluronan. Each 10 Ml dose of Synvisc® comes in a glass syringe and combines three 2-mL doses of a complete Synvisc® treatment. The single 10-mL syringe contains: sodium chloride (51mg), hylan A and hylan B (48mg), disodium hydrogen phosphate (0.96mg), sodium dihydrogen phosphate monohydrate (0.24mg), and water for injection (q.s to 6.0 mL) Always consult your prescription medication information sheet for all interactions, side effects and instructions.

Further information on Synvisc-One®  can be found at the following link: Learn More

Durolane®

Durolane® is also a single-injection hyaluronic acid treatment, and has been licensed for the symptomatic treatment associated with mild to moderate osteoarthritis in the ankle, fingers, toes, as well as hips and knees. The hyaluronic acid in Durolane® is a stabilized form known as NASHA®. It is a purified product created without using any animal-sourced materials. Some of the benefits reported by Bioventus, the maker of Durolane® include ease of administering the injection, the prevention or delay of hip or knee replacement surgery, the ability to directly treat the affected joint, and the treatment is repeatable as required by your doctor. Durolane® is available in two doses – Durolane®(3 mL) and Durolane® SJ (1 mL). Be sure to consult your prescription medication information sheet for all interactions, side effects and instructions.

Further information on Durolane  can be found at the following link: Learn More

As always, the friendly pharmacy team here at Jason’s CanadaDrugstore.com is ready to answer your questions about these medications or other prescription medication you may need. Contact us Toll Free at 1-800-991-0281

This article contains medical information provided to help you better understand this particular medical condition or process, and may contain information about medication often used as part of a treatment plan prescribed by a doctor. It is not intended to be used as either a diagnoses or recommendation for treatment of your particular medical situation. If you are unwell, concerned about your physical or mental state, or are experiencing symptoms you should speak with your doctor or primary health care provider. If you are in medical distress please contact emergency services (such as 911).

If you were a loyal customer of an online pharmacy that closed down, you are likely looking for another online pharmacy to get your prescriptions filled. When Canadadrugs.com shut down thousands of patients were left wondering where to safely order prescription medications online. This is why I started Jason’s CanadaDrugstore.com – to help you and to give you a new, trustworthy, safe place to order your medication online.

Jason’s CanadaDrugstore.com is safe, open, CIPA certified and happy to say that we are ready to serve you and provide you with the outstanding customer service, affordable healthcare products, prescriptions and non-prescription medications, and we are here to answer your questions.

It’s important to shop around and find a pharmacy you can trust. At Jason’s CanadaDrugstore.com, we have the licensing, certification, privacy, and safety aspects covered as required for an online pharmacy. We also pride ourselves on providing personalized service. We strive to hire caring and empathetic individuals in our pharmacy that will help you with your medication decisions.

How do you choose a safe place to order medications online?

From over two decades of pharmacy experience in Manitoba, I can tell you there are safe options available for the importation of medications in to the U.S.A. I would start by going to the Canadian International Pharmacy Association (CIPA) website. CIPA is a Canadian association that does an excellent job of supporting pharmacies and companies that work with licensed pharmacies that require a prescription, post their address and phone number, have privacy policies, and ensure your financial information is kept secure. Please visit the CIPA website and review the information they have on their website. You will also be able to find numerous online pharmacy providers there.

Curious about the online pharmacy safety record? Check out this story on the CIPA website.

Next, after picking one or a few potential pharmacies to transfer your prescription business to, I highly recommend looking up their pharmacy license numbers on the local provincial pharmacy website. Most of the Canadian websites work with licensed pharmacies in Manitoba or British Columbia (BC). Often you will find this information at the bottom of their company’s website pages.  The College of Pharmacists of British Columbia has a search page where you can look up the pharmacy and confirm they are licensed. The College of Pharmacists of Manitoba even has a separate designation for pharmacies that have been regulated to ship product internationally. These pharmacies are called IPS or international prescription service pharmacies in Manitoba.

