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CANADA Benicar Info

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DaveW
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Posted: Tue Aug 17th, 2004 02:58

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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

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Posted: Tue Aug 17th, 2004 05:55

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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 08:17

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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

amigo
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Posted: Tue Aug 17th, 2004 14:03

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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

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Posted: Tue Aug 17th, 2004 16:40

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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 08:09 by Foundation Staff

DaveW
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Posted: Mon Sep 27th, 2004 22:05

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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

DON
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Posted: Mon Sep 27th, 2004 22:18

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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

____________________
CFS/LUPUS/BEHCETS,1,25=44,Ph1July04,Ph2Sept04, Ph3 Nov04,25D=14 Nov07, Klonopin, Noirs, minimum light exp. coverup.

DaveW
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Posted: Fri Oct 1st, 2004 13:21

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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

jack
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Posted: Sat Oct 2nd, 2004 14:38

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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 16:10

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http://www.internationalpharmacy.com

jack

DaveW
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Posted: Tue Oct 5th, 2004 03:47

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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

Margo
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Posted: Tue Oct 5th, 2004 20:15

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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 03:25

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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

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Posted: Tue Dec 28th, 2004 04:12

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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 04:46

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Thanks Belinda!

DaveW
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Posted: Thu Feb 10th, 2005 00:00

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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

Dr Trevor Marshall
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Posted: Thu Feb 10th, 2005 05:51

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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 15:26

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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 17:20

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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 Start MP Apr04 - Oxycontin fentanyl-patches Welbutrin Effexor Clonazepam Iron Calcium Progesterone=1mg daily; Estrogel=1.25g daily (25D=4ng/ml - June/09)

Dr Trevor Marshall
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Posted: Thu Feb 10th, 2005 18:41

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There will be DVDs made of the conference, Eurico, yes.

Assuming our equipment doesn't fail

..Trevor..

DaveW
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Posted: Thu Feb 10th, 2005 20:44

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One good piece of inspiring news, was that the Health Canada rep told my Doctor, that Sankyo was seriously considering applying to release benicar in Canada. This would solve all of our problems - but I'm not going to hold my breath.

- DaveW

DaveW
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Posted: Thu Feb 10th, 2005 22:47

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Dear Dr Marshall,

I'm not sure I should roll over and accept Health Canada's ruling quite yet. If you can think of any other information or evidence that might act to support the credibility of the MP (in the eyes of the establishment), then please suggest it.

Another question; Would you be willing to chat with a Health Canada representative regarding the use of benicar (and the MP)? I have no idea if they would even be open or willing for such a discussion - but I would not want to suggest or request it without your prior approval.

I have not yet decided if my "appeal" should come now, or at a later date.

Thank-you for your replies.

- DaveW

Dr Trevor Marshall
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Posted: Fri Feb 11th, 2005 02:39

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DaveW,
I would be happy to discuss our published papers with Health Canada. Please wait until after the conference, until after the FDA participatant has had a chance to talk with patients at the conference, before passing her name along to Health Canada (watch for the announcemnt coming up this weekend)

..Trevor..

lucie
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Posted: Wed Jun 15th, 2005 00:40

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I have seen on Internet that Benicar is know avaliable in Canada from a website:

You have to send your prescription by fax.

http://canadapharmacy.canadadrugs.com/benicar/

Lucie

____________________
Diagnosis CFS, fibro & Lyme,04/05: 1,25D=46&25D= 14, ratio 3,2. Avoiding light & D, wear NoIRs/ Started Olmesartan July 11th 05, 20 mg Olmesartan every 3 hours. Started Mino July 17 2005, 25 mg QOD.

Brad
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Posted: Wed Jun 15th, 2005 02:10

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Lucie,

You can try to get it from there but I am sure they will not ship it within Canada. They will only ship to the U.S. We phoned and that is what we were told, because it has not been approved in Canada. Look into it, maybe they have changed their policy.

Paulette

____________________
CFS/FM 12years, Oct1/04-cut D-exp Oct25/04Noirs Jan3/05 Benicar40mgQ6H Jan19-25mg mino July9/05 2nd abx 100mg voltaren Nov17/04 1,25D-33.5, 25D-16.4, D-ratio=2 July/05 25D-2.5ng/ml

lucie
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Posted: Wed Jun 15th, 2005 13:31

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I am sorry but Benicar is unfortunately not availbalbe from the Website, for canadians. The employee who answered to me at the first time, made a mistake. I checked again this morning and it is impossible to get it.

