consultpharmacist on December 12th, 2009

Last week, I discussed how you could save money on your prescriptions by cutting your tablets in half (see previous post for more details), now this week I have another money-saving tip.

So, you can also save money by purchasing generic brands instead of brand name medications. According to Food and Drug Administration (FDA), “ a generic drug product (generic brand) is one that is comparable to an innovator drug product (brand name) in dosage form, strength, route of administration, quality, performance characteristics and intended use.” This means that the generic brand has the same active ingredient, as well as the same amount being absorbed into body in the same amount of time, as the innovator drug product (brand name). The only slight difference between a generic brand and the brand itself may be the inactive or non-medicinal ingredients, such as binders that make tablets or fillers for capsules etc.

The table below includes the costs of a 90-day supply of the two strengths of the popular cholesterol lowering medication, Zocor (simvastatin) and its generic brand.

Zocor 10mgGeneric 10mgDollar Savings% Savings
90 day-supply$192.26$109.53$82.7343%

Zocor 20mgGeneric 20mgDollar Savings% Savings
90 day-supply$235.55$133.34$102.2143%

So, from the table above, if your doctor prescribed you Zocor 10mg once daily for 90 days and you ask your pharmacist to dispense the generic version instead of the brand name, then your cost will be $109.53 (instead of $192.26), a significant savings of 43% ($82.73). This means an annual savings of $330.94.

Generic 10mgGeneric 20mg (cut tablets in half)Dollar Savings% Savings
90 day-supply$109.53$66.67$42.8639%

If you also apply my last health-savings tip and ask your pharmacist to fill the generic 20mg tablet and take half of the tablet (to get 10mg) once daily, then your cost will be $66.67, an additional saving of 39% ($42.86). This means an annual savings of $171.42. Overall, by choosing a generic version and cutting your tablets in half, you will save $502.36 ($330.94+$171.42) annually!

Please consult your pharmacist if a generic version of your medication if available and if you can cut the tablets in half.

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consultpharmacist on December 5th, 2009

Prescription medication prices are rising. Do you have chronic medical conditions that require taking many prescription drugs? Would you like to save money on your medication expenses? If your answer is YES, then please continue reading. The following is one way that you can cut your prescription expenses in half.

Many prescription medications come in multiple strengths. But, here is a secret, many of these medications with multiple strengths cost about the same. The table below includes the costs of a 90-day supply (and costs per tablet) of the various strengths of the popular cholesterol lowering medication, Lipitor (Atorvastatin).

BrandChemical NameStrengthCosts for 90-Day SupplyCosts Per Tablet
Lipitoratorvastatin10mg$168.85$1.88
20mg$208.91$2.32
40mg$223.94$2.49
80mg$223.94$2.49

Note: Costs for 90-day supply includes $8.60 dispensing fee and are based on Canadian pharmacy prices

So, from the table above, if your doctor prescribed you Lipitor 40mg once daily for 90 days, then the cost will be $233.94 if you were to fill 40mg tablets. But, if you ask your pharmacist to fill Lipitor 80mg and take half of a tablet once daily, then your cost will be $111.97. You will still be taking 40mg per day, but with a significant savings of 50%, or $111.97 in this case. This means an annual savings of $447.88! You can put that extra money towards that special something you’ve been saving up for!

Note: There are certain medications that you cannot cut in half such as (1) capsules, (2) extended or controlled release formulations (“CD”, “XL”,”XR”, “XC”, “LA”, “CR” or “SR”) and (3) enteric coated formulations (“EC”). Please consult with your pharmacist if you can cut your medications. If possible, invest in a pill cuttericon that can cut your medications accurately in half.

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consultpharmacist on November 29th, 2009

So, from my previous post I have discussed “natural” ways to prevent, reduce or shorten the duration of flu and cold symptoms.  Now, lets get to know the common over-the-counter and prescription medications that can help alleviate cough and cold symptoms and/or shorten the duration of viral infections.

Note: you should always read the package insert or read the box for more information regarding dosing (based on age or weight) and caution remarks!