In summary, pick a pharmacy with a CIPA certification. Double check the credentials of the website by finding their pharmacy in Canada and verify licensure on the appropriate provincial website.

Jason’s CanadaDrugstore.com is CIPA certified and our mission is your safety and peace of mind. If you have any questions, please contact us online at https://canadadrugstore.com or call us at 1-800-991-0282.

PURCHASE MALARONE TABLETS FOR PREVENTION

Are you planning on traveling soon? Do you happen to be travelling to a country where Malaria is common? In this article we take a look at Malaria, as well as the medications used for the prevention and treatment of Malaria.

Did you know that according to the Centers for Disease Control and Prevention (CDC), approximately 1,700 cases of malaria are reported and diagnosed in the United States every year. In most cases it is reported in travelers who have left home well, but returned sick.

The highest risk comes from countries that are in the sub-Saharan Africa regions, though traveling to any country where malaria is reported is still risky. Something as simple as a mosquito bite while traveling in a country that is reported to have Malaria be enough put you at risk.

What can you do before you leave for your trip? Visit the Malaria Information by Country Table on the CDC website when you are planning your trip. This will give you focused details about parts of different countries where malaria may or may not occur, as well as the type of malaria, if drug resistance is present, and a list of the medicines the CDC recommends for prevention of malaria in each area it occurs on the Malaria map.  The CDC also recommends that pregnant women avoid traveling to Malaria-endemic areas, as Malaria can cause harm to both the mother and the fetus.

Symptoms of Malaria may include fevers, sweating, shivering, body aches, headaches, and other flu-like symptoms. At the first sign of any of these symptoms treatment should be started as soon as possible, as infection can be very severe and sometimes fatal.

One of the medications often recommended for travelers is Malarone (or its generic form Atovaquone/Proguanil). The two active ingredients in Malarone are Atovaquone and Proguanil, which work together to prevent and treat malaria by killing the parasite that causes Malaria, P. falciparum. Malarone comes in a tablet form (250mg Atovaquone/100mg Proguanil) per tablet.

For Malaria Prevention

Adult dose: One Malarone tablet (adult strength) per day.

Pediatric dose: Each dose for Malaria Pediatric prevention is based upon body weight. (1 pediatric tablet contains 62.5 mg Atovaquone/25mg Proguanil).

For prevention of Malaria in adults, your doctor will prescribe one tablet daily, usually a couple of days before entering an area where malaria may be present. You will need to take the Malarone for an additional 7 days after leaving the area.

For Malaria Treatment

For treatment of Malaria in adults, your doctor will usually prescribe 4 tablets per day for 3 days.

For treatment of Malaria in children, doctors will prescribe the Malarone dosage required by the weight of the child.

It’s important to take the pill whole with fluid, but should swallowing be difficult, it can be crushed and mixed with condensed milk. The medication should be taken with food or some form of milky drink daily, and at the same time each day if possible.  If vomiting occurs or any other issues, it’s important to speak with your doctor and/or pharmacist.  Never double your dose if you miss a dose of Malarone. As with most medications, Malarone does have some side effects such as dizziness, abdominal pain, diarrhea, and constipation. If you’re concerned about any possible side effects, discuss them with your pharmacist.

Protecting Yourself from Mosquito Bites

One of the best things you can do to prevent contracting Malaria is to protect yourself from mosquito bites.

Further information on Malarone  can be found at the following link: Learn More

It’s unfortunate that certain infections and diseases are of concern when traveling to explore the world or when traveling for business, but the truth is it is a fact of life and one you need to be prepared for. As always, if you have questions about Malarone or other medications or interactions with your other medications, speak to your pharmacist or talk to one of our friendly team here at Jason’s CanadaDrugStore.com by simply calling us Toll Free at 1-800-991-0282.

Armour® Thyroid Tablets

 Allergan™ distributes Armour® Thyroid (thyroid tablets, USP) in the USA in the following strengths:

The active ingredient (desiccated natural thyroid) in Armour® Thyroid (thyroid tablets, USP) is derived from porcine (pig) thyroid glands.