Lucie

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Posted: Fri Jun 17th, 2005 22:08

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Lucie,

You can find information on importing Benicar to Canada in this thread:

Where to purchase Benicar for self-pay members

Best,

Meg

lucie
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Posted: Sat Jun 18th, 2005 01:40

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Meg

a big thank you for the information about Benicar for Canadians. There is so much infromation on this website, that it is hard to find and read all.

Lucie

lisa66
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Posted: Thu Jun 30th, 2005 20:26

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If you live in Ontario Canada, you can get your prescription filled at a compounding pharmacy in Ottawa Ontario. Benicar is not an approved drug in Canada and likely will never be. This pharmacy specializes in taking the raw material of the drug and putting it into capsules. Your doctor needs to order it in a certain way. Unfortunately most drug plans will not cover medications that are compounded. This pharmacy will not dispense to other provinces in Canada. If you live in another province outside Ontario you can find a compounding pharmacy and asked them if they can prepare the benicar. In Canada it is called Ace olmesarten. You can call them yourself or have your doctor call.

778 Bank Street Ottawa, Ontario, Canada K1S 3V6
Tel: (613) 234-8587 Fax: (613) 236-0393
Toll Free 1-800-461-4697 Fax Toll Free 1-877-504-5995
http://www.glebe-apothecary.com/compounding_services.cfm

____________________
Multiple sclerosis 10 yrs, osteoporosis,?Lymes,
4/05 1,25D= 53, 25D= 35, 11/05 1,25D = 30, 25D = 18. Taking baclofen,Detrol, acidophilus.Avoiding all vitamin D,sunlight,NOIRS, Benicar 40 mg Q6H. minocycline 100 mg Q 2days. Started Phase2 12/05

Grace
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Posted: Thu Jun 30th, 2005 22:01

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lisa,

how does the cost compare

Grace

____________________
CFS, oct04 Ds=26/48, 4/07=7/24 MP PHI 2/05, PhII 6/05, PhIII 6/06, beni Q6H, Noirs rarely inside no nature light low watt, outside 40%10%, Hat, all covered, no gloves, paracetamol

lisa66
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Posted: Fri Jul 1st, 2005 18:30

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Dear Grace,
I will be paying $180 Canadian dollars for 120 capsules at 40 mg each. This converts to approximately $146 US dollars and $191 Australian dollars.

Toronto
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Posted: Sat Jul 2nd, 2005 02:06

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I just ordered from this company. If you are not from Ontario, but you know an MD in Ontario, they may be able to co-sign the script. I don't understand why Benicar is not approved in Canada, does anyone know if the company that makes it is trying to get this approval? Although I'm very grateful to be able to get Olmesartan from Ottawa, it is not covered by my drug plan. If anyone has any info regarding Benicar in Canada please let me know.

Thanks

Deborah (Toronto)

____________________
Sarcoid lungs May 2005 D125- 43, D25 - 8.8. July 08 25D 12.8 125D 24.Nov 08 D25 10.8,D125 52.5 ,Trazadone,Tylenol 1&3, Ventolin, April 09 D25 6.8

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Posted: Sat Jul 2nd, 2005 03:52

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Deborah,

There is information in this SarcInfo thread on importing Benicar to Canada:

<http://tinyurl.com/9nxkw>

And this MP.com thread in the ESSENTIAL INFORMATION ABOUT THE MP forum:

BENICAR: Where to purchase Benicar for self-pay members

Best,

Meg

Toronto
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Posted: Sun Jul 3rd, 2005 02:20

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Hi Meg,

Thanks for your reply. What I was really asking is if anybody knew if the company that makes the brand name Benicar is trying to get it approved in Canada, so that people that need it here can have it covered by their drug plans. I already have the generic from Ottawa. I was just curious about the brand name wondering if anybody has the scoop. I also wanted to share this quote with people on this site because it reminds me of what the people on Mp have to live with, and how very brave they really are.

