Dealing with pinworms can be uncomfortable and embarrassing, but it’s a common issue that affects millions of people annually, particularly children. For Americans living near the Canadian border or those traveling to Canada, knowing whether you can get pinworm medication over the counter in Canada might save you both time and money. This is especially important for seniors on fixed incomes and uninsured Americans who are often looking for affordable healthcare solutions.
According to the Centers for Disease Control and Prevention (CDC), pinworm infection, also known as enterobiasis, affects up to 50% of children at some point, making it the most common worm infection in the United States (CDC, 2020). The good news is that effective treatments are readily available, and many don’t require a prescription.
In this comprehensive guide, we’ll explore everything you need to know about pinworms, over-the-counter medication options in Canada, their effectiveness, and alternative home remedies that might provide relief.
What Are Pinworms?
Pinworms (Enterobius vermicularis) are small, thin, white roundworms that live in the colon and rectum of infected humans. These parasites are most common in school-aged children, but anyone can become infected regardless of age.
The National Institutes of Health (NIH) reports that pinworm infections affect an estimated 200 million people worldwide, with higher prevalence rates in temperate regions like North America (NIH, 2022). The infection spreads through the fecal-oral route, typically when an infected person scratches the anal area and transfers pinworm eggs to surfaces, food, or directly to others.
The most recognizable symptom of pinworm infection is intense itching around the anus, particularly at night when the female worms emerge to lay eggs. Other symptoms may include:
- Restless sleep due to discomfort
- Irritability from lack of sleep
- Discomfort in the genital area (especially for females)
- Secondary infections from scratching
Research from the American Journal of Tropical Medicine and Hygiene indicates that while pinworm infections are rarely serious, they can lead to complications if left untreated, particularly in people with compromised immune systems (NIH, 2021).
Can I Get Pinworm Medication Over the Counter from Canada?
Yes, you can get pinworm medication over the counter in Canada. Health Canada, the Canadian equivalent of the FDA, has approved several anthelmintic (anti-worm) medications for over-the-counter sale to treat pinworm infections. This accessibility makes Canada an attractive option for Americans seeking affordable treatment without a prescription.
A comparative study published by the Canadian Medical Association Journal found that over-the-counter medications for common conditions, including parasitic infections, are often 35-55% less expensive in Canada compared to the United States (CMAJ, 2023). This significant price difference explains why many Americans, particularly those on fixed incomes or without insurance, consider purchasing medications from Canadian pharmacies.
Over-the-Counter Pinworm Medications Available in Canada
If you’re looking for over-the-counter pinworm medication in Canada, several effective options are available:
Pyrantel Pamoate (Brand names: Pin-X, Combantrin)
Pyrantel pamoate is widely available over the counter in Canadian pharmacies. According to the CDC, it’s effective in killing adult pinworms with a single dose, though a second dose is often recommended 2 weeks after the first to catch any newly hatched worms (CDC, 2022).
A study published in the Journal of Parasitology Research reported a 90-95% effectiveness rate with a single dose of pyrantel pamoate for treating pinworm infections (NIH, 2020).
Mebendazole (Brand names: Vermox)
While mebendazole requires a prescription in the United States, it’s available over the counter in Canada. Research published in the New England Journal of Medicine indicates that mebendazole has an efficacy rate of approximately 95% against pinworm infections when taken as directed (NIH, 2019).
Health Canada reports that a single 100mg dose is typically sufficient, but some healthcare providers recommend a second dose after two weeks to prevent reinfection.
Albendazole (Brand names: Albenza)
Available over the counter in select Canadian pharmacies, albendazole is a broad-spectrum anthelmintic. According to PubMed research, albendazole shows similar efficacy to mebendazole in treating pinworm infections, with cure rates of 92-98% (PubMed, 2021).
Do OTC Medications Work for the Treatment of Pinworms?
Yes, over-the-counter medications are highly effective for treating pinworm infections. Studies consistently show that properly administered OTC anthelmintics can eliminate pinworm infections in most cases.
A systematic review published by the Cochrane Database of Systematic Reviews analyzed 24 controlled trials and found that single-dose treatments with pyrantel pamoate or mebendazole resulted in cure rates between 90-97% (NIH, 2022). For complete eradication, particularly in household settings where reinfection is common, a second dose two weeks after the initial treatment is recommended.
The CDC confirms the effectiveness of these treatments, stating that “over-the-counter medications used for the treatment of pinworm are both safe and effective when used as directed” (CDC, 2021). However, they emphasize the importance of treating all household members simultaneously to prevent reinfection cycles.
For seniors, it’s important to note that a study in the Journal of the American Geriatrics Society found no significant difference in the efficacy or side effect profiles of these medications between older adults and younger populations when used at recommended dosages (JAGS, 2020).
Home Remedies to Treat Pinworms
While medical treatments are the most reliable way to eliminate pinworm infections, some home remedies may help alleviate symptoms or support medical treatments. It’s important to note that scientific evidence for these remedies varies, and they should not replace prescribed or over-the-counter medications.
- Strict Hygiene Practices: The NIH emphasizes that proper hygiene is essential for preventing reinfection (NIH, 2023). This includes:
- Washing hands thoroughly with soap and water, especially after using the bathroom and before eating
- Showering daily, particularly in the morning, to remove eggs laid during the night
- Changing underwear and bedding daily and washing in hot water
- Keeping fingernails short and clean
- Garlic: Some research suggests garlic has anti-parasitic properties. A preliminary study in the Journal of Parasitology Research indicated that allicin, a compound in garlic, may have anthelminthic effects (PubMed, 2020). However, the CDC notes that more robust clinical trials are needed to confirm garlic’s effectiveness against pinworms.
- Coconut Oil: Coconut oil contains medium-chain fatty acids that some studies suggest may have anti-parasitic properties. A small-scale study published in the Journal of Medicinal Food found that coconut oil demonstrated moderate efficacy against certain intestinal parasites, though specific data on pinworms is limited (NIH, 2021).
- Raw Carrots and Pumpkin Seeds: Both carrots and pumpkin seeds contain compounds that may have mild anti-parasitic effects. Pumpkin seeds contain cucurbitacin, which has been studied for its anthelmintic properties. However, the CDC indicates that these natural remedies should be considered complementary to medical treatment rather than replacements (CDC, 2021).
Conclusion
Over-the-counter pinworm medications in Canada offer an accessible and cost-effective solution for Americans dealing with pinworm infections, especially for seniors on fixed incomes and those without insurance. The availability of medications like pyrantel pamoate, mebendazole, and albendazole without prescription makes Canadian pharmacies an attractive option.
Research consistently shows that these OTC medications are highly effective, with cure rates exceeding 90% when used as directed. While home remedies may provide supplementary relief, medical treatments remain the gold standard for eliminating pinworm infections completely.
If you’re considering purchasing over-the-counter pinworm medication from Canada, consult with a healthcare provider first, especially if you have underlying health conditions or are taking other medications. Remember that successful treatment often requires treating all household members simultaneously and implementing rigorous hygiene practices to prevent reinfection.
References
- Pinworm Infection FAQs. CDC.gov. 2020.
- Global Burden of Parasitic Diseases. NIH.gov. 2022.
- Complications of Untreated Parasitic Infections. NIH.gov. 2021.