ERFA® Thyroid Tablets

EFRA™ distributes ERFA® Thyroid (desiccated thyroid) in Canada in strengths of 30mg, 60mg, and 125mg.

EFRA® Thyroid tablets contain desiccated thyroid containing lactose, derived from porcine thyroid glands.

Note that T4 is converted to T3 in your body.

Further information on EFRA  can be found at the following link: Learn More

If you have questions about thyroid medications, please contact our pharmacy Toll Free 1-800-991-0282. We are always happy to answer your questions.

Taking an easy deep breath is something most people take for granted, while for others this natural act is a struggle due to asthma and COPD.

According to the American Lung Association (www.lung.org) there may be as many as 24 million Americans living with Chronic Obstructive Pulmonary Disease, also known as “COPD”.  The COPD Foundation (www.copdfoundation.org) defines COPD as “an umbrella term used to describe progressive lung diseases including emphysema, chronic bronchitis, and refractory (non-reversible) asthma.”

Symptoms of COPD may vary from person to person, but typical symptoms include wheezing, tightness in the chest, increased shortness of breath and breathlessness, and frequent coughing.  It is also not uncommon for someone with COPD to have other health conditions such as high blood pressure, diabetes, or heart disease.

Most people living with asthma and/or COPD take prescription medication to help manage their condition.  Two of the most common medications are Symbicort and Vannair.

Symbicort

Symbicort is the brand name of an inhaled medication used to treat both asthma and COPD. It contains two active medicinal ingredients: budesonide (a corticosteroid whose job it is to decrease inflammation in the lungs) and formoterol (a long acting beta 2 adrenergic agonist, abbreviated LABA, whose job it is to relax the muscles around the airways to prevent wheezing, cough, chest tightness and shortness of breath).

The Symbicort available in the US is manufactured by Astra Zeneca. It available as an inhalation aerosol, or metered dose inhaler, in two strengths: Symbicort 160/4.5 and Symbicort 80/4.5. These numbers reflect the dose of the two medicinal ingredients delivered from the mouthpiece of the device. In order to deliver this amount from the mouthpiece, the valve of the device (upstream) actually dispenses a total of 200/6 and 100/6.

In other countries – Canada, New Zealand and the United Kingdom – Symbicort is also available as a brand name medication from Astra Zeneca but is marketed differently.

Instead of indicating the amount of active ingredients delivered from the mouthpiece, their labels show the total amount of drugs dispensed from the valve of the device, which is a little higher – 200/6 form the valve is the same as 160/4.5 from the mouthpiece and 100/6 from the valve is the same and 80/4.5 from the mouthpiece. When you read the product monographs for these products, both sets of numbers are explained, but only the total higher dose dispensed from the valve is shown in the product labelling. This may lead to confusion and an incorrect conclusion that they are a higher strength than their US equivalents whereas in fact they are identical.

In the United Kingdom only the higher strength of Symbicort inhaler is available, marketed as Symbicort inhalation aerosol 200/6, which delivers 160/4.5 from the mouthpiece.

In New Zealand, Vannair is the same as Symbicort

In New Zealand, both inhaler strengths are marketed by Astra Zeneca, but under a different brand name –Symbicort. The Symbicort aerosol inhaler 200/6 delivers 160/4.5 from the mouthpiece, while the Vannair aerosol inhaler 100/6 delivers 80/4.5 from the mouthpiece.  These products are not currently available with dose counters.

Symbicort Turbuhaler – Available in Canada, New Zealand and the United Kingdom

To make the Symbicort product even more complicated, it is also marketed as a dry powder inhaler called Turbuhaler in Canada, New Zealand and the United Kingdom. The Symbicort Turbuhaler 200/6 delivers 160/4.5 from the mouthpiece and the Symbicort Turbuhaler 100/6 delivers 80/4.5 from the mouthpiece, making it equivalent to the Symbicort aerosol inhaler in terms of the delivered medication dose. The Turbuhaler is a different delivery system however, which does not dispense an aerosol suspension of the medication but a breath activated dose of dry powder instead. It is important to know that with a Symbicort Turbuhaler, each delivered dose of powder contains lactose as well, which may be of concern for some patients.