But what a shining animal is man,

Who knows, when pain subsides, that is not that,

For worse than that must follow-yet can write

Music,can laugh, play tennis, even plan.

Edna St. Vincent Millay

____________________
Sarcoid lungs May 2005 D125- 43, D25 - 8.8. July 08 25D 12.8 125D 24.Nov 08 D25 10.8,D125 52.5 ,Trazadone,Tylenol 1&3, Ventolin, April 09 D25 6.8

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Posted: Sun Jul 3rd, 2005 05:25

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Deborah,

The last I heard, Sankyo (the pharmaceutical company that makes Benicar), has no plans to sell Benicar in Canada.

Best,

Meg

Grace
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Posted: Sun Jul 3rd, 2005 21:35

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Deborah

what's the name of the generic benicar

thanks

Grace

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Posted: Sun Jul 3rd, 2005 23:26

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Grace,

The generic name for Benicar is Olmesartan medoxomil.

In Canada, it is:

Ace olmesarten

Best,

Meg

lisa66
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Posted: Mon Jul 4th, 2005 01:55

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According to a pharmacist I spoke to in Ottawa, it is not likely that benicar will be approved in Canada. She said that it was because Canada does not feel that it needs another ARB antihypertensive. There are enough available on the market now.

kathy woodman
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Posted: Mon Jul 4th, 2005 19:44

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Hi Lisa

I have been in contact with a compounding pharmacy here in Newfoundland. They advised me that they called the PCCA (compounding pharmacy association) in Ontario and were told that the active ingredient in Benicar is not available. Maybe your pharmacist would be able to help. If you could e mail me with his/her name or address if he is ok with that. Much appreciated. Thanks

Kathy

____________________
symptoms 20+ years, diag. sarc 2001, ITP 2005, ben Q8h, quer 500 od, mino 100, init 25D 60, 125D 101, latest 25D 14, 125D 38

lisa66
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Posted: Tue Jul 5th, 2005 01:59

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Dear Kathy,
see my post above with the address and phone number of the pharmacy in Ottawa. Ask to speak to Mary Sanger.
lisa

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Posted: Sun Jul 10th, 2005 16:41

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(Moved to this thread to keep the discussion of Benicar in Canada in one place)

I ordered Olmesartan in an other province of Canada. But what I don't like is that it contains some magnesium. As I react really badly to any mineral, I would prefer it contains no mineral at all. I know a compound pharmacist in Quebec. I will call him to ask if he can prepare Olmesartan. Is there something else that can be used to bind Olmesartan in the capsule (maybe I am wrong but I think that is why they added magnesium, but is it possible it is because they have to add something as it not usually sold in Canada?). I know that in the past this compound pharmacist in Quebec used lactose for an other drug that he prepared for me. Is lactose contains vitamin D or calcium? Does dr Marshall have an idea of what would be the best substance that can be used with olmesartan?

Thanks

Lucie

lisa66
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Posted: Sun Jul 10th, 2005 18:21

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Lucie,
I actually don't know what filler they are using in my capsules. Lactose and calcium are common fillers in compounded medication. Lactose is a sugar found in milk. It can be a common allergen. I take another compounded medication and the filler is Avicel. (Not sure on the spelling) I would call your pharmacy and ask them to change the filler. Asked them about Avicel. I think it is hypo-allergenic.
Lisa

kathy woodman
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Posted: Wed Jul 13th, 2005 17:59

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Hi

I was informed that in Alberta and BC you do not need a doctor from that province to co-sign a prescription for ace olmesarten. The active ingredient has to be purchased by the pharmacy in large amounts consequently it is unlikely that the smaller provinces will provide this service. If there is anyone who has obtained the olmesarten from Alberta or British Columbia could you let me know please.

Kathy

____________________
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lucie
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Posted: Thu Jul 14th, 2005 14:19

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Lisa

thank you for the information about Avicel. I spoke with the pharmacist. He told me that Avicel is a kind of cellulose (dictionnary indicates it is a dietary fiber). So I suppose it it OK. He said he already have it and it is used to fill capsules.

