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Medical Forum / General / Pharmacy / May 2004

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Canadian pharmacy

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scullycat - 05 May 2004 02:06 GMT
Hi,
I'm sure you've discussed this topic before, but I hope that you can answer
my questions anyway.
My mom, who is 82, asked me to look into getting her prescriptions from a
Canadian pharmacy. I called , and the person quoted the prices which were
significantly less than she was used to paying. She is on Diovan, Inderal,
and Viox. She is also on Ambien, which I was told they cannot fill. My
questions are these.
Is there any disadvantage to getting her prescriptions this way?
Is it legal?
Are the qualities of drugs the same as here? (US)
Would you do it for a member of your family, and if not, why not?
The pharmacy I looked into is Redwood.
Thanks so much for your time.
Chris
Pumbaa - 05 May 2004 02:25 GMT
I can speak for The Canadian Drugstore www.tcds.com

The quality of the Celexa I receive is superior to that of the USA brand.
Also the medication is in a sealed box, each tablet is bubble sealed so I
know its lot number and its expiration date.  Also being sealed, that it has
not been on the floor or tampered with from the factory.
However I have to pay the shipping and wait for the mail.  That is the
disadvantage of getting the medication by mail.  I understand it is legal to
import small quantities of medication as long as it is for your personal use
and not for resell.

I am eating some crackers imported from Canada tonight.  They are tasty and
I am not worried about them poisoning me.  You can't import stuff like
narcotics, sleeping pills, or Havana cigars legally from Canada.

> Hi,
> I'm sure you've discussed this topic before, but I hope that you can answer
[quoted text clipped - 11 lines]
> Thanks so much for your time.
> Chris
Nobody Special - 08 May 2004 21:12 GMT
> I can speak for The Canadian Drugstore www.tcds.com
>
> The quality of the Celexa I receive is superior to that of the USA brand.

How is it superior?
Pumbaa - 08 May 2004 23:37 GMT
According to the RPh. professor from Toronto, Lundbeck is the original
company that makes Celexa. This is what comes from Canada.  The American
version is by Forrest Laboratories, therefore, a licensed copy of the
original. Since it is cheaper than the American version, I consider the
original to be a better choice.

The person I order it for says it works better than what she received from
the local drug store. Since she thinks it works better, it does work better
for her even if it is a placebo effect.

> > I can speak for The Canadian Drugstore www.tcds.com
> >
> > The quality of the Celexa I receive is superior to that of the USA brand.
>
> How is it superior?
Nobody Special - 09 May 2004 03:27 GMT
> According to the RPh. professor from Toronto, Lundbeck is the original
> company that makes Celexa. This is what comes from Canada.  The American
> version is by Forrest Laboratories, therefore, a licensed copy of the
> original. Since it is cheaper than the American version, I consider the
> original to be a better choice.

If they're bioequivalent and the one is cheaper, then sure.

> The person I order it for says it works better than what she received from
> the local drug store. Since she thinks it works better, it does work better
> for her even if it is a placebo effect.

Not very convincing, but who knows... maybe it is higher quality.  I doubt
it.

> > > I can speak for The Canadian Drugstore www.tcds.com
> > >
> > > The quality of the Celexa I receive is superior to that of the USA
> brand.
> >
> > How is it superior?
Pumbaa - 09 May 2004 15:24 GMT
I personally like it as it is in strip packaging and it is very neat.  I
like things neat yet I live with two people that just drop things everywhere
including medication.  I have had some luck with getting them to keep their
medication in one place so they don't have a panic every night trying to
find it.  Also great when its misplaced as there is no doubt to the ID of
the product.

> Not very convincing, but who knows... maybe it is higher quality.  I doubt
it.
Gregory Poon - 09 May 2004 04:52 GMT
> Lundbeck is the original
> company that makes Celexa. This is what comes from Canada.  The American
> version is by Forrest Laboratories, therefore, a licensed copy of the
> original. Since it is cheaper than the American version, I consider the
> original to be a better choice.

In Canada, Celexa is marketed by Lunbeck's subsidiary in Canada.  It is
quite common that in different countries independent entities acquire the
marketing rights from the manufacturer, as is apparently the case with
Celexa in the US.  It's still the same formulation -- if it weren't, it
would have to receive regulatory approval from the FDA or Health Canada as
the case may be, which the manufacturer obviously tries to avoid.

There are many other examples of brand-name drugs that are marketed by
companies that aren't the original manufacturer.  Two that come to mind are
Lanoxin (digoxin) which Glaxo in Canada sold the marketing rights to a
company called Virco.  Another is Lipitor which Pfizer makes but co-markets
with Pharmacia.

> The person I order it for says it works better than what she received from
> the local drug store. Since she thinks it works better, it does work better
[quoted text clipped - 6 lines]
> >
> > How is it superior?
Gregory Poon - 05 May 2004 03:35 GMT
The brand name drugs that we get in Canada come from exactly the same
sources as in the States.  Whether the stuff is in a vial or in blister is
simply a matter of which format the manufacturer offers or the pharmacy
orders and has nothing to do with the "quality" of the product.  Just keep
in mind that Inderal will probably be substituted with generic propranolol
when you get it in Canada, where it is interchangeable.  There are no
generics for Diovan or Vioxx in Canada (yet).

