Gabriel, Author at CanadaDrugstore
CanadaDrugstore

Save By Ordering Restasis to Treat Dry Eyes from Canada

Restasis is the most popular treatment available for eye inflammation and dry eyes. It is expensive in the United States. The average retail price for 60 vials of 0.4ml Restasis eye drops is around $718.43.

However, Restasis is just $294.14 for same package in Canada. Now American patients can save over 60% on the same brand name Restasis eye drops manufactured by same company (Allergan) from certified Canadian Pharmacies. (Prices sourced on goodrx.com, as of Apr 14, 2021)

Did you know prescription generic Restasis for dry eyes is now available from Canada! You can save 65% on generic Restasis ($185.22 for 60 vials of 0.4ml). There are currently no generic alternatives for Restasis in the United States.

Symptoms of Dry Eyes

Chronic dry eye caused by inflammation can be terribly uncomfortable. This is a fairly common condition with symptoms that include, as the name says, dry eyes. Other symptoms include:

How Are Dry Eyes Treated?

Treatment of dry eyes depends on the underlying cause. Your doctor may prescribe eye drops or artificial tear drops, but when this is not enough your doctor may prescribe a prescription eye drop called Restasis.

How Does Restasis Work?

Restasis contains the active ingredient cyclosporine. The medicine belongs to a class of medicines known as immunosuppressants.

Cyclosporine goes to work in the blood stream suppressing the body’s immune system. When used in eye drops it increases tear production by reversing a condition in which the white blood cells in your immune system, known as lymphocytes, die and build up in the tear glands.

It is important to note that Restasis eye drops need to be used on a regular basis in order to begin to see the desired increase in tear production, which may take 3 months or more after starting treatment.

Are There Side Effects from Using Restasis For Dry Eyes?

There are some common side effects reported, but speak to your pharmacist about what you may experience.  A few of the common side effects include:

Do not use Restasis for dry eyes more often than recommended by your doctor or for longer than recommended by your doctor. The usual dose is 1 drop in each eye twice daily, approximately 12 hours apart. Follow your doctor’s prescription for dosage.

Restasis Multidose Preservative Free

Note that Unit Dose Vials, or UDV, must be discarded immediately after using in both eyes.

Compare prices between brand name Restasis and generic Restasis and see the cost savings!

Was this article helpful? Other related articles:

If you have questions about your prescription medications or any other medication, please contact our team at Jasons’s CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

 

Spring has arrived and now summer is knocking on our door. Did you know the weather can make a person’s asthma symptoms worse?

If you only experience asthma symptoms at certain times of the year, or your asthma worsens when it’s very cold or when there’s pollen in the air in spring, you may have seasonal asthma.

Let’s learn more about the seasonal effects of asthma and the treatments.

What is Asthma?

According to the Centers for Disease Control (CDC) as many as 1 in 13 people in the United States have asthma.

Asthma is a chronic lung disease which makes it difficult to move air into and out of your lungs.

Airways in the lungs become inflamed when triggered by certain stimuli such as weather, dust, chemicals, smoke, pet dander, or other things in the air or environment.

When this inflammation is triggered there is little room for air to travel in and out of the lungs through the swollen air passages. There is no cure for asthma but thanks to new medications it can be managed every day.

How Can Weather Affect Asthma?

A change of seasons, a storm, or a sudden change in weather can make it harder to breathe or cause a flare-up.

In spring, the high pollen count is a factor, especially for the approximately 50% of people whose asthma is triggered by seasonal allergies. A pre-existing allergy is a common trigger.

During summer and autumn, extreme weather conditions such as heat and thunderstorms can also be asthma triggers. It’s thought that hot air and humidity can cause the airways to narrow, just like very cold air does.

It’s also possible that there’s a change in the number of pollutants and moulds in the air when it’s hotter.

How Can I Avoid Weather Triggers?

Once you know what your weather triggers are, it’s important to avoid them:

How is Asthma treated?

If you or a loved one has asthma, you should know about the best treatments for short-term relief and long-term control. This will help you and your doctor manage the symptoms. If you have symptoms or an asthma attack, it’s important to know when to call your doctor to prevent an emergency.

Asthma inhalers are the most common and effective way to deliver asthma medication to your lungs. They’re available in several types that work in different ways. Some deliver one medication. Others contain two medications.

People that suffer from asthma may need to use fast-acting rescue medications, long-term treatments, or both.

Rescue inhalers (or quick-relief inhalers)

People with asthma use these medications to ease asthma symptoms. These medications relax the muscles that tighten around your airways. This helps open them up so you can breathe easier.

Preventive long-term medications

Preventative medications treat symptoms and prevent asthma attacks. They reduce swelling and mucus in your airways so they’re less sensitive and less likely to react to asthma triggers.

Using your inhaler properly ensures the medication is delivered where it is needed — the lungs. Other devices, like champers (Aerochamber 2GO, Aerochamper MAX adult Mask or Infant Mask),spacers and nebulizers, can also help.  There are even Aerochambers available for pets (AeroDawg and AeroKat)!

What is in Advair Diskus?

Advair Diskus (fluticasone propionate and salmeterol) is used to control and prevent the symptoms of asthma such as wheezing, cough and shortness of breath. It is also used to control these same symptoms, which may be associated with other lung diseases such as chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis.

This prescription medication contains two different medications: fluticasone propionate and salmeterol.

Fluticasone propionate is in a class of medication known as corticosteroids, which reduces the swelling in the airways. Salmeterol is a long-acting beta agonist (a bronchodilator), which helps improve breathing by opening the airways in the lungs.

What is Advair Inhaler (HFA)?

The Advair Inhaler (HFA) also contains the medications fluticasone propionate and salmeterol. However, while the Advair Diskus is a dry powder inhaler, the Advair HFA Inhaler is an aerosol inhaler that contains a propellant to help deliver the medication to your lungs.

What is the difference between Advair Diskus and Advair HFA?

Advair HFA is FDA-approved for asthma.

Advair Diskus is FDA-approved for both asthma and COPD.

While the two delivery methods and dosages may vary, the active ingredients are the same in both.

It is important to note that the Advair Diskus and the Advair HFA Inhaler are both used in circumstances when patients do not find relief from breathing problems when using just one asthma medication alone.

Who should NOT take Advair Diskus or Advair HFA Inhaler?

Advair Diskus is meant for patients over the age of four years old.  It is not meant for children or adults who are already using a prescription medication to control asthma, such as an inhaled corticosteroid.

Note: Advair is not to be used in place of a rescue inhaler in case of an emergency breathing problem.

Do not use prescription Advair Diskus if you are allergic to milk proteins or if you are taking a medication that contains a LABA (long-acting beta2-adrenergic agonist).

How are the Advair Diskus and the Advair HFA Inhaler used to treat breathing problem such as asthma?

This medication must be used as directed by your doctor.  For best benefits, be sure to use the medication regularly and at evenly spaced time intervals, at the same time(s) each day.

Do not increase or decrease your dose without speaking to your doctor.

Be sure to gargle and rinse your mouth out completely with water after each use of prescription Advair Diskus and Advair HFA to prevent irritation and possible yeast infection in the mouth and throat.

What are the side effects of Advair Diskus and the Advair HFA Inhaler?

Most people using this medication do not have serious side effects. However, there are some side effects you may encounter including:

It is important to monitor your blood pressure while using prescription Advair Diskus or Advair HFA for breathing trouble related to asthma, or COPD.

This is not a complete list of possible side effects.  Please refer to the insert that comes with your prescription and speak to your pharmacist about possible side effects.

Affording your inhalers

Inhalers can be expensive, so how can you save money if you need one? Here are some of your options:

If your inhaler isn’t covered by your insurance, just call Jason’s CanadaDrugstore and find safe and affordable medications.

References:

Related articles:

If you have questions about your prescription medications or any other medication, please contact our team at Jasons’s CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

President Biden said that all adults in the U.S. would be eligible for a vaccine by April 19, accelerating the timeline he announced last month. This means that millions of people will have the chance to line up for their shot in less than three weeks.

You might have already decided that you prefer one COVID-19 vaccine over another based on the characteristics of each of the options.

But the question of which vaccine is “best” doesn’t have a straightforward answer. Considering the data we have available now as well as available vaccine supply, the vaccine that’s best for you is likely the vaccine that’s available to you.

COVID-19 Vaccine types

The material from the vaccine quickly disintegrates and never enters the cell’s nucleus, so it can’t alter the recipient’s DNA. The presence of the harmless spike proteins triggers the immune system to create antibodies and activate T-cells that mount an immune response.

The Pfizer vaccine requires two doses administered 21 days apart and the Moderna vaccine requires two doses 28 days apart.

The Johnson & Johnson vaccine requires only one dose.

The AstraZeneca vaccine currently requires two doses given four weeks apart, but there is some uncertainty about how far apart the doses can be administered.

Effectiveness of COVID-19 Vaccines

Efficacy data depends on many factors, including when and where the clinical trials took place.

Some have speculated that the Pfizer and Moderna vaccines — with their roughly 95% efficacy rates in clinical trials — are better than the Johnson & Johnson vaccine (66% efficacy) and the AstraZeneca vaccine (76% efficacy).

But comparing the different vaccines’ efficacy rates is sometimes like comparing apples and oranges, according to Anna Durbin, MD, as stated on aamc.org.

In fact, experts say that the Johnson & Johnson vaccine has some advantages over the mRNA vaccines, including that it does not require ultra-cold storage and can be given as a one-dose regimen.

The Centers for Disease Control and Prevention (CDC) says that a person can consider themselves fully vaccinated two weeks after the single shot of Johnson & Johnson or the second shot of Pfizer or Moderna.

Side Effects Of COVID-19 Vaccines

All the COVID-19 vaccines currently authorized by the FDA for emergency use include commonly reported side effects of pain/soreness at the injection site, headache, fatigue, muscle aches and nausea, which usually fully subsided within one to two days after vaccination.

The Moderna and Pfizer vaccines include some additional commonly reported side effects, such as chills, fever, joint pain and swollen lymph nodes. These side effects were more often reported after the second dose, though they are possible after either dose.

Since the Johnson & Johnson vaccine doesn’t require a second dose, there’s no increased risk of common side effects with a second dose.  Only the commonly reported side effects with first dose would apply.

Anaphylaxis is a very uncommon but potentially life threatening reaction to a vaccine.  People who develop anaphylaxis must be treated with epinephrine — the medication in EpiPens — and may need to be hospitalized to ensure their airways remain open. The CDC says people should be monitored for 15 minutes after getting a Covid-19 shot, and 30 minutes if they have a history of severe allergies.  Monitoring allows recently vaccinated persons to remain in a safe environment during the time anaphylaxis is most likely to occur – within 15 to 30 minutes of the injection.

Are the Vaccines Safe and Can They Cause Blood Clots?

There is a concern that came up with the AstraZeneca vaccine that resulted in several countries pausing or limiting its use due to reports of blood clots.

The European Medicines Agency (EMA) said Wednesday (April 7, 2021) that a particular combination of unusual blood clots with low blood platelet counts should be listed as a side effect of the vaccine, but stopped short of recommending its use be limited. The benefits of the shot outweigh the risks and Covid-19 is a “very serious disease,” it added.

Some countries, including Canada, France, Germany and the Netherlands, have suspended the use of the AstraZeneca vaccine in younger people while the investigations continue.

However, some experts are saying not all adverse reactions that happen around the time of vaccination are caused by the vaccine. As people with underlying conditions — particularly older individuals — receive a vaccine, heart attacks or strokes will happen and could be coincidental.

In fact, the number of people who have experienced blood clots after being vaccinated by the Astra Zeneca vaccine in that country is lower than what would be expected proportionally in the everyday population.

Do the Vaccines Protect Against the Variants?

The optimism that came with the approval of COVID-19 vaccines in late 2020 was tempered by the emergence of several coronavirus variants that had mutated to be more contagious, deadlier, and potentially able to evade the vaccines.

But the data so far suggest that currently available vaccines work well against the variants.

The World Health Organization says that the vaccines are likely to provide at least some protection against each of the variants because they prompt a broad immune response beyond just targeting the spike protein that is the focus of the vaccines.

The Bottom Line With COVID-19 Vaccines

According to Andrew Thomas, MD from osu.edu, we are trying to prevent:

Every vaccine available right now is much more effective than no vaccine, and they all significantly reduce the likelihood of severe illness and death.

This means that even on the chance that someone gets infected after receiving a COVID-19 vaccine, they’re less likely to spread it to others and less likely to end up in a hospital’s intensive care unit.

Mark Mulligan, MD also told readers on aamc.org: “What I tell my patients and family members is to take whatever vaccine you can get. They are all highly effective. You can’t really make any discernment from one to another.”

A saying this author has heard many times over the last little while is, “The best vaccine is the one you can get right now.”

It is still a race between vaccination and variants. The key to ending the pandemic is getting vaccines administered to people across the globe. As of March 30, 2021 there had been only 7.4 vaccine doses administered per 100 people globally, and many low-income countries had not yet administered a single dose.

 

References:

If you have questions about your prescription medications or any other medication, please contact our team at Jasons’s CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

According to kidshealth.org, up to 50 million Americans, including millions of kids, have some type of allergy. In fact, allergies cause about 2 million missed school days each year.

Allergies are abnormal immune system reactions to things that are typically harmless to most people. When a person is allergic to something, the immune system mistakenly believes that this substance is harming the body.

Seasonal allergies in kids and toddlers often look like the common cold, but won’t go away without treatment.

What Causes Allergies?

Common Airborne Allergens

Some of the most common things people are allergic to are airborne (carried through the air):

Common Food Allergens

Up to 2 million, or 8%, of kids in the United States are affected by food allergies.

Eight foods account for most of those: cow’s milk, eggs, fish and shellfish, peanuts and tree nuts, soy, and wheat.

Other Common Allergens

Symptoms of Allergies

Allergy symptoms, which depend on the substance involved, can affect your airways, sinuses and nasal passages, skin, and digestive system.

Allergic reactions can range from mild to severe. In some severe cases, allergies can trigger a life-threatening reaction known as anaphylaxis.

Anaphylaxis

Some types of allergies, including allergies to foods and insect stings, can trigger a severe reaction known as anaphylaxis. A life-threatening medical emergency, anaphylaxis can cause you to go into shock.

Signs and symptoms of anaphylaxis include:

How Are Allergies Diagnosed?

Your doctor can diagnose allergies in several ways.

First, your doctor will ask about your symptoms and perform a physical exam. They will ask about anything unusual you may have eaten recently and any substances you may have come in contact with. For example, if you have a rash on your hands, your doctor may ask if you put on latex gloves recently.

Lastly, a blood test and skin test can confirm or diagnose allergens your doctor suspects you have.

Treatments for Allergies

In general, there is no cure for allergies. The best way to avoid allergies is to stay away from whatever triggers the reaction. If that’s not possible, there are treatment options available.

Medications for Allergies

Allergy treatment often includes medications like antihistamines to control symptoms. What your doctor recommends depends on the severity of your allergies.

Allergy medications include:

Singulair should only be prescribed if there are no other suitable treatment options. This is because it increases your risk of serious behavioral and mood changes, such as suicidal thoughts and actions.

Eye Drops for Allergies

Nasal Spray for Allergies

Inhaler for Allergies

Immunotherapy

For severe allergies or allergies not completely relieved by other treatment, your doctor might recommend allergen immunotherapy. This treatment involves a series of injections of purified allergen extracts, usually given over a period of a few years.

Another form of immunotherapy is a tablet that’s placed under the tongue (sublingual) until it dissolves. Sublingual medications are used to treat some pollen allergies.

Emergency Epinephrine

If you have a severe allergy, you might need to carry an emergency epinephrine shot at all times.

Given for severe allergic reactions, an epinephrine shot (Auvi-Q, EpiPen, EpiPen Junior, Allerject, Emerade, Adrenaline, others) can reduce symptoms until you get emergency treatment.

CanadaDrugstore.com is certified by Canadian International Pharmacy Association (CIPA). No hidden costs, no membership fees, just great savings on all your prescription needs.

Next time before you place order, especially on brand name medications, call us to see if we can match the price and help you keep more money in your pocket.

References:

If you have questions about your prescription medications or any other medication, please contact our team at Jason’s CanadaDrugstore.com by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

“I feel pain and weakness in my muscles.”

If you have been taking a statin and you face the above situation, it is possible you may be experiencing a side effect from your statin.

What are statins?

It is alarming that more than 71 million Americans have been diagnosed with high cholesterol. There is no cure for high cholesterol, but you can control it. Statins have been around for 30 years and are considered the most trusted class of drugs that help to control your high cholesterol.

Are statins safe to use?

The short answer is yes, but like all medications, they are not without their risks. Through this article we will discuss both the risks and benefits of statin therapy.

Common statin side effects

Some of the most common side effects associated with a statin are:

  1. Headache
  2. Diarrhea
  3. Constipation
  4. Muscle pain
  5. Weakness

Cause of these side effects

The risk of statin side effects increases as the dosage of the statin increases. The higher your statin dose, the higher the concentration of statin in your blood, leading to the higher the risk of a side effect.

What no one tells you

How statins help

Statins are clinically proven to reduce the risk of major cardiovascular events, including heart attacks and stroke*.

Statins are considered an effective class of drugs and have been around for over 30 years. The efficacy and utilization of statins across the globe clearly indicate that the potential benefits exceed their risk.

Statin dosage a problem

Statin dosage is an important factor that could increase the probability of statin side effects. Your doctor will help you decide your statin dose based on your cholesterol levels and your risk of developing heart disease.

If you are taking a higher dosage statin (e.g., 80 mg of atorvastatin), then there is a higher chance you may experience side effects.

If you experience side effects, you should talk to your doctor. Altering the statin dosage or changing to a different statin are effective ways of treating patients reporting such adverse side effects.

Pitavastatin – the newest statin to be approved – may be an option for you

Pitavastatin is a next-generation statin and the most recent to be approved in the U.S. Pitavastatin differs from other statins in the way our body processes it. At the highest dose (4 mg), only 3.1% of patients experience side effects from muscle pain.

In clinical studies, 4 mg pitavastatin was demonstrated to lower cholesterol:

Click here to learn more about Zypitamag (pitavastatin) tablets.

 

* The effect of pitavastatin on cardiovascular morbidity and mortality has not been determined.

This article contains information about an FDA-approved product, Zypitamag (pitavastatin) tablets. This medication is available by prescription only. Talk to your doctor to see if Zypitamag is right for you. Please refer to the Zypitamag (pitavastatin) tablets Important Safety Information below and Prescribing Information for more information.

 

IMPORTANT SAFETY INFORMATION for ZYPITAMAG® (pitavastatin) tablets

 

Who should NOT take ZYPITAMAG?

ZYPITAMAG is not right for everyone. Do not take ZYPITAMAG if:

 

What is the most important information I should know and talk to my doctor about?

 

What are the most common side effects of ZYPITAMAG?

The most common side effects of ZYPITAMAG in clinical studies were:

 

This is not a complete list of side effects. Talk to your healthcare provider for more information.

 

You are encouraged to report negative side effects of all drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

 

How should I store and take ZYPITAMAG?

 

Other important information I should know about ZYPITAMAG.

 

For additional information, please see the full Prescribing Information.

 

Teva announced its betamethasone dipropionate and calcipotriene ointment, the generic alternative to Leo Pharma’s Dovobet Ointment in Canada, which is known as Taclonex Ointment in the United States.

What Is Taclonex Used For?

Taclonex is a brand name of betamethasone/calcipotriene topical, approved by the FDA in January 2006.

Taclonex is a topical antipsoriatic agent to treat psoriasis. Psoriasis is an autoimmune condition that causes widespread inflammation. This can affect the skin and several other parts of the body, including the lungs.

What Happens If Psoriasis Is Left Untreated?

Psoriasis affects approximately 2% of the US population.

A 2015 study indicated that left untreated, patients with moderate-to-severe psoriasis could develop psoriatic arthritis (PsA), which affects up to 40% of patients.

Similar to rheumatoid arthritis, PsA can cause pain, disability, and permanent joint deformities. Compared with patients with psoriasis who do not have PsA, patients with psoriasis and PsA have greater disease burdens and different treatment patterns.

Is Taclonex a Steroid?

Taclonex contains a combination of betamethasone and calcipotriene.

What are the Available Dosage Forms and Strengths?

The U.S Brand Name Medication

0.005%/0.064% for topical use, 60 g

0.005%/0.064% for topical use, 100 g

Each gram of Taclonex Ointment contains 52.18 mcg of calcipotriene hydrate (equivalent to 50 mcg of calcipotriene) and 0.643 mg of betamethasone dipropionate (equivalent to 0.5 mg of betamethasone)

Canadian Brand Name Medication

Canadian Generic Medication

 

 

Please note: although labelled in different units, both ingredient strengths in the US brand name Taclonex, Canadian brand name Dovobet and Canadian generic TEVA-Betamethasone/Calcipotriol ointments are IDENTICAL.

How to Use Taclonex Ointment

Follow all directions on your prescription label and read all medication guides or instruction sheets.

This medication is for use on the skin only. Apply a thin layer to the affected area(s), usually once daily or as directed by your doctor.

Because of the increased risk of side effects, adults should not use more than 100 grams of the ointment per week unless directed and closely monitored by the doctor. Also, children and teenagers should not use more than 60 grams of the ointment per week.

Do not use this medication for more than 4 weeks unless directed by your doctor.

What Are Side Effects of Taclonex Ointment?

According to drugs.com, Taclonex can cause your skin to sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) or sunblock when you are outdoors.

Get emergency medical help if you have signs of an allergic reaction to Taclonex: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

 

Call your doctor at once if you have:

 

 

Common Taclonex side effects may include:

 

 

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

 

What Other Medications Will Affect Taclonex?

Tell your doctor about all your other medications, especially:

 

This list is not complete. Other drugs may interact with betamethasone and calcipotriene, including prescription and over-the-counter medications, vitamins, and herbal products. Not all possible medication interactions are listed here.

How Much Does Brand Name or Generic Taclonex Cost?

The retail price for brand name Taclonex ointment is around $1178.88 per tube (60 g) from the local pharmacies in the United States.

While the same brand name medication, manufactured by the same company Leo Pharma, is just $247.78 per tube (120 g). You can save up to 90% from Canada.

The generic medication manufactured by TEVA is 117.30 per tube (60 g).

References:

This article is sponsored by Jason’s CanadaDrugstore. Jasons’s CanadaDrugstore is certified by Canadian International Pharmacy Association (CIPA). No hidden costs, no membership fees, just great savings on all your prescription needs.

Next time before you place order, especially on brand name medications, call them to see if they can match the price and help you keep more money in your pocket.

 

If you have questions about your prescription medications or any other medication, please contact our team at Jasons’s CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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 are taking Livalo (pitavastatin) tablets you may be paying too much. Branded products can be expensive, and Livalo is no exception.

Livalo Cost Increase

The cost of Livalo has continued to increase over the years. From 2013 to 2018 the cash-pay price increased from approximately $400 to over $800 for a 90-day prescription. Today, the cost for Livalo is around $1,117 for a supply of 90 tablets, depending on the pharmacy you visit.

Unfortunately, Livalo, even with a manufacturer coupon, is so expensive that many people are having to use older statins.

There is now a lower cost option.

Livalo vs. Zypitamag

Zypitamag (pitavastatin) is a pharmaceutical alternative to Livalo. It became available in the U.S. in 2017.

Zypitamag contains the same active molecule as Livalo, pitavastatin. The difference between Livalo and Zypitamag comes in the form of the salt; Livalo contain calcium, whereas Zypitamag contains magnesium.

While its not a generic, Zypitamag is considered bioequivalent to Livalo. This means that you should see the same results with both Zypitamag and Livalo if taken in the same way.

An Affordable Livalo Alternative – Zypitamag

Many branded products may not be affordable for patients, as they have limited coverage from their insurance plans and as a result, high out-of-pocket costs.

Zypitamag is one exception. It is priced affordably for people regardless of their insurance coverage. The cost for uninsured patients is just over $1 a day. Click to fill your prescription.

If you want to full story on Zypitamag, click here.

 

 

This article contains information about an FDA-approved product, Zypitamag (pitavastatin) tablets. This medication is available by prescription only. Talk to your doctor to see if Zypitamag is right for you. Please refer to the Zypitamag (pitavastatin) tablets Important Safety Information below and Prescribing Information for more information.

 

IMPORTANT SAFETY INFORMATION for ZYPITAMAG (pitavastatin) tablets

 

Who should NOT take ZYPITAMAG?

ZYPITAMAG is not right for everyone. Do not take ZYPITAMAG if:

 

What is the most important information I should know and talk to my doctor about?

 

What are the most common side effects of ZYPITAMAG?

The most common side effects of ZYPITAMAG in clinical studies were:

 

This is not a complete list of side effects. Talk to your healthcare provider for more information.

 

You are encouraged to report negative side effects of all drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

 

How should I store and take ZYPITAMAG?

 

Other important information I should know about ZYPITAMAG.

 

For additional information, please see the full Prescribing Information.

 

President Joe Biden signed $1.9 trillion Covid-19 economic relief package with benefits including a third round of stimulus payment into law on Thursday afternoon.

It will provide those households with up to $1,400 per qualifying person. For the millions of Americans who have lost income due to COVID, this will provide at least some relief. For others, it will help meet needs that they would otherwise struggle to afford.

How Much Can I Receive from the New Relief Package?

According to cnbc.com, American families who meet the income thresholds will   receive a $1,400 stimulus check, the definition of a qualifying dependent has broadened to include both children and adults of any age who fit the legal criteria.

An average family of four (two parents and two dependents) could receive a total $5,600.

Here are the income limits for receiving a full $1,400 stimulus check:

When Will My Payment Arrive?

Americans will start seeing stimulus checks in their bank accounts as early as this weekend.

The checks will begin to hit bank accounts this weekend for those who have their direct deposit info on hand at Treasury and the IRS. Be aware that the volume of users sometimes overwhelms the site.

How Would People Spend the “Free” Money?

U.S. Census Bureau data showed many Americans, especially in lower-income households, used their checks in the same way: to pay for daily essentials like groceries, gas and utilities.

More than one-third of respondents in a Bloomberg/Morning Consult survey said they will save a significant amount of the money if they get the third stimulus check.


Of the households earning less than $50,000 a year, only 17% of respondents said they saved money from the checks last spring—but 29% expect they will be able to do so this time.
That compares with 23% who said they did so in April last year, when the government sent out $1,200 checks under the Cares Act, and 26% of those who got the $600 checks Congress approved in late December.

 

References:

President Joe Biden signed off on the $1.9 trillion American Rescue Plan Act Thursday.

Now, the Internal Revenue Service (IRS) will begin sending payments to eligible households. The third economic impact payment is worth up to $1,400 per individual and dependent.

What to Think About Before Spending the 3rd Check?

When you have $1400 coming in, it is best to really look ahead and plan. This money, especially for those out of work, has to be used wisely.

Take care of your needs first, such as your utilities, your food, your shelter, and your medications. Those kinds of things are your needs and those are the kind of things you should use the money for.

Although these are the types of expenses that are usually set in stone, there are some expenses where we have some control over. Why not take the time to see how you can lower those expenses to stretch your dollars?

Prioritize Paying High-Priority Expenses

Currently, federal student loan borrowers are automatically being placed in an administrative forbearance. Most homeowners are now able to defer their mortgage payments for 180 days with no penalties as well.

Focus on high-priority payments instead, which includes other bills that you cannot defer, healthcare expenses, essential items such as groceries and clothing, plus any high-interest (20% or more) credit card debt you have that your card issuer will not let you defer or that will accrue too much interest if you postpone paying it off.

Find What Expenses in Our Monthly Budget Are Flexible

Jeanette Pavini shared some useful tips on thestreet.com.

How to Save on Prescription Medications

For anyone who needs regular prescriptions to manage serious chronic health conditions, the soaring cost of their medications creates a real burden, especially during COVID-19 when many find themselves out of work.

Health care and what to do about it – particularly the high cost of prescription medications – is a perennial debate in the United States.

For years, people have traveled north for prescription savings. Certified online Canadian pharmacy are able to fill prescriptions for a fraction of the U.S. cost.

According to the survey, conducted by the Campaign for Personal Prescription Importation (CPPI), Americans ordering their prescription medications from certified online Canadian pharmacies are saving an average of $228 per month – or $2,736 per year.

Recent price comparisons show that online Canadian pharmacies consistently offer Americans savings of 50-90% on brand-name prescription medications compared to leading U.S. pharmacies as well as GoodRx and Amazon Pharmacy.

The Real Impact

For example, patients who have heart condition require medications (i.e., Eliquis, Xarelto) to treat and prevent blood clots for everyday use.

Let’s compare the price of Eliquis (apixaban, 5mg), which is brand name medication manufactured by Bristol Myers Squibb.

However, ordering from an online Canadian pharmacy instead of shopping locally, patients can save $4,165.80 a year, getting the same brand name Eliquis for only $152.33 per month.

Fortunately, some Canadian pharmacy also can source the same manufacture’s brand name medication from Turkey. The price is just 81.22 for 56 tablets.

How to Find A Safe Pharmacy Online?

Cheapomeds is certified by Canadian International Pharmacy Association (CIPA). No hidden costs, no membership fees, just great savings on all your prescription needs.

Next time before you place order, especially on brand name medications, call them to see if they can match the price and help you keep more money in your pocket.

References:

This article is sponsored by  Canadadrugstore. If you have questions about your prescription medications or any other medication, please contact our team at Canadadrugstore by calling toll free  1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

Public-health officials are enthusiastic about the new, single-shot COVID-19 vaccine from Johnson & Johnson, despite its having a somewhat lower efficacy at preventing symptomatic illness than other available options. Although clinical-trial data peg that rate at 72 percent in the United States, compared with 94 and 95 percent for the Moderna and Pfizer-BioNTech vaccines, many experts say we shouldn’t fixate on those numbers.

READ THE FULL ARTICLE HERE

According to the survey, Americans ordering their prescription drugs from certified online Canadian pharmacies are saving an average of $228 per month — or $2,736 per year. Here’s the breakdown of savings per month: CLICK HERE AND READ THE FULL ARTICLE

What are statins?

A vast majority of the U.S population suffers from high cholesterol. High cholesterol is not normal. Unlike other diseases, it has no symptoms and is considered a silent killer*.

Statins are the first line of defence against high cholesterol and have been around for decades. Doctors consider this drug class to be the most effective medication for treating high cholesterol.

Do Statins have side-effects?

Statins, while taken by millions of Americans each year, have some side-effects associated with them. The most common side effects of statin medication are muscle pain, muscle cramps and muscle weakness.

Cause of side-effects: The risk of statin side effects increases with the statin dosage. As a rule of thumb, the higher the dose of statin you take, the higher the statin concentration in your blood. This leads to a greater risk of a side effect such as muscle pain.

Factors affecting Statin Concentration in your blood

Newer statins, like pitavastatin, tend to be more stable in your body and, as a result, can be taken at any time of day.

What is different about the latest-generation statin medications

The good news is that there is now a newer statin available in the U.S. known as Zypitamag (pitavastatin) tablets.

Zypitamag (pitavastatin) is a next-generation statin. Some key features of Zypitamag include:

Clinically, pitavastatin has been shown to reduce LDL-C or ‘bad cholesterol’ by 45%.  Click to learn more about Zypitamag (pitavastatin) tablets.

The effect of pitavastatin on cardiovascular morbidity and mortality has not been determined.

This article contains information about an FDA-approved product, Zypitamag (pitavastatin) tablets. This medication is available by prescription only. Talk to your doctor to see if Zypitamag is right for you. Please refer to the Zypitamag (pitavastatin) tablets Important Safety Information below and Prescribing Information for more information.