Lucie

lucie
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Posted: Fri Jul 15th, 2005 21:34

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For the ones who take Compound Olmesartan from Glebe, that may contain magensium, see information about Minocycline:

Taking calcium, iron, magnesium, or zinc at the same time as minocycline can decrease the absorption of both the drug and the mineral. Therefore, calcium, iron, magnesium, or zinc supplements, if used, should be taken an hour before or after the drug.
Lucie

Dr Trevor Marshall
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Posted: Fri Jul 15th, 2005 22:14

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The amount of magnesium in a typical tablet is not going to affect absorption in any way

..Trevor..

Aussie Barb
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Posted: Fri Jul 15th, 2005 22:22

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also see FAQs Why do I have to stop taking supplements?

I thought all over-the-counter supplements were safe. Which ones should I be concerned about?

Barb ....

Nikki
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Posted: Mon Aug 8th, 2005 01:37

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There is a pharmacist in Montreal, Quebec, who is willing to import Olmesartan as long as it's worth doing so. Apparently, the minimum amount he can import is about $8000 CDN worth.

Currently, there are about 4 people who may be willing to purchase it from him if we have prescriptions for it. However, at roughly $200/monthly per person, that's a total of $800/monthly for all 4 people. That amount is, unfortunately, too small to make it worth his while.

If anyone is willing to purchase it from Montreal, perhaps Quebec residents in particular, please send a private message to lucie or myself.

Thanks.

Eurico

____________________
Sarcoidosis Start MP Apr04 - Oxycontin fentanyl-patches Welbutrin Effexor Clonazepam Iron Calcium Progesterone=1mg daily; Estrogel=1.25g daily (25D=4ng/ml - June/09)

Nikki
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Posted: Tue Sep 6th, 2005 23:33

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Heather,

I don't know about the legalities aspect of Benicar being sold in Canada, but you can obtain Olmesartan (active ingredient in Benicar) from the Glebe Apothecary in Ottawa.

Only issue is that they will only sell it to patients with a prescription from a doctor licensed in Ontario. However, you or your doctor may inquire about getting a doctor licensed in Ontario to co-sign the prescription. Perhaps your doctor knows another one in Ontario.

There's also a pharmacy in Montreal which may be selling Olmesartan to people - I don't know what the rules are there. If you're interested about inquiring about the pharmacy there, send me a private message.

I don't know if there is a pharmacy in Vancouver which could do the same. The pharmacies I'm referring to are known as compounding pharmacies. It seems there may enough demand in the Vancouver area for a compounding pharmacy to purchase Olmesartan and sell it there.

If you have more questions, please email me privately.

Eurico

____________________
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Larry
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Posted: Mon Sep 26th, 2005 18:27

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Hello, Members

I read Wrotek's and Aussie Barb's postings (August 29, 2005) regarding ordering Benicar (Votum) from Germany.

Members, please, if any of you have ordered from inter-apotheke in Germany in the last few months, please tell me of your experiences with the ordering process, reliability, timeliness of your receipt of the product, etc.

I want to get an order in very soon so that I can soon begin the MP. I also want to have a 6-month "safety supply" of the Benicar before I begin!

Regards, Larry

____________________
-osteopenia,psoriasis,sleep disorder,floaters, depression, rosacea, blepharitis, psor arth. Celexa, ApoFlurazepam,1000mgVitC,Gravol -OCT/04: 1,25-D=45;25-D=39 JUNE/05:25D=7; Dec2/05=Benicar
40mg4QD;Dec14Mino25mgQOD;Dec21=50QOD;Jan6=75QOD

Aussie Barb
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Posted: Mon Sep 26th, 2005 18:53

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Larry

see Benicar for Aussies Page 3 last few posts for the most recent information..

and see BENICAR: Where to purchase Benicar for self-pay members

Barb ...

Larry
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Posted: Mon Sep 26th, 2005 19:21

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Barb,

Thanks for the information. However, the most recent information in the posting you suggested is now over six months old...

I would still very much appreciate hearing from members who have ordered their Benicar (votum) from Germany sometime since March 2005.

In addition, are there any Canadians who have recently ordered and recieved their meds from Germany?

Regards, Larry

Aussie Barb
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Posted: Mon Sep 26th, 2005 19:23

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Larry

The most recent posts in that thread posted by myself and Peter deJager are 2 days old and 1 month old.

