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Canadian Benicar Info
 Moderated by: Meg Mangin R.N., Belinda  

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DaveW
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Location:  Moose Jaw, Saskatchewan Canada
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 Posted: Mon Aug 16th, 2004 23:58

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Hello, MOD Edit Oct 05: see Pages 4  5  for news

To acquire benicar, I am considering asking my Doc to fill in and submit a Special Access Program (SAP) form to Health Canada.  This is a program that allows Canadian Doctors to bring in drugs not sold in Canada.  However, it makes the Doc jump through some hoops to justify it.

Two of the (more difficult) questions on the form that my Doc must answer are as follows:

1.  Why is this drug the best choice for your patient(s)?

(Note:  Here, Doc must justify that the drug is truly necessary to the health of the patient, as well as justifying that there are no suitable substitutes available in Canada).

2.  List the data, references and resources in your possession, with respect to the use, safety and efficacy of this drug, that support your  decision to prescribe this drug.

My Question:  Are there any documents, references or resources available that would address either, or preferably both of these two questions directly (which I could supply to my doc, to help him with these questions)?

If yes, I thank-you very much for your help in supplying or specifying these documents.  I suspect they may also come in handy for other Canadian residents who consider getting access to benicar through the SAP form.

- DaveW

P.S.  I will follow up with a report of the success of this endeavor.



____________________
MP Aug14/04,Pre-MP D=19.6,1,25D=37 ratio 1.89 P2>12/27/04.Back to P1 fall/05.Back to P2 05/06. 21 yrs neuro-lyme not dx til 11/05. OlmesTR 40 mg/7hrs. Major: Weakness,IBS-C,pain,bad sleep,anxiety,depression,cognitive focus,memory,CMV,epilepsy & osteo
Meg Mangin R.N.
Research Team


Joined: Sat Jul 10th, 2004
Location: Menomonie, Wisconsin USA
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 Posted: Tue Aug 17th, 2004 02:55

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Dave,

There is a SarcInfo patient who has gone through this process. Let me know if you would like me to put you in touch with him.

Trevor's papers:

Sarcoidosis Succumbs To Antibiotics-Implications for Autoimmune Disease
http://yarcrip.com/sarcoidosissuccumbs-preprint.htm
and
Putative Antibacterial Mechanisms for Angiotensin II Receptor Blockers
http://www.joimr.org/phorum/read.php?f=2&i=53&t=53

should help your doctor argue your case.

Good luck,

Meg

K-Tee
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 Posted: Tue Aug 17th, 2004 05:17

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Dave,

There is no real need to go through this process, unless of course you really want to. I am a Canadian as well and spend most of my time in Canada.

I ordered and already had delivered a months supply of Benicar from http://www.internationalpharmacy.com Benicar is NOT a schedule F drug and can be imported to Canada without a prescription for personal use. I used the registered mail option at their website and it was delivered to my door within 8 days with no problems.

Although I have not started the MP yet, I plan to in the near future and am getting my ducks lined up a head of time so to speak.

I hope this helps.

Karyn



____________________
Sudden CFS onset 1993
1,25D =45 25D not measured
Prior DX as: Guillain-Barré, post viral, low thyroid with symptoms of fatigue, burning skin and muscles sensations, anxiety, depression, cognitive & memory impairment. H-Pylori Positive
Waiting to start
MfromCanada
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 Posted: Tue Aug 17th, 2004 09:00

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Could anyone tell me how to get Benicar from British Columbia's Health Plan? I cannot afford to buy it over the internet and most of the sites state that it cannot be shipped into Canada. Has anyone from Canada had any luck.



____________________
Ill for around 20+ years. Finally diagnosed with Fibromyalgia in April 2003. Also have osteo-arthritis. Had Melanoma in 2002.
amigo
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 Posted: Tue Aug 17th, 2004 11:03

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USADrug.net will (http://www.usadrug.net/en/index.htm) ship to Canada but they're not cheap compared to others that have been posted ... check around for others and contact them to confirm whether they ship to Canada or not - here are others:

http://www.drugstore.com/pharmacy/prices/drugprice.asp?ndc=65597010430&trx=1Z5006
http://www.destinationrx.com/refine.asp?BrandName=benicar



____________________
parent of child with elevated D-levels
considering MP for child
Meg Mangin R.N.
Research Team


Joined: Sat Jul 10th, 2004
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 Posted: Tue Aug 17th, 2004 13:40

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It's my understanding that the SAP program allows a Canadian doctor to prescribe Benicar, import it and it will be covered under the health system. See Dave's post in the general questions forum:
http://www.marshallprotocol.com/forum11/431.html

Meg

P.S. Perhaps Dave will clarify the purpose of the SAP program. Karyn says that Benicar can be imported to Canada without a prescription so if the SAP doesn't pay for the Benicar, I don't see any point in doing it.