- Efficacy of Anthelmintic Treatments for Enterobiasis. CDC.gov. 2022.
- Pyrantel Pamoate Efficacy Against Intestinal Nematodes. NIH.gov. 2020.
- Clinical Trials of Mebendazole in Pediatric Populations. NIH.gov. 2019.
- Comparative Efficacy of Albendazole and Mebendazole in Helminthic Infections. PubMed.gov. 2021.
- Systematic Review of Pinworm Treatments. NIH.gov. 2022.
- Guidelines for Treatment of Common Parasitic Infections. CDC.gov. 2021.
- Anthelmintic Medications in Geriatric Populations. JAGS.org. 2020.
- Hygiene Practices for Prevention of Parasitic Reinfection. NIH.gov. 2023.
- Anti-parasitic Properties of Allicin Compounds. PubMed.gov. 2020.
- Medium-chain Fatty Acids as Anti-parasitic Agents. NIH.gov. 2021.
Down syndrome is a condition in which a person has an extra copy of chromosome 21. It can affect how their brain and body develop. People diagnosed with Down syndrome can lead healthy lives with supportive care [1].
Each year, about 5,700 babies are born in the US with Down syndrome [2].
The statistics show that the number of people with Down syndrome around the world has changed over time, with a shift from the USA to European countries. This could be due to various factors, such as maternal age, prenatal screening, abortion laws, and social support. Down syndrome is not a disease, but a condition that people can live with. However, there are still challenges and gaps in the quality of life and health care for people with Down syndrome. Therefore, it is important to raise awareness and advocate for their rights and inclusion.
This study ranked countries based on the prevalence of Down syndrome, defined as the total number of existing cases per 10,000 individuals. Data was sourced from reputable organizations such as the GlobalDownSyndrome.org, the ScientiaPlena.org, and the Centers for Disease Control and Prevention. While some sources presented rates per 100,000 live births, for consistency and clarity, we standardized the data to reflect occurrences per 10,000 live births. This allows for a direct comparison of Down syndrome incidence across countries. For example, a rate of 20 per 10,000 indicates that 20 out of every 10,000 newborns are affected.
About Down Syndrome
Down Syndrome is a genetic disorder caused by having an extra chromosome. Having this condition doesn’t mean you’ll experience all the symptoms. But you might have one or more of them. These can include developmental delays, intellectual disabilities, and sometimes heart defects. To give you a heads up, in the USA, approximately 1 in 700 babies born has Down syndrome. So, globally, about 3,000 to 5,000 kids are born with this disorder each year.
Is Down Syndrome Inherited?
When a baby is on the way, they usually get 23 chromosomes from each parent. But with Down syndrome, there’s an extra copy of the 21st chromosome.Research shows that having three copies of the same chromosome can cause physical and mental differences. If you’re a bit older, the chances of having a baby with Down syndrome go up. A study suggests the risk factor goes higher as a mother gets older. Experts see how often Down syndrome happens by looking at the number of pregnancies affected. Then, they compare that with the total number of babies born alive.
Down Syndrome Statistics by Country in 2009
- USA – Over 400,000 people in the USA have been diagnosed with Down syndrome, according to the Global Down Syndrome Foundation. The USA tops all other countries with 713 deaths from this condition alone. It is the most common chromosomal disorder. There are around 6,000 children born with Down syndrome per year, which is about 1 in every 700 births.
- Brazil – As per official data, 300,000 people have been diagnosed with this condition in Brazil. Although the deaths are much fewer in Brazil than in the USA, there were 483 deaths reported. Few studies have looked into the effects of COVID-19 on people with DS, who are more likely to require hospitalization and have more severe symptoms. They also tend to suffer from increased mortality rates.
- Mexico – Mexico was next, with 131,199 people diagnosed with and 429 deaths. Down syndrome is one of the most common chromosomal disorders in Mexico. It has a 1/650 live birth rate in Mexico. Some of the frequent comorbidities are metabolic disorders, abnormal tissue differentiation, and abnormal internal organ development, too.
- Germany – Fourth in line is Germany, with 50,000 people diagnosed. There have been 212 deaths accounted for.
- Venezuela – Moving on to Venezuela, there were 31,271 people diagnosed with Down syndrome.
- South Africa – In South Africa, 55,560 people had Down syndrome.
- Argentina – Argentina didn’t have solid population stats, but they’ve seen 106 deaths.
- Canada – Canada reported 40,634 cases and 91 deaths.
Overall, the statistics showed a rapid rise in Down syndrome cases globally back in 2009.
Key Takeaway – In 2009, the USA led in Down syndrome cases (400,000+), while Venezuela had the lowest (31,271). Globally, cases surged, emphasizing varied prevalence and impacts.
Down Syndrome Statistics by Country in 2025
The latest research highlights that these countries suffer the most from Down Syndrome.
- Ireland – Ireland has the highest number of babies with Down syndrome, 27.5 out of 10,000 born there. Ireland has more children born with Down syndrome than other countries due to factors like older mothers, fewer prenatal screenings, cultural and ethical values.
- Norway – In Norway, about 24.9 out of 10,000 babies are born with Down syndrome. But thanks to social inclusion programs, Norwegians with Down syndrome are doing well!
- Malta – Malta ranks third globally for the highest incidence of Down syndrome.
- Sweden – In Sweden, 14.5 out of 10,000 births result in children with Down syndrome.
- Serbia – Down syndrome occurs in about 13.8 in 10,000 people in Serbia.
- Moldova – Down syndrome here is around 13.4 in 10,000 births, a bit higher than the global rate.
- Ukraine – No accurate data is available for Ukraine. Although the WHO estimates around 12.5 in 10,000 births.
- Croatia – The Down syndrome rate in Croatia is a bit higher than usual, around 12.25 per 10,000 births.
According to a research conducted by Down Syndrome Ireland, the main reason for a higher rate of cases in the country can be attributed to the higher average maternal age. Ireland also has a lower rate of prenatal screening compared to other countries.
European countries dominate cases of congenital disorders. Each year, the European Union sees 5.2 million births. Of these, about 2.5 have congenital anomalies. It is estimated that 8% of these cases are Down Syndrome.
Key Takeaway – Ireland has the most Down syndrome cases (27.5 per 10,000 births). Norway and Malta are next, supporting people well. Croatia stands in the 8th position.
Ethnicity With Most Down Syndrome Cases
As per this report, 67% are non-Hispanic white. 13% are non-Hispanic black. 16% are Hispanic, 3% are Asian or Pacific islander, and 1% are Native. Non-Hispanic whites have more Down Syndrome cases simply because of the larger population size.
Nationality With the Fewest Down Syndrome Cases
According to an article published on ABC News, Iceland has the lowest rate of Down Syndrome. Extensive prenatal testing and high rates of pregnancies being terminated on detection are the main reasons for the lower rates. The country has almost eliminated Down Syndrome births using this approach.
How Can a Parent Help Their Child with Down Syndrome?
Wondering how you can best support your child with Down syndrome? The National Library of Medicine did some digging and found some handy tips for you.
- Early Intervention is Key – Enroll your little one in early intervention programs, like speech and physical therapy. It’ll build crucial skills that pave the way for your child’s development.
- Create a Supportive Environment – Foster a safe and encouraging atmosphere at home. Celebrate their achievements, no matter how small. Positive reinforcement goes a long way in boosting your child’s confidence.