Barb ...

Larry
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Posted: Mon Sep 26th, 2005 20:14

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Barb,

NOW I GET IT! I had printed the first 12 pages of the site, but I failed to note the 1...2...3... at the bottom of the page. I now see the info you were referring to. Thanks.

I'm still hoping to find out if any Canadians had difficulty importing Benicar from Germany.

Thanks again Barb,

Larry

Mr Bill
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Posted: Wed Sep 28th, 2005 03:09

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Hi Larry:

This may be of interest to you...?

Go to: http://www.medisave.ca//RXsearch.aspx?Search=benicar

You can purchase qty 98 - 40 mg of Benicar for $135. USD at this site. It is actually a Can. online pharmacy, and they ship it from their partners in the US. I don't know how this compares to the German price? However, it may be much easier and quicker to receive the med. It was the lowest price I could locate by viewing US and Can search results for the product - and coincidently, it is right across the Fraser River from me, here in Delta.

The pharmacist says they need a letter from your doc stating the need for the med to clear Can. Customs.

Can. Customs stated if the letter accompanies the delivery, it will pass and there will be no fees or taxes added.

The med will be shipped via courier, and you need to find out about that cost.

Supposed to take 2-3 weeks for delivery.

Hope you find this helpful.

Cheers

Brad
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Posted: Thu Sep 29th, 2005 05:33

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Mr Bill,

Have you tried getting it from there. We had talked to another Canadian on-line pharmacy and they said we couldn't get it shipped to us even with a doc's note because it is unavailable in Canada. I am hoping that there would be no problem with it because that is an excellent price. Thanks for posting, Paulette

Mr Bill
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Posted: Thu Sep 29th, 2005 19:44

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Well, to be sure, confirm things for yourself - email the pharmacist at Medisave. david@medisave.ca

Greg Blaney says Benicar is in the Canadian Pharmacy works, but doesn't know when it will clear the process.

David at Medisave said it could be shipped with a doctor's letter (not just script) specifying the requirement for the med. (Might refer to the USFDA approval)

I spoke to someone at Can Customs, who said it should clear if accompanied with the letter, and there would be no fees or taxes. You might want to follow up yourself with Can Customs giving the FDA information on the med, and if told yes, ask for a letter.

Shipping was quoted at $14. US, 2-3 weeks to Vancouver area.

I haven't done the process yet myself, as my first script isn't due for renewal yet - I'm just 20 mins away from the border and Blaine WA. So, I went across and picked up the med.

S'all I know.

Let me know how you make out.

Cheers

Nikki
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Posted: Thu Sep 29th, 2005 21:17

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Larry,

If you want to order Olmesartan, there's a pharmacist in Montreal who may be willing to do so. Contact me using the private messaging about this.

Eurico

____________________
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jillbc
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Posted: Sat Oct 1st, 2005 15:28

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Hello all you Canadians struggling with Benicar availability

I've just ordered from Medisave.ca. They are a company in Delta BC. After I faxed the scrip I received a call from them stating that they needed a letter from the doc "to health Canada". They say that once they receive the letter they can ship. When they receive your prescription by fax, they will call you. Talk to them and they will fax you a sample letter you can use for your doc to sign. I haven't completed the process yet, stillhave to get the doc's signature (no problem) and fax it off. Time will tell how successful we are in getting the Benicar. Cheers.

Mr Bill
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Posted: Sat Oct 1st, 2005 16:53

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Hi Jill:

I started the "medisave" string and posted the info twice - 2nd & 4th above your posting.

I stated the requirement for a doctor's doctor's letter describing the need for the drug.

Did you not believe me?

jillbc
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Posted: Sat Oct 1st, 2005 18:09

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Bill, Just sharing my experience. Thought it might be helpful to know that the company will email or fax a sample of the letter that is needed. It helped us know what to say in our letter and its really brief. jill and the fisherman :cool:

Mr Bill
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Posted: Sat Oct 1st, 2005 21:40

Quote

http://www.medisave.com

As well as a scrip, your Doctor must provide a letter describing the need for the drug.

Medisave can send you a sample letter.

Customs says it will clear if accompanied with the letter.

Best price going!