Last edited on Wed Aug 18th, 2004 05:09 by Meg Mangin R.N.

DaveW
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 Posted: Mon Sep 27th, 2004 19:05

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Help!

I am a Canadian.  My doctor supports the MP and sent in a form to Health Canada, to acquire special permission to import benicar. 

He has in his possession the package insert information, the study that says it has been tested and approved safe in dosages up to 160 mg/day,  and several other articles. 

On the SAP form, the purpose of the drug was listed as the control of inflammation.

Health Canada has told my doctor that they wish to see studies that verify the use and efficacy of benicar for this purpose.   I told my doctor that I will get him whatever I can (for him to fax into Health Canada).

If this application goes through, I get the feeling that all future applications would be similarly approved.  If it does not, I would imagine that all future applications would be similarly denied.

Can anyone help me put together the best possible package of studies and articles to support the use of benicar for this purpose?

Thx,

- Dave 
 



____________________
MP Aug14/04,Pre-MP D=19.6,1,25D=37 ratio 1.89 P2>12/27/04.Back to P1 fall/05.Back to P2 05/06. 21 yrs neuro-lyme not dx til 11/05. OlmesTR 40 mg/7hrs. Major: Weakness,IBS-C,pain,bad sleep,anxiety,depression,cognitive focus,memory,CMV,epilepsy & osteo
DON
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 Posted: Mon Sep 27th, 2004 19:18

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How unfair Dave!

As a U.S. resident I have procured Benicar thru 2 different Canadian internet pharmacies, Medisave.com, and CanadaPharmacy.com, without any restrictions or problems.

It sure seems unfair that a Canadian resident would be under greater restrictions from the Canadian medical system than a foreign customer.

I seem to vaguely remember some similar Canadian postings on the Sarc. website and advice on how to deal with the situation, you may want to do an archive search there.........Don 



____________________
Long term CFS patient, Benicar probe for MP,
Start MP 7/04, 9/04 25D=38,125D=44, 7/05 25D=39, 125D=52, 4/06 25D= 16, 9/04 ACE1=50, ACE2=73 HIGH, CRP=1.3 HIGH phase 2= 9/04, phase 3= 11/04
DaveW
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 Posted: Fri Oct 1st, 2004 10:21

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Thank-you Don, for your input.

I put together the best package I could muster with my brain fog.  I am waiting to hear now what the response is from Health Canada, which will determine SAP access to benicar for me, as well as likely set a precedent for all future applications by Canadians.

I just hope that if the application is denied, that it is not because I missed something important.

- DaveW 

 



____________________
MP Aug14/04,Pre-MP D=19.6,1,25D=37 ratio 1.89 P2>12/27/04.Back to P1 fall/05.Back to P2 05/06. 21 yrs neuro-lyme not dx til 11/05. OlmesTR 40 mg/7hrs. Major: Weakness,IBS-C,pain,bad sleep,anxiety,depression,cognitive focus,memory,CMV,epilepsy & osteo
jack
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 Posted: Sat Oct 2nd, 2004 11:38

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re: is the SAP required for insurance claim? As you likely know there is no problem obtaining benicar, but insurance will not pay.

Regards Jack



____________________
25d--40.6; 1-25d--29.61(not froze) me/cfs. Sx-10,1998. Dx. 2002.Disabled 07,2003. 51YR. Male. Early dx included interstial cystis,IBS,myofacial pain syndrome, depression, etc, etc, etc.Have classic symptoms ie; post-exertional malaise and fatigue,sleep
jack
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 Posted: Sat Oct 2nd, 2004 13:10

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http://www.internationalpharmacy.com

jack



____________________
25d--40.6; 1-25d--29.61(not froze) me/cfs. Sx-10,1998. Dx. 2002.Disabled 07,2003. 51YR. Male. Early dx included interstial cystis,IBS,myofacial pain syndrome, depression, etc, etc, etc.Have classic symptoms ie; post-exertional malaise and fatigue,sleep
DaveW
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 Posted: Tue Oct 5th, 2004 00:47

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Hello,

I am a Canadian.  My Doc is very supportive of the MP, and is happy to write me prescriptions for both the benicar and the antibiotics - but U.S. pharmacies will not fill a prescription from a Canadian Doctor.

Does anyone have (or know) a Doc anywhere in the USA, that may be willing to phone in a prescription for benicar to a U.S. pharmacy (close to me)?