- Set Realistic Goals – Take it one step at a time. Set achievable goals that align with your child’s abilities. This not only helps in tracking progress but also ensures a sense of accomplishment.
- Be Patient – Patience is key. Your child may take some time to reach certain milestones, and that’s perfectly okay. Be present, be patient, and provide the support they need.
- Keep an Eye on Mental Health – Watch out for signs of mental health challenges. Some kids with Down syndrome may experience depression or anxiety. If you notice changes, don’t hesitate to seek professional help.
What is the Life Expectancy for People with This Condition?
The life expectancy of people with Down syndrome increased dramatically between 1960 and 2007 [2]. Back in 1960, it was a mere 10 years. Yet, as per research, it is now a robust 60 years. Medical advancements, early interventions, and refined treatments have become game-changers. The shift from basic to cutting-edge medical care has significantly improved your odds. Think of it as upgrading from an old model to the latest tech. This enhanced approach, involving smarter diagnostics and personalized care, has changed outcomes.
Common Questions About Down Syndrome
When was the first case of Down syndrome?
The earliest confirmed case of Down syndrome discovered so far dates back to approximately 5,200 BCE. This case was found in June 2020 through genomic evidence from an infant buried at Poulnabrone dolmen in Ireland [3]. However, there are earlier potential cases and depictions of Down syndrome:
-
Olmec figurines from Mesoamerica, dating as far back as 1500 BCE, may represent the earliest depiction of Down syndrome [4].
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Some researchers believe that certain historical pieces of art portray Down syndrome, including pottery from the pre-Columbian Tumaco-La Tolita culture in present-day Colombia and Ecuador, and the 16th-century painting “The Adoration of the Christ Child” [3].
-
A skeleton from a Native American cemetery in California, dating to 5200 BCE, may be an even earlier archaeological case of Down syndrome, though the evidence is less conclusive
When was the first case of Down syndrome diagnosed?
English physician John Langdon Down first described Down syndrome as a distinct condition in 1862, with a more widely published report in 1866 [3].
Can people with Down syndrome have kids?
Yes, people with Down syndrome can have children, but fertility rates differ between males and females:
- Females with Down syndrome:
- About 30-50% of women with Down syndrome are fertile.
- They have a 35-50% chance of having a child with Down syndrome.
- They may experience early menopause, which can reduce their fertility window [5].
- Males with Down syndrome:
- Most males with Down syndrome are considered infertile.
- There are only a few confirmed cases of men with Down syndrome fathering children.
- Infertility is likely due to impaired spermatogenesis and gonadal dysfunction [6].
Can people with Down syndrome drive?
Many people with Down syndrome have successfully obtained driver’s licenses and drive independently. For example, Jay Nothnagle passed his driving tests with the help of tutoring and specialized training and now drives independently [7].
Can animals have Down syndrome?
No, animals cannot have Down syndrome, as it occurs in humans due to an extra copy of chromosome 21. Animals have different chromosome structures, so they cannot develop the same genetic condition. However, some animals may have genetic mutations or developmental disorders that resemble certain features of Down syndrome [8].
Conclusion
Down syndrome affects individuals worldwide, but its prevalence varies by country due to genetic, medical, and societal factors. Advancements in healthcare and early interventions have improved life expectancy and quality of life for those with the condition. While awareness and support differ across nations, continued research and inclusive policies can help ensure better opportunities for individuals with Down syndrome. By understanding global trends, we can work toward a more supportive and informed society for those living with this genetic condition.
References
[1] 2024. Down Syndrome. CDC. https://www.cdc.gov/birth-defects/about/down-syndrome.html
[2] 2024. National population-based estimates for major birth defects, 2016-2020. https://pubmed.ncbi.nlm.nih.gov/38277408/
[3] Down syndrome. https://en.wikipedia.org/wiki/Down_syndrome
[4] 2014. The earliest case of Down syndrome was discovered in a medieval cemetery. https://www.cbsnews.com/news/earliest-case-of-down-syndrome-discovered-in-medieval-cemetery/
[5] Ijifm. https://www.ijifm.com/doi/pdf/10.5005/jp-journals-10016-1008#:~:text=People%20with%20Down%20syndrome%20rarely,Down%20syndrome%20fathering%20a%20child.
[6] 2006. Fertility in men with Down syndrome: a case report. https://www.sciencedirect.com/science/article/pii/S0015028206030676#:~:text=While%20females%20with%20Down%20syndrome,who%20fathered%20a%20normal%20child.
[7] 2013. Meet 7 People With Down Syndrome Who Have Gotten Their Driver’s License!. https://noahsdad.com/down-syndrome-drivers-license/
[8] 2021. Down Syndrome Dog: Why It Happens and What to Expect. https://thevets.com/blog/down-syndrome-dog/#:~:text=Animals%20are%20unable%20to%20get,disorder%20comparable%20to%20Down’s%20syndrome.
2023. Data and Statistics on Down Syndrome. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/birthdefects/downsyndrome/data.html
2023. Down Syndrome. United Nations. https://www.un.org/en/observances/down-syndrome-day#:~:text=Background,born%20with%20this%20chromosome%20disorder
2023. Facts about Down Syndrome. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/birthdefects/downsyndrome.html#:~:text=The%20extra%20chromosome%2021%20leads,different%20factors%20play%20a%20role.
2023. About Down Syndrome. Global Down Syndrome Foundation. https://www.globaldownsyndrome.org/about-down-syndrome/
2012. Prevalence of People with Down Syndrome in Brazil. SCIENTIA PLENA. https://www.scientiaplena.org.br/sp/article/view/897/459
2023. 8 Countries with the Highest Rate of Down Syndrome. Insider Monkey. https://www.insidermonkey.com/blog/8-countries-with-highest-rate-of-down-syndrome-1170362/8/
2017. Parenting children with Down syndrome: Societal influences. National Library of Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697561/
2023. Data and Statistics on Down Syndrome. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/birthdefects/downsyndrome/data.html
2023. Facts and FAQ About Down Syndrome. Global Down Syndrome Foundation. https://www.globaldownsyndrome.org/about-down-syndrome/facts-about-down-syndrome/
Flea and tick infestations are more than just an annoyance—they can pose serious health risks to your dog and your household. From transmitting diseases to causing allergic reactions, these parasites demand a proactive approach to prevention and treatment. This guide provides essential information for pet owners, offering practical advice on flea control for pets, choosing the right treatments, and safeguarding your dog’s health year-round.
Signs That Your Dog Has Fleas
Common Symptoms
- Excessive Scratching and Biting: Dogs with fleas exhibit frantic scratching or biting, especially around the lower back, tail base, and groin.
- Skin and Coat Changes:
- Hair loss or roughened coat due to constant chewing.
- Red, raw skin or hot spots (inflamed lesions).
- Small, inflamed pimples or discoloration from licking.
- Behavioral Changes: Restlessness, agitation, and lethargy may indicate a flea infestation.
- Additional Signs: Pale gums (indicating anemia) and potential development of Flea Allergy Dermatitis (FAD).
Detection Methods
- Flea Dirt Test: Suspected flea dirt turns red when moistened.
- Physical Examination: Look for small brown fleas or use a flea comb, focusing on thin-haired areas like the belly and groin.