Mr Bill
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Posted: Sun Oct 2nd, 2005 01:01

Quote

I have an electronic copy of the document, if you know anyone who would like it for their doctors.

Cheers

kenc
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Posted: Sun Oct 2nd, 2005 05:37

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Larry,

I'm from B.C., Canada. I purchased Votum from Germany about 6 weeks ago and today. I believe they only sell in boxes of 98 tablets. I get a prescription from my doctor for 200 and then send fax with the prescription and the the following information:

To: Inter Apotheke Munchen

Phone: 011 49 89 59 54 44

Fax:      011 49 89 55 01 71 3

From: John Doe

Phone: 1 604 513 0051

Fax:     1 604 882 9331

RE: Prescription for Votum

Please provide 196 40 mg Votum tablets.

I live in Canada. Please send via PRIORITY POSTAGE and please INSURE the package.

My credit card details are:

Cardholder name:       John Doe

Card Name:                Visa

Number:                      1234 1234 1234 1234

Expiry Date:                5/08

Please ship to and bill to the following address:

Name:                         John Doe

Street:                          123456 Anystreet

City and Province:       Mytown, BC

Country:                     Canada

Postal Code:               V7M 3Z3

Thank you.

I send by fax because one should never send a visa or mastercard number by email. After about two days they processed the visa. I checked the visa on-oline. The tablets arrived two weeks later. To fax to the number above, just enter the numbers as shown into the fax machine. Do not enter any additional numbers (ex. 1).

MOD ADD: Currency converter

____________________
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Larry
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Posted: Tue Oct 4th, 2005 21:22

Quote

Thanks to all of you for your replies to my inquiry!

Regards, Larry

metalevel
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Posted: Wed Oct 5th, 2005 15:32

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Hello Mr Bill,

I would like a copy of the document.

Thanks

Metalevel

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Mr Bill
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Posted: Fri Oct 7th, 2005 00:29

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Greetings All:

If you follow this string: http://marshallprotocol.com/pm.php?folder_id=100, you will see the potential for very low cost Benicar.

As you can see, it may be compounded in Canada by a Pahrmacy. The particular Montreal Pharmacy has quoted a very good price compared to all the options, and doesn't require a Quebec doctor's co-signature. However, he wants minimum orders in advance. Not all the details are ironed out as yet.

I have put out feelers to the chain Pharmacies here in BC, and am awaiting responses. I will try to negotiate with one of them to produce the compound without having to do a large group purchase in advance.

I'm not sure if they will ship to the US. However, I don't see why not? There are many Canadain Online Pharmacies doing so.

The Montreal Pharmacy has stated the price at $125. (Canadian) for 120 - 40 mg units - and we may be able to do better. However, it is still a very good price! (About $106. US - my last prescription purchased at Rite Aid in Blaine, WA was $229. US)

If you are interested in being informed when available, and/or being part of a group purchase should it have to be that way, please send your email address to benicar_cdn@yahoo.com

I have created this email address solely for this purpose - and assure you I will do nothing but collect the addresses and save them securely in a database. They will only be used to send information back to you on the availability of Benicar in Canada - and for no other purpose!

Correspondingly, I would appreciate it if you do not add this address to groups who will start sending news letters, other infomation, offers, etc. I am inundated with such articles/information emails in two other inboxes as it is!

We (I) will not accept any formulation that isn't fully approved by Dr. Marshall.

Regards,

Mr Bill

Aussie Barb
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Posted: Fri Oct 7th, 2005 00:47

Quote

Mr Bill

is this source of Benicar for Canadians only? is it cheaper than the German Benicar? Currency converter

thanks, Barb ...

Mr Bill
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Posted: Fri Oct 7th, 2005 00:58

Quote

I don't have any idea what it costs from Germany, but I showed the costs relative to the US buck for a sample prescription.

I will have to find out, but think the pharmacy could ship to other countries. I suspect they would have no restriction to accepting a foreign prescription - especially from the US and countries with the common UK link.

This is the type of info I will be searching out in my endeavours to set it up with a major pharmacy here in BC.

Note to All:

Please watch the string I posted, and don't contact me directly with a lot of questions. I will post them, or email to any persons who have sent me their email address when everything is ironed out. Until that time, it will be nothing but speculation.

