Logic does not apply when dealing with government regulations! I remember
when American's needed a Rx for Dimetapp elixir but it was OTC in Canada. I
am sure it is sold the way it is to maximize profit in both countries. See
my post about Ambien. Why is it sold in a blister pack of thirty when the
FDA itself says hypnotics should generally be limited to 7 to 10 days of
use! Is it to promote addiction to Ambien and thus ensure that the patient
will continue to take the medication?
Does anyone actually pay $75 Cash for Zyrtec syrup or does insurance cover
most of the cost? I can't see paying that much for an antihistamine. There
are plenty of choices on the market that are not so expensive.
> Perhaps this newsgroup is not the appropriate place to ask this
> question, but I will do so anyway. Why is Zyrtec syrup (Reactin)
[quoted text clipped - 7 lines]
> FDA (I am sure their lobbyist have nothing to do with FDA decisions).
> Just wanted to get others opinion on this.
Michael - 02 Jun 2004 02:53 GMT
To the contrary. There is much logic behind government regulations.
Having worked in government for many years I know this to be true. It
is just that the logic is not always in the taxpayer's favor. So, the
answer to your question is no - the FDA is not trying to promote an
addiction. The FDA is trying to appease the pharm. companies. And if
you don't believe it, then just do some additional research - I have.
BTW, Although I do not pay $75 for Zyrtec, my copay for Zyrtec is $50
- still very steep when you consider the Canadian version is $11 OTC.
> Logic does not apply when dealing with government regulations! I remember
> when American's needed a Rx for Dimetapp elixir but it was OTC in Canada. I
[quoted text clipped - 19 lines]
> > FDA (I am sure their lobbyist have nothing to do with FDA decisions).
> > Just wanted to get others opinion on this.
> Perhaps this newsgroup is not the appropriate place to ask this
> question, but I will do so anyway. Why is Zyrtec syrup (Reactin)
> 5ml/mg sold OTC in Canada and you can only get the 1ml/mg syrup by
> presrciption only in the US?
Both Reactine and Zyrtec liquids are 1 mg/mL (or equivalently 5 mg/5 mL).
There are many examples where the same drug is OTC in Canada or US but Rx in
the other country. Naproxen is one example (Rx in Canada, OTC Alleve in the
US); terbinafine (Lamisil) is another (Rx in Canada, I've seen it OTC at
least in MA). Or why is Tylenol #1 OTC (okay, behind the counter) in Canada
but not in the US? So I don't think there's too much to the "conspiracy
theory". In most cases I think the respective company has simply decided it
was not worth the regulatory hassle to push for OTC in certain markets. If
anything, companies would want their products to go OTC because the sales
potential of an OTC is much greater.
Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences & Chemical Engineering and Applied
Chemistry
University of Toronto
----- Original Message -----
From: "Michael" <msingletary@nc.rr.com>
Newsgroups: sci.med.pharmacy
Sent: Tuesday, June 01, 2004 12:54 PM
Subject: Zyrtec Question
Could it be that the pharmecuetical
> company has an incentive to keep the Canadian children healthy (5ml\mg
> version) because they lose money on the drug in Canada? Could it be
[quoted text clipped - 3 lines]
> FDA (I am sure their lobbyist have nothing to do with FDA decisions).
> Just wanted to get others opinion on this.

Signature
Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences & Chemical Engineering and Applied
Chemistry
University of Toronto
19 Russell St., Toronto, ON Canada M5S 2S2
200 College Street, Toronto, ON Canada M5S 3E5
(416) 978-5291/(416) 978-8511 (Fax)
> Perhaps this newsgroup is not the appropriate place to ask this
> question, but I will do so anyway. Why is Zyrtec syrup (Reactin)
[quoted text clipped - 7 lines]
> FDA (I am sure their lobbyist have nothing to do with FDA decisions).
> Just wanted to get others opinion on this.
Michael - 03 Jun 2004 03:20 GMT
I'm afraid its not that simple. Since you live in Canada, you may not
be aware of the profit motives that exists in the US by the pharm.
companies. Please review the following link which shows that this
particular company is fighting to keep Zyrtec from going OTC.
Apparently, they are more concerned about the safety of their
customers than making money - yeah, right.
http://groups.google.com/groups?q=zyrtec+group:sci.med.pharmacy&start=10&hl=en&l
r=&ie=UTF-8&group=sci.med.pharmacy&selm=jYbsa.6577%24hT2.4026075%40news2.news.ad
elphia.net&rnum=15
> > Perhaps this newsgroup is not the appropriate place to ask this
> > question, but I will do so anyway. Why is Zyrtec syrup (Reactin)
[quoted text clipped - 43 lines]
> > FDA (I am sure their lobbyist have nothing to do with FDA decisions).
> > Just wanted to get others opinion on this.
Gregory Poon - 03 Jun 2004 05:03 GMT
Okay I see ... speaking of insurance companies, it is not uncommon here to
see patients with drug plans to try to get, say, Reactine 20 mg tablets
(which are Rx) so that they'll be covered. On the other hand, hydroxyzine
(Atarax) which is just about identical to Reactine except for the
drowsiness, is very much Rx, although it is also much cheaper than Reactine.
The dynamics between the pharmaceutical manufacturers and third party payers
can be quite complex indeed.
> I'm afraid its not that simple. Since you live in Canada, you may not
> be aware of the profit motives that exists in the US by the pharm.
> companies. Please review the following link which shows that this
> particular company is fighting to keep Zyrtec from going OTC.
> Apparently, they are more concerned about the safety of their
> customers than making money - yeah, right.
http://groups.google.com/groups?q=zyrtec+group:sci.med.pharmacy&start=10&hl=en&l
r=&ie=UTF-8&group=sci.med.pharmacy&selm=jYbsa.6577%24hT2.4026075%40news2.news.ad
elphia.net&rnum=15
> > > Perhaps this newsgroup is not the appropriate place to ask this
> > > question, but I will do so anyway. Why is Zyrtec syrup (Reactin)
[quoted text clipped - 43 lines]
> > > FDA (I am sure their lobbyist have nothing to do with FDA decisions).
> > > Just wanted to get others opinion on this.
Pumbaa - 03 Jun 2004 16:23 GMT
I wonder what the official excuse is for the company not wanting to make
Zyrtec OTC? They will certainly not admit that Zyrtec is too dangerous to
sell without a doctor's prescription. People safely buy OTC generic Claritin
without a problem. They will not admit that they can make more money
selling Zyrtec on prescription than OTC, even though making money is what a
company is all about.
Canada may be more logical in its approach to health care pricing. Look at
the American Medicare drug discount card scheme. The drug companies raised
their wholesale prices on popular drugs to cancel out most of the savings
from the discount cards. With no price controls on drugs, the drug
companies did exactly what they should have been expected to do.
> I'm afraid its not that simple. Since you live in Canada, you may not be
aware of the profit motives that exists in the US by the pharm.
> companies. Please review the following link which shows that this
particular company is fighting to keep Zyrtec from going OTC.
> Apparently, they are more concerned about the safety of their customers
than making money - yeah, right.