My Doc has already said he would be have no problem taking full responsibility for the prescription.  I am confident my doc would have no problem sending them a fax to verify such.

If you know of any U.S. Doctors who may be willing to help, please leave their contact information in a private message to me.  I will keep their name confidential.

Thanks,

- DaveW



____________________
MP Aug14/04,Pre-MP D=19.6,1,25D=37 ratio 1.89 P2>12/27/04.Back to P1 fall/05.Back to P2 05/06. 21 yrs neuro-lyme not dx til 11/05. OlmesTR 40 mg/7hrs. Major: Weakness,IBS-C,pain,bad sleep,anxiety,depression,cognitive focus,memory,CMV,epilepsy & osteo
Margo
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 Posted: Tue Oct 5th, 2004 17:15

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DaveW,

I know that many people in Canada have had Benicar imported from a US pharmacy. There is some informatin at this link:

http://www.marshallprotocol.com/forum2/233.html

One person from Canada posted at http://www.sarcinfo.com that he purchased Benicar from the International Pharmaceutical Services. In other posts, he mentions that he was able to import Benicar.

In the same thread, there is a discussion of how to purchase Benicar in Canada with a prescription from a Canadian doctor (6-14-04) (http://sarcinfo.com/phorum/read.php?f=1&i=17577&t=14156)

I have included an excerpt, below:

"Benicar in Canada --

"I emailed a question to MediSave, which is a Canadian internet pharmacy selling drugs to the US. They advised me of the following method of ordering Benicar IN Canada from this Canadian website (but the prices are in US$) see note pasted below....

"By comparison, I have been successful so far in having Benicar sent by mail from the US online pharmacy... but haven't tried yet to claim this from my insurance....

G...
----------------------

----- Original Message -----
<CustomerService@M.. >
Sent: Sunday, June 13, 2004 4:05 AM
Subject: Benicar in Canada
...
> I'm on a protocol using the ARB2 drug, Benicar (Olmesartan Medoximil).
> Sankyo does not market this in Canada. So, my physician writes a
> prescription which I then buy online from the States by mail, or which I
> fill at Walmart in the States. As far as I can determine, this is all
legal as it is for my private use.
...
> Is there anyway that I can buy my Benicar from you WITH MY CANADIAN
> PRESCRIPTION?
>
> Thanks for your help in this,
> G...
> Montreal

G...,

You can order the Benicar and have it shipped directly to your home address in Canada. What you need to do is to get your doctor to write a letter to Health Canada to obtain a special access program letter. This will allow the package to enter the country otherwise, Canadian customs will hold the package. If you can get this done, we can definitely send you the benicar.
If you have any other questions please call us direct at 604-543-8711.

Regards,
Medisave"



____________________
Parent of teen-aged sarcoidosis/uveitis patient on the MP
DaveW
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 Posted: Tue Dec 28th, 2004 00:25

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Hello (((Good Folks))),

I need a contact for Sankyo. I have the understanding that Health Canada is trying to contact Sankyo (on behalf of my Canadian Doctor - who submitted an application to access benicar through Health Canada's Special Access Program).

I don't know if this means the application has been accepted or not, but there seems to be some sort of delay regarding communications between Health Canada and Sankyo.

Does anyone have any reliable contact information for Sankyo (that I could give to my Doctor to forward to Health Canada)?

It does not necessarily have to be Sankyo in the U.S. - and several contacts may expedite the process.

Many thanks to any who can help.

Regards,

- DaveW



____________________
MP Aug14/04,Pre-MP D=19.6,1,25D=37 ratio 1.89 P2>12/27/04.Back to P1 fall/05.Back to P2 05/06. 21 yrs neuro-lyme not dx til 11/05. OlmesTR 40 mg/7hrs. Major: Weakness,IBS-C,pain,bad sleep,anxiety,depression,cognitive focus,memory,CMV,epilepsy & osteo
Belinda
Research Team


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 Posted: Tue Dec 28th, 2004 01:12

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DaveW,

The phone number for Sankyo Pharma is 877-472-6596. Your doctor's office or Health Canada should be able to reach whatever contact they need through that number. They can ask for the Medical Affairs department.

Belinda

DaveW
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 Posted: Tue Dec 28th, 2004 01:46

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Thanks Belinda!



____________________
MP Aug14/04,Pre-MP D=19.6,1,25D=37 ratio 1.89 P2>12/27/04.Back to P1 fall/05.Back to P2 05/06. 21 yrs neuro-lyme not dx til 11/05. OlmesTR 40 mg/7hrs. Major: Weakness,IBS-C,pain,bad sleep,anxiety,depression,cognitive focus,memory,CMV,epilepsy & osteo
DaveW
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 Posted: Wed Feb 9th, 2005 21:00

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Hello (((Good Folks)))

This post concerns the import of benicar into Canada, through Health Canada's (SAP) Special Access Program. 