IMPORTANT SAFETY INFORMATION for ZYPITAMAG® (pitavastatin) tablets Who should NOT take ZYPITAMAG? ZYPITAMAG is not right for everyone. Do not take ZYPITAMAG if:
  • You have a known allergy to ZYPITAMAG or any of its ingredients.
  • You have active liver problems, including some abnormal liver test results.
  • You are nursing, pregnant or may become pregnant, as it may harm the baby.
  • You are currently taking cyclosporine or gemfibrozil.
What is the most important information I should know and talk to my doctor about?
  • Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, itching, or hives.
  • Muscle problems may be an early sign of rare, serious conditions. Tell your doctor right away if you have any unexplained muscle pain, weakness, or tenderness, particularly if accompanied by malaise or fever, or if these muscle signs or symptoms persist after discontinuing ZYPITAMAG.
  • Serious liver problems have been reported rarely in patients taking statins, including pitavastatin. Your doctor should do liver tests before you start, and if you have symptoms of liver problems while you are taking ZYPITAMAG. Tell your healthcare provider right away if you feel more tired than usual, have a loss of appetite, upper belly pain, dark-colored urine, or yellowing of the skin or eyes.
  • Tell your doctor about all your medical conditions and medications you take including nonprescription medicines, vitamins, or herbal supplements.
  • Increases in blood sugar levels have been reported with statins, including pitavastatin.
  • Tell your doctor about your alcohol use.
  • Tell your healthcare provider of a known or suspected pregnancy.
What are the most common side effects of ZYPITAMAG? The most common side effects of ZYPITAMAG in clinical studies were:
  • Back pain
  • Constipation
  • Diarrhea
  • Muscle pain
  • Pain in the legs or arms
This is not a complete list of side effects. Talk to your healthcare provider for more information. You are encouraged to report negative side effects of all drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. How should I store and take ZYPITAMAG?
  • Store ZYPITAMAG tablets at room temperature, in a dry place, and out of the reach of children.
  • Take ZYPITAMAG orally once daily with or without food at the same time each day.
  • Swallow the tablet whole. Do not split, crush, dissolve, or chew.
  • The maximum recommended dosage is ZYPITAMAG 4 mg once daily.
  • If you take too much ZYPITAMAG or you or someone else takes an overdose, call your doctor and/or local Poison Control Center.
Other important information I should know about ZYPITAMAG.
  • ZYPITAMAG has not been studied to evaluate its effect on reducing heart-related disease or death.
  • ZYPITAMAG is available by prescription only.
For additional information, please see the full Prescribing Information.

Your doctor may have recommended that you take a medication called a statin if you have high cholesterol and you haven’t been able to get it under control with diet, exercise, or weight loss alone.

Statins remain the first-line of defence for managing cholesterol. They are generally well-tolerated and have a favorable safety profile. There is a large body of evidence that supports the wide-spread use of statins with their ability to reduce the risk of developing heart disease*.

Updated Guidelines Recommend Statins for More Patients

The guidelines by the American Heart Association and American College of Cardiology updated their recommendations for managing cholesterol in 2018. The four main categories where statin use is recommended includes:

History of Statins

The first statin, lovastatin, was approved in the United States over 30 years ago on September 1st, 1987. Since then, tens of millions of Americans have taken a statin to help manage their cholesterol levels. Statin use has increased steadily over the years and has more then doubled in the last 20 years. With the recent changes to the guidelines, this use will undoubtedly increase further.

The most commonly used statin in the U.S right now is atorvastatin, which was approved in 1996. While the majority of statins currently available are several decades old, there are newer statin options available.  Pitavastatin was introduced to the U.S. in 2009 and is the most recently approved statin type.

About Pitavastatin

Pitavastatin is a third-generation statin that helps to lower the LDL-C levels in your body. It is currently available in the U.S. as Livalo (pitavastatin calcium) or Zypitamag (pitavastatin magnesium). Livalo was approved in 2009 and Zypitamag was approved in 2017.

The biggest difference between Livalo and Zypitamag is the price. Livalo costs over $1000 for a 90-day prescription, whereas Zypitamag is as little as just $1 a day, or $90 for a 90-day prescription.

Beside the price, the FDA has deemed the two products to be bioequivalent.

What makes Pitavastatin different

Click here to learn more about how Zypitamag (pitavastatin) is different.

 

* The effect of pitavastatin on cardiovascular morbidity and mortality has not been determined.

This article contains information about an FDA-approved product, Zypitamag (pitavastatin) tablets. This medication is available by prescription only. Talk to your doctor to see if Zypitamag is right for you. Please refer to the Zypitamag (pitavastatin) tablets Important Safety Information below and Prescribing Information for more information.

 

IMPORTANT SAFETY INFORMATION for ZYPITAMAG® (pitavastatin) tablets

 

Who should NOT take ZYPITAMAG?

ZYPITAMAG is not right for everyone. Do not take ZYPITAMAG if:

 

What is the most important information I should know and talk to my doctor about?

 

What are the most common side effects of ZYPITAMAG?

The most common side effects of ZYPITAMAG in clinical studies were:

 

This is not a complete list of side effects. Talk to your healthcare provider for more information.

 

You are encouraged to report negative side effects of all drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

 

How should I store and take ZYPITAMAG?

 

Other important information I should know about ZYPITAMAG.

 

For additional information, please see the full Prescribing Information.

Do you take metformin? It’s the first-line therapy used to lower glucose levels in people with type 2 diabetes. A recent study found that metformin use was associated with a lower rate of COVID-related death among people with type 2 diabetes. READ THE FULL ARTICLE HERE

Are you currently taking a statin and have been experiencing muscle pain? Have you stopped taking your statin entirely because of the way it made you feel? You’re not alone!

Over 71 million Americans live with high cholesterol and have likely been recommended by their healthcare provider to start taking a statin medication.

Managing Cholesterol with Statin Medication

High levels of bad cholesterol, known as LDL-C, contribute to the development of heart disease. When your cholesterol levels are too high, deposits of fat can build up on the walls of your arteries, and over time, can lead to a higher risk of a heart attack.

Statin medications are the first line of defense healthcare providers use to help manage high cholesterol levels in their patients. Statins have been around for over 30 years and are the most widely prescribed medication in the U.S.

Not all statins are the same.

Statin Side Effects and Muscle Pain

While statins are generally well tolerated, they are not without their risk of side effects. It is important to continue taking your statin to lower your levels of bad cholesterol and lower your risk of developing cardiovascular disease or having a heart attack.

The most commonly reported side effect from patients taking statin therapy is muscle pain, or myalgia. As a rule of thumb, the higher the dose of statin, the more likely muscle pain is to occur.

Zypitamag may be an option for you!

Zypitamag (pitavastatin) tablets are a new statin on the market. Pitavastatin 4 mg tablets can reduce bad cholesterol by up to 44% and increase good cholesterol by up to 7%.

At the highest dose (4 mg), only 3.1% of patients experienced myalgia, with less than 4% discontinuing the product.

If you are taking a statin and experiencing muscle pain, ask your healthcare provider if Zypitamag (pitavastatin) tablets might be an option for you.

Zypitamag is available in 2 mg and 4 mg formats available at around $1 a day! Click to learn more about how Zypitamag is different from other statins.

 

This article contains information about an FDA-approved product, Zypitamag (pitavastatin) tablets. This medication is available by prescription only. Talk to your doctor to see if Zypitamag is right for you. Please refer to the Zypitamag (pitavastatin) tablets Important Safety Information below and Prescribing Information for more information.

 

IMPORTANT SAFETY INFORMATION for ZYPITAMAG® (pitavastatin) tablets

 

Who should NOT take ZYPITAMAG?

ZYPITAMAG is not right for everyone. Do not take ZYPITAMAG if:

 

What is the most important information I should know and talk to my doctor about?

 

What are the most common side effects of ZYPITAMAG?

The most common side effects of ZYPITAMAG in clinical studies were:

 

This is not a complete list of side effects. Talk to your healthcare provider for more information.

 

You are encouraged to report negative side effects of all drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

 

How should I store and take ZYPITAMAG?

 

Other important information I should know about ZYPITAMAG.

 

For additional information, please see the full Prescribing Information.

As of Feb 15, nearly 40 million Americans have had at least one COVID shot, and more than 14 million have had both doses. New coronavirus cases are on the downward trend. However, public health experts are warning about new variants in the U.S.

New York confirms it’s treating its first case of a variant likely discovered in South Africa, and it may get much worse. It turns out we have plenty of our own variants here in the US. Will vaccines still work?

Carter Evans from CBS news reports. Air Date: Feb 15, 2021

WATCH FULL VIDEO HERE

Try our quick and easy strawberry vinaigrette today! It pairs great with a spinach, almond, and feta salad

 

Prep:

10 mins

Total:

10 mins

Yield:

9 servings

Per Serving:

50 calories; protein 0.1g; carbohydrates 6.2g; fat 3g; sodium 65.5mg.

Ingredients

Instructions

Blend strawberries, honey, apple cider vinegar, olive oil, salt, and black pepper together in a blender until smooth.

 

 

Recipe found on: https://www.allrecipes.com/recipe/238180/easy-strawberry-vinaigrette/#nutrition

The stories of seemingly promising medications that did not pan out as treatments for COVID-19, including, most famously, the malaria medication hydroxychloroquine, has left many researchers wary. However, here is some good news in the fight against COVID-19.

According to certain topline results from a clinical trial in Canada, colchicine, an inexpensive oral tablet already known and used to treat gout, improved COVID-19 outcomes for patients with mild cases and reduced the risk of complications and death by 21%.

What Is Colchicine?

Colchicine is an oral anti-inflammatory that has long been prescribed for gout, a form of arthritis.

The most commonly prescribed treatment for a gout attack is an anti-inflammatory painkiller, although not everyone is able to take this kind of medicine.

Colchicine (Colcrys, Mitigare, Colgout) is an alternative treatment for gout attacks for those people who cannot take the anti-inflammatory painkillers.

It works by reducing the number of white blood cells which travel into the inflamed areas. This helps break the cycle of inflammation and reduces the swelling and pain of the gout attack.

Is This the First Hope for Patients Who Have Early COVID-19?

It’s all part of a growing belief that the worst effects of the coronavirus infection are caused not by the virus itself, but by a massive overreaction of the immune system, known as a cytokine storm.

In a cytokine storm, the immune system goes into overdrive — flooding the body with proteins (cytokines) that trigger widespread inflammation. That causes often fatal damage to organs.

Colchicine is just one of several anti-inflammatory medications currently in clinical trials for treating COVID-19.

The Canadian study showed the effectiveness of treatment using colchicine to prevent the phenomenon of the major inflammatory storm and reduce complications related to COVID-19.

What Have the Researchers Found?

The study was deployed across Canada, the U.S., Europe, South America, and South Africa. It randomized participants (double-blind) to colchicine 0.5 mg or a matching placebo twice daily for the first 3 days and then once daily for the last 27 days.

To keep those patients isolated at home, the study has an unusual “contactless” design: Patients will receive the medication by courier and have follow-up visits via video or phone.

Dr. Jean-Claude Tardif, who led the above study from Montreal Heart Institute, said “This is a major scientific discovery. Colchicine is the first effective oral medication to treat out-of-hospital patients.”

There was a significant effect among the 4,159 of 4,488 patients who had their diagnosis of COVID-19 confirmed by a positive PCR test:

What are the side effects of colchicine?

Some physicians also warned about the potential for misuse of the findings and attendant risks.

While colchicine usually causes only mild side effects including diarrhea and nausea, it can in rare instances be toxic and even fatal if a person is prescribed too high of a dose.

It can also be contraindicated for someone with certain kidney problems and can interact with common medications like certain antibiotics or blood pressure medications.

If you are diagnosed early with COVID-19 and interested in this medication, talk to your doctor, pharmacist, or health care provider for more information.

About Jason’s CanadaDrugstore

Jason’s CanadaDrugstore is certified by Canadian International Pharmacy Association. No hidden costs, no membership fees, just great savings on all your prescription needs.

Next time before you place order, especially on brand name medications, call them to see if they can match the price and help you save up to 80% on your medications.

References:

If you have questions about your prescription medications or any other medication, please contact our team at Jasons’s CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

Many patients are upset to learn that brand name Coumadin, manufactured by Bristol Myers Squibb (BMS) has been discontinued in the United States, Canada, Latin America, and Saudi Arabia June 1, 2020.

Some patients have been on Coumadin for over 30 years and had to switch to generics. However, there are many patients who complained that they had serious side effects with generics and could not manage their INR (a blood test to check how long it takes your blood to clot) levels as before.

It is very important that you know what company makes your warfarin so that your blood tests are not affected. One way to avoid confusion is to always get your prescription refilled at the same pharmacy and verify the manufacturer when picking up your medication.

Is Warfarin Same as Coumadin?

Coumadin is the brand name warfarin manufactured by BMS.

Warfarin is an anticoagulant – also known as “blood thinner”, a vitamin K antagonist – to prevent life-threatening blood clots with a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement).

Are Other Alternative Brand Names Coumadin Available?

BMS Coumadin is no longer available anywhere in the world. What has happened is that permission from BMS has been granted to use the Coumadin name in some countries, but the product is made by different manufacturers.

The current available Coumadin is coming from Australia, New Zealand, and Turkey.

In Australia and New Zealand, warfarin is only available in two commercial preparations: Coumadin and Marevan. Both brands are manufactured by the same company, Aspen Pharmacare Australia Pty Ltd, and previously by Boots Healthcare Australia Pty Ltd.

Recent news is that Aspen Pharma is no longer the Australian sponsor of Coumadin and Marevan and the distribution is now done by Mylan Health. So, you might see Mylan on the label of Coumadin from Australia in the future.

Coumadin from Australia contains either 1 mg, 2 mg, or 5 mg of warfarin sodium as the active ingredient.

Compare prices with brand coumadin from Australia and other countries and see the cost savings!

Although the product is the correct brand and is considered therapeutically equivalent, this product is not the same Coumadin produced by BMS that was sold in the USA.

Is Jantoven Generic for Coumadin?

Several generic warfarin products have been approved, and you might have seen other brands, such as Jantoven, Marevan, Lawarin, Waran or Uniwarfin.

They have the same active ingredients as Coumadin, so they will work the same way, but there may be small changes between their formulas, such as the binders and the dye which may cause your body to react differently.

Jantoven is a generic warfarin supplied by UPSHER-SMITH Laboratories in the United States. It is a registered trademark of UPSHER-SMITH. Meaning, Jantoven is simply generic warfarin, not a brand name as Coumadin is.

Compare Prices with Jantoven And Other Generics and See the Cost Savings!

Jason’s CanadaDrugstore carries Jantoven and ships it out from dispensaries located in the United States. So, you can get Jantoven in the shortest time.

Generic Warfarin from Taro Canada

There are a few manufacturers that produce generic warfarin.

Many patients have used Taro-warfarin for at least 10 years because they trust Taro’s consistency between prescriptions and experience in producing this generic medication.

Taro Pharma provides warfarin tablets in the same strengths as Coumadin by BMS: 1 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, 10 mg.

Compare prices with generic coumadin and brand products and see the cost savings!

Can I Switch from Warfarin (Coumadin) To Eliquis Or Other Direct Oral Anticoagulants?

For about 50 years, warfarin was the only choice for people who needed to take an oral anticoagulant (blood thinner).

Warfarin has a narrow therapeutic window that can be affected by factors such as diet, so an issue for patients on warfarin is that they need to have their INR monitored regularly.

Most of the time your INR goal is between 2-3 or 2.5 – 3.5, however, your healthcare provider will determine your exact goal.

Now, new oral blood thinners are available that are just as effective as warfarin at preventing strokes in people with atrial fibrillation and normal heart valves. These medications are known as direct oral anticoagulants (DOACs), which work by blocking a clotting protein called Factor Xa, which is one of several clotting factors in our blood.

Apixaban (Eliquis) was the third direct oral anticoagulant – following dabigatran (Pradaxa; Boehringer Ingelheim) in 2010 and rivaroxaban (Xarelto; Bayer/Janssen) in 2011 – to gain approval in the United States. Edoxaban (Savaysa; Daiichi Sankyo) followed by entering the market in 2015.

Pros:

DOACs have advantages over warfarin: they don’t require regular blood tests, involve no food restrictions, and have fewer medication interactions.

Cons:

There are factors to consider before you switch to a DOAC:

Either generic warfarin or Eliquis could be a better alternative to Coumadin in your case but a thoughtful conversation with your physician and pharmacist should take place before making any changes.

Brand-name Eliquis can be an expensive medication in the United States. While Jason’s CanadaDrugstore can source same name brand but affordable Eliquis for you.

Check prices with name brand Eliquis from Canada and see the cost savings!

Is It Safe to Buy Medications from Jason’s CanadaDrugstore?

As an international online pharmacy, Jason’s CanadaDrugstore is certified by CIPA (Canadian International Pharmacy Association).

CIPA member pharmacies have a 100% perfect safety record, serving millions of American customers since 2002 and selling pharmaceuticals at up to 80% less than in the U.S.

Many of CIPA member customers come directly from referrals from their healthcare providers, who have done their homework and recognize CIPA’s legitimacy and safety protocols.

Related Articles:

·         Coumadin Brand is Being Discontinued – Generic Warfarin is Still Available

·         Generic Eliquis: Direct Oral Anticoagulant Offers Lower-Cost Alternatives

 

References:

 

If you have questions about your prescription medications or any other medication, please contact our team at Jasons’s CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

Amazon announced the launch of its Amazon Pharmacy service on Nov 17, 2020. Now, the company will sell prescription medications in the U.S.

It boasts that Amazon Prime members can save up to “80 percent off generic and 40 percent off brand name medications when paying without insurance.”

Such savings sound big … but will they reduce prescription medications costs and provide convenient services for Americans? Here’s what we found.

Can You Save Significantly from Amazon Pharmacy on Generics?

Walmart can provide a generic program which includes up to a 30-day supply for $4 and a 90-day supply for $10 of some covered generic medications at commonly prescribed dosages.

For example, generic Lipitor – atorvastatin (20 mg) to lower cholesterol is on Walmart’s program list as well as the other generics.

It is $14.90 for 30-day supply for Prime customers from Amazon Pharmacy. The price from Costco with GoodRx coupon is $8.16.

We also checked this medication on Canadian pharmacy’s website. It is obvious that the price of common generics is not their advantage.

Which One Is Cheaper on Brand Name Medications?

Other than generic medications, which face a lot of competition, prices for brand name medications and specialty medications are often set by how much the market will bear in the United States.

For instance, in the case of medications used to treat and prevent blood clots (i.e., Eliquis, Xarelto), the price of brand apixaban (Eliquis, 5 mg) is $509.81 for 60 tablets from Amazon Pharmacy.

The lowest GoodRx price for the most common version of Eliquis is around $494.40.

While the same medication (Eliquis, 5 mg) manufactured by the same pharmaceutical company is only $152.33 in Canada.

Here is another example. Brand tadalafil (Cialis, 5 mg) is not covered by most Medicare and insurance plans.

The price for Cialis of 30-day supply is $363.50 for Prime members. The lowest GoodRx price for the most common version of Cialis is around $356.38.

It is only $154.90 from licensed and certified Canadian Pharmacies.

Is Amazon Pharmacy a Game-Changer?

Amazon is a mail order pharmacy, which will allow customers in the United States to order prescription medications for home delivery. Meanwhile, it is just one more pharmacy to choose from, alongside Walgreens, CVS, and the like.

In the United states, medication prices are not regulated by any federal government agency. This makes it hard for pharmacies to break Big Pharma’s hold on the pharmaceutical marketplace.

In reality, Amazon’s pricing model doesn’t offer much of a discount. It likely won’t be a game-changer since it will work within the same system as other online pharmacies in the United States.

Is Amazon Pharmacy Convenient?

It seems that Amazon Pharmacy is not as much of a convenience as other online pharmacies:

What Else Do You Need to Know?

A new price comparison of leading brand name prescription medications finds that the online Canadian pharmacies are more affordable than Amazon Pharmacy, GoodRx or traditional U.S. pharmacies.

The new analysis released by the Campaign for Personal Prescription Importation (CPPI) found that prescription medications are 50% to 88% cheaper at licensed online Canadian pharmacies compared to Prime and coupon discount prices at U.S. pharmacy competitors.

Jason’s CanadaDrugstore is certified by Canadian International Pharmacy Association. No hidden costs, no membership fees, just great savings on all your prescription needs.

Next time before you place order, especially on brand name medications, call them to see if they can match the price and help you keep more money in your pocket.

Related articles:

·         Medicare Part D Prescription Plan Vs Canadian Medications

·         2021 Drug Price Hikes of Up To 10% Expected to Drive More Americans To Rx Importation

·         Generic Eliquis: Direct Oral Anticoagulant Offers Lower-Cost Alternatives

References:

If you have questions about your prescription medications or any other medication, please contact our team at Jasons’s CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

Washington, D.C. – The Campaign for Personal Prescription Importation (CPPI) predicts that drug price hikes in 2021 will drive increased prescription importation. Some 735 drugs have seen price increases in January 2021. Reports from healthcare research firm 3 Axis Advisors and announcements by drugmakers including Pfizer Inc, Sanofi SA, and GlaxoSmithKline Plc, show plans for drug price hikes by as much as 10 percent in 2021.

 

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Teaching patients can be repetitive, so it can be helpful to have an analogy at hand that help patients readily grasp important points

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New generic Ciprodex is available now. You can save approximately 75% to treat your or your child’s ear infection and stop the pain, swelling and itching. Ciprofloxacin/dexamethasone (Ciprodex) is used to treat middle ear infections in children with ear tubes, as well as outer ear infections (also known as swimmer’s ear) in children and adults. This prescription medication is more popular than comparable ear drops. Ciprodex is a combination of two medications: ciprofloxacin, which is an antibiotic that treats certain types of bacteria, and dexamethasone, which is a steroid medication that reduces inflammation. Together, they help fight the infection that is causing inflammation inside your child’s ears. The average retail price for the most common version of generic Ciprodex (7.5 ml of 0.3%/0.1%) is around $247.93 in the United States, while the brand Ciprodex is around $315.03 (source from goodrx.com). Cheapomeds.com carries Taro Ciprofloxacin/Dexamethasone Otic Suspension, which is the new generic Ciprodex from Canada. Check new generic Ciprodex from Canada and see the cost savings! This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). New generic Clobex is available now. You can save approximately 67% from Canadian mail order pharmacy. Clobetasol propionate (Clobex) is a potent topical corticosteroid used to treat eczema, psoriasis, allergies (such as an allergic reaction to poison ivy), and many other skin conditions. Corticosteroids are medications which reduce inflammation. Clobetasol is available prescribed as a cream, ointment, lotion, foam, and shampoo to use on the scalp. Check different Clobex products and see the cost savings! Clobetasol is sold under various brand names, including Clobex, Clodan, Olux, Cormax, Temovate, and Embeline. This medication is slightly more popular than comparable medications. The average retail price for the most common version of generic Clobex shampoo (118 ml of 0.05%) is around $303.46 in the United States (Source from goodrx.com). Cheapomeds.com carries Taro Clobetasol Shampoo , which is the new generic Clobex from Canada. Check new generic Clobex from Canada and see the cost savings! This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). New generic Ampyra is available now. You can save almost 80% by ordering from a Canadian mail-order pharmacy. Dalfampridine (Ampyra) is an oral medication, in tablet form, which blocks tiny pores called potassium channels on the surface of nerve fibers. Blocking potassium channels may improve the conduction of nerve signals along nerve fibers whose insulating myelin coating has been damaged by multiple sclerosis (MS). MS is a disease in which the nerves do not function properly and may cause weakness, numbness, loss of muscle coordination, and problems with vision, speech, and bladder control. Dalfampridine is approved by the U.S. Food and Drug Administration (FDA) to improve walking in patients with multiple sclerosis, as demonstrated by an increase in walking speed. However, this medication is not a cure for MS. The average retail price for the most common version of generic Ampyra (10 mg) is around $43.14 per tab in the United States (source from goodrx.com), while the brand Ampyra (Fampyra) manufactured by Biogen from Canada mail order pharmacy is only $13.66 per tab. Compare Prices Between Brand and Generic Ampyra And See the Cost Savings! Cheapomeds.com carries both brand Ampyra (Fampyra) and generic Ampyra (Taro Fampridine) from Canada. You can save almost 80% from the CIPA (Canadian International Pharmacy Association) certified pharmacy. This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). Tired of seeing brown spots and wrinkles when you look in the mirror? The signs of aging can creep up on you over time, with facial lines that were once light and barely visible, developing into deeper, more obvious wrinkles over the course of just a few years. One of the more effective and affordable anti-aging medications available today is tretinoin — a topical retinoid that can reduce the visibility of wrinkles, liver spots, skin discoloration and other signs of aging. What Is Tretinoin? Tretinoin is a topical retinoid, meaning it is a medication that is derived from vitamin A. In 1971, the first retinoid – tretinoin – was FDA approved (under the brand name Retin-A) as a prescription acne treatment. Dermatologists soon noticed that patients on Retin-A experienced not just clearer skin but also softer, brighter, and less-lined skin. In 1995, topical tretinoin was approved by the FDA for the palliation of fine wrinkles, mottled hyperpigmentation, and tactile roughness of facial photodamage. How Tretinoin Treats Wrinkles and Signs of Aging? As we get older, our bodies begin to produce new skin cells at a slower speed. For example, an individual in their 20s might complete a new skin cell cycle every month, while someone in their 40s or 50s could take around two months to complete a full skin cell turnover. The longer your skin cells are exposed to sunlight and air, the greater the effects of photoaging — the process through which your skin starts to develop wrinkles, smile lines and other signs of aging. By stimulating skin cell turnover and exfoliating the layers of your skin that are exposed to direct sunlight, tretinoin plays a powerful role in slowing down and reversing the development of lines, wrinkles, and discoloration. Do I Need A Prescription for Tretinoin, Retinol or other anti-aging Retinoids medications? All tretinoin products are available by prescription only, in the United States, meaning you’ll need to talk to your doctor before being able to buy tretinoin cream in any concentration. Retinoids are a group of compounds derived from vitamin A. However, tretinoin is not the only topical retinoid available. Today there are three prescription-strength retinoids: tretinoin, adapalene (Differin), and tazarotene (Avage, Tazorac). Retinol is in over the counter (OTC) products and is a weaker retinoid. The skin tolerates it well and does not generally dry out. However, retinol may not offer enough benefits to the skin. Retinaldehyde, another OTC retinoid, is stronger than retinol but not as powerful as prescription retinoids. It is found in anti-aging skincare products.
Retin-A Vs. Tretinoin It is confusing when your dermatologist tells you that you’ll be using Retin-A, but the pharmacist hands you a tube of tretinoin. Not to worry, you have got the medication you are supposed to have. Retin-A is the brand name for a prescription retinoid. Its generic name is tretinoin. Retin-A is not the only prescription medication that utilizes tretinoin as the active ingredient. Other brands that contain tretinoin include: Retin-A Micro, Renova, Stieva A Cream, Atralin, Avita. Compare Prices Between Brand and Generic Tretinoin And See the Cost Savings! How Long Does Tretinoin Take to Work on Brown Spots and Wrinkles? While the anti-aging and wrinkle reduction benefits of tretinoin are real, they are not an overnight effect. On average, it takes anywhere from eight to 24 weeks to see a noticeable improvement from tretinoin cream. Your Skin May Look Worse Before It Improves Tretinoin, as well as other topical retinoids, are well known for causing a “purge” during the first few weeks of treatment. While your skin adjusts to tretinoin, it is not uncommon to experience a high level of dryness, as well as issues such as skin peeling and irritation. These effects are temporary and usually occur as part of a two to six week adjustment period in which your skin gets used to the effects of tretinoin. They rarely last for longer than two months and almost always resolve on their own, meaning there is usually no reason to be concerned. You can also use moisturizer to deal with the dryness and peeling that can occur during the first few weeks of using tretinoin. Start by Choosing the Right Strength of Tretinoin Cream Tretinoin comes in a range of different concentrations, from creams and gels with 0.01%, 0.025%, 0.05% tretinoin content, to stronger products with 0.1% tretinoin. For the most part, dermatologists tend to prescribe a 0.05% tretinoin cream for patients, which provides a good balance between optimal results and a tolerable level of side effects. For folks with sensitive skin, dermatologists recommend start low and go slow to train your skin with tretinoin. If you have lasting dryness, peeling or other side effects after starting tretinoin that do not heal on their own after two to three months, the best option is to talk to your dermatologist about using a lower concentration of tretinoin. Tips for Getting the Most Out of Tretinoin Here is what Dr. Cynthia Bailey tells her patients: Where to Buy Tretinoin? Once you get a prescription, you can buy tretinoin from your local community pharmacies. However, tretinoin medication are also available from Canadian mail order pharmacies. Cheapomeds.com carries safe and affordable tretinoin medications, including both manufactured standard commercial products and compounded ointment. Compare Prices Between Brand and Generic Tretinoin And See the Cost Savings! As an international online prescription referral service, cheapomeds.com is certified by CIPA (Canadian International Pharmacy Association). It can source medications from the international market, and the international price can be much cheaper than your local medications. But cheap does not mean low quality! The products dispensed by our pharmacy partners are tightly regulated and adhere to the standards required by their local and national regulatory agencies. References: This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). Covid-19 is spread through microscopic particles that can leave your body through your nose and your mouth. This happens when we talk, breath, cough and sneeze. As there are a lot of rumours and misinformation regarding masks and their effectiveness, there is also a lot of evolving information. Scientists and experts are constantly researching and learning about the best ways to protect yourself during this global pandemic With all this information out there surrounding masks, it’s hard to know which are facts and which are not. This video created by It’s Okay to be Smart shows how simply breathing can spread the Coronavirus and how wearing the right mask can protect you and those who surround you! Click here to see the video.
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Once you understand the importance of wearing a mask the next question usually asked is, what mask should I be wearing? N95, KN95, medical and cloth masks have all been said to help slow the spread of the Coronavirus, but how do you pick which one to use? Here’s an article that helps people understand which mask is right for them!
Have you been out and about, wearing your mask, and felt it was hard to breathe? So, you pull the mask down slightly so your nose can stick out and you can breathe more freely? This may be putting you at a way higher risk of not only contracting COVID-19 but also spreading it to others. A mask is only good for protecting you and others against COVID-19 if it’s being worn properly. There was a new study conducted by the Journal Cell that looks at where the Coronavirus is most likely to cause infection. The study outlines how your nose holds more potential of attracting the Coronavirus than your other respiratory tract (like your throat or lungs). What this means is you are more likely to contract the virus when breathing through your nose than through your mouth. By wearing your mask properly, with it covering your mouth and nose, you reduce your risk of contracting COVID-19. Read more here regarding wearing a mask that covers your nose and mouth.
The next step in mask safety that many may be confused about, is how to clean and store your mask when you are not using it. Although some masks are disposable and are only for one-time use, there are many reusable options as well. Cloth masks have become very popular during the pandemic as you can reuse them many times, however, it’s imperative that you clean and store your mask properly. Read the full article here on how to wear, store and clean your mask for a full explanation.

The COVID-19 vaccine developed by the pharmaceutical company AstraZeneca and the University of Oxford was found to be highly effective, according to late-stage trial results announced Monday.

In a press release, AstraZeneca said its trial of more than 20,000 volunteers showed the vaccine to be 70% effective on average in stopping people from developing COVID-19 symptoms, with no severe illness among those who received the vaccine.

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Studies have shown that the novel coronavirus can live on different surfaces, sometimes for several hours and even days, after an infected person coughs or sneezes on them.

So what does that mean in terms of gift giving for the holiday season?