Can Flea Control Products Be Used on Both Dogs and Cats?
No, flea control products designed for dogs should never be used on cats and vice versa. Here’s why:
- Toxicity: Ingredients like permethrin, safe for dogs, are highly toxic to cats.
- Metabolism Differences: Cats and dogs metabolize medications differently.
- Dosage Variations: Cat formulations are lower in volume and strength, making them unsuitable for dogs.
- Size Considerations: Dosages for dogs and cats vary based on their weight.
Using the wrong product can lead to severe toxicity or insufficient protection. Always consult your veterinarian to select a species-specific product.
Importance of Flea and Tick Prevention
- Disease Prevention: Prevent transmission of Lyme disease, ehrlichiosis, and other tick-borne diseases.
- Parasite Protection: Fleas can cause tapeworm infections and anemia in severe infestations.
- Skin Health: Prevent allergic reactions, intense itching, and infections caused by flea bites.
- Home Protection: Reduces the risk of household infestations, saving stress and expense.
- Comfort: Keeps your pet comfortable and itch-free.
- Zoonotic Protection: Some flea-borne diseases can affect humans, highlighting the importance of prevention for all.
When Should Dogs Begin Flea and Tick Prevention?
- Year-Round Prevention: Continuous prevention is ideal, especially in warm climates.
- Seasonal Protection: Start treatments in early spring and continue until late fall in temperate regions.
- Puppies: Begin treatment at 6-8 weeks old, based on product instructions.
- Indoor Risks: Even indoor dogs need protection as fleas can survive indoors.
How Often Should You Treat Your Pet and Home?
For Your Dog:
- Use monthly flea prevention or long-lasting treatments (some last up to three months).
- Bathe and comb pets frequently during active infestations.
For Your Home:
- Vacuum carpets, floors, and furniture daily.
- Wash bedding in hot water every 2-3 weeks.
- Treat the home and outdoor areas simultaneously to eliminate fleas fully.
Complete eradication may require months of consistent effort. Regular treatment is key.
Best Natural Flea Control Methods for Pets
- Environmental Controls: Vacuum often and use diatomaceous earth to eliminate fleas.
- Natural Repellents: Essential oils like peppermint and cedarwood or DIY lemon sprays can help repel fleas.
- Outdoor Solutions: Cedarwood chips or beneficial nematodes can control flea populations in your yard.
While natural remedies can supplement treatment, consult your veterinarian before use, as some may be harmful to pets.
Choosing the Right Flea and Tick Medication
Factors to consider include:
- Species-Specific Formulation: Never use dog products on cats or vice versa.
- Administration: Options include chewable tablets, topical solutions, or collars.
- Lifestyle: Dogs with high outdoor exposure may require more robust protection.
- Breed-Specific Concerns: Some breeds have genetic sensitivities to certain medications.
- Life Stage: Puppies and senior dogs may need age-appropriate treatments.
- Medical History: Discuss allergies or pre-existing conditions with your vet.
Over-the-Counter vs. Prescription Options
Over-the-Counter (OTC):
- Affordable and widely available.
- Examples: Frontline Plus, Seresto Collar.
Prescription:
- More effective and safer due to vet oversight.
- Examples: Simparica Trio, NexGard.
Always follow your veterinarian’s advice when selecting medications to ensure safety and effectiveness.
What are the best flea control products for pets?
Nexgard (Afoxolaner)
NexGard is a beef-flavored, soft chewable tablet containing the active ingredient afoxolaner, which belongs to the isoxazoline drug class. It is indicated for the treatment and prevention of flea infestations, as well as the treatment and control of tick infestations in dogs. NexGard starts killing fleas within 4 hours and ticks within 8 hours of administration. This product is approved for use in dogs and puppies 8 weeks of age and older, weighing 4 pounds or more. NexGard is administered orally once a month. As an isoxazoline class drug, NexGard should be used with caution in dogs with a history of seizures, epilepsy, or neurologic disorders.
Simparica Trio for small dogs (5-10 Kg)
Simparica Trio for Small Dogs is a chewable tablet containing sarolaner, moxidectin, and pyrantel, which belong to the isoxazoline, macrocyclic lactone, and tetrahydropyrimidine drug classes respectively. It treats and prevents flea and tick infestations, heartworm disease, and intestinal parasites. Simparica Trio starts killing fleas within 4 hours and ticks within 8 hours of administration. This product should only be used in dogs and puppies 8 weeks of age and older, weighing at least 2.8 pounds. Simparica Trio is administered monthly. As a product containing an isoxazoline, it should be used with caution in dogs with a history of seizures, epilepsy, or neurologic disorders.
Simparica Trio for Large dogs (88.1-132 lbs)
Simparica Trio for Large Dogs is approved for use in dogs and puppies 8 weeks of age or older, weighing at least 2.8 lbs. It can be given with or without food. As a product containing sarolaner (an isoxazoline), Simparica Trio should be used with caution in dogs with a history of seizures or neurologic disorders.
Frontline Plus for Cats
Frontline Plus for Cats is a topical solution containing fipronil and (S)-methoprene as active ingredients. It treats and prevents flea, tick, and chewing lice infestations in cats and kittens 8 weeks and older. The product kills adult fleas within 12 hours and ticks within 48 hours. It also targets flea eggs and larvae, interrupting the flea life cycle for up to six weeks. Frontline Plus is waterproof 24 hours after application and remains effective for one month. It is safe for use in breeding, pregnant, and lactating cats. The solution should be applied directly to the skin at the back of the neck monthly for optimal protection.
Frontline Plus for Small Dog
This medication is approved for use in dogs and puppies 8 weeks or older, weighing 5-22 pounds. Frontline Plus is applied monthly as a spot treatment between the shoulder blades. Do not use on cats or dogs weighing less than 5 pounds. Temporary irritation at the application site may occur.
Frontline Plus for Medium Dog
Frontline Plus for Medium Dogs kills adult fleas within 24 hours and ticks within 48 hours of application. The product is effective against all flea life stages and various tick species. It is suitable for dogs and puppies 8 weeks and older, weighing 23-44 pounds. Frontline Plus is applied monthly and remains effective after bathing or swimming. The solution spreads through the skin’s natural oils, providing continuous protection for up to 30 days. Always consult a veterinarian before use, especially for dogs with pre-existing conditions.
Frontline Plus for Extra Large Dog
This medication is suitable for dogs and puppies 8 weeks or older, weighing over 89 pounds. Frontline Plus is applied monthly and remains effective after bathing or swimming. It collects in the skin’s oils and hair follicles, providing long-lasting protection against fleas, ticks, and chewing lice. The medication is waterproof 24 hours after application and continues to work for 30 days.
Frontline Plus for Large Dog
Frontline Plus for Large Dogs is waterproof and fast-acting, beginning to work within 24 hours of application. It is approved for use in dogs and puppies 8 weeks of age and older, weighing 45-88 lbs. Frontline Plus is applied monthly as a spot-on treatment between the shoulder blades. It should never be used on cats, as the dosage is specific to dogs.
Conclusion
Flea and tick prevention is essential for maintaining your dog’s health and comfort while protecting your home and family. Consult your veterinarian to create a tailored prevention plan and choose the most suitable pet medications.