The bottom line – Symbicort and Vannair are the same product but with different names in different countries.

In summary, the US Symbicort aerosol inhaler 80/4.5 is the same as the Symbicort aerosol inhaler 100/6 from New Zealand and the US Symbicort inhaler 160/4.5 is the same as the Vannair aerosol inhaler 200/6 from New Zealand or the Symbicort aerosol inhaler 200/6 from the United Kingdom.

Further information on Symbicort and Vannair can be found at the following link: Learn More

If you have questions about these medications, talk to us! Our friendly team here at Canada Online Health is here to answer your questions about this prescription medication for COPD and asthma, and help you find the affordable healthcare solutions you need. Call us Toll Free at 1-800-991-0282 today!

Seasonal Affective Disorder (SAD)

We often hear people saying they are craving the sun, or feeling depressed due to the short days and long winters.  What you may not realize is that there may be an actual reason for these feelings.  Known as Seasonal Affective Disorder or “SAD” this common ailment is often seen in people who live in regions where there are long winters and in shift workers who have less frequent exposure to natural sunlight.  The lack of sunlight can lead to feelings of depression, fatigue, anxiety, apathy, sexual problems, overeating and sleep problems.

While a quick vacation to a sunny location may provide some quick relief, this is not always financially feasible for most people and may not last for the long run.   According to Mental Health America, about five percent of Americans experience seasonal affective disorder caused by reduced sunlight in the late autumn and winter.  Four out of five people suffering from SAD are women.

One cause of SAD is thought to be Melatonin, a sleep hormone produced by the pineal gland in the brain. When the days are darker and shorter in the winter, the pineal gland produces more Melatonin, which affects sleep patterns and our moods.  Another theory states that SAD may be due to an imbalance of neurotransmitters, including serotonin, which act as mood regulators.

Phototherapy, also known as bright light therapy, is often used to help treat SAD by suppressing the body’s production of Melatonin.

Another popular therapy is the use of Vitamin D. Vitamin D., also known as the Sunshine vitamin, is reported to help individuals sleep better as it helps regulate the body’s circadian rhythm.

According to an article in Medical News Today, “Vitamin D deficiency has been linked to increased risk of asthma, cancer and chronic pain, among other conditions. Now, a new study led by researchers from the University of Georgia associates low vitamin D levels with greater risk of seasonal affective disorder.” Researchers at Queensland University of Technology in Australia state that studies found that depressed people often have lower levels of Vitamin D.

The Vitamin D Society, a Canadian non-profit group, suggests everyone have their Vitamin D levels checked, and suggests an optimal blood level of between 100-150 nmol/L.  For some this may mean daily supplementation of 4,000 IU for adults.

While it’s true that Vitamin D may not be the cure-all for Seasonal Affective Disorder, the evidence is clear that it Vitamin D does play an important role in our everyday health.

Maintaining a health Vitamin D level is important for several other reasons, including the maintenance of healthy bones and teeth, supporting lung and cardiovascular health, supporting a healthy nervous system and immune system, and even helping to regulate insulin levels for better diabetes management.

Looking to boost your Vitamin D intake?  Fish oil and fatty fish are some of the best sources of Vitamin D. One tablespoon of cod liver oil has 1,360 IU, for example.  For those who do not eat fish, 1 cup of raw maitake mushrooms packs an impressive 786 IU of Vitamin D.

Further information on Vitamin D  can be found at the following link: Learn More

Here at Jason’s CanadaDrugstore.com we offer top brand Vitamin D supplements to suit your needs. Give us a call at 1-800-991-0282 to talk to one of our team about your Vitamin D needs.