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The COVID-19 pandemic has been stressful and isolating for many people. Gatherings during the upcoming holidays can be an opportunity to reconnect with family and friends. This holiday season, consider how your holiday plans can be modified to reduce the spread of COVID-19 to keep your friends, families, and communities healthy and safe. READ THE FULL ARTICLE HERE In the midst of working, managing a family and ensuring all of your daily tasks are completed, remembering to take your medication can easily slip your mind. When you take several medications at various times daily, weekly or monthly, it’s imperative to keep them organized for easier management. Remembering where you placed them, which prescription you need and the required dosage can be overwhelming when they aren’t labelled, organized and in an accessible location. Luckily, the key to managing your medications can be achieved in four simple steps. Check out how to organize your prescriptions below to ensure you’re taking the correct dosage, on time and safely.

Purchase A Pill Organizer/Box

Pill organizers are extremely handy, tangible items that allow for the basic organization of your medications for each day of the week. The pillbox will have certain compartments to separate and differentiate between your prescriptions. The pill organizer often has seven compartments, one for each day of the week, however, you can purchase pill organizers with more slots for each day if you take more than one medication each day. It also helps to mark down on your dosage schedule to keep a description of each medication, such as “large blue pill.”

Create A Chart For Your Medication Dosages

If you have purchased your medications from one of Canadadrugstore online pharmacy partners or any other retail or online pharmacy, you may create a dosing chart to effectively manage your medication. List each of the prescriptions you need to take along the top of the page along with the times to take them and indicate the dates to take them down the side of the page.  Next, following the directions on the pharmacy medication bottle or the directions from your physician, create a column for each time the dose is taken and check off after each time you take your pill. If you have prescriptions that needs to be refrigerated, be sure to include that on the dosage chart.  Please see Table 1, below, for a patient on a blood thinner, cholesterol medication, and asthma inhalers.

Use An App

With virtually everything we do and how we interact is through our digital devices; it makes sense to use your smartphone for medication management as well. There are several apps available for smartphones and tablets to make medication organization far easier. These apps allow you to find information about your specific medications, create a dosage and medication schedule and allow notifications to remind you when it’s time to take a certain medication.

Get Single-Dose Medication Packets

You can predate a single dose online medication or packets for easier organization. This way, you will be able to organize your single dose medications into specific, separate packets marked with the date, dosage and time of the day for you to take the prescriptions. Cheapomeds makes accessing your essential prescriptions and medications easy, convenient and affordable. As we work with the best online pharmacy partners across the world, we are committed to providing our patients with quick, easy, accessible health education and health medication. With easy medication delivery, prescription management and customized care, we make your health easier to manage.

As the weather turns colder and winter sets upon us enjoying a nice warm cup of cocoa by a fire is exactly what you need! Try our Healthy Hot Cocoa Recipe today and warm yourself from the inside out.

Prep Time: 2 mins

Cook Time: 5 mins

Total Time: 7 mins

Ingredients

·         2 cups milk (preferably 2% or whole milk)

·         2 tablespoons raw cacao powder

·         1 tablespoon honey

·         1/2 teaspoon vanilla

·         Pinch sea salt

Instructions

1.      In a small saucepan, combine the milk, cacao powder, honey to taste (a teaspoon or two should do you), vanilla and a pinch of salt (sometimes I also add a pinch of cinnamon or even cayenne, if I’m feeling racy). Whisk until smooth.

2.      Place saucepan over medium heat, and bring the milk to a simmer, whisking often. Give the hot chocolate a taste—if you prefer it sweeter whisk in a bit more honey. Serve warm.

Tips

·         It’s important to whisk the cacao powder into the milk before heating it up (it will take a bit of whisking to dissolve). If you add the cacao powder to hot milk it can clump up.

·         For a vegan version, use canned coconut milk in place of the regular milk (I don’t love the flavor of nut milk in this recipe, but that’s subjective) and swap out the honey for maple syrup.

·         A pinch of salt helps to amplify all of the flavors.

·         For a Mexican-inspired hot chocolate, add cinnamon and a pinch of cayenne pepper.

·         Refrigerate any leftover hot chocolate for a healthy chocolate milk

When your thyroid gland is underactive (called hypothyroidism) it produces too little hormone. This may lead to a variety of symptoms, including weight gain, fatigue, depression, dry skin, brain fog, cold intolerance, muscle cramps, and constipation. It is virtually certain that if you struggle with Hypothyroidism you would have been prescribed the medication levothyroxine (marketed under the brand names Synthroid, Levoxyl, and others)—a synthetic hormone that replenishes the thyroid hormone thyroxine, also known as T4. T4 is the stored form of thyroid hormone in our bodies. We need to convert it in to T3. However, not everyone can do this adequately. If you are on levothyroxine and still not feeling well, another medication known as Cytomel (liothyronine) may help. This is the synthetic form of the hormone triiodothyronine, known as T3. What Is Cytomel? Cytomel is the brand name for liothyronine sodium tablets. It provides both T4 and T3 but is a man-made form of thyroid hormone. How Cytomel (Liothyronine) Works? Cytomel is useful as a supplemental or replacement thyroid treatment for those with most forms of hypothyroidism. It is particularly useful for patients who wish to take a T3 and T4 compound but who are allergic to either desiccated thyroid, or one of the natural thyroid remedy inactive ingredients. As it is made using synthetic thyroid hormone, it is much easier to determine a standardized dose. What Is Cytomel (Liothyronine) Used For?

Is Generic Cytomel Available? Yes. Generic Cytomel is now available from Canada. Teva-Liothyronine, manufactured by Teva Canada, is generic product coming in both 5mcg and 25mcg. Compare prices with brand and generic Cytomel and see the cost savings! What are the side effects of Cytomel (liothyronine)? Side effects with Teva-Liothyronine may include symptoms of hyperthyroidism as follows: Headache, excessive sweating, fatigue, increased appetite, weight loss, fever, nervousness, anxiety, irritability, insomnia, cardiac arrhythmias (heartbeats which are irregular or too fast), angina pectoris (chest pain), diarrhea and menstrual irregularities. For more information about generic Cytomel, please check product monograph. Reference:

The list prices for U.S. drugs are generally the highest among all developed countries per a poll published in November 2016 by Kaiser Family Foundation.

In Canada and other developed countries, the same prescription drugs — manufactured in the same factories, by the same companies — are available for a fraction of the price compared to in the U.S.

Take Nexium, for example. AstraZeneca manufactures the stomach-acid drug and sells it to consumers in the U.S., Canada, U.K., Australia, New Zealand, India, and Turkey. Before you buy Nexium, compare prices at U.S., Canadian, and international online pharmacies.

This graph displays price disparities for AstraZeneca’s pharmaceutical product Nexium as of Q3 2020. At this time, Nexium costs $8.88 USD per pill in the U.S. while the same medication is available for $1.11 USD per pill in Turkey. You can save 87.5% by buying the same medication from Turkey.

Why Do Americans Pay More for Prescription Medications?

There are many reasons why Americans pay more for prescription drugs as compared to residents of other countries. As Emily Miller mentioned on the Drugwatch, there are a number of factors that can impact drug pricing, such as the costs of research and development and the amount of competition in the marketplace.

Other causes include direct-to-consumer advertising, lack of transparency, the country’s free pricing system and a ban on federal negotiations of drug prices.

Ban on Federal Negotiation

Medicare is one of the biggest U.S. buyers of medicine. However, the U.S. law prohibits Medicare from negotiating prices directly with drug companies.

Free Pricing System

In the U.S., drug makers set their own prices and have the ability to increase prices as much and as often as they wish. Although the FDA controls what drugs are available in the U.S., the federal agency has no legal authority to regulate drug prices.

Canada offers the same drugs at cheaper prices because the Canadian government, which foots the bill for prescription drugs, will not pay for a drug if a government review board believes the cost is excessive.

Like Canada, Europe’s government often sets drug prices, and prices drop over time as countries demand more and more price reductions. However, there is no federal regulation of drug prices in the U.S.

Lack of Transparency

Private insurers and benefit managers reach their own deals with drug companies, and the public is left in the dark when it comes to the details of those deals.

Rampant Direct-to-Consumer Advertising

Drug companies spend a lot more on marketing than on research and development that could lead to new drugs, according to the National Academies of Sciences, Engineering and Medicine. Direct-to-consumer advertising (DTCA) of prescription drugs can adversely influence consumer choices.

Cost of Research & Development

Big Pharma claims the high cost of drugs is necessary to recoup costs of research and development. Most new medications are developed in the U.S. 300 million Americans are subsidizing the medication development for the entire world and shouldering some of the rest of the world’s burden.

Where Can I Get Affordable and Safe Prescription Medication?

If you are planning to cross the border for your medications, or get them through an online pharmacy abroad, you should do a little vetting first. There are plenty of rogue operators, especially in the world of online pharmacies.

Before doing business with an online pharmacy, confirm it is licensed in its country of origin and that the country has strong pharmacy regulations.

There is a website that helps you with this online pharmacy verification by doing the vetting for you, by using these and other criteria. The Canadian International Pharmacy Association runs a site (cipa.com) that allows you to compare drug prices among dozens of pharmacies whose legitimacy it has certified.

 

Reference:

 

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

In a person with type 1 diabetes, the body has stopped producing insulin. The person needs to either use an insulin pump or inject the hormone several times a day.

People with type 2 diabetes use insulin when other therapies have failed to control blood glucose. Individuals with type 2 diabetes will usually need to try multiple non-insulin medications without success before a doctor recommends insulin.

Metformin: The First-Line Medication for Type 2 Diabetes

For people with type 2 diabetes, doctors usually prescribe metformin (Glucophage) first.

Metformin helps control blood sugar levels by reducing the amount of sugar that the liver produces and improving how the body uses the sugar.

Metformin is available in the forms of tablets, extended-release tablets and a liquid.

Compare prices with different forms of Metformin and see the cost savings!

New Product Launches

In September 2019, the U.S. Food and Drug Administration (FDA) approved Novo Nordisk’s oral tablets Rybelsus (semaglutide).

Rybelsus is the first glucagon-like peptide (GLP-1) receptor protein treatment approved for use in the United States that does not need to be injected.

What is GLP-1?

GLP-1, which is a normal body hormone, is often found in insufficient levels in type 2 diabetes patients. It slows digestion, prevents the liver from making too much sugar, and helps the pancreas produce more insulin when needed.

Since the first GLP‑1 receptor agonist (GLP‑1RAs), exenatide, became available in 2007 as a twice-daily injectable preparation, there have been steady advances in the duration of action, efficacy, and ease of use of this class of medications.

The most common new treatment initiations are now for once-weekly preparations, namely exenatide modified release (Bydureon), dulaglutide (Trulicity), and semaglutide (Ozempic) .

Semaglutide injectable (Ozempic) was approved in 2017 for patients with type 2 diabetes.

Rybelsus: First Oral GLP-1 Treatment for Type 2 Diabetes

The findings showed Rybelsus to be more effective in lowering blood glucose levels when compared to other diabetes type 2 oral medications: sitagliptin (Januvia) and empagliflozin (Jardiance). In addition, it also helped people lose up to 10lbs (4.4kg) in weight.

Rybelsus will carry a ‘boxed warning’ that there is a potential increased risk of thyroid c-cell tumors. Additional warnings regarding the medication relate to pancreatitis, diabetic retinopathy, hypoglycemia, acute kidney injury and hypersensitivity reactions.

Compare prices between oral and injectable semaglutide and see the cost savings!

Reference:

People who are deficient in vitamin D may be at higher risk of contracting the novel coronavirus than those with sufficient levels, according to the results of a new retrospective study from Illinois. Individuals with untreated vitamin D deficiency were nearly twice as likely to… Click here to read the Full Article

Many patients are disappointed to learn that brand name Coumadin, manufactured by Bristol Myers Squibb (BMS) has been discontinued in the United States, Canada, Latin America, and Saudi Arabia June 1, 2020. Some patients have been on Coumadin for over 30 years.

Although physicians may prescribe generics or other anticoagulants, some individuals claim to be very sensitive to the generic warfarin and only the brand name Coumadin works for them. They could not control their International Normalized Ratio (INR) level with alternative medications, especially for patients with Factor V Leiden mutation.

Now with Coumadin’s discontinuation, what do patients do? Where can they find a good quality generic version? Should they try brand name Coumadin that’s made by a different manufacturer? What is the difference among them?

This article will compare remaining Coumadin brands and generic one to the BMS branded product.

What is Coumadin?

Coumadin is one of the brand names of Warfarin, which is an anticoagulant (blood thinner) that has been on the U.S. market for over six decades since its initial approval by the U.S. Food and Drug Administration in 1954. It is used to prevent and treat blood clots and to prevent strokes from atrial fibrillation.

While this medication does not actually “thin” the blood, it does slow the body’s ability to form dangerous blood clots, such as blood clots in the arms or legs (deep vein thrombosis or DVT) and blood clots in the lungs (pulmonary embolism or PE).

Patients take warfarin every day. The dose usually ranges from 1 mg to 10 mg. Healthcare provider will prescribe a specific dosage strength, however, keep in mind that this dosage may change based on the results of each laboratory test. The blood test, called prothrombin time (PT or pro time), is used to calculate your International Normalized Ratio (INR).

Are Other Alternative Brand Names or Generic Coumadin Available?

BMS Coumadin is no longer available anywhere in the world. Thankfully, there are branded and generic alternatives that are available from Australia, New Zealand, Turkey, and Canada.

What has happened is that permission from BMS has been granted to use the Coumadin name in some countries, but the product is made by different manufacturers.

The current available Coumadin is coming from Australia, New Zealand, and Turkey. Although the product is the correct brand and is considered Therapeutically equivalent, this product is not the same Coumadin produced by BMS that was sold in the USA.

Brand Coumadin From Australia And New Zealand

In Australia and New Zealand, warfarin is only available in two commercial preparations: Coumadin and Marevan. Both brands are manufactured by the same company, Aspen Pharmacare Australia Pty Ltd, and previously by Boots Healthcare Australia Pty Ltd.

Recent news is that Aspen Pharma is no longer the Australian sponsor of Coumadin and Marevan and the distribution is now done by Mylan Health. So, you might see Mylan on the label of Coumadin from Australia in the future.

Coumadin from Australia contains either 1 mg, 2 mg, or 5 mg of warfarin sodium as the active ingredient.

Compare prices with brand coumadin from Australia and other countries and see the cost savings!

Brand Coumadin from Turkey

In Turkey, another brand name Coumadin is Manufactured by Zentiva (of Sanofi Aventis).

Strengths of Coumadin from Turkey: 5mg, 10mg

Compare prices with brand coumadin from Turkey and other countries and see the cost savings!

Generic Warfarin from Taro Canada

There are a few manufacturers that produce generic warfarin.

Taro Pharma provides warfarin tablets in the same strengths as Coumadin by BMS: 1 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, 10 mg.

Compare prices with generic coumadin and brand products and see the cost savings!

Recommendations for patients

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Reference:

Everyone knows that store-bought mixed nuts often have a little too much oil for our health.  Roasted nuts are so flavorful and good for us, but how do you get the goodness of nuts without the oil?  Well, we know this recipe is going to be a huge hit.  Our in-house expert tested this on a cooking class and the crowd went wild. You will too!

Tip:  Do not let these nuts over bake! Keep an eye on the time and check them as they book.

Ingredients:

1 tablespoon ground flaxseed

3 tablespoons water

2 tablespoons maple syrup

1 tablespoon ground ginger

2 tablespoons lime zest – fresh

Pinch of salt

2 cups mixed nuts – unsalted, unroasted

Let’s Cook

  1. Mix the flaxseed and water together and let it sit for 5 minutes. It will thicken slightly, like an egg white.
  2. Line a baking sheet with parchment paper
  3. Mix syrup and spices into the flax seed, mix well, then add nuts and mix to coat well. All in the same bowl!
  4. Spread the nuts out on the baking sheet and bake for 20minutes at 350.  Keep an eye on them and do not let them over-brown!
  5. Take them out of the oven and sprinkle lime zest across the nuts and mix well.

Allow this to cool and put into a bowl – and then immediately eat them all because they’re so darned good! Variation:  Swap out the ginger for cinnamon, and add a teaspoon of vanilla to the ingredients.

As summer is fast approaching, many health care workers are concerned that another crisis will be on our hands. There has been a surge in mental health concerns in recent times. While COVID-19 has been ripping its way through the world, shutting down entire countries and sending people home to self-isolate, it has increased the number of people who suffer from mental illness and addiction. As almost half of Americans reported that they find their mental health taking a decline since Coronavirus started, more data is coming out showing that depression and anxiety have been rising and causing additional stress on our society. A study done by Healthline shows that 49% of the respondents had some signs of depression; 28% being mild, 12% moderate and 9% stating that they are suffering from severe depression. These numbers are quite an increase from the norms taken in 2006, which consisted of 30% suffered from mild depression, 6% from moderate and just 1% suffering from severe depression. The 12% increase can largely be based on the fear, financial worries and the isolation that COVID-19 has brought. (2020, Holland)
Since the US declaired a national emergency on March 13, hospitals have been overrun with people suffering from COVID-19. Soon they will see a surge of patients who are coming in for anxiety attack, PTSD and depression. This being accompanied by doctors and nurses being burnt out from continuous exposure to high levels of stress and the trauma. The hospitals and health facilities will soon find themselves unprepared and understaffed once again. They will struggle to treat patients and keep their workers safe. Many of these concerns have been brought to light in recent times as two American health care workers have taken their own lives after seeing all the horrors this pandemic has brought upon the world. Not only is there ongoing trauma of witnessing death a concern, but the economic troubles that are arising during the pandemic are also hurting people’s mental health. A study on the Great Recession has shown a significant link. Every percentage that the unemployment rate increases, there was an approximate increase of 1.6% in suicide rates. (2020, Wan) The mental health system in the United States has always been underfunded and difficult to access, even before COVID-19 struck the country. With the pandemic still very present in the community it has become even harder to gain access to help the people in need. CEO and co-founder of an online therapy company, Talkspace reported a 65% increase in clients since mid-February and stated “What’s shocking to me is how little leaders are talking about this. There are no White House briefings about it. There is no plan.” (2020, Wan) Congress has recently authorized $100 billion in emergency funds for hospitals and medical providers, however very little of that will go towards mental health. In April, American mental health organizations sent a letter to Congress stating that they will need $38.5 Billion to save the treatment providers and an additional $10 billion is needed to help with the aftermath of COVID-19. As medical professionals are being pushed to treat patients online, there is a glimmer of hope. If mental health care practices can also transfer some of their services online in the form of telemedicine, the services may be more accessible to the public and those who need them. “You have to hold on to the positive and how you’re helping in the ways you can. That hope is like medicine. It’s as important and tangible as Tylenol.” Flavia Nobay, an emergency room doctor stated. (2020, Wan)
If you or someone you know needs help, call the National Suicide Prevention Lifeline at 800-273-TALK (8255). Crisis Text Line also provides free, 24/7, confidential support via text message to people in crisis when they text to 741741. If you are trying to lose weight, you might consider a diet pill like Xenical or Alli. Both weight loss aids contain the same medication, called orlistat, but in different amounts. What Is Orlistat? Orlistat is a medication designed to treat obesity. It is marketed as a prescription medication under the trade name Xenical by Roche in most countries and is sold over the counter as Alli by GlaxoSmithKline in the United Kingdom and the United States. This type of medication is called a lipase inhibitor because it causes your body to absorb less fat, as much as 30% from the food that you eat. The undigested fat is removed from the body in your stool. Orlistat does not block the absorption of calories from sugar and other non-fat foods, so you still need to restrict your total intake of calories. What Is Xenical? Xenical is the prescription dose (120 mg) of orlistat. Xenical first got approval by the FDA as a prescription medication for treating obesity in 1999 and intended to be used by individuals with a body mass index (BMI) of 30 or more, or a BMI of 27 or more along with a weight-related condition like type 2 diabetes or hypertension. Xenical can also be used for people who have lost weight and want to prevent weight regain Since this is a prescription medication, you need to get approval from your doctor before you can use it. What Is Alli? Alli is a 60-milligram, over-the-counter version of orlistat (Xenical). Alli is approved for use in adults 18 and older who have a body mass index (BMI) of 25 or more. Some people should avoid orlistat, even at the lower dose. For example, women who are pregnant, and people with end-stage renal disease (ESRD) or chronic kidney disease (CKD) should not take Alli. Consumers who take the heart medication amiodarone should speak to their doctor before taking Alli. Are There Concerns About Orlistat? Orlistat causes gastrointestinal side effects related to undigested fats passing through your digestive system. They generally subside over time and with appropriate use of the medication. These side effects include: Other possible side effects include: You’ll also need to take a daily multivitamin that contains vitamins A, D, E, K, and beta carotene while on this medication. The medication’s fat-blocking properties also make it more difficult for your body to absorb these fat-soluble vitamins. Has A Generic Version of Xenical Been Approved? There is currently no therapeutically equivalent version of Xenical available in the United States. However, there are generic options out of the UK, India and Turkey. Compare prices between brand name Xenical and generic Xenical and see the cost savings! Reference:   This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). People who are deficient in vitamin D may be at higher risk of contracting the novel coronavirus than those with sufficient levels, according to the results of a new retrospective study from Illinois. Individuals with untreated vitamin D deficiency were nearly twice as likely to… Click here to read the Full Article

The Centers for Disease Control and Prevention (CDC) recommend hand washing as one of the most effective ways to protect yourself from infectious diseases, but if that’s not an option, using hand sanitizer that contains at least 60% alcohol is a good alternative.

In July 2020, the FDA warned consumers about hand sanitizers that contained methanol and released a list of brands that should not be used.

Here are the 10 best hand sanitizers that you can easily buy right now. All of the products in this article meet the CDC’s and FDA’s guidelines and recommendations.

  1. Best Hand Sanitizer Overall

Purell Advanced Hand Sanitizer

BUY IT HERE

A top pick for hospitals, doctors’ offices, and homes is Purell Advanced Hand Sanitizer. It is formulated with 70% ethyl alcohol, which is higher than the minimum recommended by the CDC.

If you’re looking for a hand sanitizer with a light fragrance and soothing qualities, Purell offers a formula with aloe vera. With triple action moisturizers, it keeps your skin soft.

One Step Hand Sanitizer

BUY IT HERE

If you’re sensitive to fragrance, this unscented option should be your go-to.

Contains 70% Ethyl Alcohol for extra strength antiseptic cleansing. Hypoallergenic. Dermatologist Tested. Fragrance Free.

One Step Hand Sanitizer kills 99.9% of germs within seconds! Enriched with Aloe to moisturize hands, leaving them soft and smooth without a sticky residue.

Megababe Squeaky Hand Sanitizer

Available at megababe.com

Megababe contains 62 percent ethyl alcohol as well as sweet almond oil, marula oil, geranium oil, and more. The essential oils give the formula a pleasant, sweet smell and provide extra hydration for your skin.

Babyganics Alcohol-Free Foaming Hand Sanitizer

Most kid-approved hand sanitizers are alcohol-free, so finding a formula with ingredients safe for your little one’s hands is priority number one for many parents.

Made from plant-derived products, Babyganics is also free from harsh ingredients like artificial fragrances, dyes, parabens, sulfates, and phthalates. However, it may not be as effective as an alcohol-based hand sanitizer.

Orly Hand Sanitizer Spray

Available at orly.com

This sanitizer’s streamlined formula skips fragrances and oils in favor of efficiency. The spray-on formula has just 4 ingredients—hydrogen peroxide, glycerin, purified water, and 75% isopropyl alcohol.

Humankind Hand Sanitizer

Available at byhumandkind.com

Wellness brand by Humankind is all about promoting a more sustainable lifestyle, and its latest launch is no exception. Its ethically-made hand sanitizer—available in grapefruit or unscented formulas—boasts a 65% alcohol concentration and hyaluronic acid, an anti-aging ingredient that helps skin hold water.

In an effort to reduce waste, the brand’s 8-ounce bottle is made from aluminum and holds enough product to refill a pocket-sized bottle 4 times.

Vegamour Hand Sanitizer Spray

Available at vegamour.com

Vegamour’s plant-based option smells like calming lavender and citrus peel, and it delivers a 75% alcohol concentration in every spray. The vegan ingredients won’t dry out hands thanks to skin-friendly agents like marula oil and aloe vera.

Purell Advanced Hand Sanitizer 1 oz Travel Size

Commuting in public places and eating with dirty hands is unhygienic. Of course, nobody wants to fall sick and obliterate the holiday fun. Therefore, it is important to always carry a mini bottle of hand sanitizer in your bag. A hand sanitizer can be used anytime, anyplace, without water or towels.

The Transportation Security Administration (TSA) is allowing passengers to bring liquid hand sanitizer containers up to 12 ounces in carry-on bags until further notice.

Previse Hand Sanitizer

Available at previsecare.com

Previse pivoted production to hand sanitizer overnight after coronavirus caused a spike in demand. The Indie brand kept skincare in mind when developing the sanitizer, combining necessary ingredients like 75% isopropyl alcohol and hydrogen peroxide with a hydrating boost of glycerin to prevent skin from drying out post-application. And yes, it’s still vegan.

  1. Best Hydrating

Pipette Hand Sanitizer

Available at pipette.com

Baby brand Pipette created this fragrance-free gel to give small hands a safe sanitizer. You’ll still find the CDC-recommended alcohol level, 65%, in the formula, but it also includes a dose of hydrating squalane oil and glycerin. That means you can count on hands that are sanitized and soft—no hand cream necessary.

Reference:

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

According to a recent analysis, U.S. consumers, on average, would save 76 percent on the cost of brand-name medications made in America if they purchased from other countries instead of in the U.S. A poll from Kaiser Permanente indicated that 19 million American adults import medications to save money – that’s 8 percent of the U.S. population. Most people are on fixed income or low income and cannot afford the medications where they live. Countries with well-regulated pharmacies include Canada, Australia, New Zealand, much of Western Europe and Turkey. Although people do not worry about the price, they have other concerns about the medications from other countries. Are these medications the same as the U.S. brand name products and are they FDA approved? What Does “FDA Approved” Mean? The U.S. Food and Drug Administration (FDA) is the federal agency responsible for labeling medications and supplements. Pharmaceutical companies seeking approval to sell a medication in the United States must complete a full application process. Only the pharmacies located in the U.S. sell FDA approved medications. However, the situation is similar in other countries. Every country’s Ministry of Health (MOH) is the only authorized authority to license the medications that can be sold in that country. Health Canada, as federal regulator, is responsible for assessing and monitoring the safety and efficacy of medications marketed in Canada. In the UK, the Medicines and Healthcare products Regulatory Agency (MHRA) is the body responsible for ensuring that medications work and are acceptably safe. Their role is the same as the FDA in the US. Medications can be produced by one of the main pharmaceutical manufacturers in one country and then could be distributed to the other countries. But the manufacturer has to apply to the MOH in each country to have the license to import & sell that medication in that country. The medications you ordered from international online pharmacies, either brand name or generic products, should be approved by that country. Same Ingredients, Same Original Manufacturer in Different Countries Approved medications with the same active pharmaceutical ingredients by the same original manufacture but sold in different countries are often the exact same. Sometimes the brand name is the same and sometimes it is not.
For example: Advair Diskus, approved by FDA in the U.S., original manufacturer is Glaxo Smith Kline, which sells the medication with the same ingredients just with different labels in Canada, UK, Turkey Australia, and New Zealand. Same Ingredients, Different Manufacturers in Different Countries The original manufacturer can also sell the patent rights to different companies in different countries. These products are considered as brand name medications. For Example:
Coumadin, a blood thinner approved by FDA and discontinued now in the U.S., original manufacturer was Bristol-Myers Squibb, who sold the patent right of Coumadin to the other manufacturers, Aspen in Australia and Zentiva in Turkey. Aspen and Zentiva manufacture the brand Coumadin under license from Bristol Myers Squibb. They are not generic. We also call their warfarin brand Coumadin, although they are not identical as the U.S brand one, which is no longer available. They are considered interchangeable as they contain the same medicinal ingredient, warfarin  Regardless of which brand they are using,  patients should be getting regular INR levels done to ensure they are in the therapeutic range. Difference Between Brand Name and Generic Products? When a pharmaceutical manufacturer develops a new medication, it is protected under a patent, usually for 20 years. During this time, no other manufacturer is allowed to make or sell it. These are called brand name products. A generic medication is a drug that contains the same active pharmaceutical ingredient as a name-brand but is not sold under a brand name. Once the patent expires, that manufacturer or another manufacturer can make and test another version of the medication. After testing and the FDA (in the U.S) or other country’s ministry of health approval, the manufacturer can sell the medication as a generic version.
For example: Cialis, approved by the FDA in the U.S and Health Canada in Canada, original manufacturer is Eli Lily. After patent expiration from 2017, the other company can manufacture tadalafil. Generic medications use the same active ingredients as brand-name medicines and work the same way, so they have the same risks and benefits as the brand-name medicines. Consumers usually can buy generic medication at a much lower price than brand-name one. Where Can I Get Affordable and Safe Prescription Medication? If you are planning to cross the border for your medications, or get them through an online pharmacy abroad, you should do a little vetting first. There are plenty of rogue operators, especially in the world of online pharmacies. Before doing business with an online pharmacy, confirm it is licensed in its country of origin and that the country has strong pharmacy regulations. There is a website that helps you with this by doing the vetting for you, by using these and other criteria. The Canadian International Pharmacy Association runs a site (cipa.com) that allows you to compare drug prices among dozens of pharmacies whose legitimacy it has certified. For example, canadadrugstore.com is the one that CIPA certified. canadadrugstore.com contracts with government-licensed physicians, pharmacists and pharmacies in Canada, the United Kingdom, Australia, New Zealand, Turkey and Germany, to supply brand name and generic medications, packaged and sealed by the original or various generic manufacturers, for direct delivery to all participants Reference:   This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). An inhaler is a device that has medicine that you ingest by inhaling. They are the main treatment for those living with asthma. There are many kinds of inhalers on the market, which can make it confusing for the consumer to narrow down their options. It is recommended that users remember the name of their inhalers and the colour of their device to eliminate any chances of confusion when visiting a new doctor who may not have access to your medical records.

Types of Inhalers

When inhaled, the medicine goes directly into the airways. This means that there is much less medication administered than when taking a tablet or liquid medication. The lungs and airways are treated quickly, without impacting the rest of the body.

Reliever Inhalers

Reliever inhalers have bronchodilator medicine that relieves symptoms of breathlessness and wheeziness. The medicine in reliever inhalers works to relax the muscles in the airways, which expands them and subdues the symptoms.

Preventer Inhalers

Preventer inhalers usually contain steroid medicine, and are used as a preventative measure to stop symptoms from developing. Steroids are used in preventer inhalers in order to reduce inflammation in the airways. When the inflammation is reduced, there is a less likely chance of them becoming narrow, and causing wheezing.

Long-Lasting Bronchodilator Inhalers

The medicine in long-lasting bronchodilator inhalers are similar to those in reliever inhalers but have effects that last up to 12 hours after use. These inhalers may be prescribed in addition to preventer inhalers if symptoms are not controlled.

Inhaler Devices

Metered Dose Inhaler

The metered dose inhaler has medicine in a small case in a plastic case. When the inhaler is pressed, the medication is released, and you can inhale it through the mouthpiece. They are versatile inhalers as they can be used when you are experiencing symptoms of an asthma attack like shortness of breath, or to administer daily doses of preventative asthma medication.

Nebulizers

Nebulizers convert asthma medication into a mist that can be inhaled. They are usually recommended for individuals who can not use metered dose inhalers, like infants and elder patients. Like metered dose inhalers, they can be used for emergencies or maintenance.