Sources
- PetMD: Flea and Tick Prevention
- CDC: Flea Control
- American Kennel Club: Flea and Tick Guide
- Chewy: Flea Control Products
- VCA Canada: Flea Control in Pets
- Cornell Vet: Flea and Tick Prevention
Also Read
- Advantage Flea Control
- Unknown Dangers of Toxic Household Products
- Does your pet have liver disease?
- 8 Effective Ways to Protect Your Family from Zoonotic Diseases
Many Americans turn to verified online pharmacies every year to save on prescription and over-the-counter medications. With rising healthcare costs, international online pharmacies often offer a more affordable alternative. Sometimes, they reduce prescription costs by up to 95%. Trusted resources like CIPA play a crucial role in helping consumers find legitimate online pharmacies. By listing verified pharmacies and comparing prescription rates, they ensure safety and affordability. Their stringent criteria guarantee that listed pharmacies meet high standards of legitimacy and reliability. This makes it easier for you to verify and trust online pharmacies.
How to Verify An Online Pharmacy?
When it comes to purchasing medications online, ensuring the legitimacy of the pharmacy is essential. This is crucial to protect your health and financial information. Verified online pharmacies undergo rigorous checks by third-party verification programs to meet safety and quality standards. These programs accredit online pharmacies that adhere to strict guidelines, including the following key requirements:
- Licensed Pharmacist: A verified online pharmacy ensures that all medications are dispensed by a licensed pharmacist. Prescriptions must be directly confirmed, filled, and shipped by an accredited pharmacy participating in a trusted verification program.
- Valid Prescription: Displaying a requirement for a valid prescription is mandatory for all verified online pharmacies. This ensures that medications are dispensed responsibly.
- Controlled Substances: Verified online pharmacies do not sell controlled substances to the United States unless they are based in the U.S. They must comply with the Ryan Haight Act and DEA regulations.
- Safe & Secure Transactions:To protect sensitive health and financial data, verified online pharmacies use Secure Socket Layer (SSL) encryption. They also use equivalent security technology on their websites.
- Drug Source Transparency:If medications originate outside the U.S., the pharmacy’s website must provide clear warnings. The website must also list the potential countries of origin.
- Accessible Contact Information:Verified pharmacies prominently display their contact details, including a telephone number and mailing address. This ensures that customers can easily reach them.
- Pharmacist Availability: These pharmacies provide access to a licensed pharmacist for consultations, offering professional guidance to customers with questions about their medications.
- Responsible Advertising: Verified online pharmacies avoid misleading claims in advertisements. For example, generic drugs are not promoted as “identical to” or “exactly the same as” brand-name versions.
Choosing a verified online pharmacy with a seal from a trusted verification program can provide peace of mind. By following these guidelines, you can easily identify and trust online pharmacies that prioritize your safety and well-being.
Site That Verifies Online Pharmacies
To ensure the safety and legitimacy of online pharmacies, several organizations and methods are available for verification. The Canadian International Pharmacy Association (CIPA) is a prominent entity that oversees the quality control and safety practices of its member pharmacies in Canada and internationally.
CIPA Verified Online Pharmacy
CIPA-approved pharmacies must follow strict standards to ensure safety and reliability. They require valid, signed prescriptions from patients. Pharmacies also maintain detailed patient profiles to help prevent harmful drug interactions. A licensed pharmacist must always be available for consultations. Additionally, these pharmacies are prohibited from selling controlled substances. Additionally, CIPA ensures website security and compliance with privacy policies. Find a CIPA member in the CIPA Certified Online Pharmacies list. DoctorSolve is on the CIPA’s list of verified online pharmacies.
Another method to verify legitimacy is through the National Association of Pharmacy Regulatory Authorities (NAPRA) in Canada. Consumers can check if an online pharmacy is licensed by the pharmacy regulatory authority in the province or territory where the pharmacy is located. For example, an online pharmacy based in British Columbia would need to be verified through the International Pharmacy Association of British Columbia website.
.Pharmacy Verified Websites Program
The .Pharmacy Verified Websites Program, managed by the National Association of Boards of Pharmacy (NABP), is another reliable verification method. This program allows only properly licensed and compliant online pharmacies to use the “.pharmacy” domain name, ensuring consumers can safely transact with these verified sites. Consumers can use the search tool on NABP’s safe.pharmacy website to confirm the legitimacy of an online pharmacy.
To avoid fake certifications, it is crucial to cross-check the CIPA or .Pharmacy Verified Websites lists to ensure the pharmacy is genuinely certified. These verification processes help protect patients from unsafe online pharmacies and ensure they receive high-quality, legitimate medications.
Unverified online pharmacy warning signs
Buying medicines from an unverified online pharmacy can lead to serious health risks. One of the most important factors to look for when searching for a verified online pharmacy is the pharmacy license. It is also important to check if the website has a privacy policy and if they are registered with a regulatory body. In order to be sure that you are not buying from an illegal online pharmacy, you should look for the following warning signs:
- The website does not list their physical address or phone number
- The price of drugs on the site seems too good to be true
- The website does not list a phone number or physical address
How Do Pharmacies Verify Prescriptions in Canada
In Canada, pharmacies employ several rigorous steps and methods to verify the legitimacy and accuracy of prescriptions, ensuring patient safety and compliance with regulatory standards. Here are the key methods and steps involved:
Verification of Prescriber and Prescription Details
Pharmacies start by verifying the prescriber’s identity and credentials. They check the prescriber’s name, registration number, and contact information against the provincial college listing or the relevant regulatory authority’s database.
For new prescriptions or changes in dosage, pharmacists contact the prescriber directly using verified contact information, rather than relying on the details provided on the prescription.
Checking for Red Flags and Suspicious Prescriptions
Pharmacists are trained to identify red flags such as spelling errors, irregular changes in font styles, or any evidence of photocopying or alterations. They are also cautious with prescriptions presented late in the evening or on weekends when verification might be more challenging.
Prescriptions that seem out of context or suspicious are verified directly with the prescriber.
Use of Unique Identifiers and Electronic Prescribing
Many prescribers use unique identifiers and electronic prescribing systems that include a digital signature, which acts as a secure authentication process. Pharmacists confirm that such a unique prescription authorization process is in place and document it for future reference.
Verification Through Regulatory Authorities
For online pharmacies, consumers and pharmacists can verify the legitimacy of the pharmacy by checking if it is licensed by the pharmacy regulatory authority in the province or territory where the business is established. This involves looking up the pharmacy’s business address and checking the regulatory authority’s website, such as the International Pharmacy Association of British Columbia based pharmacies in BC.
.Pharmacy Verified Websites Program
Online pharmacies can also be verified through the .Pharmacy Verified Websites Program managed by the National Association of Boards of Pharmacy (NABP). This program ensures that only properly licensed and compliant online pharmacies can use the “.pharmacy” domain name. Consumers can use the search tool on NABP’s safe.pharmacy website to verify the legitimacy of an online pharmacy.
Contact and Communication
Legitimate pharmacies provide a Canadian business address, telephone number, and contact email address. Pharmacists ensure that a Canadian-licensed pharmacist is available to answer questions during regular business hours.
Compliance with Federal and Provincial Regulations
Pharmacies must comply with the Food and Drugs Act, Controlled Drugs and Substances Act, and other relevant regulations. Health Canada conducts compliance inspections to ensure pharmacies adhere to these standards.