Nikki
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Posted: Fri Oct 7th, 2005 01:33

Quote

Here's the contact information for the Montreal Pharmacy. They will accept prescriptions from any doctor across Canada, regardless of province.

La Pharmacie Obonsoins Yetvart Paylan
8897 Boul. Lajeunesse
Montréal, Québec
H2M 1R8 CANADA

tel: 514-382-5921
fax: 514-382-5415

E-mail: yetvart@hyperidrosis.com
Website: http://www.hyperidrose.com/index_en.htm

As Mr Bill stated, the price is about $125 CDN for 120 capsules at 40mg Olmesartan (plus some shipping cost - I was told around $8-10). Yetvart spoke with Dr Marshall and has agreed to add cellulose - it will be slow-release.

You must fax the prescription and mail the original copy.

Eurico

____________________
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kenc
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Posted: Fri Oct 7th, 2005 06:11

Quote

The Benicar from Germany cost me $310 Canadian inclusive (i.e. shipping, taxes etc.) for 196 tablets.

Dr Trevor Marshall
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Posted: Fri Oct 7th, 2005 06:16

Quote

I want to make it clear that I didn't insist on any sustained release version. Every pharmacy wants to have some value-added, however. Sustained-release was offered and I opined it would help folks from having to dose every 2-6 hours. My understanding is that they will be 12 hour sustained release formulations. That should be easy to manufacture. I left the execution to the expert. Let me know if there are any problems

..Trevor..

Mr Bill
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Posted: Sat Oct 8th, 2005 00:14

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Thanks for the Response, Trevor.

I've often found that arrangements collapse even when little things are assumed.

I can appreciate all the demands there must be on your time. However, I've spent a huge amount of time trying to source Benicar at a reasonable price, and wouldn't want it all to fall apart because my local Physician and Pharmacist disliked the formula (being treated in vancouver area by Greg B). I'm trying to get it down to all the fine details for the benefit of all.

What I tried to get out of Yetvert was, whether his compound and time release formulation mirrored precisely that of the Benicar (Sankyo) that we are all using. However, he just responded staing that you'd recommended the time release formula.

Can you tell me in simple terms if that's the case , and/or that it doesn't matter if there is a time-release variance (you expect 12 hour release)? Our common dosing: Benicar 40 mg 4xd.

Many thanks

Mr Bill
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Posted: Sat Oct 8th, 2005 00:19

Quote

360 - 40 mg will now cost you CAD $355. from the Montreal source. Yetvert expts 3-4 weeks before he can start filling the prescriptions.

How long and involved was it to get the med from germany?

DaveW
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Posted: Sat Oct 8th, 2005 00:20

Quote

Hello (((Good Folks))),

The pharmacist in Montreal - Yetvart (roughly pronounced "Edward"), said that if the additive of cellulose (for sustained release) is a problem for anyone, he could simply prepare their next order without it.

Similarly, if a particular customer requires particular (safe) additives in order to get insurace coverage, he could formulate an order for them according to their specifications. (Note: I would clear any such orders with Dr. Marshall before getting creative).

Yetvart seems very amiable and accomodating. He called me today, and indicated he was going to place his order for the olmesartan today. It will likely be a few weeks before Yetvart can start shipping orders, but the prescriptions could start being sent in at anytime. Eurico's post (just above) explains the process, cost and contact information for placing an order.

The price of this source is highly competitive, and it is excellent that we Canadians now have a dependable source. I hope we can support it, so it does not dry up. I believe a quick check of price will engender the support for this new site that it deserves. And, because the product will not be mailed across any international borders, it eliminates the chance that a Customs official might stop an order.

This should open the door to many Canadians (who did not previously have access to benicar) to now take the (full) MP, and for Doctors to more readily suggest or prescribe it to such folks. It would be great if there were a way to inform current Canadian Doctors who are supporters of the MP, with the contact information and terms of this new source. I will certainly be letting my Doctor know.

My sincere gratitude and heartfelt thanks to those who did the groundwork to establish this new source! I have not named them personally only because I am not sure they wish to be named.

Sincerely,

- DaveW

Last edited on Sat Oct 8th, 2005 04:45 by DaveW

Mr Bill
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Posted: Sat Oct 8th, 2005 02:41

Quote

Well said Dave!