Dry-Powder Inhalers

Dry-powder inhalers are the most similar to metered inhalers but do not release medicine in the same way. They do not require the user to press the canister to propel the medication, instead, they take a deep breathe and pull the medication into their lungs. These inhalers are not often used for an emergency situation, as they require the user to have a strong enough breath to pull the medication in. For all of your inhaler needs, visit us at Canada Drugstore. We work with only the best online pharmacy partners across the world, including Canada, New Zealand, Australia, and the UK. Contact us today to learn more about our services. Your dermatologist may prescribe Retin-A to treat acne or wrinkles. Retin-A Vs. Tretinoin It is confusing when your dermatologist tells you that you’ll be using Retin-A, but the pharmacist hands you a tube of tretinoin. Not to worry, you have got the medication you are supposed to have. Retin-A is the brand name for a prescription retinoid. Its generic name is tretinoin. What Is Tretinoin? Tretinoin is a topical retinoid, meaning it is a medication that is derived from vitamin A. The first retinoid – tretinoin – was FDA approved (under the brand name Retin-A) in 1971 as a prescription acne treatment. Tretinoin was also the first retinoid approved by the FDA to treat wrinkles. Dermatologists soon noticed that patients on Retin-A experienced not just clearer skin but also softer, brighter and less-lined skin. Retin-A is not the only prescription medication that utilizes tretinoin as the active ingredient. Other brands that contain tretinoin include: Retin-A Micro, Renova, Stieva A Cream, Atralin, Avita. Other Topical Retinoids Tretinoin is not the only topical retinoid available. Today there are three prescription-strength retinoids: tretinoin, tazarotene (Avage, Tazorac), and adapalene (Differin). Many dermatologists find tazarotene to be stronger and potentially more irritating than tretinoin; adapalene is the gentlest but may be less effective. Retinol is in over the counter (OTC) products and is a weaker retinoid. Retinol is the precursor of tretinoin, also known as retinoic acid. The skin tolerates it well and doesn’t generally dry out. However, retinol may not offer enough benefits to the skin. Retinaldehyde, another OTC retinoid, is stronger than retinol but not as powerful as prescription retinoids. It’s found in anti-aging skincare products. Generic Tretinoin Tretinoin is a more effective retinoid that requires a prescription and will offer a better improvement on skin tone, texture, and appearance. Tretinoin is also available in generic versions, such as Acnelyse Cream, A Retin Gel, Stieva-A Cream. A lot of the confusion lies in the fact that while your physician prescribes Retin-A, your pharmacist may fill your prescription with generic tretinoin. With a generic equivalent medication, you’ll often pay less than you would for a brand name medication. But don’t think that generic medications are of lower quality, or that they won’t work as well. All tretinoin products work in the same way, by speeding cell turnover rates and keeping pores free from blockages, or comedones. Tretinoin medications also help soften fine lines, fade dark marks and discolorations, and leave your complexion looking brighter and feeling smoother. Generic Retin-A Now Is Available
The generic tretinoin cream 0.1%, also called Acnelyse Cream, comes from Turkey and is manufactured by Abdi Ibrahim Pharmaceuticals. It is available in the quantity of one 20 gm tube. Compare prices between brand name Retin-A and generic Retin-A and see the cost savings! Acnelyse cream is used to treat acne, fine wrinkles, dark spots, or rough skin on the face caused by damaging rays of the sun. It works by lightening the skin and replacing older skin with newer skin. Start by Choosing the Right Strength of Tretinoin Cream Tretinoin cream comes in a variety of concentrations, ranging from mild  0.005% cream to stronger creams that contain as high as 0.1% tretinoin. Like many other skincare medications, the type of tretinoin cream you choose to treat acne can have an effect on your results and potential side effects. Initial studies of tretinoin from the 1980s used tretinoin 0.1% to evaluate the efficacy of tretinoin for the treatment of photoaging. Later studies evaluated tretinoin 0.05%. While both were equally effective over a one year period, tretinoin 0.1% was able to achieve cosmetic improvement in 6 months while 0.05% required closer to 12 months. All tretinoin products are available by prescription only, in the United States, meaning you’ll need to talk to your doctor before being able to buy tretinoin cream in any concentration. Reference: This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

According to the Centers for Disease Control and Prevention (CDC) in the United States, 12 percent of women ages 15–44 in the country have trouble getting pregnant.

Infertility can result from problems in males and females. Most doctors recommend seeking treatment if a woman cannot get pregnant or continues to have miscarriages after trying to conceive for 12 months or longer.

For women over 35, many doctors recommend seeking treatment after 6 months of trying to conceive.

Types of Fertility Medications for Women

If you’re a woman with infertility issues, your doctor may prescribe medications to help you get pregnant.

Fertility medications generally work like the natural hormones — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — to trigger ovulation. They’re also used in women who ovulate to try to stimulate a better egg or extra eggs.

There are quite a few of these medications, but here are the basics on the ones that are most commonly prescribed.

  1. Clomid or Serophene

Clomiphene citrate (Clomid) has been used for more than 40 years. Many doctors recommend it as the first treatment option for a woman with ovulation problems.

Clomid and Serophene, the brand names of clomiphene, are taken by mouth and stimulate ovulation by causing the pituitary gland to release more FSH and LH, which stimulate the growth of an ovarian follicle containing an egg.

About 60% to 80% of women who take clomiphene will ovulate, and about half will be able to get pregnant. Most pregnancies happen within three cycles.

  1. Gonadotropins

If Clomid on its own doesn’t work, your doctor may recommend injected hormones to trigger ovulation.

Instead of stimulating the pituitary gland to release more hormones, these injected treatments stimulate the ovary directly to produce multiple eggs.

Gonadotropin medications include human menopausal gonadotropin or hMG (Menopur) and FSH (Gonal-F, Follistim AQ, Bravelle).

Another gonadotropin, human chorionic gonadotropin (Ovidrel, Novarel, Pregnyl), is used to mature the eggs and trigger their release at the time of ovulation.

As with clomiphene, injected hormones have a high rate of success in helping you to ovulate. Among women who do start to ovulate, as many as 50% are able to get pregnant.

Concerns exist that there’s a higher risk of conceiving multiples and having a premature delivery with gonadotropin use.

  1. Metformin

Metformin (Glucophage) can decrease insulin resistance.

Women with polycystic ovary syndrome (PCOS), especially those with a body mass index over 35, may be insulin resistant, which can cause problems with ovulation.

  1. Letrozole

Letrozole (Femara) belongs to a class of medications known as aromatase inhibitors and works in a similar fashion to clomiphene. Letrozole may induce ovulation.

However, the effect this medication has on early pregnancy isn’t yet known, so it isn’t used for ovulation induction as frequently as others.

  1. Bromocriptine and Cabergoline

Bromocriptine (Parlodel) and cabergoline (Dostinex), dopamine agonists, may be used when ovulation problems are caused by excess production of prolactin (hyperprolactinemia) by the pituitary gland.

In about 10 percent of infertility cases, a doctor cannot find a cause. The medhttps://www.cheapomeds.com/search/?drugName=Dostinexical term for this is unexplained infertility.

Medications that aim to stimulate ovulation may help in cases of unexplained infertility. These medications can enable a woman to optimize the chances of conceiving by timing intercourse. They can also reduce the effects of unidentified ovulation issues.

 

WASHINGTON — One of the world’s largest drug companies has been aggressively raising prices even as it received hundreds of millions of dollars of U.S. government aid to develop a COVID-19 vaccine. The multinational pharmaceutical firm raised prices in a way that… Read the full article here Now that the U.S. Centers for Disease Control and Prevention (CDC) has recommended wearing face masks in public to slow the spread of COVID-19, when combined with every day preventive actions and social distancing in public settings, it’s important to know how to properly put on/take off, store and clean reusable cloth masks. CDC recommends that people wear masks in public and when around people who do not live in your household.
Wear Your Mask Correctly
Wear a Mask to Protect Others
Take Off Your Mask Carefully
Storing A Mask When going to the bathroom, taking a drink or eating, place your mask on a clean paper towel (exterior of the mask facing down with the ties placed away from the inside) Alternatively store your mask in a clean paper bag or a sealed plastic bag.
Leaving your face mask in your car or hanging it from your rear-view mirror is “a bad idea”.  Because that mask has already been used and if there is any particulate material on there, you are essentially  allowing it to waft through the inside of your vehicle. After the mask is placed in the bag, washing your hands or use hand sanitizer thoroughly. Cleaning Masks Most disposable masks are officially designed for a single use — especially in higher-risk environments. But you can reuse them, especially if you are just out and about in an area with a low prevalence of COVID-19. Medical-style disposable masks can be steamed or exposed to sunlight to kill the virus more quickly. Between uses, leave the mask in a paper bag for at least three days. During that time, any virus on the mask will gradually decrease.
For non-medical masks, such as home-made cloth masks or other non-medical versions, the CDC suggests the masks should be cleaned routinely in the washing machine. However, ensure you are not using fabric softeners when washing your masks. Experts do not recommend using cleaners, especially disinfectants on masks, as you could end up breathing them in the next time you use it. N95 masks contain filters that can be damaged with improper cleaning, but they can be safely steamed. Reference: This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). With U.S. Border Closures by Covid-19, How Will Americans Afford Prescription Medication? The U.S. borders to both Mexico and Canada will remain closed to nonessential travel until at least September 21 and this timeline may be extended again by then. This is primarily in connection with the US-Canada border that has never been closed in the history of their relations. How Many Americans Cross Border to Buy Medications?  The U.S. International Trade Commission estimates that more than 952,000 Californians travel to Mexico each year for health care, including for prescription medications. While the National Health Interview Survey based on a 2015–2017 data had found out that 1.5 percent Americans depended on cross border supply of treatment; that may not seem like a lot, but it amounts to almost 2.3 million people. However, now that the U.S.’s northern and southern borders have closed to nonessential travel as a result of the Covid-19 pandemic, lifelines to affordable medicine in Mexico in Canada have effectively been cut off. Why Do Americans Go Shopping Abroad for Medications? Research confirms that many medications in Canada and Mexico are much cheaper than the same available in America itself. An analysis found that U.S. consumers, on average, would save 76 percent on the cost of brand-name medications made in America if they purchased those medications from international online pharmacies instead of in the U.S. The reason prescription medications cost less in Canada is because a federal agency sets the maximum price a company can charge for patented medications. In the U.S., pharmaceutical companies are allowed to decide. Is It Legal to Import Your Medications from A Canadian Pharmacy? The Food and Drug Administration website states that in most cases importing medications for personal use is illegal. For example, if a drug is approved by Health Canada (FDA’s counterpart in Canada) but has not been approved by FDA, it is an unapproved drug in the United States and, therefore, illegal to import.  FDA cannot ensure the safety and effectiveness of drugs that it has not approved. However, Canadian mail order pharmacies generally have no trouble shipping medication to you.  In their experience the FDA typically does not object to the personal importation of medications that are not FDA approved when they are shipped via regular mail or tracked mail and do not exceed a 90-day supply. (These medications are not allowed to contain controlled substances or narcotics.)  In fact, these Canadian mail order pharmacies are so successful, an organization has been created to assist in providing a list of certified and safe pharmacies to order from.  The Canadian International Pharmacy Association (CIPA) is your source for information about safe online pharmacy websites that are licensed, certified, and trusted. Is Ordering Prescriptions Safe from A Canadian Online Pharmacy? Ordering prescriptions online is safe, as long as it is being done through a website that is approved by the Canadian Intern0ational Pharmacy Association (CIPA), established in 2002.  CIPA is a Canadian association of licensed pharmacy businesses offering mail order pharmacy services to Canadian and international markets. How to Tell If You Are Dealing with A Safe Canadian Online Pharmacy Your online pharmacy from Canada may be legitimate if it: For example, cheapomeds.com is certified by CIPA. They work with licensed pharmacy partners and have been providing safe and affordable prescription medications to Americans for years. What Medications Can I Get from Canadian Online Pharmacy? They provide thousands of medications, brand name or generic products. For example: How do Americans buy cheaper Canadian medications? In order to buy a Canadian pharmaceutical from a licensed online Canadian pharmacy, you will need a prescription from a physician licensed in Canada.  The most common way Americans can get a valid prescription is by getting it from a U.S. doctor, submitting it to the licensed Canadian online pharmacy and a Canadian physician will review and, if acceptable, will sign off on it and have it filled by the Canadian pharmacy. The Canadian online pharmacies accept prescriptions by phone, fax, email or you can upload them via their website. Alternatively, they are well prepared to contact your doctor directly for authorization on a new prescription or renewal – by phone or by fax. Reference: This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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). Tasigna (nilotinib), an approved leukemia medication was being tested as a repurposed treatment for Parkinson’s disease (PD) in a small pilot study in 2016. This study found Tasigna to be safe, as well as suggested an increase in the levels of dopamine in the brain of patients with advanced Parkinson’s disease, and reported some improved motor symptoms. The 2016 paper sparked substantial interest in the Parkinson’s community and patients have been seeking the drug. Tasigna is sometimes used for off label use with neurologists’ prescriptions for patients with Parkinson’s disease. Subsequently, researchers from this preliminary study sought to further investigate the safety, tolerability, and efficiency of Tasigna in Parkinson’s disease and phase 2 trials were carried out. How Nilotinib Works? Nilotinib is a type of biological therapy called a protein tyrosine kinase inhibitor (TKI). Tyrosine kinases are enzymes that act as chemical messengers, which can stimulate cancer cell growth. In Parkinson’s disease, nilotinib may work to eliminate toxic proteins that build up in the brain by activating a mechanism in brain cells that serves as a sort of garbage disposal unit. The Pilot Study In 2016 A study in 12 individuals with advanced Parkinson’s disease with dementia or dementia with Lewy bodies suggested that Tasigna was safe and tolerable in these patients. It also suggested that Tasigna could increase dopamine metabolism (its use in the brain) and lower alpha‐synuclein levels, thus, warranting the further study of the effectiveness of Tasigna in Parkinson’s disease. Phase II Study from Georgetown University: Positive In the first study, published in December 2019 in JAMA Neurology, researchers at Georgetown University conducted a randomized trial in 75 moderately severe Parkinson’s disease (PD) patients who received either a daily dose of 150 mg or 300 mg nilotinib, or placebo, for 12 months. They reported that treatment was safe and well-tolerated, and biomarkers indicated an increase in dopamine metabolites in plasma and cerebrospinal fluid (CSF). There was also a significant decrease in CSF levels of hyper-phosphorylated tau and a significant decrease in oligomeric alpha-synuclein (but only with the 150 mg dose). Phase II Study from Northwestern University: Negative In mid-February, researchers with the Parkinson Study Group presented early results from another phase 2 Nilotinib-Parkinson’s disease trial. The results, which are in press for publication, show little evidence of nilotinib altering CSF dopamine or its metabolites, at either the 150 mg or 300 mg dose, in moderate PD patients at six months. While the researchers found nilotinib to be safe and tolerable, it demonstrated no clinically nor biologically meaningful beneficial effect in Parkinson’s disease. Expert Commentary However, the findings do not refute the hypothesis that c-Abl inhibitors have potential neuroprotective effect. Researchers think that Nilotinib may not be the best molecule to assess the therapeutic potential of c-Abl inhibition for Parkinson’s disease, but the pathway is promising. There are other molecules in development that may have different outcomes. IMPORTANT SAFETY INFORMATION ABOUT Tasigna® (Nilotinib) Capsules: QTc Prolongation and Sudden Death: Tasigna can cause QTc prolongation, a possibly life-threatening heart problem. QTc prolongation causes an irregular heartbeat, which may lead to sudden death. Call your doctor right away if you feel lightheaded, faint, or have an irregular heartbeat while taking Tasigna. These can be symptoms of QTc prolongation. Reference: This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

What Is Glaucoma?

Glaucoma is almost always caused by too much pressure inside one or both eyes. Elevated intraocular pressure (IOP) can damage the optic nerves, which are the information pathways between the eyes and brain.

There are two major glaucoma categories, including open-angle or wide-angle glaucoma (most common) and angle-closure or narrow-angle glaucoma (more common in Asia).

In open-angle glaucoma the drainage system in your eye looks normal but the fluid doesn’t flow out like it should.

In angle-closure glaucoma, the eye does not drain because the drain space between the iris and the cornea becomes too narrow, which can cause a sudden build-up of pressure in the eye.

Why Glaucoma Should Be Treated

If left untreated, glaucoma can lead to peripheral vision loss and cause blindness. Glaucoma is the second leading cause of blindness across the world, next to cataracts. While there is no cure for glaucoma, it can be controlled with proper management.

Glaucoma Treatment

The damage caused by glaucoma cannot be reversed. But treatment and regular checkups can help slow or prevent vision loss, especially if you catch the disease in its early stages.

Glaucoma treatment often involves medication (usually eye drops, but sometimes oral medications as well), laser surgery or microsurgery, with the goal of lowering pressure in your eye.

Eye Drops for Glaucoma

Glaucoma treatment most often starts with eye drops. They are used to help the fluid in your eyes drain better. In some cases, they can also reduce the amount of fluid your eyes make.

Various glaucoma eye drops are classified by the active ingredient chemical that helps make it work. Depending on how low your eye pressure needs to be, more than one of the eyedrops below may need to be prescribed.

  1. Prostaglandin analogs or prostamides

These glaucoma eye drops often have the best user compliance because they are required only once daily, except for Rescula, which is taken twice per day.

Prostaglandin analogs generally work by relaxing muscles in the eye’s interior structure to allow better outflow of the aqueous humor, the fluid made continuously by the eye.

Eyedrops in this category include:

Brand Product

Travatan ZProduct of Canada – Manufactured by Alcon

TravatanProduct of Belgium – Manufactured by Alcon

TravatanProduct of United Kingdom – Manufactured by Alcon

Generic Product

Travoprost Z Opht SolutionProduct of Canada – Manufactured by various generic Manufacturers

Lupitros Z Opht Solution Product of India – Manufactured by various generic Manufacturers

TravoprostProduct of United Kingdom – Manufactured by various generic Manufacturers

Brand Product

LumiganProduct of New Zealand, United Kingdom – Manufactured by Allergan Inc

Lumigan UDVProduct of United Kingdom – Manufactured by Allergan Inc

Lumigan RCProduct of Canada – Manufactured by Allergan Inc

Generic Product

BimatProduct of India – Manufactured by various generic Manufacturers

BimatoprostProduct of New Zealand – Manufactured by various generic Manufacturers BimatoprostProduct of United Kingdom – Manufactured by various generic Manufacturers

Bimat LS Product of India – Manufactured by various generic Manufacturers

Brand Product

XalatanProduct of Turkey, United Kingdom – Manufactured by Pfizer Inc

Brand Product

Vyzulta Eye DropsProduct of Canada – Manufactured by Bausch & Lomb Inc

Possible side effects include stinging and burning, eye color change, and lengthening and curling of the eyelashes.

These reduce the production of fluid in your eye, thereby lowering the pressure in your eye.

Examples include:

Brand Product

TimoptolProduct of United Kingdom – Manufactured by Santen– This product is known as Timoptic in the U.S.

Glucomol Eye Drops – Product of India – Manufactured by Allergan Inc – This product is known as Betimol in the U.S.

Timoptol XEProduct of New Zealand – Manufactured by Mundipharma Pharm

Generic Product

Timolol Eye DropsProduct of New ZealandManufactured by various generic Manufacturers

Iotim Eye Drops – Product of India – Manufactured by various generic Manufacturers – This product is the generic of the U.S. brand Betimol

Brand Product

Betoptic SProduct of Belgium – Manufactured by Alcon

Brand Product

Betagan Eye Drops – Product of United Kingdom – Manufactured by Allergan

Possible side effects include burning and stinging upon instillation. Less frequent side effects may include difficulty breathing, slowed heart rate, decreased blood pressure, impotence and fatigue. This class of medication can be prescribed for once- or twice-daily use depending on your condition and the prescribed medication.

These drops help with drainage, like prostaglandin analogs do. However, they also lessen the amount of fluid your eye makes.

Examples of these drops include:

Brand Product

AlphaganProduct of Canada, India, United Kingdom – Manufactured by Allergan Inc

Alphagan PProduct of Australia, Canada, India – Manufactured by Allergan Inc

Alphagan ZProduct of India – Manufactured by Allergan Inc

Generic Product

BrimonidineProduct of Canada, United Kingdom – Manufactured by various generic Manufacturers

Brimonidine PProduct of Canada, India – Manufactured by various generic Manufacturers

Possible side effects include an irregular heart rate, high blood pressure, fatigue, red, itchy, or swollen eyes, and dry mouth. This class of medication is usually prescribed for twice-daily use but sometimes can be prescribed for use three times a day.

These medications work by decreasing the rate of aqueous humor production. They usually are used in combination with other anti-glaucoma eye drops and not alone.

Examples include:

Brand Product

Azopt Eye Drops – Product of Belgium – Manufactured by Alcon

Generic Product

Brinzolamide Eye DropsProduct of United Kingdom – Manufactured by various generic Manufacturers

Brand Product

Trusopt – Product of United Kingdom – Manufactured by Merck

Generic Product

Dorzolamide Eye DropsProduct of Canada, United Kingdom – Manufactured by various generic Manufacturers

DorzoxProduct of India – Manufactured by various generic Manufacturers

Possible side effects include a metallic taste, frequent urination, and tingling in the fingers and toes. This class of eye drops is usually prescribed for twice-daily use but sometimes can be prescribed for use three times a day.

Several eyedrops are available that combine the actions of two medications from different categories.

The reasoning behind the use of combined agents is that it is easier for patients to put just one drop in their eyes instead of two; it may also be healthier for the eye as less preservative is being applied.

Examples include:

Brand Product

Combigan Eye DropsProduct of Canada, Ireland, United Kingdom – Manufactured by Allergan Inc

Brand Product

CosoptProduct of Canada – Manufactured by Purdue Pharma

CosoptProduct of United Kingdom – Manufactured by Merck Sharp & Dohme

Generic Product

Dorzox-TProduct of IndiaManufactured by various generic Manufacturers – This product is the generic of the U.S. brand Cosopt

XolatimProduct of TurkeyManufactured by various generic Manufacturers – This product is the generic of the U.S. brand Cosopt

Brand Product

DuoTrav PQProduct of Canada – Manufactured by Novartis

DuoTravProduct of United Kingdom – Manufactured by Alcon

Generic Product 

Travoprost-Timop PQ – Product of Canada – Manufactured by various generic Manufacturers

Brand Product

Xalacom – Product of Canada – Manufactured by Pfizer Inc

Brand Product

SimbrinzaProduct of United Kingdom – Manufactured by Alcon – Marketed as 10mg/mL-2mg/mL in the UK

For glaucoma medications to work, you must take them regularly and continuously as prescribed by your doctor.

Where to Buy Safe and Affordable Eye Drops?

Eye drops can be incredibly expensive. Do you want to know some tips for saving money on eye drops?

There are plenty of Canadian International Pharmacy Association (CIPA) certified online pharmacies such as Canadadrugstore.com that can provide safety and affordable medications from trusted sources around the world.

Each CIPA pharmacy member is licensed and regulated by the government for safety. CIPA sells prescription medications made by the leading name-brand manufacturers at prices up to 80 percent less than U.S.

Reference:

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

Tired of applying coat after coat of mascara to make your lashes look longer and thicker? There may be a better option. What if you could get your own lashes to grow as long as you want? It’s possible!

There are plenty of OTC tubes that promise a boost in length, but there’s likely one prescription all your friends are talking about, and it goes by the name of Latisse.

What is Latisse?

Latisse, scientifically known as bimatoprost 0.03%, is actually a version of a glaucoma medication in eye drop form called bimatoprost (brand name Lumigan, manufacturer Allergan, Inc.), in use since FDA approval in 2001.

During that period, eye doctors and their glaucoma patients noticed the hair growth side effect. Since then, it led to the creation and marketing of Latisse. FDA approved it to treat eyelash hypotrichosis (not enough eyelashes) in December 2008.

How Long Does It Take Before You Start Seeing Results with Latisse?

Almost everyone who tries it notices an increase in length and sometimes an increase in thickness and darkness. But Latisse users typically start to see longer lashes in about eight weeks, with full growth at 16 weeks.

Should you cease using Latisse, the results will be lost and eventually your lashes will return to the way they looked before you began using Latisse.

Study participants experienced these results after 16 weeks:

What is the best way to apply it to make it last longer?

Easy. Every night simply uses the sterile applicator to place the solution across your upper lash line. According to the manufacturer, for eyelash growth, you should never apply it in your eye or onto your lower lid.


Here are the special instructions from cosmetic-eyes.com.
Before you apply, your face must be clean, and your makeup and contact lenses removed. Always discard each applicator after one use. Re-using applicators, even just once the next evening, can cause serious problems, such as an eye infection or allergic reaction.

  1. The brush that comes with the Latisse is not ideal because it is a bit too thick. There are two choices for you:
    1. Buy a good lip liner or eye liner brush at the drug store and use that (just keep it clean)
    2. Carefully cut about 75% of the bristles off of the brush that comes with the Latisse, to make it thinner.
  2. You can get your bottle of Latisse to last much longer if you get the most out of each drop. The way you do that is to use just one drop each day. Here is how to do that:
    1. Place one drop in the cap of the bottle
    2. dip the brush in the cap and apply to one upper eyelid
    3. dip the brush in the cap again into the cap and apply to the second upper lid.

Does Latisse have any side effects?

Latisse has a very low occurrence of possible side effects, but there are a few to be aware of. Common side effects include itchy eyes or eye redness. Only 4% of the patients in the study reported these side effects.

In general, as long as you have healthy eyes (i.e., no glaucoma or infections), Latisse should be safe to use. If you are not sure about how healthy your eyes are, go see your eye doctor to get an exam and ask if you are a candidate for Latisse.

Where to buy Latisse?

It’s not a cosmetic like mascara: Latisse is a medication, and you do need a prescription for it from your doctor. However, you can use mascara over it.

Be aware that not every doctor will be familiar with Latisse. However, eye doctors, cosmetic surgeons and dermatologists are specialists who are more likely to know about the medication’s availability.

There are plenty of Canadian International Pharmacy Association (CIPA) certified online pharmacies such as canadadrugstore.com that can provide safety and affordable medications from trusted sources around the world.

Each CIPA pharmacy member is licensed and regulated by the government for safety. CIPA sells prescription medications made by the leading name-brand manufacturers at prices up to 80 percent less than U.S.

Check price of Latisse on Canadadrugstore.com and you may receive instant savings on your prescription refills.

Is there a generic product for Latisse?

Yes. The generic version of Latisse has been approved by the FDA. These products are equivalent to Latisse. Examples include: Careprost (0.03% bimatoprost).

However, some generic products  do not come with the applicator to apply on eyelashes. Don’t worry though, using a sterile Q-tip will work or you can buy the disposable eyeliner brush applicators from amazon, you can get a 100 pack for just $10.

 

Reference:

mayoclinic.org

allaboutvision.com

webmed.com

cosmetic-eyes.com

 

 

 

It can be very unpleasant and disconcerting if your eyes start to itch, swell, burn or turn a shade of pink. You’re probably wondering if it could it be an infection. Eye infections like conjunctivitis, styes and eyelid inflammation are more common than you’d think and have a number of possible causes – bacteria, fungi and viruses. Each of these are treated differently. The good news is eye infections aren’t hard to spot, so you can seek treatment quickly. Your doctor may prescribe medication you take by mouth, an ointment you spread on your eyelid and/or eye, or eyedrops. This article will talk about medications used for different types of eye infections. Types of Eye Infections Conjunctivitis is infection or inflammation of the conjunctiva, which covers the white part of the eye and lines the inside of the eyelids, as well. It is the most common eye infection affecting children. Conjunctivitis can be caused by multiple things. Viruses are the most common cause, although it can also be caused by bacteria and allergies. Viral pink eye usually starts in one eye but can spread to the other eye and is often associated with a cold or other respiratory infection, as well as with watery discharge from the eye. Generally, your doctor will let the virus run its course. Cold compresses applied 3 times daily for 1 – 3 weeks may relieve discomfort. Your doctor may also prescribe antiviral eyedrops, such as acyclovir (Zovirax) or trifluridine (Viroptic). Treatment is supportive and may include ocular decongestants(Naphazoline, Oxymetazoline), and artificial tears. Bacterial pink eye can start with a respiratory infection or an ear infection, affect one or both eyes and cause a thick discharge (pus) that makes the eyes stick together.
Bacterial pink eye is generally treated with antibiotic eyedrops, such as sodium sulfacetamide (Cetamide, Bleph-10),  or eye ointment such as erythomycin (E-Mycin), bacitracin, or neomycin. Allergic pink eye can be triggered by allergens including pollen, animal dander and dust mites.  Avoiding the allergen is important in the treatment of allergic conjunctivitis. Antihistamine eyedrops, such as over-the-counter antazoline phosphate (Vasocon-A) or prescription olopatadine ophthalmic (Patanol), may reduce swelling or itching.
Infectious keratitis occurs when your cornea gets infected. The cornea is the clear layer that covers your pupil and iris. Keratitis results from either an infection (bacterial, viral, fungal, or parasitic) or an eye injury. Although less common, keratitis is more likely to have an impact on vision because it affects the cornea. Symptoms of keratitis include blurred vision and light sensitivity, though some people with pink eye experience these symptoms as well. Although both are uncomfortable, keratitis tends to be more painful than pink eye Bacterial keratitis. Pseudomonas aeruginosa and Staphylococcus aureus are the two most common types of bacteria that cause bacterial keratitis. It mostly develops in people who use contacts improperly. The traditional therapy for bacterial keratitis is fortified antibiotics, tobramycin (14 mg/mL) 1 drop every hour alternating with fortified cefazolin (50 mg/mL) or vancomycin (50mg/mL) 1 drop every hour These eye drops are available at specialized compounding pharmacies. In current practice, fourth-generation fluoroquinolones are increasingly being used as monotherapy, especially in cases of smaller and less-severe keratitis. Viral keratitis. Viral keratitis is primarily caused by the herpes simplex virus, which progresses from conjunctivitis to keratitis. Your doctor will prescribe antiviral eye drops or an antiviral oral medication or both. Examples include topical ganciclovir or trifluridine, oral or IV acyclovir or valacyclovir. For stromal involvement or uveitis, topical corticosteroids (Prednisolone Acetate), in addition to antiviral medications are prescribedhttps://canadaonlinehealth.com/search/?drugName=acyclovir Fungal keratitis. Fungal keratitis is caused by Aspergillus, Candida, or Fusarium. As with bacterial keratitis, fungal keratitis is most likely to affect those who wear contact lenses. Natamycin is a topical (meaning it’s given in the form of eye drops) antifungal medication that works well for fungal infections. However, infections that are deeper and more severe may require treatment with antifungal medication such as amphotericin B, fluconazole, or voriconazole. Acanthamoeba keratitis. Keratitis that’s caused by the tiny parasite acanthamoeba can be difficult to treat. Antibiotic eyedrops are used, but some acanthamoeba infections are resistant to medication. Severe cases of acanthamoeba keratitis may require a cornea transplant.
A sty (also called a hordeolum) is a pimple-like bump that develops from an oil gland on the outer edges of your eyelids. These glands can get clogged with dead skin, oils, and other matter and allow bacteria to overgrow in your gland. The resulting infection causes a sty. Some treatments for sties include: applying a clean, warm, damp cloth to your eyelids for 20 minutes intervals a few times a day, using mild, scent-free soap and water to clean your eyelids, taking over-the-counter (OTC) pain relievers, such as acetaminophen (Tylenol), to help with pain and swelling, stopping use of contact lenses and eye makeup until the infection goes away, using antibiotic ointments to help kill the infectious overgrowth, such as erythomycin (E-Mycin), bacitracin, or neomycin. If you wear contact lenses, you should wear only your eyeglasses until you have visited your eye doctor for diagnosis and treatment. Reference:

When the eyes are inflamed, they become red, swollen and can water. Some people also suffer from severe pain and a significant reduction in vision.

Causes of Eye Inflammation

Eye inflammation can be traced back to numerous different causes.