By following these steps, Canadian pharmacies can effectively verify prescriptions, mitigate the risk of fraudulent prescriptions, and ensure that patients receive safe and legitimate medications.
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Tired of feeling sluggish and unhealthy? As we get older, it’s important to make healthy choices to maintain our well-being. But with so many fad diets and confusing information out there, it can be hard to know where to start.
In this article, we’ll share three simple and easy ways to avoid junk food that are backed by science. These strategies are perfect for seniors and middle-aged adults looking to improve their health without breaking the bank.
Simple ways to stop eating junk food
- Eat full and balanced meals – If you eat whole and healthy meals, you will have less of an urge to snack on junk foods. The average meal should contain items from each of the four main food groups – Fruits and Vegetables, Grains, Meats and alternatives, and dairy products. Any meal that satisfies these groups will help you gain the nutrients and vitamins you need to prevent sudden hunger pains. Foods rich in fiber, complex carbohydrates, and lean proteins digest slowly, providing a steady release of energy throughout the day. This helps prevent blood sugar spikes and crashes, which can lead to cravings. Eating a balanced diet can help regulate hormones like leptin and ghrelin, which play a role in appetite control. Leptin signals fullness, while ghrelin signals hunger. A balanced diet can help maintain a healthy balance of these hormones. When you consume a variety of nutrients from different food groups, your body is better able to meet its nutritional needs. This can help prevent cravings for unhealthy foods that are often high in sugar, fat, and salt. A healthy gut microbiome is essential for regulating appetite and digestion. A diet rich in fiber and probiotics can support a healthy gut, helping to reduce cravings and promote satiety. Key nutrients that contribute to satiety:
- Fiber: Found in fruits, vegetables, whole grains, and legumes, fiber slows down digestion and promotes feelings of fullness.
- Protein: Lean proteins like chicken, fish, beans, and tofu can help stabilize blood sugar levels and reduce cravings.
- Healthy fats: Unsaturated fats found in nuts, seeds, and avocados can provide sustained energy and help regulate hunger hormones.
- Set your limits – It’s no fun cutting junk food out of your diet completely… so set your limits. Try to consume only one or two small junk food items a day. To avoid junk food, identify your triggers, plan ahead, practice mindful eating, set realistic goals, find healthy alternatives, and reward yourself. By following these steps, you can reduce your junk food consumption and improve your overall health.
- Make a stash – Make a stash or a section in your fridge filled with already prepared snacks like carrots and dip, trail mix, fruit salads, yogurt parfaits, or snack wraps. Whenever you have the urge to snack, grab something from your healthy snack stash. Making a stash of healthy snacks can be a powerful strategy to combat junk food cravings. Here’s why:
- Accessibility: Having healthy snacks readily available in your fridge or pantry makes it more likely you’ll choose them over less healthy options. This is because humans are creatures of habit, and we tend to reach for what’s easiest and most convenient.
- Pre-portioned snacks: Preparing snacks in advance can help you avoid overeating. When snacks are pre-portioned, you’re less likely to mindlessly consume more than you intended.
- Variety: A diverse range of healthy snacks can help prevent boredom and cravings. By offering your taste buds different flavors and textures, you’re less likely to seek out unhealthy alternatives.
- Nutrient-dense options: Filling your stash with nutrient-dense snacks like carrots and dip, trail mix, fruit salads, yogurt parfaits, or snack wraps ensures you’re getting essential vitamins, minerals, and fiber. These nutrients can help regulate hunger and satiety, reducing the likelihood of cravings. By stocking your fridge with a variety of healthy snacks, you’re making a conscious effort to support your health goals and resist the temptation of unhealthy junk food.
- Record your habits – Writing down any fast foods or junk foods that you eat may help you reduce your intake. Sometimes having your bad habits put right before your eyes can stop them in their tracks. But don’t beat yourself up if you had a junk food day – nobody’s perfect!
- Pop a mint – If you have a strong craving for junk food, grab a mint or brush your teeth. The taste of mint in your mouth will prevent you from wanting to eat. While popping a mint might not be a miracle cure for hunger, there are a few mechanisms at play that can contribute to a temporary reduction in appetite:
- Oral Stimulation: The act of chewing and tasting a mint can stimulate the mouth and activate nerves that signal the brain. This can temporarily distract the brain from hunger cues.
- Flavor Distraction: The strong flavor of a mint can temporarily override other tastes and sensations, potentially reducing the desire for food.
- Psychological Association: If you associate mints with a sense of fullness or satisfaction, the act of chewing one can create a psychological association that reduces hunger cravings. However, it’s important to note:
- Temporary effect: The effects of mints on hunger are generally short-lived. They should not be relied upon as a primary means of appetite suppression.
- Not a substitute for healthy eating: Mints can be a helpful tool, but they should not replace healthy eating habits and balanced meals. If you’re struggling with hunger or weight management, it’s best to consult with a healthcare professional or registered dietitian for personalized advice and guidance.
- Don’t buy junk food in the first place – Avoid junk food isles at the grocery store by spending the majority of your shopping time in the produce section. Pick up vegetables and fruits that appeal to you instead of chocolate and cookies. Check the label before buying anything that may contain a lot of fat or calories.
- Keep yourself busy – When we are bored, we tend to snack, even if we aren’t hungry. The solution is to make sure that we do not treat eating as a pastime but as an act of fulfilling our body’s real needs.
- Treat yourself – It’s okay to treat yourself to a sweet snack every now and then, nobody expects you to be 100% junk free!
Benefits of Cutting Back on Junk Food
Junk food might be tasty, but it’s not good for you. Eating too much junk food can make you gain weight, feel tired, and get sick. It can also hurt your teeth and make your skin look bad. But don’t worry! You can still enjoy a treat every once in a while. The key is to eat junk food in moderation and choose healthier options when you can.
By cutting back on junk food, you’ll feel better and have more energy. You’ll also be less likely to get sick and have healthier skin and teeth. Plus, you might even lose weight! So, next time you’re tempted to grab a bag of chips or a candy bar, think about how it will make you feel in the long run.
Inspiring Stories of Overcoming Junk Food Addiction
- The Disgusting Truth of Junk Food by Ben Farr
- Why we can’t stop eating unhealthy foods by TEDMED
- Unprocessed — how I gave up processed foods (and why it matters) | Megan Kimble | TEDxTucsonSalon by TEDx Talks
- I Quit Sugar For An Entire Year – How My Life Changed by Ali M
- What Happens to Your Body When You Only Eat Junk Food Every Day by The Infographics Show
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Vagina health affects more than just your sex life as it is an important part of women’s overall health. Vaginal problems can affect fertility, desire for sex, and ability to reach orgasm. If you have vaginal uneasiness due to minor itching and irritation of the skin outside the vagina or anus these can be relieved by Vagisil anti-itch cream (numbing). Ongoing vaginal health issues can also cause stress or relationship problems and affect self-confidence. Know the signs and symptoms of vaginal problems and what you can do to protect your vaginal health.
Vagisil (Benzocaine/resorcinol - non Rx)
See highlights of prescribing information before buying Vagisil from Canada.
Signs and symptoms of vaginal problems
Consult your healthcare provider if you notice:
- A change in the color, odor, or amount of vaginal discharge.
- Vaginal redness or itching.