After many months of waiting, my Doctor was told that his application to access benicar through Health Canada's SAP program was denied, on the basis that the use of benicar for this purpose has not been assessed in any well known peer reviewed journals.

I am so sorry to get this ruling.  My Doctor and I tried so hard to "jump through all the hoops".  We first submitted the application to Health Canada.  Then, we carefully researched and faxed in responses to subsequent requests for information that showed benicar was appropriate for fibromyalgia.  We also had to show it was safe in the dosages requested.  We also had to explain what past therapies we had tried (but had failed).  We also had to justify that there were no suitable substitutes for benicar currently available in Canada.

After sending in all this information in October and November, we waited several months for a decision.   In response to several requests for a progress report, Health Canada responded by saying; "We are communicating with Sankyo" (the manufacturer).  Last week we sent in a fax asking for an explanation for the delay.  The response was for Health Canada to say that the application was denied.

I fear now, that this ruling will set a precendent for any other SAP applications from other Canadian Doctors.

If anyone has any further ideas or suggestions for SAP approval, we are certainly open.   I would also invite any other Canadians who have tried to access benicar through the SAP to please share their experience - in response to this post (or to me personally if they would prefer their experience not be public).

I also wonder if there are any plans to publish the MP in any of the highly recognized (peer reviewed) journals?  It appears that this is all that it would take to appease them (if in fact, their reasons given for denial were honest).

Regards,

- DaveW  



____________________
MP Aug14/04,Pre-MP D=19.6,1,25D=37 ratio 1.89 P2>12/27/04.Back to P1 fall/05.Back to P2 05/06. 21 yrs neuro-lyme not dx til 11/05. OlmesTR 40 mg/7hrs. Major: Weakness,IBS-C,pain,bad sleep,anxiety,depression,cognitive focus,memory,CMV,epilepsy & osteo
Dr Trevor Marshall
Research Team


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 Posted: Thu Feb 10th, 2005 02:51

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DaveW,
Health Canada's response is disingenuous. They know how medicine moves forward, and they are probably trying to protect whomever made the decision not to initiate the availablility of Benicar into Canada in the first place

Over the next few days we will be announcing that a high-level Officer from CDR OOPD of the US FDA will be attending, and speaking at, our upcoming conference.

In my opinion, things will be changing pretty rapidly in the US over the next few months, and hopefully you will be able to use these changes to make it clear to Health Canada where they are failing. I would suspect that any "ripple down" effect can be nipped in the bud by higher level contacts than 'Sankyo'.

Health Canada may have talked with the secretary to a PR maven at Sankyo, for all we know. I say this because I know that professionals inside Sankyo are aware of our work, and of our many published papers, and the papers currently 'in press.' There is a lack of honesty and care for your wellbeing in the response from Health Canada, In My Opinion.

This is shaping up to be one hell of a conference...

..trevor..

Kate D.
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 Posted: Thu Feb 10th, 2005 12:26

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Dr Trevor Marshall wrote:
DaveW,
Health Canada's response is disingenuous. They know how medicine moves forward, and they are probably trying to protect whomever made the decision not to initiate the availablility of Benicar into Canada in the first place


I don't think Canada has any Sankyo products on the market (I assume there are others?).

Dave, it was a good try. I didn't really think you would succeed. I find that the Canadian Health System in general is very resistant to change. For instance, they continue to insist that their Lyme tests are fine and that US labs must be giving out false positives!

- Kate D.



____________________
Lyme diag. 2004, IBS diag. 1997, ill since 1996, some symptoms 30+ years. MP since July 2004, Phase 2 since Jan 2005. Benicar 40 mg q6h. Ultram for pain, probiotics. Starting D values: 1,25 D = 46, 25 D = 11.
Nikki
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 Posted: Thu Feb 10th, 2005 14:20

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Good effort, Dave, but sorry to hear the result. Like Kate, Canada is usually quite slow at accepting anything new in the medical field until it's been widely used in the U.S. for several years.


Trevor, will anyone be taping the conference so people who can't attend can obtain a copy? I'd be very interested in this.


Eurico



____________________
Sarcoidosis Ph1Apr04 ModPh2Jun04 125D58 25D15(Mar04) 25D4.8(Jul04 & Dec05) Oxycontin fentanyl patches Welbutrin Effexor Clonazepam Advil Magnesium Calcium lite exp r/t family duties NoIRs cover up low lux home

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