Treatment of Eye Inflammation

If eye inflammation is recognized and treated in time, the healing process is usually uncomplicated. Antibiotic eye drops are used for treatment if bacteria is the cause of the infection.

In the case of an allergic reaction, contact with the allergen should be avoided where possible.

Antiviral eye drops are frequently used against viral infections. Eye ointments containing cortisone are also often prescribed.

Corticosteroids

Which Anti-Inflammatory Eye Drop Raises Intraocular Pressure?

As Dr. William Barry Lee’s answer from aao.org, the only anti-inflammatory drops that raise eye pressure are corticosteroids. If corticosteroids are avoided, the eye pressure will remain normal if no underlying predisposition to elevated pressure exists.

The most common class of non-steroidal anti-inflammatories are often referred to as NSAIDs, and they do not cause elevated eye pressure. These eye drops are used to prevent and treat eye inflammation and pain following surgery or laser treatment.

These include:

Cyclosporine

Cyclosporine (Restasis) is another anti-inflammatory drop that does not increase eye pressure. It is commonly used to treat the inflammation of conditions such as dry eye syndrome or systemic conditions leading to ocular inflammation.

Other Medications for Sore Or Irritated Eyes

These drops can be bought from pharmacies to relieve sore, red, bloodshot, or irritated eyes caused by things like dusty or smoky atmospheres, eye strain or chlorine in swimming pools.

Reference:

Allergens from trees and grass float through the air in spring, summer, and fall. These particles can enter a person’s nose, eyes, ears, and mouth, triggering an allergic rhinitis reaction. This article will let you know how to avoid and treat it. What Is Allergic Rhinitis (Hay Fever) Allergic rhinitis – commonly known as hay fever – is a group of symptoms affecting the nose. But don’t be misled by the name – you don’t have to be exposed to hay to have symptoms, and hay fever does not cause a fever. Allergic rhinitis develops when the body’s immune system recognizes and overreacts to something in the environment that typically doesn’t cause problems in most people. What Can Trigger Allergic Rhinitis? The most common fall allergy is ragweed, which pollinates from mid-August to early October through most of the United States and parts of Europe. It causes hay fever with symptoms that include sneezing, runny nose, stuffy nose, itchy nose and itchy, watery eyes. Mold spores are also released in autumn and become more common in the air as decaying leaves and other vegetation fall to the ground. High mold counts also contribute to breathing problems among those with asthma. With perennial allergic rhinitis, the symptoms can be experienced year-round. It is generally caused by dust mites, pet hair or dander, cockroaches, or mold. What Is the Best Treatment for Allergic Rhinitis? Many allergens that trigger allergic rhinitis are airborne, so you can’t always avoid them. Wear glasses or sunglasses when outdoors to keep pollen out of your eyes. Keep windows closed during high pollen periods and use air conditioning in your home and car.
If your symptoms can’t be well-controlled by simply avoiding triggers, your allergist may recommend medications that reduce nasal congestion, sneezing, and an itchy and runny nose. They are available in many forms – oral tablets, liquid medication, nasal sprays and eyedrops.
  1. Intranasal Corticosteroids (Steroid Nasal Spray)
Intranasal corticosteroids are the single most effective medication class for treating allergic rhinitis. They can significantly reduce nasal congestion as well as sneezing, itching and a runny nose. Side effects can include headache, sore throat, nosebleeds, or a cough. Examples of steroid nasal sprays available by prescription include: Beclomethasone (Beconase, Qnasl), Ciclesonide (Alvesco Inhaler, Zetonna), Fluticasone Furoate (Veramyst), Fluticasone Proprionate (Flonase), Mometasone (Nasonex). There are also three medications that can be purchased over the counter: Budesonide (Rhinocort Allergy), Fluticasone (Flonase Allergy Relief), Triamcinolone (Nasacort AQ, Nasacort Allergy 24HR). You can take antihistamines to treat allergies. They work by stopping your body from making histamine. Some popular over-the-counter (OTC) antihistamines include: Fexofenadine (Allegra), Diphenhydramine (Benadryl), Desloratadine (Clarinex), Loratadine (Claritin), Levocetirizine (Xyzal), Cetirizine (Zyrtec). Oral decongestants such as pseudoephedrine (Sudafed, Afrinol, and others) can provide temporary relief from nasal stuffiness. Decongestants also come in nasal sprays, such as Oxymetazoline (Afrin, Otrivine , Drixoral) and phenylephrine (Neo-Synephrine). Only use nasal decongestants for a few days in a row. Longer-term use of decongestant nasal sprays can actually worsen symptoms (rebound congestion). Nonprescription saline nasal sprays will help counteract symptoms such as dry nasal passages or thick nasal mucus. Unlike decongestant nasal sprays, a saline nasal spray can be used as often as it is needed. Sometimes an allergist may recommend washing (douching) the nasal passage. There are many OTC delivery systems for saline rinses, including neti pots and saline rinse bottles. Cromolyn sodium nasal spray can ease allergy symptoms and doesn’t have serious side effects, though it’s most effective when you begin using it before your symptoms start. Leukotriene pathway inhibitors (Montelukast, Zafirlukast and Zileuton) block the action of leukotriene, a substance in the body that can cause symptoms of allergic rhinitis. These medications are also used to treat asthma and are only available by prescription. Montelukast was recently given a warning from the FDA regarding potential behavioral changes. Immunotherapy may be recommended for people who don’t respond well to treatment with medications or who experience side effects from medications. Immunotherapy can be very effective in controlling allergic symptoms, but it doesn’t help the symptoms produced by nonallergic rhinitis. Two types of immunotherapy are available: allergy shots and sublingual (under-the-tongue) tablets. Eye allergy preparations may be helpful when the eyes are affected by the same allergens that trigger rhinitis, causing redness, swelling, watery eyes and itching. OTC eyedrops and oral medications are commonly used for short-term relief of some eye allergy symptoms. They may not relieve all symptoms, though, and prolonged use of some of these drops may cause your condition to worsen. Prescription eyedrops and oral medications also are used to treat eye allergies. Prescription eyedrops provide both short- and long-term targeted relief of eye allergy symptoms. Check healthylivinglinks.com and see articles on eyedrops for allergies if you are unsure about a specific medication or formula. Reference: The United States Postal Service funding has been affected and new policy changes have been made.  Workers overtime has been eliminated and mail will be kept until the following day if distribution centers are running behind.  So how does this affect an order of prescription medication coming from Canada? As CNN reported, USPS administration has slowed deliveries, removed high-speed letter sorters from commission, and issued a stark warning to election officials that mail-in ballots will no longer automatically be moved as priority mail. On top of that, the USPS has started reducing post office operating hours across several states, cutting overtime for postal workers and removing some of their iconic blue letter collection boxes. Millions of veterans and many other Americans rely on the USPS to receive life-saving prescription medications. The current state of the USPS is dangerously delaying these deliveries and jeopardizing the health of millions of Americans and those who gave so much to serve their country. Although there have not been any reports of delays at the moment, as the postal service suffers, deliveries may be affected.  If you are ordering your prescription medications from a Canadian online pharmacy provider, you may want to order a couple of weeks earlier than usual and use tracked shipping whenever possible.  This will allow the parcels to be tracked and determine where they are in the delivery process.  Additionally, and most importantly, these measures will minimize the possibility of running out of medication. Deliveries from Canada continue as usual and as of today, we have no evidence indicating mail delivery of prescription medications has been affected. If you have any questions, feel free to contact us at 1-800-991-0282 In an update to cervical cancer screening guidelines, the American Cancer Society (ACS) recommends starting screenings at age 25. The previous guidelines released in 2012 called for cervical cancer screening starting at age 21. The decision to raise the age for cervical cancer screenings is due to new data that suggests vaccination has led to a drop in rates of precancerous cervical changes, which are the precursors to cancer. 2020 Guideline Update: What Is Cervical Cancer? The cervix connects the uterus to the vagina. It’s part of the path babies pass through during birth. Cervical cancer is when cancer starts to form in the cells of the cervix. What Is the Link Between HPV and Cervical Cancer? Almost all cervical cancers are caused by an HPV infection. Most people don’t know they have HPV because the body can usually fight the infection before any symptoms occur. But high-risk types of HPV (such as HPV 16 and HPV 18) can cause serious pre-cancers and cancers of the cervix. But HPV is not the only cause of cervical cancer. Not all women with HPV get cervical cancer, other risk factors, like smoking and HIV infection, influence which women exposed to HPV are more likely to develop cervical cancer. What’s the Difference Between HPV Test and Pap Test? The tests for cervical cancer screening are the HPV test and the Pap test.
Both types of screening tests, the HPV and Pap tests, require a small sample of cells from the cervix. A healthcare provider collects these by using a special, small tool to gently scrape or brush the cervix. The same set of cells is used for both tests. Can Cervical Cancer Be Found Early? Cervical cancer can often be found early, and sometimes even prevented, by having regular screening tests. If detected early, cervical cancer is one of the most successfully treatable cancers. Can Cervical Cancer Be Prevented? The two most important things you can do to prevent cervical cancer are to get the HPV vaccine if you are eligible, and to be tested regularly according to American Cancer Society (ACS) guidelines. The most common form of cervical cancer starts with pre-cancerous changes and there are ways to stop this from developing. The first way is to find and treat pre-cancers before they become invasive cancers, and the second is to prevent the pre-cancers. For more information about using the HPV test and the Pap test to prevent cervical cancer, see The American Cancer Society Guidelines for the Prevention and Early Detection of Cervical Cancer. Reference: This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

Many women experience menopause at the average age of 51 years, with 95 percent having their final menstrual period between the ages of 45 to 55 years.

Menopause (sometimes called “the change of life”) is a normal time in a woman’s life when her period stops. During menopause, a woman’s body makes less of the hormones, estrogen and progesterone.

Lower hormone levels may lead to symptoms like night sweats, hot flashes, mood changes, irregular periods and vaginal dryness along with thinning bones.

What Is Hormone Replacement Therapy?

Some women choose to treat their symptoms with hormone medicines, sometimes called Hormone Replacement Therapy (HRT).

HRT, also known as hormone therapy, menopausal hormone therapy (MHT), and estrogen replacement therapy (EHT) is the most effective treatment for menopause symptoms.

Risk of HRT

HRT is not for everyone. You should not take hormone therapy for menopause if you:

What Are the Basic Types of Hormone Therapy?

Hormone replacement therapy primarily focuses on replacing the estrogen that your body no longer makes after menopause. There are two main types of estrogen therapy:

Systemic estrogen – which comes in pill, skin patch, ring, gel, cream or spray form — typically contains a higher dose of estrogen that is absorbed throughout the body.

It can be used to treat any of the common symptoms of menopause.

Low-dose vaginal preparations of estrogen — which come in cream, tablet or ring form – minimize the amount of estrogen absorbed by the body.

Because of this, low-dose vaginal preparations are usually only used to treat the vaginal and urinary symptoms of menopause.

Estrogen Pills

Oral medication is the most common treatment for menopausal symptoms. Among the many forms of pills available are conjugated estrogens (Premarin), estradiol (Estrace), and conjugated estrogens/bazedoxifene (Duavee).

Pros: While there are newer ways of getting HRT, oral estrogen medicines are the best-studied type of estrogen therapy.

Cons: Oral estrogen – like any estrogen therapy – can also cause side effects. These include painful and swollen breasts, vaginal discharge, headache, and nausea. It may also increase your cholesterol.

Because oral estrogen can be hard on the liver, people with liver damage should not take it. Instead, they should choose a different way of getting estrogen.

Transdermal Topical Patches

Skin patches are another type of HRT.

Examples are Alora, Climara Patch, Estraderm, and Vivelle-Dot.

Usually, you would wear the patch on your lower stomach, beneath the waistline. You would then change the patch once or twice a week, according to the instruction.

Pros: The patch is convenient. You can stick it on and not worry about having to take a pill each day.

While estrogen pills can be dangerous for people with liver problems, patches can be used, because the estrogen bypasses the liver and goes directly into the blood. A 2007 study also showed that the patch does not pose a risk of blood clots in postmenopausal women like oral estrogen does.

Cons: While some experts believe that estrogen patches may be safer than oral estrogen in other ways, it’s too early to know. So, for now, assume that estrogen patches pose similar risks – a very small increase in the risk of serious problems, like cancer and stroke.

The patch itself might irritate the skin where you apply it. Estrogen patches should not be exposed to high heat or direct sunlight. Heat can make some patches release the estrogen too quickly, giving you too high a dose at first and then too low a dose later.

Transdermal Topical Creams, Gels, and Sprays

Creams, gels and sprays offer other ways of getting estrogen into your system.

Examples include gels likeEstrogel pump and Divigell, creams like Estrasorb, and sprays like Evamist.

As with patches, this type of estrogen treatment is absorbed through the skin directly into the bloodstream. It is applied on one arm or legs.

Pros: Topical creams, gels and sprays are safer than oral estrogen for people who have liver and cholesterol problems.

Cons: They have not been well-studied. So, assume that they pose the same slight risk of serious conditions, like cancer and stroke.

Because the estrogen is absorbed right through the skin, don’t let other people touch these creams or gels.

Vaginal Suppositories, Rings, and Creams

These types of estrogen treatments can be applied directly to the vaginal area. In general, these treatments are for women who are troubled specifically by vaginal dryness, itchiness, and burning or pain during intercourse.

Examples are vaginal tablets like Vagifem, creams like Estrace, Estragyn or Premarin Vaginal Cream, and insertable rings like Estring Vaginal Ring or Femring.

Pros: The advantage is that they can relieve vaginal symptoms without exposing the entire body to high doses of estrogen. Theoretically, this could reduce the more serious risks of estrogen therapy – and be a safer way for women who cannot take systemic therapy to get relief

Cons: Suppositories and rings with low doses of estrogen only help with vaginal symptoms of menopause. They won’t help with other symptoms like hot flashes.

The nearly 20-year follow-up study of 53,000 nurses, published in December 2018, found that despite its “black box” warning, low-dose vaginal estrogen does not increase risk of cardiovascular disease and cancer.

This new study shows that topical applications – unlike systemic estrogen replacement – do not increase the risk of blood clots, cardiovascular disease, osteoporosis or breast and endometrial cancers.

If You Haven’t Had Your Uterus Removed

Your doctor will typically prescribe estrogen along with progesterone or progestin (progesterone-like medication).

This is because estrogen alone, when not balanced by progesterone, can stimulate growth of the lining of the uterus, increasing the risk of endometrial cancer.

If you have had your uterus removed (hysterectomy), you may not need to take a progesterone.

Reference:

What is Dry Eye?

Chronic dry eye caused by inflammation can be terribly uncomfortable. This is a fairly common condition with symptoms that include, as the name says, dry eyes.

How Is Dry Eye Diagnosed?

Dry eyes can be the result of several medical conditions or the side effect of some medications. To best determine the cause of your dry eyes, your doctor will need to check your medical history, review what medications you may be on and run some tests.

Causes of Dry Eyes

Your eyes become dry when your tears no longer provide enough moisture to keep them lubricated and comfortable. This might be due to insufficient tear production. A lack of moisture could also be related to the quality of your tears. Without enough moisture, the cornea can become irritated.

Biological and environmental conditions can also lead to dry eyes. These can include:

There can be many other causes, too. Diseases of the immune system, such as lupus, can cause dry eyes, as can diseases of the eyes or the skin around the eyelids. Dry eyes also tends to be more common as you get older.

How Are Dry Eyes Treated?

Treatment of dry eyes depends on the underlying cause. Your doctor may prescribe eye drops or artificial tear drops, but when this is not enough your doctor may prescribe a prescription eye drop.

OTC Eye Drops Vs. Prescription Eye Drops

Over-The-Counter

Most over-the-counter (OTC) eye drops contain humectants (substances that help retain moisture), lubricants, and electrolytes, such as potassium. OTC options for dry eyes are available in traditional eye drops, as well as gels and ointments. Gels and ointments tend to stay in the eyes longer, so they’re recommended for overnight use.

Watch Out for Preservatives.

 

Drops without preservatives are recommended for people with moderate or severe dry eyes. They’re usually packaged in single-use containers.

Prescription

Prescription eye drops may also include medications to help treat chronic eye problems. Cyclosporine (Restasis) is a prescription eye drop that treats inflammation that causes eye dryness.

This type of inflammation usually stems from a condition known as keratoconjunctivitis sicca, also called dry eye syndrome. The drops are usually used twice a day to help increase tear production.

Cyclosporine is recommended for long-term use. It’s only available as a prescription, and it can cause side effects.

The brand name of cyclosporine is called Restasis. Prescription generic Restasis for dry eyes is now available!

Generic Restasis is now available from Canada.

Another Prescription Medication – Lacrisert

Lacrisert is brand name of Hydroxypropyl Cellulose (Ophthalmic Route).

It belongs to the group of medicines known as artificial tears and is inserted in the eye to relieve dryness and irritation caused by reduced tear flow that occurs in certain eye diseases.

Lacrisert 60 units, 5 mg  

 

How to Save On Eye Drops for Dry Eyes?

Eye drops can be incredibly expensive. Do you want to know some tips for saving money on eye drops?

There are plenty of Canadian International Pharmacy Association (CIPA) certified online pharmacies such as Canadadrugstore.com that can provide safe and affordable medications from trusted sources around the world.

Each CIPA pharmacy member is licensed and regulated by the government for safety. CIPA sells prescription medications made by the leading name-brand manufacturers at prices up to 80 percent less than U.S.

Reference:

This article is sponsored by Canadadrugstore.com. If you have questions about your prescription medications or any other medication, please contact our team at Canadadrugstore.com by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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

Did you know that generic Prezista is now available from Canada? This affordable generic prescription medication is used alongside other HIV medications to help control HIV infection, and now American patients can order it directly from Canada! Compare prices between brand name Prezista and generic Prezista and see the cost savings! What is Prezista? According to the information from Product Monograph, Prezista contains one medicine—darunavir. Darunavir falls under the class of drugs, called protease inhibitors. Prezista is used as part of combination HIV treatment (ART) in adults and is usually taken at a dose of one pill once daily with food. General side effects include temporary, mild to moderate diarrhea and nausea while it was being tested during clinical trials. How Does Darunavir Work? As a protease inhibitor, Darunavir works by interfering with enzymes needed by HIV, protease. It helps to decrease the amount of HIV cells in patient’s body so immune system can work better. This lowers the chance of getting HIV complications, such as new infections, cancer, and helps improve the patient’s quality of life. Using darunavir alone is not enough to suppress HIV. Therefore, darunavir is meant to be used with other anti-HIV drugs, including ritonavir, as part of combination therapy against HIV. Using with other HIV medications helps prevent the HIV cells from increasing in numbers. Generic Prezista is now available from Canada.
APO-DARUNAVIR Is the First Generic Alternative to Prezista Generic Prezista, APO-DARUNAVIR, is the generic equivalent of brand name Prezista and contains the same active ingredient Darunavir. What are the Possible Side Effects of Generic Prezista? Generic Prezista may cause the same serious side effects as brand Prezista. This information is listed on Prezista.com, and includes: The most common side effects of Prezista include diarrhea, nausea, rash, headache, stomach pain, and vomiting. However, these are not all the possible side effects of Prezista. For more information, ask your healthcare provider. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. Do not change your dose or stop treatment with Prezista without talking to your healthcare provider. Product Information
Generic Prezista:   Brand name Prezista Compare prices between brand name Prezista and generic Prezista and see the cost savings! Reference: 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 diagnosis 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). Did you know that generic DuoTrav PQ is now available from Canada? This affordable generic prescription medication is used for Glaucoma, and now American patients can order it from Canada directly to their door. Compare prices between brand name DuoTrav PQ and generic DuoTrav PQ and see the cost savings! What is Duotrav PQ Used For? Fluid is constantly being formed and drained out of the eye. When this fluid does not drain out of the eye properly, pressure inside the eye increases. According to the information from Novartis Pharma’s Product Monograph, DuoTrav® PQ contains two active components, travoprost 0.004% and timolol maleate 0.5%, which lower intraocular pressure (IOP) by complementary mechanisms of action. How Does DuoTrav Work? Travoprost belongs to a family of medicines known as ‘prostaglandins’. Timolol belongs to a family of medicines known as ‘betablockers’. DuoTrav Eye Drops lower the pressure within the eye by two processes. They improve the flow of fluid from your eye(s) (travoprost) and decrease the production of fluid (timolol).  
Although DuoTrav Eye Drops help to control your glaucoma they do not cure it. This medication is not to be used as initial treatment. Generic DuoTrav PQ is now available from Canada. The First Generic Alternative to DuoTrav PQ
Generic DuoTrav PQ, APO-TRAVOPROST-TIMOP PQ OPHTHALMIC SOLUTION, is the generic equivalent of brand name DuoTrav PQ and contains the same active ingredient travoprost 0.004% and timolol maleate 0.5%. What are the Possible Side Effects of Generic DuoTrav PQ? Generic DuoTrav PQ may cause the same serious side effects as brand name one. This information is listed on manufacture’s Product Monograph, and Includes: Each person may react differently to a treatment. If you think this medication may be causing side effects (including those described here, or others), talk to your doctor or pharmacist. He or she can help you to determine whether the medication is the source of the problem. Product Information
Generic DuoTrav PQ:   Brand name DuoTrav PQ: Was this Article Helpful? Other Related Articles: Reference: 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 diagnosis 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).

What Is Rosacea?

Rosacea is a chronic inflammatory skin condition. It often begins with a tendency to blush or flush more easily than other people.

The first sign may be intermittent redness or blushing. Bumps, tiny pus-filled pimples and enlarged blood vessels can also appear, giving skin a rough, uneven appearance.

There is no known cure, but it can be managed with appropriate treatment and lifestyle changes.

Famous Faces of Rosacea

If you are living with rosacea, you are in good company. Some famous people who have struggled with rosacea include:

How Do Dermatologists Diagnose Rosacea?

If your dermatologist suspects you have rosacea, you won’t need medical tests. No medical test can tell whether you have rosacea.

If you have rosacea, your dermatologist can talk with you about treatment options. While treatment cannot cure rosacea, it can help:

How do dermatologists begin with education?

While medication or laser treatment can help reduce or clear signs of rosacea, your everyday habits may cause a new flare-up.

Learning how to do the following can help reduce flare-ups:

  1. Find your triggers.

Many things you do can cause rosacea to flare. Dermatologists call these tripwires “triggers.” Common triggers for rosacea include becoming overheated, having cold wind blowing on your face, and eating spicy foods.

People who have rosacea often find that their skin is quite sensitive to the sun.

Many skin care products can irritate skin with rosacea. Some skin care habits, such as scrubbing your skin clean, can cause rosacea to flare.

Treatment

After managing these three steps the rest of your treatment plan will be tailored to treating your rosacea. Here’s information from AAD and Medscape how dermatologists treat the different signs of rosacea:

  1. How to Treat the Redness

The redness may show up as flushing that lasts a little longer each time. Without treatment for rosacea, this redness can become permanent. Another cause of permanent redness is visible blood vessels on the face.

Dermatologist can create a treatment plan that includes one or more of the following:

For people who have a constantly red face or visible blood vessels, a laser or other light-based treatment can be effective. Some patients see complete clearing of their redness. This clearing can last for years.

These prescription medications, topical alpha agonists, can reduce the redness on your face caused by rosacea. They work for up to 12 hours. Once the effects wear off, the redness returns. With daily use, you can have reduced facial redness for up to 12 hours a day.

Both medications have been approved by the U.S. Food and Drug Administration (FDA) to treat the facial redness of rosacea.

How to Treat Acne-Like Breakouts

If your rosacea causes breakouts that look like acne, you have some effective treatment options. Here’s what your rosacea treatment plan from a dermatologist may include:

Azelaic acid: Most patients apply this medication twice a day — in the morning and again in the evening. This product is known as Finacea (15%) in the U.S. Findings from 6 research studies show that between 70% and 80% of patients have had noticeably less rosacea with azelaic acid. Some patients saw complete clearing.

Metronidazole: Available as a gel or cream, this treatment has been used for more than 60 years to treat the acne-like breakouts of rosacea. This product is known as Metrogel (1%) and MetroCream (0.75%) and Noritate (1%) in the U.S.

Research studies show that it can effectively reduce both the redness and the acne-like breakouts. Some patients are able to stop applying this medication and keep the results they gained by using metronidazole. In one study, only 23% of patients had a rosacea flare-up 6 months after stopping metronidazole.

Erythromycin (E.E.S., Erythrocin, Ery-Tab) tab or 2% topical solution:

The antibiotics are effective against papulopustular rosacea at  lower (sub-antimicrobial) doses, mostly due to their anti-inflammatory properties rather than a direct antimicrobial mechanism. Although bacteria may contribute to this form of rosacea, the evidence is scant.

Clindamycin:

Upon application to skin, drug is converted to active component, which inhibits the microorganism. Effective against mild-to-moderate papulopustular rosacea.

Antibiotics: For more than 50 years, dermatologists have prescribed tetracycline, an antibiotic, to their patients with rosacea. It can quickly reduce the acne-like breakouts and redness.  In research studies, most patients have noticeably fewer acne-like breakouts within one month.

Oral tetracyclines are also effective for ocular rosacea, along with lid care and artificial tears.

Other antibiotics, such as minocycline, doxycycline, or erythromycin, can also effectively treat rosacea.

Low-dose doxycycline: Doxycycline is an antibiotic. For the treatment of rosacea however is is used at lower doses, not effective to kill bacteria. This product is known as Oracea (40 mg) in the U.S.

Studies show that low-dose doxycycline can reduce the acne-like breakouts of rosacea and based on these studies, the U.S. Food and Drug Administration (FDA) approved low-dose doxycycline to treat rosacea.

Isotretinoin: Isotretinoin is an oral agent that treats serious dermatologic conditions and it is usually reserved for patients who are intolerant to other therapies. Approved only to treat severe acne, this medication at a lower dose of 10 mg daily may be an option. Due to potentially serious side effects it requires clinical and laboratory monitoring for safety.

It has been shown to reduce the redness and acne-like breakouts. Isotretinoin may also prevent phyma (firm, rounded bumps or thickening of the skin on your face) from worsening.

These can effectively treat the redness and acne-like breakouts.

Isotretinoin: See above.

Ablative Lasers or Surgery

The overgrown (hypertrophied) tissue can be reshaped and contoured. Lasers produce less bleeding when compared to traditional surgery. You can be referred to a dermatologist or a plastic surgeon for these therapies.

Other medications

Immunosuppressants

Tacrolimus ointment (Protopic): These agents inhibit immune reactions resulting from diverse stimuli. Tacrolimus ointment reduces itching and inflammation by suppressing the release of cytokines from T cells. It also inhibits transcription of genes encoding IL-3, IL-4, IL-5, GM-CSF, and TNF-alpha, all of which are involved in the early stages of T-cell activation. Additionally, it may inhibit the release of preformed mediators from skin mast cells and basophils and may down-regulate the expression of FCeRI on Langerhans cells.

Tacrolimus ointment can be used in patients as young as 2 years. Drugs of this class are more expensive than topical corticosteroids. It is available as ointment in concentrations of 0.03% and 0.1% and is indicated only after other treatment options have failed.

Vasoconstricting agents

Treatment for flushing and redness (erythema) may involve oral drugs with vasoconstriction properties including mirtazapine (alpha blocker), propranolol (beta blocker) or carvedilol (both alpha and beta blocker). They are used at low doses to minimize side effects such as lowering of blood pressure, fatigue and sleepiness. Careful monitoring is required with these therapies.

Outcome for people who have rosacea

There is no cure for rosacea, but you can successfully control it. Making some lifestyle changes and treating rosacea can prevent flare-ups. It can also prevent the rosacea from worsening.

Many people find that by doing these things, living with rosacea becomes a lot easier. They also say they feel and look better.

References

 

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).


N95 Vs. KN95 Vs. Surgical Masks Vs. Cloth Masks

With the global outbreak of COVID-19, surgical masks, respirators and other epidemic prevention equipment are in short supply. As we all know, the N95 mask is the most recommended model among COVID-19 ‘s protective masks.

So what is difference between N95 and KN95? Can KN95 be used instead of N95? Do cloth face masks help prevent the spread of the coronavirus?

The US. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) are providing recommendations regarding the use of the various protective equipment. In this article, we will give you a detailed introduction about N95 versus KN95 versus cloth face masks.

Mask Standards Vary by Country

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Each country has their own certification standard for each mask type. Each standard varies a little by country, however they are broadly similar.

For surgical masks, Europe uses the EN 14683 standard, whereas China uses the YY 0469 standard.

For respirator masks, China uses the KN standard (e.g. KN95) and the US uses the N standard (e.g. N95).

The letters in front of each mask type represent different national standards.

  • N95: The “N” series of the mask is the American NIOSH standard – United States NIOSH-42CFR84
  • KN95: The “KN” series is the Chinese standard – GB2626-2006
  • FFP2: The “FFP” series is the European standard – EN 149-2001
  • KF94: The “KF” series is the Korean standard – KMOEL – 2017-64
  • P2: The “P” series is the Australia/New Zealand standard – AS/NZA 1716:2012
  • DS2: The “DS” series is the Japanese standard – JMHLW-Notification 214, 2018
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KN95 Mask Vs N95 Mask: What Is the Difference?

N95 masks are personal protective facial masks that are regulated by the CDC, Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH).

If fitted properly, N95 facial mask have the filtration capability to block at least 95 percent of 0.3-micron particles, which are some of the hardest particles to capture due to their very small size.

KN95 masks are similar to N95 masks; however, they are regulated by the Chinese government. In fact, the KN95 mask is simply the Chinese code for the U.S. coded N95 mask; and just like the N95 masks, KN95 masks also filter 95% of 0.3 micron-sized particulates. They are also designed to achieve a very close facial fit for optimum protection.

In most cases, KN95 masks are authorized by the Centers for Disease Control for use in the U.S. as a suitable alternative when the supply of N95 masks is low.

What Is the Difference Between Face Masks and Surgical Masks?

Masks are loose fitting and may not provide full protection from breathing in airborne pathogens, such as viruses.

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  • Face masks (non-surgical masks) may not provide protection from fluids or may not filter particles, needed to protect against pathogens, such as viruses. They are not for surgical use and are not considered personal protective equipment.
  • Surgical masks are fluid-resistant, disposable, and loose-fitting devices that create a physical barrier between the mouth and nose of the wearer and the immediate environment. They are for use in surgical settings and do not provide full protection from inhalation of airborne pathogens, such as viruses.

What Is the Difference Between A Surgical N95 Respirators and A Surgical Mask?

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As stated above a surgical mask is a loose-fitting, disposable device that creates a physical barrier between the mouth and nose of the wearer and potential contaminants in the immediate environment. These are often referred to as face masks, although not all face masks are regulated as surgical masks. Note that the edges of the mask are not designed to form a seal around the nose and mouth.

An N95 respirator is a respiratory protective device designed to achieve a very close facial fit and very efficient filtration of airborne particles. Note that the edges of the respirator are designed to form a seal around the nose and mouth. Surgical N95 Respirators are commonly used in healthcare settings and are a subset of N95 Filtering Facepiece Respirators (FFRs), often referred to as N95s.

The similarities among surgical masks and surgical N95s are:

  • They are tested for fluid resistance, filtration efficiency (particulate filtration efficiency and bacterial filtration efficiency), flammability and biocompatibility.
  • They should not be shared or reused.

N95 Respirators Not for Use by The General Public

The Centers for Disease Control and Prevention (CDC) does not recommend that the general public wear N95 respirators to protect themselves from respiratory diseases, including coronavirus (COVID-19).

Those are critical supplies that must continue to be reserved for health care workers and other medical first responders, as recommended by current CDC guidance.

CDC Recommends Cloth Face Coverings for Use by The General Public

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A cloth mask is worn by the public and limits the spread of germs. For individuals who are not displaying symptoms, a cloth mask is the standard protection for use in any encounter to slow the spread of diseases like COVID-19.