> Hi,
> I'm sure you've discussed this topic before, but I hope that you can answer
[quoted text clipped - 11 lines]
> Thanks so much for your time.
> Chris
scullycat - 05 May 2004 13:49 GMT
Thanks, your input is invaluable to me.
> The brand name drugs that we get in Canada come from exactly the same
> sources as in the States.  Whether the stuff is in a vial or in blister is
[quoted text clipped - 20 lines]
> > Thanks so much for your time.
> > Chris
Pumbaa - 05 May 2004 14:16 GMT
"Whether the stuff is in a vial or in blister is simply a matter of which
format the manufacturer offers or the pharmacy orders and has nothing to do
with the "quality" of the product"

It results because  the drug manufacturer is saving money by not providing
state of the art packaging. Does McDonalds have bulk bottles of catsup,
salt, and pepper on the countertops of their restaurants?  No, they know
better. A sealed package is a safety control measure.  Do you remember the
poisoned Tylenol incident that occurred in the USA? That led to a drastic
change in the packaging standards for OTC drugs.  I will not purchase a jar
of grape jelly from a supermarket that has its seal broken or the top
popped.  I don't have to buy products that may have been tampered with.  The
FDA is in error allowing open packages of medication to be sold to retail
consumers from bulk packaging.  In the case of expensive drugs that may sell
for up to ten dollars a unit it is an open invitation to counterfeiting
medication or selling out of date pharmaceuticals.  Yes, counterfeit
medication has been found and reported in the United States.

I am a pharmacist and I do not think most pharmacists would do this.
However there are nut cases and criminals among even pharmacists.  Do you
remember the pharmacist (not too long ago) that was diluting expensive IV
cancer medication so that he could make extra money from it? You are safer
buying medication that you take on a regular basis in bottles of 30's or
100's that have been unopened since they left the factory.  You may have to
ask for it but you don't have to buy from Canada to receive it.
Gregory Poon - 05 May 2004 20:30 GMT
> It results because  the drug manufacturer is saving money by not providing
> state of the art packaging. Does McDonalds have bulk bottles of catsup,
[quoted text clipped - 4 lines]
> of grape jelly from a supermarket that has its seal broken or the top
> popped.  I don't have to buy products that may have been tampered with.

Yes, but medications aren't grape jelly and pharmacists aren't supermarket
clerks.  People (or the government or insurance as the case may be) pay
dispensing fees to pharmacists in part because pharmacists are supposed to
be responsible for the informed and responsible keeping of stock medications
whichever their form.  The cost to the manufacturer to package the medicine
in a blister or in a stock bottle is inconsequential compared to the margin
they're charging on the product itself.  Thus for example a box of Altace
30's in blister is exactly 30/500 of the price of a bottle of 500's of the
same strength.  This is even the case for many generic drugs (e.g.,
ranitidine, pravastatin).  It is really bad misinformation if people think
that pharmacists somehow make $ out the "spread" by giving you meds in vials
and charging for blisters.  The manufacturers really don't care about this
packaging cost and their prime concern is to get people to buy the meds, and
if the smaller packages sell better, there you go.  What a pharmacy offers,
as I've pointed out times before, is whichever suits its inventory and
convenience.

Signature

Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences and Chemical Engineering
University of Toronto

> "Whether the stuff is in a vial or in blister is simply a matter of which
> format the manufacturer offers or the pharmacy orders and has nothing to do
[quoted text clipped - 13 lines]
> 100's that have been unopened since they left the factory.  You may have to
> ask for it but you don't have to buy from Canada to receive it.
RMOSS780 - 05 May 2004 21:38 GMT
>.Ph., B.Sc.Phm.
>Departments of Pharmaceutical Sciences and Chemical Engineering
[quoted text clipped - 22 lines]
>>
>Yeah and your Leaf's lost to the Flyers again.
LOL
Gregory Poon - 06 May 2004 01:16 GMT
> >Yeah and your Leaf's lost to the Flyers again.
> LOL

Yeah and your Red Wings have lost to the Flames.  Because the Wings didn't
have their Canadian captain (Steve Yzerman).
LOL

Signature

Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences and Chemical Engineering
University of Toronto

> >.Ph., B.Sc.Phm.
> >Departments of Pharmaceutical Sciences and Chemical Engineering
[quoted text clipped - 22 lines]
> >>
> >Yeah and your Leaf's lost to the Flyers again.
P T - 06 May 2004 06:37 GMT
 nospam (Pumbaa @megagate.com>) wrote in message

>...I am a pharmacist...

That's funny. You don't talk like one.
Pumbaa - 06 May 2004 14:33 GMT
Thank you!

 nospam (Pumbaa @megagate.com>) wrote in message

>...I am a pharmacist...

That's funny. You don't talk like one.
Jonathan Smith - 06 May 2004 16:08 GMT
> nospam (Pumbaa @megagate.com>) wrote in message
>  
> >...I am a pharmacist...
>
> That's funny. You don't talk like one.

He isn't listed at U of T either.
Gregory Poon - 06 May 2004 17:25 GMT
Sadly, the University of Toronto does not yet list post-doctoral fellows.

Equally sadly, I think you were referring to somebody else.

Signature

Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences and Chemical Engineering
University of Toronto

> > nospam (Pumbaa @megagate.com>) wrote in message
> >
[quoted text clipped - 3 lines]
>
> He isn't listed at U of T either.
Jonathan Smith - 07 May 2004 16:53 GMT
> Sadly, the University of Toronto does not yet list post-doctoral fellows.
>
> Equally sadly, I think you were referring to somebody else.

You are correct - my apologies.

js

> > Petepenguin@webtv.net (P T) wrote in message
>  news:<14089-4099CF1E-40@storefull-3135.bay.webtv.net>...
[quoted text clipped - 5 lines]
> >
> > He isn't listed at U of T either.
 
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