NASAL SYMPTOMS

Runny Nose & Sneezing

Antihistamine (1st generation) are commonly used to treat allergy symptoms such as itchy watery eyes, rash, sneezing and runny nose.  However, these medications are also common in cold and flu products because of “drying” side effect. These medications will help dry up the nasal secretions thereby stopping your leaky faucet nose.  Another beneficial side effect from these medications is the sedative effect, allowing you to get the most needed good night sleep.

The following are two common 1st generation anti-histamines:
(1) Benadryl (diphenhydramine) and (2) Chlor-Tripolon or Chlor-Trimeton (chlorpheniramine)

You should consult with your health care provider before taking these if you have the following condition(s): glaucoma, lung conditions (asthma, emphysema, bronchitis), seizures, prostate enlargement, certain heart condition and/or on certain anti-depressant medications
Common undesirable effects include drowsiness, dry mouth and constipation

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Stuffy Nose

Decongestants, which help reduce nasal congestion or stuffy nose, are available in oral or nasal formulations.  So, which formulation is better?
Read the rest of this entry »

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consultpharmacist on November 20th, 2009
Vitamin World

So, now we know the symptoms characterized by the common cold, seasonal flu, swine flu and avian flu from the previous posts.  Now, I will discuss some simple things you can do to protect yourself from getting infected by these viruses.
(1) The best and most effective way to prevent the flu is to get vaccinated!
Currently there are vaccines available for both swine (Arepanrix pH1N1 adjuvanted or non-adjuvanted) and seasonal flu (Influvac and Vaxigrip).  Note: avian flu vaccine is not available commercially.
Please check whether your government offers the above vaccinations.

(2) Flu or the common cold are spread from human to human through coughing or sneezing by infected people, or by touching contaminated surfaces or objects and later touching eyes,  nose and mouth. Therefore, to prevent the spread of viruses, it is important to
(i) Clean contaminated surfaces with disinfectants such as Lysol disinfectant spray or disinfecting wipes.
(ii) Clean hands thoroughly and frequently with soap and water or alcohol-based hand-sanitizer or hand wipes, and
(iii) Avoid touching eyes, nose and mouth.

(3) Try to avoid contact with people exhibiting flu-like symptoms (if unavoidable wear N-95 facemasks or respirators)

So what can you do when you catch the cold or flu?

Non-drug measures

(1) Get plenty of rest
(2) Drink plenty of fluids. Drink at least 8 glasses daily to help thin out phlegm or mucus.
I know sharing is caring but do not share your germs!
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consultpharmacist on November 13th, 2009

Lately, I’ve been asked many questions regarding the differences and similarities between the common cold, seasonal flu, swine flu and avian flu.  Hopefully, the information below can shed some light.

VirusThe Common ColdSeasonal FluSwine FluAvian Flu (bird flu)
Type of virusMost common: rhinovirus, coronovirus Less common: adenovirus and enterovirusInfluenza A, B and CInfluenza A H1N1Influenza A H5N1
Transmissionhuman to human through coughing or sneezing by infected persons
or from touching contaminated surfaces or objects and later touching mouth, nose and eyes
human to human through coughing or sneezing by infected persons
or from touching contaminated surfaces or objects and later touching mouth, nose and eyes
human to human through coughing or sneezing by infected persons
or from touching contaminated surfaces or objects and later touching mouth, nose and eyes
virus mainly spread among birds or occurs in humans who are in direct or close contact with H5N1 infected birds or contaminated surfaces
However, there are cases where the virus was transmitted from human to human
SymptomsMildMild to Severe
Mild to SevereSevere
Fever and chillsUncommonCommon; very suddenCommon; very suddenCommon; very sudden
HeadacheUncommonCommonCommonCommon
Aches and painMildCommonCommonCommon
Fatigue and weaknessMildCommonCommonCommon
Runny CommonCommonCommonCommon
Stuffy nosecommonuncommonuncommonuncommon
CoughInitially dry and then becomes wet (mucus or phlegm production)DryDryDry
Sore throatCommonSometimesSometimesSometimes
Other symptomsnausea, vomiting and diarrheanausea, vomiting and diarrhea

Please seek medical attention immediately if you experience any of the following symptoms:

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