The CDC currently recommends wearing cloth masks in any public setting, while maintaining social distancing, and specifically in situations where safe social distancing is difficult to maintain.

  • These masks are not a replacement for the N95 mask or KN95 mask.
  • Wash after each use.
  • Covers the mouth and nose to reduce the spread of germs from coughing, talking, and sneezing.
  • Not a medical grade mask.

The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, the CDC always recommends everyday preventive actions, such as hand washing and maintaining at least 6 feet of social distancing, to help prevent the spread of respiratory diseases. For more information, see the FDA and CDC websites.

Don’t know where to buy surgical masks or KN95 masks? Don’t panic, check here. They are available from Cheapomeds.com, which is a Canadian International Pharmacy Association or CIPA certified pharmacy.

Reference:

  • fda.gov
  • 3m.com
  • Cdc.gov

 

 

This article contains medical information provided to help you better understand this 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 diagnosis or recommendation for treatment of your 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).

As we continue to deal with the evolving COVID-19 situation, medical recommendations are constantly changing.

Generally, when oxygen saturation levels drop below 90%, people feel like they are struggling to breathe. COVID pneumonia, however, does not seem to severely affect our ability to exhale carbon dioxide (CO2), so these patients would not have felt short of breath without a buildup of carbon dioxide.

Doctors still are not sure why some people get so much sicker than others. Some doctors have said that it might be a good idea to keep a pulse oximeter on hand in case you start developing any symptoms. Although some doctors are suggesting to buy a pulse oximeter, other doctors aren’t in agreement on whether a pulse oximeter is a necessary investment.

Do I Need to get a Pulse Oximeter?

While pulse oximeters are by no means a necessity for the average healthy person—though some doctors may suggest them to those with preexisting breathing issues like asthma, COPD, or other lung diseases—they may be helpful during the COVID-19 pandemic.

Here’s what you need to know if you’re interested in investing in a pulse oximeter.

How the Silent Killer Sneaks Up

Some people with the novel coronavirus have alarmingly low levels of blood oxygen and they don’t have a clue that their life is in danger. They don’t appear to have any major trouble breathing, so they don’t realize how dire their situation actually is.

Clinicians have been fighting COVID-19 wrong, says an emergency medicine physician who has been on the front line of the COVID-19 surge in New York City. “Everybody’s coming in too late.”

Richard Levitan, MD, spent 10 days in early April working at Manhattan’s Bellevue Hospital Center at the height of the COVID-19 surge.

Dr. Levitan refers to this hard-to-detect type of oxygen deprivation (or hypoxia) as a silent killer. After observing patients during a 10-day volunteering stint in the ER at Bellevue Hospital in Manhattan, he wrote about this aspect of the virus in an opinion piece in The New York Times.

According to Levitan, he and other doctors are seeing many coronavirus patients who are breathing fairly well when they check in to the hospital, but upon examination it’s clear they have pneumonia and their lungs are failing to sufficiently oxygenate their blood.

How a Pulse Oximeter May Help

For those who suspect or know they have COVID-19, Levitan suggests that a pulse oximeter may be a way to catch a drop in blood oxygen before it poses a severe health hazard.

 

The small electronic device, which clips onto a finger, measures the saturation of oxygen carried in the red blood cells. The gadget works by passing beams of light through the blood in the finger and calculating oxygen saturation based on the light absorption.

A pulse oximeter is a very easy gadget to use. It’s not costly or invasive. Within 10 to 15 seconds, you’ll get an oxygen saturation reading. If it plummets below 90, you may need supplemental oxygen.

Most pharmacies and drugstores sell oximeters, ranging in price from about $25 to $60.

Weighing the Benefits and Risks of Pulse Oximeter Use

On April 30, the American Lung Association released a statement cautioning that the pulse oximeter is not a substitute for talking to a healthcare provider and watching for the early COVID-19 symptoms established by the CDC.

Both Levitan and Horovitz advise seeking a doctor’s advice if a few readings are consistently in the low range.

The good news: Sometimes a good pulse oximetry reading can be a relief if you are feeling lousy with a COVID-19 diagnosis, to show you aren’t getting any worse.

Where can you get a pulse oximeter?

That’s the million-dollar question right now. Because they’re so in-demand, pulse oximeters, which are normally bought online, at drug stores, or via medical device suppliers, can be hard to find right now.

Your current best bet is to check out online pharmacy canadadrugstore.com or other websites for available pulse oximeters.

Pulse oximeters can be very useful tools when they are used correctly. This means an FDA-approved or Health Canada-approved device being used according to instructions from the manufacturer or a medical professional. Using a bad pulse oximeter can lead to faulty readings and misinterpreted results.

ChoiceMMed Pulse Oximeter 

Over-the-Counter Product

Product of Canada – Manufactured by THERMOR LTD

Features:

Includes:

 

Reference

During the COVID-19 pandemic, our world has seen supply shortages of many items. Even though most of these items are now being replenished and restocked on shelves, there still seems to be a shortage of masks.

As more health concerns continue in our communities, it has become more common to see people in masks. The problem is that our health care workers are in critical need of surgical masks, to complete their daily jobs. Yet, they are struggling to find the masks that are required.

One of the main causes of this issue is the average person who wants to wear a mask is turning to the surgical, medical-grade masks that should really be saved for our health care heroes.

But if we aren’t buying the medical-grade masks, what is the best mask to buy?

Our Solution

As our employees at Jason’s Canadadrugstore and our Canadian mail order pharmacy partner are considered essential workers we too have been struggling with this question, and many others as well.

To ensure our employees can continue to help our customers with their prescription ordering needs, we knew we needed to have their health and safety as the top priority.

In our call center we ensure all our employees are using social distancing practices. When they are unable to sit apart from one another, the employees wear masks. We also have sent workers who can work remotely, home to do so and ensure all high touch surfaces are sanitized properly.

Our pharmacy has been run no different. All pharmacists and employees handling packages must wear masks and gloves when completing orders and have been maintaining a clean and sanitized work environment.

As we are doing our part for keeping our workers and customers safe and healthy, we’ve run into the same obstacles that others have. What are the best masks to provide to our employees? After trying a few different options, we have decided to go with a Canadian company that is based in Toronto.

Take Care Supply

Take Care Supply has found an evidence-based reusable mask for non-health care workers who are simply needing an extra layer of protection through their daily lives. The company has found that its fabric masks, enhanced with an additional layer of filtration can drastically improve raspatory protection.

The 100% cotton material has a pouch to insert a filter into. With the filter, the masks are ranked at up to 74% effective against 1-micron particles and 70% against 0.02-micron.

The main suggestion from the company is to use a dried baby wipe as the filter. Using a tightly woven material is best when choosing a filter but ensuring that the masks remain breathable is crucial. Many people wearing hard to breath in masks raise the risk of unwanted face touching and mask adjustments.

These masks also feature a strap to secure the mask behind the wearers head, which help reduce the fatigue that wearers have been experiencing on their ears from other alternatives.

Take Care Supply’s masks are made to order, and you can buy them through their website by clicking here.

The COVID-19 pandemic arrived swiftly and found many countries unprepared. The supply chain for medical masks is concentrated in China and with the origin of the outbreak occurring there, it has resulted in factory closures and critical shortages.

Medical face masks help filter out large particles in the air and help reduce the exposure from saliva and other respiratory secretions from the mask wearer. Medical masks are recommended to use as protection but have been in short supply. Face shields, which can be quickly and affordably produced and distributed, should also be included as part of strategies to safely and significantly reduce transmission in the community setting. Now is the time for the adoption of this practical intervention.

For face shields to be the most effective in stopping the viral spread of COVID-19, the shield should extend below the chin, cover the ears and there should be no gap between the shield and the wearer’s forehead.

Here are some reasons you may want to consider trading your mask in for a clear shield. Although the best solution is to use the two together.

Reference:

The coronavirus pandemic is not over. Many states have now begun to reopen their economies. More businesses and workplaces are being allowed to operate by following proper health and safety guidelines.

Reopening requires all of us to move forward together by practicing social distancing and other daily habits to reduce our risk of exposure to the virus that causes COVID-19.

The CDC updated a cleaning and disinfecting guide that includes proper cleaning materials and how to determine areas that need cleaning. For more information, see the CDC’s website.

An article from The Perry Post shared some helpful information on the difference between cleaning, sanitizing, and disinfecting.

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Cleaning, Sanitizing, Disinfecting: What’s the Difference?

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Remove Germs, Dirt, and Impurities by CLEANING.

With a standard cleaning product, you are physically removing the dirt and germs from surfaces, but you’re not necessarily killing them. However, simply by removing them, you’re lowering their numbers, and thus reducing the risk of spreading the infection.

Products like Windex and “All-Purpose Cleaners” fall under this category.

Lowering the Number of Germs to a Safe Level by SANITIZING

This is a step beyond cleaning. Sanitizing surfaces will kill a greater amount of the bacteria and is required for any surface that comes into contact with food.

The CDC explains that “a sanitizer is a chemical that kills 99.999% of the specific test bacteria in 30 seconds under the conditions of the test.” Therefore, while sanitizers can kill the majority of certain kinds of bacteria, sanitization products and techniques alone cannot eliminate all viruses.

Purell Hand Sanitizer is an example of this type of product. Many restaurants use ‘sanitizers’ to clean dishes, as opposed to a harsh disinfecting chemical.

DISINFECTING Kills Germs by Using Chemicals

Disinfecting is a stronger decontamination method than sanitizating or cleaning alone, this is because of its ability to destroy the pathogens.

Disinfectants are products that destroy all organisms in 10 minutes during the AOAC Use Dilution Test, a test regulated by the EPA to determine the efficiency of disinfectants.

In places where disinfecting is required, such as a medical facility, it’s more important to kill ALL germs, even if it takes longer, than it is to kill MOST of the germs quickly.

Safer Disinfectant Options

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Which Option Should I Consider? Sanitize or Disinfect?

Before you do either, you should always clean visible debris from the surface. Be sure to follow all manufacturer directions for any product you use, including any rinses that may be required.

Sanitizing is appropriate for food contact surface sanitizing,or on toys that children may place in their mouths.

Disinfecting is appropriate for use on high-touch, non-porous surfaces such as counter tops, door and cabinet handles, toilets, and restroom sinks.

University of Washington Department of Environmental & Occupational Health Sciences made a fact sheet which provides best practices for cleaning, sanitizing and disinfecting surfaces to prevent the spread of disease while minimizing harmful chemical exposures.

Best Practices for Safe and Effective Cleaning and Disinfecting

  1. Develop a Plan

Develop and maintain a set of written standard operating procedures and criteria for when to clean, sanitize or disinfect. This should include schedules for routine cleaning operations and activities to be performed periodically.

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These surfaces include workstations, counter tops, light switches, railings, doorknobs, and equipment (such as steering wheels and machinery). Use the cleaning agents that are regularly used in these areas, following directions on the label. Select products with Safer Choice, Green Seal or Ecologo labels. Use a clean surface of the cloth to prevent cross contamination. Alcohol wipes can be used on electronics.

If you determine disinfection is necessary, use products registered by the U.S. Environmental Protection Agency (EPA) on the List N: Disinfectants for Use Against SARS CoV-2, the virus that causes COVID-19:

Look for DfE (Designed for the Environment) products – the Responsible Purchasing Network has made it easy for you! If none are available, look for products containing the safer active ingredients mentioned above.

Avoid sodium hypochlorite (bleach) and quaternary ammonium compounds, if possible; these ingredients can cause asthma. Let disinfectants stay glistening wet on the surface or air dry for the right dwell or contact time on the product’s label instructions. Otherwise, resistant germs will remain and grow, which can lead to “superbugs.”

Remember, employers must ensure workers are trained on the hazards of the cleaning chemicals used in the workplace in accordance with OSHA’s Hazard Communication Standard (29 CFR 1910.1200). People need to know the right way to use the products and know the symptoms of possible harm. Protective equipment — including gloves — needs to be appropriate for the product. If information isn’t on the safety data sheet, call the manufacturer for specific glove materials, or ask an occupational health specialist.

Use accepted best practices and technology for cleaning. For example, perform restroom cleaning from high to low, toward the doorway, and ensure dry cleaning tasks performed prior to wet cleaning tasks.

Evaluate the plan. Get feedback from people using the products and from those in the spaces where they are used.

The CDC also recommends developing and implementing policies and procedures for workforce “contact tracing,” which involves identifying who may have been exposed to employees with suspected or confirmed COVID-19 during the infectious period.

As a result, other employees and third parties (customers, vendors, contractors and others) may need to be notified that they have potentially been exposed to the virus.

Reference:

  1. University of Washington Department of Environmental & Occupational Health Sciences Continuing Education Programs. Safer Cleaning, Sanitizing and Disinfecting Strategies to Reduce and Prevent COVID-19 Transmission
  2. The Perry Post. What’s the Difference Between Cleaning, Sanitizing, and Disinfecting?

On December 23, 2019, the U.S. Food and Drug Administration approved two applications for the first generics of Eliquis (Apixaban) tablets. Eliquis helps reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation.

What is Eliquis?

Eliquis is the brand name of Apixaban, which is a blood thinner. It works by blocking a clotting protein called Factor Xa, which is one of several clotting factors in our blood.

It was originally approved by the FDA in 2012 to be manufactured by Bristol-Myers Squibb and marketed by Pfizer.

Apixaban was the third direct oral anticoagulants – following dabigatran (Pradaxa; Boehringer Ingelheim) in 2010 and rivaroxaban (Xarelto; Bayer/Janssen) in 2011 – to gain approval in the United States. Edoxaban (Savaysa; Daiichi Sankyo) followed by entering the market in 2015.

What does Eliquis Treat?

Apixaban is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacement surgery.

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Additionally, apixaban is indicated for the treatment of DVT and PE and to reduce the risk of recurring DVT and PE following initial therapy.

Eliquis vs Coumadin (Warfarin)

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Direct oral anticoagulants like Eliquis have largely replaced a drug called Coumadin (warfarin), another anticoagulant that has been used for over 60 years for the treatment of blood clots.

People taking Warfarin have dietary restrictions and must be aware that medications and supplements may interact negatively with warfarin compared to Eliquis. Warfarin also requires regular blood testing to make sure it’s working properly. Whereas patients taking Eliquis do not need repeated blood testing, making the treatment accessible to more people.

However, there is a large differences between Eliquis and Warfarin when it comes to the cost of the medication. Warfarin has been available as a generic in the U.S. for more than 2 decades. The average retail cost for the most common prescription of Warfarin is $24, while the average retail cost of Eliquis is $535 for the most common prescription.

Why is Generic Eliquis a Better Alternative?

In short, brand-name Eliquis can be an expensive medication, but it’s potentially safer and requires fewer lifestyle restrictions compared to similar medications.

A cheaper, generic version of Eliquis could mean that people will be able to have easier access to the medication.

Warfarin and Eliquis both raise the risk of bleeding and bruising. However, during research, Eliquis has been shown to have up to a 58% lower risk of bleeding in or around the brain — which can be life-threatening – and takes effect within a couple of hours.

How Much Will Generic Eliquis Cost?

It is unclear at this time how much generic Eliquis will cost in the USA. However, generic medications are typically 80% to 85% cheaper than brand-name medications. Generic Eliquis is available on Cheapomeds.com.

Reference:

As of March, 2019, it is estimated that approximately 1.1 million people in the United States are living with HIV according to the Centers for Disease Control and Prevention (CDC).

What are HIV and AIDS?

HIV stands for human immunodeficiency virus.  It is a virus the body cannot fight, even with treatment, so once it is acquired it is for life.   Without treatment, this virus may lead to AIDS, or acquired immunodeficiency syndrome.

Your immune system’s white blood cells work constantly to fight off infections and disease.  The HIV virus targets and attacks a type of white blood cells called T cells or CD4 cells. When the number of T cells in your body is reduced you are less able to fight infections and infection-related cancers.  When the patient’s body can no longer fight off these infections, called opportunistic infections, patient has AIDS.

There are three stages of HIV infection:

Stage 1: Acute HIV infection

Some people develop flu-like symptoms, including a sore throat, rash, swollen glands, muscle pains and headache within 2-4 weeks after being infected with HIV.  This response to the HIV infection by the body is called “acute retroviral syndrome” (ARS).  During this stage the virus is rapidly reproducing, using the CD4 cells to replicate while it destroys them at the same time.   It is important to note that it is at this stage when the risk of HIV transmission is very high because of the high level of HIV in the bloodstream. Starting treatment at this stage is most beneficial.

Stage 2: Clinical Latency Stage

During this stage, also known as asymptomatic HIV infection or chronic HIV infection stage, the HIV virus is reproducing very slowly and the patient may not feel any symptoms.  Patients taking ART at this stage may never develop AIDS because the treatment may keep the virus level very low.  Patients not taking treatment usually may stay in this clinical latency stage for an average of 10 years.  Still, some patients may progress faster or slower than others.

Stage 3: AIDS

When the immune system becomes weakened, the body is then vulnerable to opportunistic infections.  Regardless of CD4 count, if you develop more than one opportunistic illness you have progressed to AIDS.

Healthy immune system: CD4 counts are between 500-1,600 cells/mm3.

AIDS: CD4 counts are below 200 cells/mm3

Sadly, no cure for HIV/AIDS exists, however there are medications that can control HIV.  The medication used is called antiretroviral therapy (ART).  Modern medicine has been truly remarkable in the development of these medications.  Today someone with HIV who is treated and who takes their medication on a regular basis before the disease is too far advanced may actually live a long life.

HAART – HIV Treatment Overview

Today, highly active antiretroviral therapy (HAART) is the standard of treatment for HIV infection. HAART refers to any HIV treatment that uses a combination of two or more drugs.  It was introduced back in 1996 as a response to poor success rates in patients taking only one HIV medication at a time. HIV positive patients take HAART, also called an HIV treatment regime, daily.   

The goals of HAART include

For more information on HIV treatment visit this Understanding HIV/AIDS fact sheet:

ART cannot cure HIV, but the medicines can help people who have HIV live healthier and longer lives than ever before, and also help reduce the risk of transmission.

The following ART medications are available on the CanadaOnlineHealth.ca website:

Additional resources:

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Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

The do-it-yourself practice of pill splitting – literally cutting them in half – has become a popular way to save on prescription medication costs, but you need to talk to your doctor or pharmacist first because not all pills can be split.

Why split tablets?

The reason pill splitting is such a money saver is because of a quirk in the way drugs are manufactured and priced. A pill that’s twice as strong as another may not be twice the price. In fact, it’s usually about the same price.

So, buying a double-strength dose and cutting it in half may allow you to get two months worth of medicine for the price of one.

For example: say you take 10 milligrams (mg) of a cholesterol-lowering drug every day, but the 20 mg tablet costs just about the same. If you buy the 20 mg tablets, cut them in half, and then take only one-half (now equal to 10 mg), you can double your buying power.

But, is it safe?

As long as your doctor or pharmacist agrees that splitting your pills is okay for you, you learn how to do it properly, and you split only pills that can be split, there’s really no danger.

  1. FDA approval. If the FDA has approved a drug for splitting, it will usually be printed on the package insert.
  2. Thumbs up from your doctor or pharmacist. Before splitting any pill, talk it over with your doctor or pharmacist.
  3. Scored down the middle. Scored pills are easier to split evenly. But a line down the middle doesn’t always mean it’s safe to split. Check with your doctor or pharmacist, or look for the FDA approval.

Ask your doctor or pharmacist

If you’re interested in splitting your pills, talk to your doctor or pharmacist to find out if any of the medicines you use can be safely split.

It’s also important to find out whether splitting them will save you enough money to justify the hassle.

The pills that are easiest to split are those with a score down the middle. However, not every pill that’s scored is meant to be split.

Medications that can usually be split in half

Remember: always check with your healthcare provider to be sure tablet splitting a safe choice for you.

Pills that are most commonly split include: Cholesterol lowering drugs, Antidepressants, High blood pressure medicines and Erectile Dysfunction pills

Don’t split these

Some pills should never be split.

Drugs that are time-released or long-lasting and tablets that contain a combination of drugs probably shouldn’t be split, because it’s difficult to ensure a proper amount of active ingredient in each half.

Pills with a coating to protect your stomach and pills that crumble easily or irritate your mouth shouldn’t be split either, along with chemotherapy drugs, anti-seizure medicines, birth control pills and capsules containing powders or gels.

A small or uneven shape: Some pills are just too difficult to split evenly.

Use a splitter

Having the right equipment is very important, too. Don’t use a knife or scissors to cut your pills in half. It can cause you to split them unevenly, resulting in two pieces with very different dosages, which can be dangerous.

Purchase a proper pill cutter that has a cover and a V-shaped pill grip that holds the pill securely in place.

For convenience, you might be tempted to split the whole bottle of pills at once.

But, it’s best to do the splitting on the day you take the first half, and then take the other half whenever you are scheduled to take your next dose. That will help keep the drugs from deteriorating due to exposure to heat, moisture or air.

It’s also important to know that pills are only safely split in half and very rarely into smaller portions, such as into thirds or quarters.  Talk to your doctor or pharmacist.

Keep it clean.

Always wash your hands first. Wash the pill splitter thoroughly after you’ve done your splitting.

Want to save more?

It is important to remember that pill splitting is not the only way to save money on prescription medications.

Comparing prices across pharmacies and using free prescription discount programs are also highly effective ways to dramatically reduce how much your family spends on medications.

There are plenty of Canadian International Pharmacy Association (CIPA) certified online pharmacies such as Canadadrugstore.com that can provide safety and affordable medications from trusted sources around the world.

Each CIPA pharmacy member is licensed and regulated by the government for safety. CIPA sells prescription drugs made by the leading name-brand manufacturers at prices up to 80 percent less than U.S.

This article is sponsored by Canadadrugstore. If you have questions about your prescription medications or any other medication, please contact our team at Canadadrugstore.com by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

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 diagnosis 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).

Reference

Yoga is a mind-body practice that has been around for thousands of years and is considered a practice, an exercise, and also a complementary and integrative approach to healthy living.  Yoga combines breathing exercises, meditation and poses, and lifestyle changes for overall good health.

The gentle bending, the stretching, and the breathing.  It all seems very peaceful and relaxing, but can yoga have an actual impact on our overall health?   According to the American Osteopathic Association , the answer is yes!

Dr. Natalie Nevins, DO, is a board-certified osteopathic family physician and certified Kundalini Yoga instructor who states on AOA website “As an osteopathic physician, I focus a lot of my efforts on preventive medicine and practices, and in the body’s ability to heal itself. Yoga is a great tool for staying healthy because it’s based on similar principles.”

So what can yoga do to help your body?  According to the AOA, some of the benefits of yoga include more than the obvious improvements in flexibility.  A few of the other benefits also include:

Can Yoga help reduce stress symptoms?

Hatha yoga is one of the most common types of yoga used to help manage stress.  The slow and gentle movements combined with focused breathing work well to help calm the practitioner both physically and mentally during a yoga session.

Hatha Yoga involves three elements:

These three elements help our bodies and our minds dial back our responses to stressors.  According to a report published by Harvard Medical School “Introduction to Yoga”, studies have shown that people who do yoga use 43% fewer medical services.  They also state that yoga can help reduce symptoms of depression and chronic pain, and also lower your risk of falling by improving your balance.

In a study published by the US National Library of Medicine National Institutes of Health   130 individuals experiencing mild to moderate stress levels were asked to do ten weekly 1-hour sessions of Hatha yoga or relaxation.  At the end of the 10 weeks, the results showed that yoga was as effective as relaxation – with the conclusion that “yoga appears to provide a comparable improvement in stress, anxiety and health status compared to relaxation.”

How to get started with Yoga

There are several kinds of yoga and most cities have some form of health centre or spa where yoga classes are offered. In fact, check with your local YMCA to see if there are yoga workshops you can attend.  Take a class, speak to the instructor, and do what works for your body. Take your time, don’t try to do advanced yoga if you’ve been sedentary for a long time, and of course, for your safety, speak to your doctor before attempting this or any new exercise program.


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Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

Bristol-Myers Squibb announced that the sale and distribution of all strengths of Coumadin (Warfarin Sodium) tablets will be discontinued in the United States, Canada, Latin America, and Saudi Arabia, due to an unexpected manufacturing issue. It will begin on June 1, 2020 . Original source: https://www.bms.com/assets/bms/ca/documents/productmonograph/CANADA-Coumadin-deletion_D-HCP-Communication_FINAL_EN_04.23.2020.pdf

COUMADIN (warfarin sodium) is a prescription medication that interferes with normal blood clotting (coagulation). It is also called an anticoagulant.

Millions of people depend on anticoagulants – also known as “blood thinners” – to prevent life-threatening blood clots. While these medications do not actually “thin” the blood, they do slow the body’s ability to form dangerous blood clots, such as blood clots in the arms or legs (deep vein thrombosis or DVT) and blood clots in the lungs (pulmonary embolism or PE).

Stopping blood thinners can increase your risk for blood clots, due to the underlying risk factor(s) for which your blood thinner was originally prescribed. These bleeding and clotting risks can be complicated for your healthcare providers to manage.

For patients currently using Coumadin® (warfarin sodium) tablets, healthcare providers will be required to consider alternatives. Prescribing an alternate product is the clinical decision of the healthcare professional in consultation with the patient.

The generic version of Coumadin® is one option. Even though generic warfarin and brand name Coumadin® are considered interchangeable, your health care provider may want you to have your levels checked when making a change like this. Therefore, it is important to have this discussion with your healthcare team.

In Canada, therapeutic alternatives, including generics, are available. Please check the following information.

Generic Product

Brand name in the US: Coumadin

Generic name: Warfarin Sodium

Product of Canada – Manufactured by various generic manufacturers

Strengths: 1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7mg, 7.5mg, 10mg

Dosage form: Tablet

Paragraph
This article is sponsored by CanadaDrugstore. If you have questions about your prescription medications or any other medication, please contact our team at CanadaDrugstore by calling toll free 1-800-991-0282. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

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 diagnosis 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).

Reference:

bms.com
stoptheclot.org

With many Canadians isolating at home and shopping more online, Canada Post is now processing and delivering parcels at levels only experienced during the busiest weeks of the Christmas season. We are working hard to respond in a responsible manner, putting the safety of our people, and the communities we serve, first.

Click here and read the entire article

Wixela® Inhub® is the generic version of ADVAIR® DISKUS® (fluticasone propionate and salmeterol inhalation powder) for appropriate patients with asthma or COPD.

 

What Medication is used for?

Wixela® Inhub® contains the same active ingredients as ADVAIR® DISKUS® that have been shown to both control symptoms in asthma patients ages 4 and over and improve lung function in COPD patients.

 

Asthma

Wixela® Inhub®  (fluticasone propionate/salmeterol) is a combination of an inhaled corticosteroid (ICS) and a long-acting beta2-adrenergic agonist (LABA) indicated for the maintenance treatment of asthma, in patients with reversible obstructive airways disease.

Wixela® Inhub® should be prescribed for patients not adequately controlled on a long-term asthma control medication, such as an ICS, or whose disease severity clearly warrants treatment with both an ICS and a LABA.

 

Chronic Obstructive Pulmonary Disease (COPD)

Wixela® Inhub® 250 mcg/50 mcg and Wixela® Inhub® 500 mcg/50 mcg are indicated for the maintenance treatment of COPD, including emphysema and chronic bronchitis, in patients where the use of a combination product is considered appropriate.

 

Dosing Strengths


Available in the same 3 dosage strengths as ADVAIR® DISKUS®.

 

How to use?

Wixela® Inhub® was designed with patients in mind to help you start a new therapy or make a seamless transition from ADVAIR® DISKUS®.


The steps for using Wixela® Inhub® are similar to those for ADVAIR® DISKUS®.

Relevant warnings and precautions

Wixela Inhub is not for the treatment of acute asthma attacks or sudden increase of breathlessness and wheezing in COPD. If you get a sudden attack of wheezing and breathlessness between your doses of Wixela Inhub, you should use your fast acting ‘reliever’ medicine, such as salbutamol which your doctor has prescribed to you. Use the medication as directed by your doctor.

You may need to also take steroid tablets or syrup during a severe asthma attack, during other illnesses or during times of stress. Your doctor may give you some steroid tablets or syrup to carry with you as well as a steroid warning card, which will give you advice on when and how to use them.

Before and while you use Wixela Inhub talk to your doctor or pharmacist if some situations apply to you so that they can determine whether you should start or continue taking this medication.

 

Reference:

 

What is potassium chloride?

Potassium is a mineral that is found in many foods and is needed for several functions of your body, especially the beating of your heart.

Potassium chloride is used to prevent or to treat low blood levels of potassium (hypokalemia).

Important information

Dosage and strength comparisons (mg vs mEq)

Potassium chloride comes as oral liquid, powder, granules, effervescent tablets, regular tablets, extended-release tablets, and extended-release capsules.

Micro-K® Extencaps® capsules (potassium chloride extended-release) and Micro-K® 10 Extencaps® capsules are oral dosage forms of microencapsulated potassium chloride containing 600 and 750 mg, respectively, of potassium chloride USP equivalent to 8 and 10 mEq of potassium.

Adult Dosing

Pediatric Dosing

How to use interchangeable products?

Administration and Monitoring

If serum potassium concentration is <2.5 mEq/L, use intravenous potassium instead of oral supplementation.

Monitoring

Potassium Chloride supplements in Canada

NAME in Canada: Micro-K 8 Extencaps

DOSAGE: Capsule, extended release

STRENGTH: 600mg

Equivalent to mEq: 8 meq

ROUTE: Oral

 

NAME in Canada: Potassium K-8

DOSAGE: Tablet

STRENGTH: 600mg

Equivalent to mEq: 8 meq

ROUTE: Oral

 

NAME in Canada: Slow K8

DOSAGE: Tablet, extended release

STRENGTH: 600mg

Equivalent to mEq: 8 meq

ROUTE: Oral

 

NAME in Canada: Potassium Chloride

DOSAGE: Solution

STRENGTH: 20meq/15mL

Equivalent to mEq: 20 meq

ROUTE: Oral

 

NAME in Canada: Potassium K-20

DOSAGE: Tablet, extended release

STRENGTH: 1500mg

Equivalent to mEq: 20 meq

ROUTE: Oral

 

Monitor serum potassium and adjust dosages accordingly. For treatment of hypokalemia, monitor potassium levels daily or more often depending on the severity of hypokalemia until they return to normal. Monitor potassium levels monthly to biannually for maintenance or prophylaxis.

The treatment of potassium depletion, particularly in the presence of cardiac disease, renal disease, or acidosis requires careful attention to acid-base balance, volume status, electrolytes, including magnesium, sodium, chloride, phosphate, and calcium, electrocardiograms and the clinical status of the patient. Correct volume status, acid-base balance and electrolyte deficits as appropriate.

Administration

Dilute the potassium chloride for oral solution with at least 4 ounces of cold. Take with meals or immediately after eating.

If you have questions about your prescription medications or any other medication, please contact our team at CheapoMeds by calling toll free 1-800-721-7045. One of our patient representatives will be happy to assist you or transfer you to a licensed Canadian pharmacist for a free consultation.

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 diagnosis 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).

Reference:

  1. com
  2. fda.gov
  3. ca

Because of poor survivability of these coronaviruses on surfaces, there is likely a very low risk of spread from products or packaging that are shipped over a period of days or weeks at ambient temperatures. Coronaviruses are generally thought to be spread most often by respiratory droplets. Currently, there is no evidence to support the transmission of COVID-19 associated with imported goods and there have not been any cases of COVID-19 in the United States associated with imported goods. Information will be provided on the Coronavirus Disease 2019 (COVID-19) website as it becomes available.