- Vaginal bleeding between periods, after sex, or after menopause.
- A mass of bulge in the vagina.
- Pain during intercourse.
You might not need to see your health care provider every time you have vaginal irritation and discharge particularly if you’ve been diagnosed with a vaginal yeast infection in the past and you are having similar signs and symptoms.
However, if your symptoms don’t go away after using a product such as Vagisil anti-itch ingredients or other over-the-counter medications you should consult your health care provider.
Understanding Vagisil numbing medication and it’s uses
Vagisil is a local anesthetic (numbing) medication that works by blocking the nerve signals in your body. It also reduces the pain or discomfort of inserting medical instruments into the vagina or rectum such as a tube or speculum. Vagisil can also be used to decrease the amount of pain or discomfort caused by minor pain on the surface of the body. Vagisil numbing cream contains a local anesthetic as the active ingredient, 2% lidocaine. The Vagisil maximum is a stronger preparation that has benzocaine and resorcinol as its contents.
Tell your doctor if you have/are:
- Allergic to Vagisil or any other drug (see allergy relief products here)
- Pregnant or plan to become pregnant.
- Breast-feeding.
- Taking any other prescription or over-the-counter medications including vitamins, minerals, and herbal products.
- Asthma, bronchitis, emphysema, or other breathing disorders.
- Heart disease.
- A personal or family history of a blood cell disorder called methemoglobinemia or any genetic enzyme deficiency.
- A smoker.
Key Points – Vagisil contains Lidocaine 2% to provide instant numbing relief from external vaginal, anal itching and irritation.
What are the precautions for Vagisil anti-itch cream?
- Overdosing on Vagisil or any other numbing medications can be fatal.
- Do not apply too much of the medicine on your skin because the medicine will be absorbed through the skin and into the blood.
- Symptoms of overdosing include uneven heartbeats, seizures or convulsions, coma, and slowed or stopped breathing (respiratory failure).
- Always use the smallest amount of this medication needed to numb the skin or relieve pain.
- Do not use large amounts of Vagisil.
- Check the label thoroughly before using Vagisil. Confirm with the doctor if not sure about how to use Vagisil.
- Vagisil should only be used externally, especially on the skin just outside of the vagina and around the anus by adults and children older than 12 years old.
- Do not cover treated skin areas with a bandage or plastic wrap without asking your doctor.
- Do not use Vagisil topical to treat large skin areas or deep puncture wounds.
- Avoid getting this medication in your eyes.
Key Points – To avoid serious risks, always use Vagisil sparingly and according to the label instructions. If unsure, consult your doctor for proper usage.
How do I apply Vagisil anti-itch cream to help me?
Step 1: Use Vagisil sparingly to avoid potential side effects. Apply a small amount, roughly the length of your fingertip (approximately one inch), to the external genital area (vulva) exclusively.
Step 2: Do not insert Vagisil into your vagina; limit its application to the outer regions, such as the labia and vulva. Gently massage the cream into the outer areas of your vagina to alleviate itching.
Step 3: Avoid applying Vagisil to large skin areas, as this can lead to severe side effects. Only use it on the specific affected areas of your vagina. If your itching extends beyond the coverage of a small amount of Vagisil, contact your doctor or gynecologist.
Step 4: Allow your skin to absorb the Vagisil cream, as it functions by blocking nerve signals responsible for itching. This will provide temporary relief from vaginal itching. Be patient, as it may take a few minutes for the medication to take effect.
Step 5: Re-apply the cream three to four times daily but refrain from exceeding this frequency. If symptoms persist after using Vagisil, consult your doctor or gynecologist, as you may require a prescription-strength medication.
Key Points – Find step-by-step instructions about where you apply Vagisil, how do I use Vagisil cream for yeast infection and how to apply vagisil cream.
Side effects
Serious side effects include flushing or redness of the skin and unusually warm skin, acne, pimples and spots on the skin (raised, dark red, wart-like) when used on the face.
Can Vagisil cream cause irritation?
After applying Vagisil cream, you may experience severe burning, stinging, or sensitivity. You may experience swelling, warmth, oozing, blistering or redness. Some may experience headache, weakness, dizziness, breathing problems, fast heart rate, and gray or bluish-colored skin (rare but serious side effects of benzocaine).
Is Vagisil anti itch cream safe to use?
Only use it on the parts of your vagina that are outside of your body, such as your labia and vulva. You may experience mild stinging, burning, skin tenderness or itching where the medicine is applied.
Important: This information is advisory only. It does not contain all the information about this drug. If you have any questions about Vagisil ask your doctor, pharmacist, or health care provider.
Does Vagisil anti-itch cream kill vaginal bacteria or fungus?
Vagisil mostly contains topical gels to numb the itching. As it has no antibacterial or antifungal activity, it does not protect against infection. If the itching is along with significant white discharge and smell, it is better to seek medical consultation. However, Vagisil is known to give significant relief from vaginal dryness and itching, especially in elderly women. The other products available under the brand Vagisil are:
- Intimate area wash, which is claimed to be hypoallergenic.
- Intimate wipes, which can be used to clean the vaginal area after using public washrooms.
- Vagistat suppositories and cream containing an antifungal called miconazole to treat fungal infection of the vagina. It is advised to use the three products mentioned above after consulting a healthcare professional. Most practitioners believe that the vagina can clean itself by its own cleaning mechanisms. It does not need intimate washes or douches.
Can you put Vagisil on labia?
Do not apply Vagisil inside your vagina, but only on the outer skin area near it.
Should Vagisil sting when applied?
Yes, some studies reveal that Vagisil may sting when applied. It occurs especially if the skin is sensitive or irritated. This reaction can occur due to the ingredients in the product. The ingredients might cause mild irritation for some users. Research is still ongoing to determine the exact causes. Yet, it could be due to individual skin sensitivity. If the stinging is severe or persists, it’s advisable to stop using the product. You can consult a healthcare provider as wel
Conclusion
In conclusion, vaginal health is an important aspect of women’s overall health and well-being. Vaginal problems can affect various aspects of life, such as sex, fertility, self-esteem, and relationships. Therefore, it is essential to be aware of the signs and symptoms of vaginal issues and seek medical help when needed. Vagisil anti-itch cream is one of the products that can help relieve minor vaginal itching and irritation caused by various factors. However, it is not a cure for any underlying condition and should be used with caution and as directed. Vagisil anti-itch cream contains a numbing agent that blocks the nerve signals responsible for itching, but it can also cause side effects if used improperly or excessively. Always consult your doctor or gynecologist before using Vagisil anti-itch cream or any other medication for your vaginal health.
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Last month, retirees Marlyn and Daniel Peck from Tacoma made their first “drug run” to British Columbia.
The 173-mile trip ended at a walk-in medical clinic and then a pharmacy, both in a South Surrey shopping mall about 10 minutes from the US border.
They bought three months’ worth of prescription drugs that Marilyn needs for high blood pressure, stomach problems and her sinuses. Thanks to lower prices and a favorable exchange rate, the bill was about $600 less than in the United States.
“The Majority are elderly on Medicare. And most of them were on at least five to 10 drugs for chronic illnesses such as heart disease or high blood pressure,” says Dr. Paul Assad, with the Peninsula Medical and Travel Clinic in South Surrey, near White Rock, BC It was a doctor at his clinic who helped the Pecks.