A Friendly Health Advisory:  As always, consult with your physician before taking natural supplements, vitamins and herbal supplements as they may have interactions with prescription medications you are currently taking.

ue to the rising costs of medications more Americans than ever are turning to safe, licensed Canadian online pharmacies to save money on their necessary prescription medications, according to the results from a critical survey released by  The Campaign for Personal Prescription Importation (CPPI) on January 8, 2019. Ninety-four percent of respondents said that their primary reason for ordering from licensed online pharmacies was cost savings. (more…)

The headline is not news – everyone knows that the cost of healthcare is rising. It is estimated that up to 20% of all new drug prescriptions are never filled the first time, and that as many of 23% of long-term elder care admissions are due to patients failing to adhere to doctors’ orders and failure to adhere to prescribed medicine routines.

In the last few years over 4.7 million Americans received some form of home care for common ailments such as diabetes, heart disease and cerebrovascular disease. This trend continues to grow as more families are beginning to take care of older family members, rather than send them to a costly care home or assisted living facility. Their thought being that this will be less of a burden on the family and less expensive.

Known as the “Sandwich Generation”, a term coined in 1981, these adults in their 30’s, 40’s and 50’s often find themselves raising their own children at the same time as caring for aging parents. Journalist Carol Abaya expanded on this definition to more accurately describe the healthcare situation of America today: Traditional Sandwich Generation – adults who are raising their own children while caring for elderly parents. Club Sandwich – adults in their 50’s and 60’s who have aging parents, adult children and grandchildren; or those in their 30s-40s with aging parents, grandparents, and also with young children. Open Faced – all other adults involved in elder care. The terms may seem almost comical, but the trend is without a doubt growing and the results are alarming. Pew Research stated that most of these responsible adults in the Sandwich Generation provide some form of financial support to their aging parents. Stress, financial hardship and depression are the most common reported challenges they face. A survey by A Place for Mom found that 23% of multigenerational caregivers had to consider giving up their jobs in order to care for a family member, which meant a possible negative impact on their finances. They have less money coming in and more money going out for the necessary care and medical costs faced by their love one.

It has been estimated that 23% of Americans care for someone at home, but now the projections are that by 2050 one in four Americans will be providing home care to someone. While most individuals would say they would prefer to stay in their own homes rather than go to a hospital or nursing home, the reality is that the cost of home care combined with rising costs of medication is making this a difficult choice.

Over the last few years it has been reported that Americans spend approximately $1,208 per year on prescription drugs, according to the Organization for Economic Co-operation and Development. In 2017 the out-of-pocket spending on prescription medications for U.S. citizens was over $46.7 billion dollars. In a nut shell, this meant that 10% of health care expenses was spent on prescription medication.

According to a September 2018 article by the AARP, the average retail price of a prescription drug used to treat a chronic condition is approximately $13,000 per year, and the amount a Medicare beneficiary has to pay can vary depending on the individual drug plan. It’s a fact that some seniors have had to skip doses, empty out their 401(k) plans, run up credit card debts, and in some cases even sell their homes in order to pay for medication.

Some groups, such as the AARP, are fighting to allow the more affordable and safe options to expensive drugs. One way of doing this is by purchasing safe prescription medications from Canada.

CanadaDrugstore.com is a safe and affordable option many Americans are turning to. CanadaDrugstore.com is CIPA certified and offers affordable health care solutions you can trust. At CanadaDrugstore.com you can purchase your prescriptions, and over-the-counter medications from Canada. Your safety and you health could not be in better hands when your order your healthcare products from CanadaDrugstore.com. By easing the burden of medication cost, and providing home delivery of medications, CanadaDrugstore.com has helped thousands of Americans save money, save time, and find peace of mind knowing that there is a way to save money on medications. “No one should have to make a choice between eating a meal, keeping the lights on, and taking a medication that could possibly improve or save their lives,” says Jim H Mi.

“We are not just a business, we are people who care, who are on a mission to help people and make life easier for people who deserve compassion and help. Affordable medication should be universal. Until it is, we are here to help.” says our CEO.

 

Photo by Toa Heftiba on Unsplash

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