Source: https://www.cdc.gov/coronavirus/2019-ncov/faq.html

Metformin is a popular medication for diabetes. In fact, the American Diabetes Association (ADA) recommends it as a first-choice treatment for people with type 2 diabetes. You have options when it comes to metformin, though. First, metformin is available in 2 forms: immediate-release(IR) and extended-release(ER). Second, the ER form is available under 3 brand names, each with their own generic versions due to the differences in the way they are released. All these products release the active ingredient (metformin) slowly over time, but via different mechanisms and have slightly different pharmacokinetic profiles (e.g. rate and extent of absorption).
Is Glucophage XR, Glumetza, or Fortamet more effective for diabetes? Extended-release metformin products are thought to have an advantage over immediate-release ones in terms of their side effect profile since the active ingredient (metformin) is released over time instead of all at once. Not only do they have a lower incidence of nausea, diarrhea, stomach cramping and vomiting than immediate-release tablets, but studies also show that they are taken more consistently by patients (i.e. better adherence), which presumably would lead to better blood sugar control. How do Glucophage XR, Glumetza, and Fortamet work? Glucophage XR tablets utilize a ‘dual hydrophilic polymer system’. These tablets swell when they come into contact with gastric juices and form a gel layer. Metformin is then slowly released via diffusion through this newly-formed gel matrix. Peak drug concentrations in clinical trials are reached about 7 hours after dosing. It should be taken with food to increase overall absorption. Fortamet tablets utilize ‘single-composition osmotic technology (SCOT)’. Osmotic technology tablets utilize osmotic pressure to release a drug at a consistent rate over time. The tablet has a small opening on one end where water enters, causing the drug layer in the tablet to dissolve. The entering water also increases the osmotic pressure, and the drug is pumped out the tablet opening at a constant rate. Peak drug concentrations are reached approximately 6 hours after dosing and like Glucophage XR, it should be taken with food. Glumetza tablets use gastric-retentive technology, which protects them from dissolving in the stomach. These tablets release metformin after being emptied from the stomach, in the upper gastrointestinal tract.
Peak concentrations are reached around 7 hours after dosing and are recommended to be taken after a meal for best absorption. Dosing Brand-name metformin ER medications (and their corresponding generics) are available in the following strengths: Dosing for metformin will depend on how you respond to it. Because metformin can cause significant stomach problems (e.g., diarrhea, nausea, gas) Choosing an Extended-Release Metformin In terms of which extended-release metformin products is best, again, there are no comparative studies. The choice will likely depend on the following: We could certainly go through the clinical trials for each drug to see how they affected certain values like blood glucose and HbA1C, however, picking information from trials that aren’t under identical conditions does not lead to an accurate comparison. For example, patient characteristics (e.g. gender, length of time with diabetes) doses used, how doses were adjusted, concurrent medications and length of therapy are all different in clinical trials for each extended-release drug. In trials, all three drugs did show statistically significant decreases in fasting blood glucose, HbA1c, and body weight but, as discussed above, we can’t make a definitive determination on which is ‘better.’ Note: These 3 drugs are not interchangeable at the pharmacy. If your doctor writes you a prescription for Glumetza, for example, you can’t ask your pharmacist for Glucophage XR instead. If you want a specific brand, you will need to ask your doctor for that specific prescription. However, if you are prescribed one of these brands, you can ask your pharmacist to give you its generic version instead. Reference:
  1. pharmacistanswers.com
  2. goodrx.com

The same medications sold in the U.S. are sometimes nine times less expensive in Canada and other countries.

Millions of Americans import lower-cost medication by traveling to Canada and Mexico and by ordering from international online pharmacies.

The safest international pharmacy options should not be the target of enforcement actions, as they offer a lifeline of affordable medication.

In 2016, Gabriel Levitt, founder of Prescription Justice, a non-profit organization dedicated to providing relief and protection for American patients who are struggling to afford medication, wrote a CircleID article, “Protecting Online Access to Safe and Affordable Medication.”

The editorial described how drug companies strategically extend their regulatory capture of U.S. laws to the internet to the detriment of patients who need more affordable medicines. It is a call to action.  Medication should be affordable for all who need it.

For more story, please visit page on CircleID.

Reference:

Apotex announced the launch of Apo-Prucalopride 1 mg & 2 mg tablets, the first generic alternative to Resotran in Canada.

Comparasion Motegrity

OrderApo-Prucalopride

Prucalopride

Prucalopride is a medication designed to treat chronic constipation – a health problem characterized by infrequent and difficult passage of stools over a prolonged period, along with a range of other distressing symptoms such as abdominal bloating, flatulence, and even vomiting.

Traditional treatment options for chronic constipation involve mostly diet and lifestyle changes and/or laxatives. 1

Brand name

USA: Motegrity Europe: Resolor Canada: Resotran

The medicine can only be obtained with a prescription.

Motegrity MOTEGRITY (prucalopride succinate – tablet;oral) Manufacturer: SHIRE DEV LLC Approval date: December 14, 2018 Strength(s): EQ 1MG BASE [RLD], EQ 2MG BASE [RLD]

The cost for Motegrity oral tablet 1 mg in the USA at the time this article was written is around $465 for a supply of 30 tablets, depending on the pharmacy you visit.

Prices are for cash paying customers and may not be valid with insurance plans.

Resotran

On December 7, 2011, Health Canada issued a Notice of Compliance to Janssen Inc. for the drug product, Resotran™.

Check the price for Resotran.

Resotran™ contains the medicinal ingredient prucalopride, as prucalopride succinate, which is an enterokinetic agent.

Resolor

Resolor was first approved in Europe in 2009 for symptomatic treatment of chronic constipation in women and in 2015 in men in whom laxatives fail to provide adequate relief.

Chronic idiopathic constipation (CIC) is a health condition in which a person experiences chronic symptoms of constipation, yet no visible cause can be identified through standard diagnostic testing.

The term idiopathic is used because it means there is no known cause.

While estimates vary, as many as 35 million adults in the U.S. may suffer from CIC.

People who are at higher risk include women, older individuals of all ages and genders, and those who have a lower socioeconomic status.

Symptoms

Photo source: globalsourcemedical.com

Signs and symptoms of chronic constipation include:

Many people who have CIC also report experiencing the following symptoms alongside the constipation:

Constipation may be considered chronic if you’ve experienced two or more of these symptoms for the last three months.

 

What factors may contribute to CIC?

There are several factors that may contribute to the development of CIC.

Fluid absorption

The colon may be absorbing too much fluid from the stool, or the muscles in the colon may be moving too slowly. This can cause the stool to become dry, hard, and difficult to pass.

Muscle contractions

The muscles of the colon may be contracting too slowly, which can reduce the movement of stool through the colon and cause infrequent stools.

Decreased urge

Some patients may have less sensitivity, which may reduce the urge to have a bowel movement. Other patients may have extra-sensitive nerves, which can cause discomfort.

Problems with the nerves around the colon and rectum

Neurological problems can affect the nerves that cause muscles in the colon and rectum to contract and move stool through the intestines. Causes include:

Difficulty with the muscles involved in elimination

Problems with the pelvic muscles involved in having a bowel movement may cause chronic constipation. These problems may include:

Conditions that affect hormones in the body

Hormones help balance fluids in your body. Diseases and conditions that upset the balance of hormones may lead to constipation, including:

Diagnosis

Source: mojdoktor.pro

If you suspect that you have CIC, your doctor will most likely do a physical exam and run some bloodwork in order to rule out other illnesses.

Other diagnostic tests may be recommended depending on your symptoms and medical history.

Your doctor will look for a systemic condition such as low thyroid (hypothyroidism) or high calcium levels.

An X-ray can help your doctor determine whether our intestines are blocked and whether there is stool present throughout the colon.

In this procedure, your doctor inserts a lighted, flexible tube into your anus to examine your rectum and the lower portion of your colon.

This diagnostic procedure allows your doctor to examine the entire colon with a flexible, camera-equipped tube.

In this procedure, your doctor inserts a narrow, flexible tube into your anus and rectum and then inflates a small balloon at the tip of the tube. The device is then pulled back through the sphincter muscle. This procedure allows your doctor to measure the coordination of the muscles you use to move your bowels.

Often used along with anorectal manometry, this test measures the amount of time it takes for you to push out a balloon that has been filled with water and placed in your rectum.

In this procedure, you may swallow a capsule that contains either a radiopaque marker or a wireless recording device. The progress of the capsule through your colon will be recorded over 24 to 48 hours and will be visible on X-rays.

In some cases, you may eat radiocarbon-activated food and a special camera will record its progress (scintigraphy). Your doctor will look for signs of intestinal muscle dysfunction and how well food moves through your colon.

During this procedure, your doctor inserts a soft paste made of barium into your rectum. You then pass the barium paste as you would stool. The barium shows up on X-rays and may reveal a prolapse or problems with muscle function and muscle coordination.

During this procedure, as in barium defecography, a doctor will insert contrast gel into your rectum. You then pass the gel. The MRI scanner can visualize and assess the function of the defecation muscles. This test also can diagnose problems that can cause constipation, such as rectocele or rectal prolapse.

CIC vs. Irritable Bowel Syndrome

Photo source: verywellhealth.com

Constipation-predominant irritable bowel syndrome (IBS-C) shares many of the same symptoms as CIC. And in fact, by definition, CIC is only diagnosed if the criteria for IBS has not been met.

The main difference between the two disorders is that the diagnostic criteria for IBS-C require that there be the experience of chronic pain associated with bowel movements.

In the real world, many doctors will tell their patients that they have IBS if they are experiencing chronic constipation without an identifiable cause, regardless of whether or not pain accompanies bowel movements.

Some researchers believe that the two disorders are not so distinct. Many people who have a diagnosis of CIC do experience abdominal pain and discomfort and there are many people who find themselves switching from one diagnosis to the other over time.

It is possible that the two disorders actually fall upon the same continuum. One important distinction between the two may be related to treatment, as people with IBS-C appear to be more likely than those with CIC to respond to treatment options that are effective for pain relief, while those with CIC appear to be more likely to respond to certain medications or treatments that target the functioning of the muscles of the large intestine.

Treatment

Treatment for chronic constipation usually begins with diet and lifestyle changes meant to increase the speed at which stool moves through your intestines.

If those changes don’t help, your doctor may recommend medications or surgery.

Photo source: verywellhealth.com

Diet and lifestyle changes

Your doctor may recommend the following changes to relieve your constipation:

Adding fiber to your diet increases the weight of your stool and speeds its passage through your intestines. Slowly begin to eat more fresh fruits and vegetables each day. Choose whole-grain breads and cereals.

Your doctor may recommend a specific number of grams of fiber to consume each day. In general, aim for 14 grams of fiber for every 1,000 calories in your daily diet.

A sudden increase in the amount of fiber you eat can cause bloating and gas, so start slowly and work your way up to your goal over a few weeks.

Physical activity increases muscle activity in your intestines. Try to fit in exercise most days of the week. If you do not already exercise, talk to your doctor about whether you are healthy enough to start an exercise program.

Take your time in the bathroom, allowing yourself enough time to have a bowel movement without distractions and without feeling rushed.

Photo source: stylecraze.com

Laxatives

Several types of laxatives exist. Each works somewhat differently to make it easier to have a bowel movement. The following are available over the counter:

Fiber supplements add bulk to your stool. Bulky stools are softer and easier to pass.

Fiber supplements include:

Stimulants cause your intestines to contract, including:

Photo source: pharmacychecker.com

Osmotic laxatives help stool move through the colon by increasing the secretion of fluid from the intestines and helping to stimulate bowel movements.

Examples include:

Lubricants such as mineral oil enable stool to move through your colon more easily.

Stool softeners moisten the stool by drawing water from the intestinessuch as:

Tap water enemas with or without soapsuds can be useful to soften stool and produce a bowel movement.

Glycerin or bisacodyl suppositories also aid in moving stool out of the body by providing lubrication and stimulation.

Other medications

Photo source: singlecare.com

If over-the-counter medications don’t help your chronic constipation, your doctor may recommend prescription medication, especially if you have irritable bowel syndrome.

A number of prescription medications are available to treat chronic constipation. They work by drawing water into your intestines and speeding up the movement of stool.

Prucalopride helps move stool through the colon. Such as:

Photo source: motegrityhcp.com

If constipation is caused by opioid pain medications, PAMORAs reverse the effect of opioids on the intestine to keep the bowel moving. Such as:

Training your pelvic muscles

Biofeedback training involves working with a therapist who uses devices to help you learn to relax and tighten the muscles in your pelvis.

Relaxing your pelvic floor muscles at the right time during defecation can help you pass stool more easily.

Photo source: singlecare.com

During a biofeedback session, a special tube (catheter) to measure muscle tension is inserted into your rectum. The therapist guides you through exercises to alternately relax and tighten your pelvic muscles.

A machine will gauge your muscle tension and use sounds or lights to help you understand when you’ve relaxed your muscles.

Surgery

Surgery may be an option if you have tried other treatments and your chronic constipation is caused by a blockage, rectocele or stricture.

For people who have tried other treatments without success and who have abnormally slow movement of stool through the colon, surgical removal of part of the colon may be an option.

Surgery to remove the entire colon is rarely necessary.

Reference:

https://www.mayoclinic.org/diseases-conditions/constipation/

https://www.mayoclinicproceedings.org/article/S0025-6196(19)30123-5/fulltext

https://www.singlecare.com/blog/trulance-vs-linzess/

https://www.verywellhealth.com/chronic-idiopathic-constipation-1944861

https://www.ajmc.com/journals/supplement/2019/reviewing-treatment-data-and-the-role-of-serotonin-in-cic/update-on-the-management-of-chronic-idiopathic-constipati?p=2

https://www.linzess.com/types-of-constipation/cic-symptoms

Not all inhalers are made equal, nor are they made for the same purpose. A medical device used to release medication into an individual’s lungs, the inhaler is also known as a puffer or pump. It is often used to treat individuals with asthma. Navigating through the various inhalers and the purpose and function of each is difficult, which is why we’ve broken it down for you to have a more comprehensive understanding of inhalers below.

The Daily Inhaler: Control Inhaler

This specific type of inhaler helps prevent coughing eruptions and helps to prevent symptoms from worsening. Control inhalers have specific medicine within the inhaler that is released into the body and helps to control inflammation. Always use as directed by your doctor once or twice daily whether you are having symptoms or if you are feeling fine.

Fast Relief: Rescue Inhaler

Rescue inhalers provide efficient and effective relief to the lungs and breathing when one is short of breath, wheezing, coughing or feeling tight in the chest. Keep your rescue inhaler on hand in case you need it if symptoms occur or you are going to be around asthma triggers. Rescue inhalers only provide short term relief for symptoms.

How To Use Standard MDI Inhaler

Here are the correct steps to using the MDI inhaler: For steroid inhalers, follow the previous instructions but ensure you rinse out and gargle with water after use.

How To Use a Dry Powder Inhaler

Here are the correct steps to using a dry powder inhaler:

Mesalamine is a first-line medication used to treat and prevent mild to moderately active inflammatory bowel disease, including ulcerative colitis and Crohn’s disease. It is an anti-inflammatory medication which works by direct contact with the intestines.  

Mesalamine is also known as mesalazine or 5-aminosalicylic acid (5-ASA). 

Mesalamine is available as a variety of formulations administered orally or rectally (suppositories and enemas).  Available forms of mesalamine differ in their route of administration (oral or rectal), strength and how often they are administered.  

According to studies performed to date, the available oral formulations have similar rates of efficacy when used in the treatment of ulcerative colitis. No significant differences were reported between once daily and multiple daily mesalamine regimens.  

 

US brand Delzicol 400 mg capsule (formerly Asacol 400 mg tablet) by Allergan – dosed orally 3 times daily 

Global Alternatives: brand Asacol MR 400 mg tablet (UK) by Allegan 

Brand Asacol 400 mg tablet (Canada) by Allergan 

Generic Octasa 400 mg tablet (UK) by Tillotts Pharma UK 

Generic Teva-5-ASA 400 mg tablet (Canada) by Teva 

 

US brand Asacol HD 800 mg tablet – dosed orally 3 times daily 

Global Alternatives: brand Asacol MR 800 mg tablets (UK) by Allergan 

Brand Asacol HD 800 mg tablets (Canada) by Allergan 

Generic Octasa 800 mg tablet (UK) by Tillotts Pharma UK 

 

US brand Lialda 1.2 g tablet by Shire US Inc. – dosed orally once daily with food 

Global Alternatives: brand Mezavant XL 1.2 g (UK) by Shire Pharma 

Brand Mezavant  1.2 g (Canada) by Shire Pharma  

 

US brand Pentasa 250 mg and 500 mg capsule – dosed orally 4 times daily  

Global Alternatives: brand Pentasa 500 mg and 1000 mg tablet (UK) by Ferring 

Brand Pentasa 500 mg and 1000 mg tablet (Canada) by Ferring 

 

US brand Apriso 375 mg capsule – dosed orally once daily (note: contains phenylalanine) 

Global Alternatives not available 

 

US brand Canasa 1000 mg suppository by Allergan (registered trademark of Aptalis Pharma)– dosed rectally at bedtime, retained for 1-3 hours or more if possible to achieve maximum benefit 

Global Alternatives: brand Salofalk 500 mg and 1000 mg suppositories (Canada) by Aptalis Pharma 

 

US brand Rowasa 4 g per 60 mL enema by Meda Pharmaceuticals – dosed rectally once daily at bedtime, retained for 8 hours 

Global Alternatives: brand Salofalk enema 4 g per 60 mL (Canada) by Aptalis Pharma 

 

Additional Information on this subject: 

10 Crohn’s Disease Symptoms, From Diarrhea to Beyond

Find a Gastroenterologist

Health Care Cost Assistance Guide

How Crohn’s Disease Is Treated

Complementary Medicine

How to Create a Healthy Home Environment that Will Soothe Autoimmune Disease Symptoms

Nutrition Tips for Inflammatory Bowel Disease

Complications of Crohn’s disease

 

A golden turkey brought to the table, much to the awe and applause of guests, is the highlight of the holiday dinner. You want to make sure your turkey is perfectly roasted, moist and mouthwatering. It’s surprising to know that many people won’t roast a turkey because they think it’s too complicated. Not at all – in fact, if you can roast a chicken, you can roast a turkey.

Choosing the right sized bird to feed everyone is essential, not only to make sure everyone has plenty to eat, but also make sure there is enough for the ever-important leftovers for sandwiches!  Keep in mind that turkeys over 16 pounds usually have more meat in proportion to the bone, so serving allowance is a little less.

Turkey Size (uncooked)

Serving per person (uncooked)

Less than 16 pounds

1 pound

Over 16 pounds

¾ pound

To calculate seconds and enough leftovers to satisfy your family and friends the next day, add another ½ pound to ¾ of a pound per person.

There really is no mystery to making the perfect roast turkey.  Take your time and enjoy the process! Some methods use a tin-foil tent over the turkey, while other methods leave the turkey to roast in the oven without a cover of any kind.  This method uses cheesecloth to ensure a moist and golden turkey you’ll be proud to serve to your guests! Don’t be alarmed as the cloth turns dark brown. Just make sure the cloth does not touch the top element of the oven.

Turkey Rub:

1 turkey, completely thawed (follow serving chart)

3 tablespoons butter, softened

2 teaspoons dry sage

½ teaspoon black pepper

½ teaspoon salt

¼ garlic powder or 2 garlic cloves, minced

Walnut Stuffing:

¼ cup butter, melted

1 large onion, diced

½ to 1 cup chopped celery

¾ teaspoon salt

½ teaspoon paprika

1 to 2 teaspoon sage

½ teaspoon black pepper

1/3 cup chopped walnuts

4 cups crustless day-old diced white or whole wheat bread

Chicken stock or water to moisten the stuffing lightly

Making the Stuffing

In a large saucepan melt butter. Add onion, celery and walnuts; sauté on medium heat.  Add seasoning and bread crumbs and stir to coat evenly.  Add stock, ¼ cup at a time to slightly moisten the dressing. Remember, if you are cooking the stuffing inside the turkey it will pick up additional moisture. If you are cooking the stuffing in a casserole dish, you may need to add more liquid.   

Preparing the Turkey 

  1. Remove the giblets and neck from the turkey. Rinse turkey, inside and out, with cold running water, drain well and blot dry with paper towels.
  2. Mix the butter, sage, salt and pepper together in a bowl and set aside.
  3. If you are stuffing the turkey, allow stuffing to come to room temperature before stuffing.  Stuff the turkey cavity and neck cavity well, keeping in mind that stuffing does expand slightly during roasting.
  4. Rub butter and seasoning mixture all over the turkey, top and bottom. Place on a greased rack in an uncovered roasting pan.
  5. Cover the entire turkey surface with cheesecloth that has been soaked in melted butter. Using the cheesecloth helps to ensure that the legs of the turkey are not over-done and dry by the time the white breast meat is cooked through.
  6. Place the bird in a preheated 325°F (160°C) oven. After the first half-hour of cooking, baste frequently with pan drippings or additional fat – about every 20 minutes.

Is It Done Yet?

A meat thermometer inserted into the deepest portion of the breast should read 170°F (77°C) for a fully cooked unstuffed turkey. A fully cooked stuffed turkey should read 180°F (82°C). Stuffing should be at least 165° F. If you’re not using a thermometer, allow 20 to 25minutes per pound for birds up to 6lbs and 15 to 20 minutes for birds over 16lbs. If the leg moves freely and the hip joint gives readily or breaks and the juices run clear after piercing the thickest part of the thigh, the turkey is done.

If there is one thing that is true, it is that talking to your doctor about erectile dysfunction (ED) can be tough.  While there is no reason to feel embarrassed about any medical conditions, this is a topic that many men may avoid completely, sometimes hiding their condition for years.  Speaking openly with your doctor about difficulty achieving and/or sustaining an erection is important, as it may be a symptom of other medical problems.   

Here are a couple of ways to make your visit to the doctor a little easier.

Write it down on paper

A lot of people blank out when facing their doctor with personal questions.  What if you could simply read your questions off a piece of paper or, if you have a hard time saying the words, just hand the list of questions to your doctor?  Having your questions written down will help you remember them, help you focus, and help you get the answers you need.  Be specific, though and list specific questions such as “How do I know if I have ED?”

It’s okay to say it your way

No one expects you to be comfortable saying the words ‘erectile dysfunction” or other medical terms, but you do need to tell your doctor what’s wrong.   Think about how you can best describe your situation to your doctor in words that are comfortable for you to use, such as:  “I think I am having problems in the bedroom,” or  “I’m having trouble getting it up and keeping it up.”  Believe us, your doctor will know what you are referring to.

When your doctor understands that you are referring to erectile dysfunction, he will then ask you some questions about your health,  possibly about your sex life, and your lifestyle in general so that they can begin to get a full picture of your situation and begin to look at possible prescription medications for erectile dysfunction for you to try, such as Viagra or Cialis or other treatments.

Your doctor and pharmacists are used to talking to patients about sensitive topics and, most importantly, they are there to help you.  Don’t hesitate to discuss your medical conditions or your concerns with your healthcare team.

Order your erectile dysfunction medications in private

You made it through your appointment with your doctor, you answered the questions, you went for the tests, and man that was tough!  Now you have your prescription in your hand – do you really want to face another person?  Ordering your Viagra or Cialis or other erectile dysfunction medication online lets you do it in private, alone, and no one has to know.   We receive hundreds of orders every month from people just like you and really, we get it! You deserve respect and privacy AND you deserve to know your medication is from a safe place. 

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 diagnosis 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).

Researchers at the Texas A&M Health Science Center College of Medicine have found that the high level of antioxidants, proanthocyanidins (PACs), in cranberries helps treat and prevent urinary tract infections by helping to prevent certain bacteria from sticking to urinary tract walls.  However, the researchers found that cranberry capsules are more effective  than cranberry juice because there are more PACs in the capsules than in the juice.

In addition, the American Urological Association (AUA) released new guidelines in 2019 for urinary tract infections (UTIs) which highlights cranberry as an effective means of preventing UTIs.  The new guidelines do caution that the products used in these studies may be formulated differently than what consumers can purchase.

Cranberry Capsules – 250 mg

Cranberry Complex Capsules – 500 mg

Note: Do not drink cranberry juice if you are taking blood-thinning medication such as Coumadin/warfarin.

What is a urinary tract infection (UTI)?

While most urinary tract infections involve the lower urinary tract, which includes the urethra and bladder, it may also involve your kidneys and ureters.  While more women get UTIs than men, both need to ensure that this painful condition is treated to prevent the infection from reaching the kidneys.

How are urinary tract infections treated?

Your doctor will run a few tests to diagnose your UTI.  Tests may include analysis of a urine sample to see if there are red blood cells, white blood cells or bacteria in the urine.   A urine culture often follows to help your doctor identify what kind of bacteria is in the urine.    Patients with reoccurring infections may have a CT scan or other imaging to give the doctor a view into the urinary tract to see what is happening inside.

Common urinary tract infections are often treated with simple medications such as:

Ciprofloxacin

Cephalexin

Nitrofurantoin

Fosfomycin

Trimethoprim/sulfamethoxazole

For complicated urinary tract infections your doctor may prescribe a different medication.

How can I prevent a urinary tract infection?

If you have ever had a UTI you probably want to do anything possible to prevent the discomfort of having another.  With that in mind here are some simple lifestyle tips to consider:

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Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

According to a study from the Norwegian Institute of Public Health in Oslo, which studied influenza-related complications among Norwegians over the age of 30 with type 2 diabetes from 2009 to 2013, which was published on October 6 in the Journal of Internal Medicine, patients with type 2 diabetes are at higher risk for hospitalization with pandemic influenza than people who do not have type 2 diabetes.

Further, type 2 diabetics who were vaccinated were at less risk for hospitalization for pandemic influenza than type 2 diabetics who did not get vaccinated.  The risk of hospitalization for vaccinated people without type 2 diabetes was also lower than for unvaccinated people without type 2 diabetes.

If you are a type 2 diabetic it is very important for you to make sure you get your flu shot every year, especially during influenza pandemics.

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

Many Americans use one or more prescription medications. If you consider that it is not unusual for more than one person in a household to be on more than one prescription medication, you can imagine the monthly expense. Even with health insurance, the cost of prescription medications for many Americans is sky high, leaving some with a tough choice between paying bills or filling their prescription.   As a last resort, many Americans travel to Canada just to visit Canadian pharmacy services to fill their prescriptions at a more affordable price.  Senator Bernie Sanders and other politicians have organized bus trips to Canada to promote the fact that Americans need access to affordable and safe prescription medications.  In the recent televised Democratic debate the Senator and others spoke of the need for something to be done.  Still, the prices of prescription medications in the U.S. continue to rise, and more Americans are ordering their medications online from trusted Canadian pharmacy services in order to save hundreds, and in some case, thousands of dollars per month.

According to the FDA :
“A personal importation is a product not for sale or distribution into the U.S. commerce. These products may be carried in baggage or shipped by courier or international mail.”

Importing personal prescription medication from Canada is an option for individuals who need to save money on medication and they have the reassurance and peace of mind that they are ordering from a safe and reliable online pharmacy.  Note that the FDA also limits the quantity available for shipping to not more than a three month supply.

The Campaign for Personal Prescription Importation (CPPI) released survey results on January 8, 2019, which showed that more Americans than ever are turning to safe, licensed, online Canadian pharmacies to save money on prescription medication.

Some key facts from the survey include:

Primary reason for ordering from a trusted, safe, online Canadian pharmacy:

Saving money through online ordering:

Insurance coverage

Even with health insurance, such as Medicare, many Americans still turn to safe and affordable prescription medications from Canadian pharmacies.  67% of survey respondents have Medicare, while 16% say that their employer provides insurance coverage.  9% said they don’t have any insurance coverage, while 8% are self-insured.

How they choose an online pharmacy

It’s important to note that 88% of respondents said they can identify rogue websites that sell questionable and counterfeit medications.  This includes pharmacies that don’t ask for valid prescriptions, do not protect personal and medical information, and those that do not have actual licensed pharmacists on staff.    They also can tell if a website is questionable if they sell controlled substances.

According to the Campaign for Personal Prescription Importation (CPPI), Americans spend approximately 40% more on prescription medications compared to what Canadians spend – and the prices in America continue to rise.  “For more than 15 years, millions of Americans have imported their personal prescriptions from Canada and saved between 50-80% on the cost of their medications.”

Personal prescription importation is both safe and legal.

The Food and Drug Administration (FDA) “is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices; and by ensuring the safety of our nation’s food supply, cosmetics, and products that emit radiation.” The FDA states that there are circumstances when it is legal to important prescription medications into the U.S.  For example, if the medication is for the treatment of a medical condition and the quantity does not exceed a three month supply.  For more information you may read the FDA’s personal importation guidelines

The Food and Drug Administration (FDA) and Health and Human Services (HHS) released a “Safe Importation Action Plan” which openly recognized that importation of prescription medications from Canada as being SAFE.  Read the full report here

Jason’s CanadaDrugstore.com is a Canadian online pharmacy which was created when our founder, with nearly two decades of experience in the pharmaceutical business recognized a real need for an online destination where individuals in the United States and in Canada could order prescription medication safely, efficiently, and affordably. He believed that patients deserved an easy to use website that could facilitate the process of ordering prescription medication and over the counter medications to fulfill that need. Finally, and most importantly, he wanted to ensure trust through transparency and regulatory oversight. We have strict quality protocols and regulations.  We are CIPA certified and accredited with the Better Business Bureau. You can learn more about us here. 

Personal prescription importation from a Canadian pharmacy service will save you money on your prescription drugs.  It’s that simple.  We invite you to visit the CPPI website at www.personalimportation.org and to Jason’s CanadaDrugstore.com at our website or call us toll free at 1-800-991-0282.  You can also email us at  info@canadadruggs.com

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While it is true that osteoporosis is something that women are usually concerned about, according to the National Osteoporosis Foundation about one in four men over the age of 50 years will fracture or break a bone because they have developed osteoporosis.   

What is osteoporosis?

Osteoporosis usually affects the spine, hips, ribs and wrists, most commonly. Over time tissues in the bones, which are made up of minerals such as calcium, break down  and are slowly replaced by a natural process called bone turnover. This is how your bones grow and become strong from the time you are an infant to an adult.  When osteoporosis occurs, however, the tissues break down at a faster rate than they are replaced, resulting in loss of bone strength and bone mass.  When this happens bones become brittle and more likely to break. 

How can men avoid osteoporosis?

One way to reduce your risk of bone fractures is to make sure you are getting enough calcium in your diet.  This doesn’t mean just eating dairy product.  Many food products have a healthy amount of calcium, such as kale, spinach, tofu, and fortified dairy products like milk.

Committing to  a healthy amount of regular weight bearing exercise, even as simple as a daily walk, can also go a long way in slowing down bone loss.

Ensuring you have enough Vitamin D in your diet is also important.  Foods high in vitamin D include sardines, salmon, tuna, milk and mushrooms.  Talk to your doctor about how much vitamin D you should take as a supplement.

You should know that some medications, such as steroids for rheumatoid arthritis and androgen deprivation therapy for prostate cancer treatment, and some other medications, may increase a man’s risk for osteoporosis.   The Arthritis Foundation states that those who take antidepressants known as selective serotonin reuptake inhibitors (SSRIs) may be at a higher risk of developing osteoporosis.

Men who have lower testosterone levels are also at risk for osteoporosis.  If you are taking hormone replacement therapy for low testosterone, speak to your doctor and pharmacist about what your risk may be.

It is always a good idea for men over the age of 50 to speak to their doctor about their risk for osteoporosis.

Was this article helpful?  Other related articles:

What men over 50 need to know about the symptoms and treatment of an enlarged prostate

Viscosupplementation – Injections for relief of painful osteoarthritis in the knees

NSAIDS Celebrex and generic celecoxib for relief of pain and inflammation

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

Bipolar disorder involves fluctuation between hypomania or mania (“high”) and clinical depression (“low”).  The patient may experience episodes of high and low moods, with periods of normal energy in between, which can vary from mild to dangerous.