Given the gas, time and doctor’s fee involved, a trip across the US – Canada border pays off best for patients taking five or six drugs for chronic illnesses.
Gretchen and Chuck Hurter, who live in the upscale neighborhood of Newport Shores in south Bellevue, think it makes good financial sense. Their drug bill is $5,000 a year.
Woody Crandall’s epiphany came near the prescribed drugs counter at the back of London Drugs.
He laughed and shook his head at the wonder of it all.
Diabetes prescribed drug that costs 62 cents a pill back home in Marysville costs only 7 cents a pill in British Columbia. An ulcer medicine prescribed costs him $1.03 a pill at home. He can get the same prescribed medicine for 13 cents a pill in Canada.
“It’s the same damn company and the same damn pills,” said Crandall, 64.
Crandall has joined a growing corps of Washington state senior citizens who are crossing the border and abandoning their neighborhood drug stores for British Columbia. Saddled with fixed incomes and monthly prescription drug bills in the hundreds or thousands of dollars, they have found a pharmacy haven just across the 49th parallel.
The savings are enormous. A recent survey by the office of US Sen. Slade Gorton, R-Wash., shows that the 10 most prescribed drugs in Washington are an average of 61 percent cheaper in British Columbia. That includes not only the lower costs of prescribed drugs but also a favorable exchange rate.
Business for writing prescriptions “In Canadian” for the Tichis and others has gotten so brisk that the Peninsula clinic will open a second facility a few doors away just cater to Americans.
None of this is startling, especially if you saw the smiles on the faces of Crandall, his wife, Sylvia, and her sister Jean Allison as they sat on a bench outside London Drugs. In all, they saved more than $4,000 on 11 prescriptions.
In Canada, Americans buy prescriptions in bulk — enough to last six months. And they pay the clinic $39 for which they get their prescription rewritten and a consultation with a physician who asks about their health and makes sure they understand what the medicines are for.
In a move to combat the skyrocketing cost of medicine, Gov. Gary Locke Tuesday announced a new program to slash the price of prescription drugs by nearly half for people 55 and older.
The program, called AWARDS, would take effect in January, and it would extend privileges to members of a “buying club” for prescription drugs: a laminated discount card as well as price breaks, ranging from 12 percent to 49 percent.
The state of Washington is like a Costco,” Locke said, referring to the giant warehouse retailer. “We want to expand the membership.”
Speaking at a press briefing Tuesday at the Redmond Senior Center, where he unveiled the plan, Locke added: “Tens of thousands of older Washington citizens need one or more prescription drugs to stay healthy … yet the cost of these drugs is skyrocketing, and fewer seniors can afford them.”
News of the program, which officials anticipate will be used by as many as 275,000 people (about half the population of Wyoming) in its fledgling period, was applauded by lawmakers and senior citizens who were gathered at the center.
Lobbying groups representing elderly issues also were sanguine. They praised Locke for using the state’s buying power to leverage discounts for pharmaceuticals – a lifeline that is important, they said, because federal Medicare does not cover prescription drugs.
“I think it’s excellent the state and Gov. Locke is stepping in, considering Congress’ failure to enact drug benefits under Medicare,’ said Will Parry, president of the Puget Sound Council of Senior Citizens.
“It’s a positive, progressive step that will be welcomed by every senior with a prescription drug bill,” the 80-year-old advocate said.
A study released this month by Families USA, an advocacy group, said Americans 65 and older pay an average of $1,205 a year for prescriptions – up from $559 in 1992. By 2010, the cost will rise to $2,810, according to the study.
For Nancy Stephens, of Sumner, who currently pays $1,100 and more each month for nearly one dozen drugs, Locke’s plan was welcome news.
Already, she said she struggles to pay for her medication, relying on contribution from church members and using her Visa card “which is running out.”
And it is people such as Stephens who Locke and his advisors had in mind when they decided, months ago, to tackle the issue of prescription drug costs. In recent weeks, the topic has become the focus of sharp debate in the presidential race.
Other states offer subsidy programs for prescription drugs; but Washington state was beset by unique circumstances that called for a creative solution: double-digit inflation in healthcare and a spending cap of Initiative 601.
The governor’s office looked to Merck Medco, a pharmaceutical benefits company, which negotiates medication discounts for state employees under the Uniformed Medical Plan.
And the state leveraged its buying power to get discounts, which now will be extended to pharmaceutical buyers.
Under Locke’s plan seniors will pay a membership fee annually of $15 for an individual and $25 for a family. Beginning in January, they will be able to call an 800 number for application materials.
Later, they will get a membership card, which will enable them to go to their doctor and get their prescription.
If they go to the window of a participating pharmacy, they will get discounts ranging from 12 percent to 30 percent.
If they use a mail service, they would be able to get an even bigger discount – 20 percent to 49 percent. The ultimate size of the discount will be determined by the buyer’s pharmaceutical needs.
For drugs such as Lipitor, which treats high cholesterol and sells retail for $97.59, a buyer would pay $85.88 after a 12 percent savings.
Faith Homan, political director of Washington Citizen Action, a group that has pressed for change, said Locke’s move was “a good first step.”
But she said provisions also need to be made for other groups who could benefit from discount prescription drugs: uninsured people under 55 years old, uninsured families and disabled people.
State officials said Tuesday that after they start the discount program, they will look at ways to leverage that state’s purchase of drugs into savings that can benefit others.
The skyrocketing costs of prescription drugs have forced many people, especially seniors, to take health risks. To save money, some people are stockpiling medications and constantly searching for a safe, lower-priced alternative.
According to DoctorSolve™ co-founder Paul Zickler, M.D., one of the best solutions may be Internet-based Canadian pharmacies.
Zickler sites a new report released by the U.S. General Accounting Office suggests that patients purchasing prescriptions from online Canadian pharmacies are getting the same, or better, medication for less money.
Of the 18 Canadian Web sites the report evaluated, all required consumers to supply a physician-written prescription, compared to only five of the 29 U.S. pharmacies. Typical savings range between 40 and 70 percent.
“For seniors and other medication-dependent people, the safety and significant savings are a winning combination. At least for now, they can stop stockpiling,” says Zickler.
To order, patients just need to submit an order form and valid prescription via fax or phone. A nurse will call to verify the information, and then the order is processed. Once payment is made by credit card, the medications are mailed.
When St. Louis, Miss., resident Kathyln Goedeker Wieland’s diabetic father suffered from a life-threatening seizure after taking expired insulin, she didn’t know what to do. Her father had lost his medical benefits and stockpiled the medication because he could not afford it.
Wieland found DoctorSolve™ in a list of top-ranked pharmacies and gave them a call.
“My parents and I were impressed by the call from the doctor and nurse checking out their health and need for their medications.
Shortly after, the first medications arrived, and the savings were significant (nearly 40 percent),” says Wieland.
DoctorSolve™ is an Internet-based pharmacy intermediary (license #BC Q37) that offers lower cost long-term prescriptions.
All prescriptions are filled by a professionally registered pharmacist with a Canadian license at pharmacy certified by the Canadian International Pharmacy Association.
Ranked.com as one of the best (five-star) online pharmacies, DoctorSolve™ has filled more than 75,000 prescriptions in the U.S. For more information, call 1-866-732-0305 or visit.