According to the National Institute of Mental Health, approximately 5.7 million adult Americans are affected by bipolar disorder. With all forms of bipolar disorder, the patient will typically experience episodes of depression.   

While the symptoms of depression may be very similar to other depression-related disorders, such as major depressive disorder (MAD), it is not the same condition and needs to be treated with different type of medications. During the high energy states, known as mania, the patient may experience decreased need for sleep, high creativity, excitement or euphoria, overactivity, fast or pressured speech patterns, and sometimes even delusions.

What are some of the symptoms of depression due to bipolar disorder?

There is no permanent cure for bipolar depression, but it can be controlled with medications. Some common symptoms include:

How is depression associated with bipolar disorder treated?

While it is generally agreed that counseling and prescription medication for bipolar disorder is the best route for treatment, a qualified psychiatrist is the best person to be referred to help determine the most helpful course of treatment, including what medications should be prescribed. 

If bipolar depression is not correctly diagnosed and treated with the same standard medications as unipolar (“standard”) depression, the patient is at high risk of switching into a manic episode.

Some of the common medications prescribed for bipolar disorder include mood stabilizers (such as lithium or valproic acid), atypical antipsychotics (such as Seroquel and Latuda) and antidepressants such sertraline (but never on their own). 

Latuda (lurasidone) for depression associated with bipolar diorder?

Prescription Latuda (lurasidone) helps patients feel calmer and more focused, increase energy levels, improve and stabilize moods, improve sleep, and may also help decrease the frequency and/or intensity of hallucinations.

Latuda (lurasidone) is used to treat several mental disorders and mood disorders including schizophrenia and depression that is associated with bipolar disorder.  It is a medication that belongs to a class of drugs called atypical antipsychotics, which work by balancing chemicals in the brain (dopamine and serotonin).

Latuda (lurasidone) is available in the following strengths:

20 mg tablets

40 mg tablets

60 mg tablets

80 mg tablets

120 mg tablets

Prescription Latuda (lurasidone) is usually taken once daily by mouth, typically in the evening. The dosage depends on your doctor’s diagnosis, your response to treatment(s) and your medical condition. Latuda should be taken with food (at least 350 calories) in order to be fully absorbed. If you take Latuda on an empty stomach, only about half the dose will be absorbed into your system.

You should not drink grapefruit juice or eat grapefruit while taking this medication.

You should not stop, decrease or increase this medication without specific directions from your doctor.  It may take a few weeks before the full effect of this medication is felt.

What are the side effects of Latuda (lurasidone)?

This is not a complete list of side effects:

Be sure to consult with your physician about what other side effects, including serious side effects, to be aware of.

Was this article helpful?  Other related articles:

Understanding Depression and Treatment of Major Depressive Disorder with Wellbutrin XL®

Facts about Schizophrenia and treatment with medication

Treating Depression, Anxiety and Obsessive-Compulsive Disorder With Lexapro™(escitalopram)

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

Do you enjoy doing puzzles, going to museums, participating in games and arts and crafts?  You may be doing something good for your brain while you’re having a good time! Researchers at the University of Aberdeen in Scotland have found that older adults who enjoy puzzles and crossword puzzles and other mentally engaging pastimes scored higher on standard tests for mental sharpness, while they were no less likely to show signs of mental decline over time than other older adults.  These older adults who were involved in mentally stimulating activities declined, but from a higher stand point, known as ‘cognitive reserve’.

Roger Staff, the lead researcher at the University of Aberdeen in Scotland says: “The results indicate that a lifetime of engagement lifts you to a point from which you decline, and that can be considered as passive cognitive reserve.  Starting from a high point will mean that the threshold at which you are considered impaired will be farther into the future.”

In another study that was published in the BMJ Journal which followed 500 British adults who had, starting in the 1940’s, taken identical intelligence tests.   At the age of 64 they were all asked to answer questions about whether or not they engaged in mentally stimulating activities, such as reading, games, and puzzles, and they also took memory and thinking tests over the next 15 years.   The results were very interesting, to say the least.  While they all showed mental decline, those that participated in more mentally stimulating activities such as puzzles actually did better on the memory and thinking tests.

Does this mean that participating in mentally stimulating activities boosts your brain power? More research needs to be done, but it does appear that it is certainly a benefit in the long run.

Try these mentally stimulating activities.

What are some of your favorite activities? Do you feel they have helped keep your mind active?

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

 

A drug interaction occurs when a medication’s actions or effectiveness is affected or altered by another substance, such as another medication or supplement, or even food or drink. In other words, there are some medications that you should not take while taking other medications. If you are taking any kind of prescription medication, over-the-counter medication, vitamin or natural supplement, it is important to make sure you know if it is safe to take them at the same time.  Here are some simple tips to help you be as safe as possible.

  1. Know WHY and HOW to take our medications.  Should they be taken on an empty stomach? Do they need to be taken at a certain time of day, or spaced a certain number of hours before or after taking a supplement?
  2. Fill your prescription with the same pharmacy or same Canadian pharmacy service to ensure that there is a single, complete record of all of your prescriptions. This will help make sure any potential interactions and conflicts are flagged.
  3. Avoid taking natural supplements if you do not know if they will cause interactions with your prescription medications. 
  4. Beware of certain foods and drink. Some drinks like cranberry juice or grapefruit juice or alcohol, which may interact with some of your medications.  Ask your pharmacist about what to avoid.
  5. Ask your pharmacist.  When you are given a new prescription medication it usually comes with an information sheet which lists, among other things, drug interactions to be aware of.  Tell your doctor and pharmacist about any other medications or supplements you might be taking and ASK them if it is safe to take your new prescription with them. 

Taking multiple medications can be confusing, but taking them the right way and knowing how and when to take them can help put you on the road to better health.

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

It’s that time of year, when families across America are planning to get away and have some fun. Whether you are taking a road trip with your loved ones or you’re packing up and getting on a plane to some other fun destination, it’s important to make sure you have your family’s health at the top of your planning list.

Make a plan for your prescription medications

First and foremost, remember your prescription and over-the-counter medications.

Set a reminder for when to take your prescription medication

Set an alarm on your phone or watch to remind you to take your medication. It’s easy to lose track of time while traveling and having fun, but you always want to make sure you are taking your medication on time every day.

Carry water or food with you for your prescription medication

Some medications need to be taken with food and/or water.  Be sure to take along the right foods and/or liquids to take with your medication.  Speak to your pharmacist about what would be the right amount of food to take with your prescription medication.

What to pack your medication in

While it may be tempting to toss your prescription medication into a zip lock bag or stuff them into a sock (yes, this is something people do!) – don’t do it!  You want to make sure your medication is both protected and accessible.

Purchase a small firm-sided case to put your prescription medication in.  This will help prevent your medications from being crushed or jostled around inside your luggage.   If your medication case is too large, you may want to pack cotton or yes, even a clean sock, around your medication to help secure it so it does not rattle around in the case.

If you need to take your medication with you in your carry-on bag, having your medication in its own dedicated small case or compartment will protect your medication and keep it handy for when you need it, and also keep it handy should you be asked to present it to security.

Have a plan in case you miss a dose of your medication

Before you leave on vacation ask your pharmacist what you should do if you miss a dose of your medication.   Never assume you can just take another pill or double up on your next dose. 

Plan to keep your medication refrigerated on the plane and in your room.

Some medications need refrigeration, such as insulin or hormone injections used during IVF, and some liquid antibiotics and injectable biologic medications.   If you’re traveling with medication that needs to be kept cool, consider buying gel packs which you can pre-freeze and insert into your small medication carrying case.  TIP:  Time test your gel-pack and case; put your frozen gel pack into your medication container along and time how long your pack stays cool.   If your medication will not stay cool for the duration of a long flight, let your flight attendant know. They will often let you put your medication in the refrigerator or give you some ice (so bring along some zip-lock baggies).

Keep in mind that you really do need to bring your refrigerated medications on to the plane  with you. It’s a good idea to keep it in a separate bag from your other carry on, and be prepared for extra screening at security.  If they are kept in the checked-in baggage compartment under the plane they may freeze.

When making your hotel reservation be sure to double check that you have a working refrigerator in your room.  If your medication must be kept at a precise temperature it wouldn’t hurt to take a thermometer to make sure the refrigerator is actually cold enough for your medication – and if it isn’t, call down to the front desk and let them know.

Want even more travel tips? Read our Health Travel Tips to Keep You Well article, and have a safe and healthy vacation!

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

According to the Anxiety and Depression Association of America (ADAA) more than 322 million people worldwide live with depression.

Types of Depression: Not all depression is the same

There are several types of depressive disorders.  While some may present similarly, they each have their own unique symptoms.

Major Depressive Disorder – This type is the most commonly diagnosed form of depression.  One of the common symptoms is the overwhelming feeling of sadness and loss of interest in anything pleasurable.  This depression also has diagnostic symptoms such as hypersomnia (excessive sleepiness), constant fatigue, feelings of worthlessness, thoughts of dying or suicidal thoughts.  People with this depression will stop social activities, stop working, or stop going to school.  This type of depression lasts more than two weeks and represents a big change from the individual’s usual self and activities.  Major Depressive Disorder is often treated with Wellbutrin XL ®

Persistent Depressive Disorder (dysthymia) – While not as severe as major depression, this type of depressive disorder is marked by a persistent sad or depressed mood that lasts for at least two years.  There are several diagnostic symptoms, which include low self-esteem, poor appetite or over eating, feelings of hopelessness, hypersomnia or insomnia, and low energy.

Adjustment Disorder with Depressed Mood – This type of depression begins within three months of a person experiencing a stressor. A stressor may be either positive or negative, and usually involves a change in someone’s life that he or she finds stressful. Examples of a stressor includes loss of a job, a family crisis, marriage  or other life change.  Symptoms typically disappear within 6 months when life returns to normal.

Premenstrual Dysphoric Disorder (PMDD) – This disorder is a severe form of premenstrual syndrome (PMS).  While they are similar, PMDD presents stronger physical and emotional upset.  Both have symptoms that occur within the week to ten days before a woman’s menstrual cycle.

Seasonal Affective Disorder – This type of depression is related to the change of seasons and lack of sunlight. It sometimes affects shift workers who work overnight and sleep in the day.  Learn more about Seasonal Affective Disorder.

Depressive disorders due to another medical condition – There are times when other medical conditions can trigger depression.  An example is hypothyroidism.  Another example is Cushing’s syndrome, which can cause depressive symptoms due to the high levels of the hormone cortisol.  The ADAA suggests that other medical conditions can lead to depression including Parkinson’s disease, diabetes, and HIV/AIDS.

How is depression treated?

The National Alliance on Mental Illness (NAMI) states that there are several types of depression. The treatment and its effectiveness depend both on the type of depression and the severity.

Psychotherapy – Also known as ‘talk therapy’, this therapy occurs when the patient visits a therapist to discuss his or her problems and a lifestyle plan is developed for coping and working through the issues.  This therapy may include:

Psychoeducation and support groups – This therapy helps a patient understand his or her own condition, how to treat it, and recognize when there is a relapse about to occur. 

Treatment with medication – Most patients will find that using medication such as anti-depressants along with psychotherapy can be beneficial in controlling their symptoms of depression.

Prescription Wellbutrin XL® (bupropion hydrochloride) for Treatment of Major Depressive Disorder

Wellbutrin XL® (bupropion hydrochloride) is an anti-depressant used to treat major depressive disorder. It is also used to treat seasonal affective disorder (SAD), which is a type of depression that is brought on by lack of sunlight during winter.  Learn more about SAD.

How does Wellbutrin XL® work?

Prescription Wellbutrin XL® works by restoring the balance of dopamine and norepinephrine in the brain. Both are naturally occurring neurotransmitters in the body.

How do you use Wellbutrin XL®?

Prescription Wellbutrin XL® is a pill that is usually taken once a day, usually in the morning.  The dosage depends on how much is prescribed by your doctor.   Your doctor may start you on a low dose and gradually increase it until you have reached an effective dosage.

Brand-name Wellbutrin XL® – 150 mg

Brand-name Wellbutrin XL® – 300 mg

Generic Bupropion XL – 150 mg

Generic Bupropion XL – 300 mg

To gain the benefits of this medication it needs to be taken at the same time each day and taken regularly.  It is recommended this medication be taken in the morning, as taking it late in the day could lead to insomnia.

Do not crush or chew prescription Wellbutrin XL® as it is a time released medication. Chewing  it may release the medication into your system all at once causing negative side effects.

It may take up to 4 weeks or more to see the full benefit of this medication.  Do not stop Wellbutrin XL® or increase it without consulting your doctor.

What are the side effects of Wellbutrin XL®?

Many medications have side effects and most are mild.  Some common side effects of prescription Wellbutrin XL® include:

This prescription medication may increase your blood pressure, so check your blood pressure regularly.

Serious side effects to be aware of include eye pain, seizures, or vision changes. Seek medical assistance immediately if you experience any of these serious side effects.

This is not a complete list of possible side effects. Speak to your pharmacist about other possible side effects.

Was this article helpful? Other related articles:

Treating depression, anxiety and obsessive-compulsive disorder with Lexapro (escitalopram)

What is the difference between a generic drug and a brand-name drug?

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

Gentlemen, we understand how you feel.  You went to see your doctor about your erectile dysfunction and that was a difficult thing to do.  Handed a prescription for  Viagra or other medication to treat your situation you’re now faced with either going to a pharmacy in person or ordering online. We get it! It’s not easy!

You CAN order Viagra from a Canadian pharmacy service privately – at home!

We’re going to take you through this process to show you how to make a safe purchase of your Viagra, Cialis or other ED medication online.

Note: You may not be able to use a VISA card or MasterCard to make your online purchase..

MasterCard maintains a watch list of merchants that it deems to be “high-risk”.  Visa also has access to this list and chooses to adhere to its claims.  Many, if not all, Canadian pharmacy services have been placed on this MATCH list – even some Canadian pharmacy services that are safe, legal, and CIPA certified! MATCH stands for “member alert to control high risk”. 

What does “high risk” mean?  Well, unfortunately, not all online pharmacy services are safe or legit. If you are looking for a Canadian pharmacy, as a consumer you should 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.  All members of CIPA 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.  Double checking the credentials and certifications of your provider will give you piece of mind in knowing you are getting safe medications you can trust from a provider you can trust.

If you’re wondering about Jason’s CanadaDrugstore.com, not only are we CIPA certified, we’re registered with the Better Business Bureau!

Both MasterCard and Visa comply with rules created by an independent organization called LegitScript.  LegitScript is stated to be funded by BigPharma in this lawsuit:  https://cdn.pharmacychecker.com/pdf/complaint-of-conspiracy.pdf

LegitScript’s rules will only allow for an online pharmacy to be licensed within the United States and therefore any licensed, regulatory compliant, or legitimate pharmacy located outside of the USA or in Canada, for example, is unable to comply with LegitScript’s BigPharma funded rules.

Relax – we have your covered.  You CAN order your Viagra, Cialis or other erectile dysfunction medication safely without a VISA or MASTERCARD!

Here are some other ways you can order from a Canadian pharmacy:

Knowing you can still get your prescription filled without having to face a pharmacist (and you’ll save money!) is enough to give a lot of men peace of mind.  Who needs extra stress?  Simply go online to a safe and trusted Canadian pharmacy like Jason’s CanadaDrugstore.com and place your order.  If you have any questions about your order our team is happy to talk to you – privately.

According to the  American Cancer Society, the estimates for breast cancer in the United States for 2019 are: 

Tamoxifen is the most-prescribed selective estrogen receptor modulator (SERM) used in the treatment of breast cancer. 

Tamoxifen is used to treat the following conditions:

Generic tamoxifen  is a synthetic non-steroidal antiestrogen; a hormone therapy medication which prevents estrogen from encouraging the growth of breast cancer cells.  It does this by attaching to the hormone receptors in cancer cells, which then blocks estrogen from attaching to the receptor.  The result is that the tumor growth is stopped or slowed down because it cannot get access to the hormone (estrogen) it needs in order to grow.

How is tamoxifen taken?

It is important to follow your doctor’s guidelines when taking tamoxifen.

Taken once or twice a day, this medication is usually taken for a five year period unless specified otherwise by your doctor.    The dose is based upon your response to treatment and your medical diagnosis.

See pricing and information:

Tamoxifen – 10 mg tablets

Tamoxifen – 20 mg tablets

Tamoxifen should be taken at the same time every day.   Those with breast cancer which has spread to other parts of the body may notice an increase in pain or disease flare-ups when therapy is first begun with tamoxifen.   Any symptoms such as increased tumor size, new tumors, or increased bone pain should be reported to your doctor quickly.

Are there side effects of tamoxifen?

While some people who take this medication may experience mild to no serious side effects, here are some of the known side effects which may occur:

You should tell your doctor immediately if you experience any of the following side effects:

This is not a complete list of side effects, so speak to your doctor and pharmacist about what other side affects you may experience.

Certain medications may interfere with tamoxifen, such as SSRI antidepressants, medications used to prevent seizures, blood thinners, hormonal forms of birth control, and others.  Speak to your pharmacist and let them know what medications and supplements you are taking.

Some test results for other conditions, such as thyroid tests, may be affected by tamoxifen, so always tell the people doing your blood work at the laboratory that you are taking tamoxifen.

Want more information about breast cancer?  Visit the American Cancer Society at www.cancer.org .

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

You have probably heard that sales of Zantac-like heartburn drugs have been suspended due to  cancer fears.

Used to treat peptic ulcers, gastroesophageal reflux disease (GERD) and Zollinger-Ellison syndrome,   Zantac (ranitidine) is a medication used to help treat heartburn, esophagitis, and duodenal ulcers by decreasing stomach acid production.   Ranitidine is in a class of medications known as H2 blockers.     While Canada and France have announced Zantac recalls, the European Union and the United States are still investigating.

Why was it Suspended?

It was on September 13, 2019 that the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) announced the decision to review the presence of N-nitrosodimethylamine (NDMA), which is classified as a probable human carcinogen, in medications containing the drug known as ranitidine.  These medications that contain ranitidine help reduce the production of stomach acid and are available as prescription medications and over the counter medications.

What are your alternatives?

If you are concerned about your prescription medication speak to your doctor or pharmacist about alternatives available. 

Other H2 blockers, or medications in the same class as ranitidine (Zantac) include the following which may or may not require a prescription:

Proton pump inhibitors are another class of medications that are a little stronger than H2 blockers.  These medications also blocking acid production. 

Omeprazole (Prilosec) and lansoprazole (Prevacid) are familiar to physicians and patients as they have been around for a long time.   These medications are currently available over the counter (OTC) in the USA.

Esomeprazole (Nexium) is newer and is also available OTC in the USA.

Newer medications such as rabeprazole (Aciphex) and pantoprazole (Protonix) are available with a prescription.  These medications are a little smaller in size and easier to swallow.

The newest and very popular alternative is the prescription medication Dexilant® (dexlansoprazole).

Dexilant® (dexlansoprazole) for the treatment of GERD

Dexilant® is a common prescription medication used for the treatment of GERD. The active ingredient in Dexilant® is dexlansoprazole.  It is also prescribed to treat heartburn associated with GERD and, to maintain healing of erosive esophagitis. Dexilant® is a proton pump inhibitor (PPI) that works by reducing acid produced in the stomach. It may provide up to 24 hours of relief from heartburn due to GERD.  It may also provide relief from other stomach and esophagus symptoms such as persistent cough or trouble swallowing.

Dexilant® contains dexlansoprazole in a mixture of two types of enteric-coated granules. Thus, it releases the medication in two ways –it delivers the first release of medication within the first hour of taking the capsule, and then it releases a second round of medication into your system 4 to 5 hours later.  By taking Dexilant®, acid damage in the esophagus and stomach may heal faster and certain types of cancers of the esophagus and ulcers may be prevented.

Learn more about Dexilant® (dexlansoprazole).

Read more about the Alert by Health Canada  requesting companies stop distribution of ranitidine drugs in Canada and the recall of other drugs.

NOTE:  The information in this article is accurate as of October 1, 2019.  Circumstances and details may change after the publication of this article. 

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

Levetiracetam is a prescription medication that belongs to the drug class known as anticonvulsants.  It is used for the treatment of epilepsy and may help decrease the number and frequency of seizures someone with epilepsy may have.

Keppra ® is the brand name for the generic medication, levetiracetam.

What is Epilepsy?

Epilepsy is the fourth most common neurological disorder, affecting all ages and genders.   The Epilepsy Foundation states:

A person is considered to have epilepsy if they meet any of the following conditions.

  1. At least two unprovoked (or reflex) seizures occurring greater than 24 hours apart.
  2. One unprovoked (or reflex) seizure and a probability of further seizures similar to the general recurrence risk (at least 60%) after two unprovoked seizures, occurring over the next 10 years.
  3. Diagnosis of an epilepsy syndrome
    • Epilepsy is considered to be resolved for individuals who had an age-dependent epilepsy syndrome but are now past the applicable age or those who have remained seizure-free for the last 10 years, with no anti-seizure medicines for the last 5 years.

The Epilepsy Foundation has a very good video to explain what a seizure is. We encourage you to watch this video and visit their website at www.epilepsy.com to learn more about epilepsy and to learn seizure first aid.

How does Keppra® (levetiracetam) work?

While many anti-seizure medications slow down the electrical discharges in the brain to stop seizures, Keppra® (levetiracetam) actually works a little differently by joining with SV2A, a protein that is involved in the release of neurotransmitters in the brain.  Keppra® is usually an add-on therapy (i.e. used with other medications).

Keppra® (levetiracetam) is used to treat:

Keppra® (levetiracetam) is available in the following doses. Click on the links to compare prices:

Keppra® – Brand-name – 250 mg tablets

Keppra® – Brand-name – 500 mg tablets

Keppra® – Brand-name – 750 mg tablets

Keppra® – Brand-name – 1000 mg tablets

Keppra® Oral Solution – Brand-name – 100 mg/mL

Levetiracetam – Generic – 250 mg tablets

Levetiracetam – Generic – 500 mg tablets

Levetiracetam – Generic – 750 mg tablets

Levetiracetam – Generic – 1000 mg tablets 

This medication needs to be taken exactly as your doctor prescribes it.  Do not increase or decrease your dose without specific medical instructions.  Stopping this medication suddenly may cause dangerous ongoing seizures, known as status epilepticus.

This medication is usually taken twice a day, usually 12 hours apart.  The pills are swallowed whole and may be taken with or without food.  The liquid form must be measured carefully to ensure you are taking the right dosage each time.

What are the side effects of Keppra® (levetiracetam)?

Common side effects may include:

This is not a complete list of side effects.  Speak to your pharmacist about what side effects may occur while taking this prescription medication.

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

Flu season is coming and it’s time to look at best ways to protect yourself from getting sick.  Flu season can start as early as October.  Flu season usually peaks between December and February but sometimes it runs through to April and May. 

Known as “the flu” or “flu”, influenza is a respiratory illness caused by influenza viruses. Influenza infections affect people differently.  Symptoms may vary from a mild fever through to hospitalization or even potentially death.

If you think you have the flu it is important to visit your doctor to make sure that you do not have some other condition or illness other than the flu.

Types of influenza:

Influenza A and Influenza B: Both of these flus are contagious and are the main flus that are considered seasonal, spreading in the late fall to winter in the U.S.

Influenza C: While still contagious, this flu is milder than Influenza A and Influenza B, and is not thought to be the cause of epidemics.

Influenza D:  Does not infect people, but primarily affects cattle.

Each of these influenza viruses can be broken down even further into different lineages and strains.  For example, Influenza A has subtypes H1N1, H3N2.   In 2009 there was a new Influenza A (H1N1) that made thousands of people very ill, and it was different from the previous strain of Influenza A (H1N1).  At the time of this article, there are two lineages of Influenza B:  B/Victoria and B/Yamagata.

Spreading the Flu

Believe it or not, you do not need to touch or stand near a person who has the flu in order to catch it.  The virus can travel up to six feet should an infected person cough or sneeze.  It can also be transmitted by touching a surface that has the active virus on it.

Most people who have the flu are contagious for the first 3-5 days after they have their first symptoms.  Some may be contagious even a day or so before having their own symptoms appear.

Who is at Risk for Flu Complications?

There are some people with certain physical or medical conditions that are at higher risk for becoming sick with flu-related complications that may make their chronic health conditions worse. According the Centers for Disease Control this is the list of health and age factors for high risk individuals.

Other people at high risk from the flu:

Tips to Help You Avoid Getting the Flu

The number one protection against the flu is the flu vaccine.  Everyone over the age of 6 months should get a flu vaccine every flu season.  Speak to your doctor about the vaccines and any possible side effects.

Do You Have The Flu?

If you catch the flu speak to your doctor about antiviral drugs you can take to help reduce your chances of getting flu related complications.   Antiviral drugs for the flu work best if started within a couple of days of symptoms appearing.

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).

According to a report in the National Institute on Aging , the prevalence of Alzheimer’s disease doubles every five years beyond the age of 65.  Someone in the United States develops Alzheimer’s every 66 seconds, and it is thought that by 2050 there may be as many as 16 million people with Alzheimer’s disease.   While there is no cure, there is at least hope as medical research continues to find new medications to help delay the progression of the disease. One of the medications is memantine hydrochloride.

Memantine is used to treat confusion related to Alzheimer’s disease, and may help improve awareness, memory, and the ability to successfully perform daily functions. Typically it is prescribed to treat symptoms in those patients with moderate to advanced Alzheimer’s disease.

Generic memantine is also known by its brand name Namenda in the United States.

It is also known the brand name Ebixa in Canada, the United Kingdom, New Zealand and Australia.

All three contain the active ingredient memantine hydrochloride.

How does memantine work?

Memantine belongs to a group of drugs called NMDA (N-methyl-D-aspartate) receptor antagonists which function to help slow the decline of cognition and memory in the Alzheimer’s disease patient by blocking glutamate in the brain.

Prescription memantine is often used in combination with other prescription medications such as Aricept, which are cholinesterase inhibitors.   According to the Alzheimer’s Association, there is some evidence that combining cholinesterase inhibitors with memantine may improve the effects of each medication when they work together.  This is, however, still in early trials.

Memantine may take up to 12 weeks to take effect, and ultimately the response time and how well the medication works does depend on the individual.  It is important to note that memantine does not cure Alzheimer’s disease.

How to take prescription memantine

Prescription memantine is available as tablets and oral solution.

Doses typically begin at 10 mg and are gradually increased to 20 mg depending on the patient’s reaction and tolerance for the medication.  It is important that the patient does not stop this medication or increase the dose without specific guidance from their doctor.

Prescription memantine tablets can be taken with or without food.

If the patient is taking memantine oral drops, the dose must be measured out using the oral syringe that comes with the prescription. 

Always speak to your pharmacist and/or doctor about what to do if a dose of memantine is missed.

Prescription memantine side effects

Like most medications prescription memantine may have some side effects, including

How to store prescription memantine

This prescription should be stored at room temperature and in a dry place.

If you found this article helpful you may also want to read:

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Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

More than 8 million Americans have psoriasis, according to the National Psoriasis Foundation .  Between 10-30% of these people will develop psoriatic arthritis.

Psoriasis is a chronic autoimmune condition that may be genetic.  It is a systemic inflammatory disease, but it is still not fully known what the single cause of the development of psoriasis is.  The American Academy of Dermatology Association (AAD) states “When a person has psoriasis, something goes wrong in the immune system, so T-cells also attack the body’s skin cells. This attack causes the body to make new skin cells more often. The extra skin cells pile up on the surface of the skin, and you see psoriasis.”

Facts about psoriasis from the American Academy of Dermatology Association (AAD) 

What are the symptoms of Psoriasis?

Raised, inflamed, itchy, bumpy, red skin with silvery or white scales is the obvious symptom of psoriasis.

Psoriasis can occur anywhere on the body, including the legs and torso, but the most common areas are the elbows, hands, and knees.

What are the different types of Psoriasis?

Plaque Psoriasis – This is the most common form, with symptoms that include raised, red patches of skin with silvery and white scales of skin.

Guttate Psoriasis – This form of psoriasis often appears after a strep infection.  Symptoms include small lesions that look like little dots.  It is the second most common form of psoriasis, affecting about 10% of those with psoriasis.

Inverse Psoriasis – This form of psoriasis appears as dark red lesions in the folds of the body such as the armpit, behind the knee or in the groin.

Pustular Psoriasis – This form of psoriasis is characterized by little white blisters or pustules containing pus. It is not contagious and usually appears on the hands and/or feet.

Erythrodermic Psoriasis – This severe form of psoriasis can be life-threatening.  It is a widespread, very red, itchy and painful psoriasis which may cause the skin to come off the body.  While it is rare, it occurs in approximately 3% of those who have unstable plaque psoriasis.

What is Psoriatic Arthritis (PsA)?

30%of individuals with psoriasis have psoriatic arthritis.  Psoriatic arthritis is a chronic, inflammatory disease affecting the joints and locations where ligaments and tendons attach to the bones. Left untreated this disease can cause permanent joint damage resulting in a loss of range of motion.   Patients suspected of having PsA will most often be referred to a rheumatologist to find an effective treatment plan.

What can cause Psoriasis to appear?

Certain conditions may cause psoriasis to appear for the first time or cause existing psoriasis to flare up. Some known triggers of psoriasis include:

How is psoriasis diagnosed?

Your doctor will be able to tell you if you have psoriasis. However, often doctors will refer patients with skin conditions to a certified dermatologist, who will create a full range treatment plan to help manage and treat your psoriasis and help prevent uncomfortable flare-ups.

During an examination your doctor or dermatologist will examine your symptoms and ask about other related symptoms such as joint pain and/or swelling.  They will often ask if any other members of your family have this condition and if you have recently had any stress or illnesses.  Often a small sample of skin is removed for examination to determine and confirm if you have psoriasis.

How is Psoriasis treated?

Psoriasis is treated according to several factors, including:

While psoriasis cannot be cured, there are treatments available including light treatments and prescription medications such as Otezla® (apremilast).

How does Otezla® (apremilast) treat Psoriasis and Psoriatic Arthritis?

Otezla® (apremilast) is in a class of drugs called phosphodiesterase 4 (PDE4) inhibitors.  It works by helping relieve and decrease pain and swelling in psoriatic arthritis and may improve the swelling and flexibility in joints that are affected.   It also helps calm and reduce redness and scaling, as well as the thickening of the skin that occurs with plaque psoriasis.

How do you take Otezla® (apremilast)?

This medication is taken by mouth, usually twice a day. However, the dosage does depend on your individual condition, so your doctor will prescribe Otezla® (apremilast) according to your needs.

This medication needs to be taken as directed and, for best results, taken at the same time every day. Do not chew or crush this medication.

The active ingredient in brand-name Otezla® is apremilast.

Brand-name Otezla® – 30 mg tablets

What are the side effects of Otezla® (apremilast)?

Many medications have side effects that may be a nuisance and clear up on their own, while others may persist.  Speak to your doctor if any side effects continue or become worse.   Some side effects of Otezla® (apremilast) may include:

This is not a complete list of side effects.  Refer to the medication information that comes with your prescription and/or discusses other possible side effects with your pharmacist.

Psoriasis is an uncomfortable condition affecting close to 124 million people worldwide, according to the World Psoriasis Day consortium.  With treatment and understanding, there is hope for better treatment and management.  If you would like to learn more about psoriasis, visit the National Psoriasis Foundation at www.psoriasis.org.

Need more information? If you have questions about your prescription or any other medication, our discreet and caring team here at Jason’s Canadadrugstore.com will be happy to answer your questions.  Simply phone us Toll Free at 1-800-991-0282

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).

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