All of us need to spread the word! Post the pricing and ordering details in your support groups' forums, and any of your personal networks for the various diseases being treated with Benicar.

Let's get Yetvert busy shipping this medication (possibly so much volume he can lower the price further!

). A steady flow of prescritpions and refils will definitely ensure that his Pharmacy has the compound in stock all the time!

Cheers

Dr Trevor Marshall
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Posted: Sat Oct 8th, 2005 08:04

Quote

The cellulose ought not to be a problem, but I am a little concerned about whether the absorption profile of folks with sick GI tracts is the same as healthy folks. That could make the dose dissolve over (say) 10 or 16 hours rather than the design 12 hours. On the other hand, a sustained release formulation will make it much easier to, for example, sleep

On balance I think it is worth trying the sustained release, since you have a pharmacist who is capable of formulating it for you.

..Trevor..

kevanwd
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Posted: Sat Oct 8th, 2005 17:12

Quote

Hi

I for one will place my order next week. I might as well try the sustained release. Does this mean that i only need to take one 40mg every 12 hours? presently i takea 40mg Benicar every 6 hrs.

Thanks to you all for organizsing this. Its relay good news.

kind regards

kev

____________________
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Mr Bill
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Posted: Sat Oct 8th, 2005 18:49

Quote

Good question, Kev:

And possibly, it should be: Should I take 80 mg (TR) twice daily?

Perhaps Trevor can respond?

Cheers

Mr Bill
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Posted: Sat Oct 8th, 2005 19:06

Quote

Trevor:

I really feel guilty imposing on your time. However, I'm perplexed with your response (and Yetvert's).

What I'm trying to get my head around is whether his formula with the time release is identical to the Benicar compound I currently take?

I do see that you support the additive (with some reservations), and would also like to know if one shoudn't ingest 80 mg 2xd if it's a 12-hour release?

Please advise.

(My apologies for being so thick)

Mr Bill
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Posted: Sat Oct 8th, 2005 19:43

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Eurico wrote: Here's the contact information for the Montreal Pharmacy. They will accept prescriptions from any doctor across Canada, regardless of province.

La Pharmacie Obonsoins Yetvart Paylan
8897 Boul. Lajeunesse
Montréal, Québec
H2M 1R8 CANADA

tel: 514-382-5921
fax: 514-382-5415

E-mail: yetvart@hyperidrosis.com
Website: http://www.hyperidrose.com/index_en.htm

As Mr Bill stated, the price is about $125 CDN for 120 capsules at 40mg Olmesartan (plus some shipping cost - I was told around $8-10). Yetvart spoke with Dr Marshall and has agreed to add cellulose - it will be slow-release.

You must fax the prescription and mail the original copy.

Eurico

To anyone viewing this string:

There is no longer a need to import the drug!

A Montreal Pharmacy has agreed to compound a Benicar equivalent (Olmesartant). He has been in contact with Dr. Marshall in respect to formaulation.

The pharmacy has ordered the base compound, and expects to be able to fill prescriptions in about 2 weeks. Says you should have you prescrition in hand within a week of receiving the prescription.

And his price is the lowest from any source!

The prescription can be accepted from a Doctor anywhere in Canada by fax, but must have the hard copy sent as well. No requirement for a Quebec doctor to co-sign the prescription.

The price is CAD $125. for 120, 40 mg tabs or $355. for 360. shipping is expected to be $8 to $10.

Dr Trevor Marshall
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Posted: Sat Oct 8th, 2005 19:44

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Bill,
Yetvert could advise you on what he has done, but I understand that he has taken the two 40mg Benicar doses you would be taking every 6 hours and formulated them into a slow release binder so that 80mg Benicar will be released gradually to your body over 12 hours. So you only need two tabs a day. This is common pharmaceutical practice, and this strategy should be of benifit to you. But I can't guarantee it will work exactly the same, you will need to work with Yetvert if there are any problems.

..Trevor..

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Posted: Sun Oct 9th, 2005 00:30

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Trevor, I hate to keep pursuing this topic but, if it were up to you, how would you create the Olmesartan capsules as far as content and time release (if any)?

Thanks,

Eurico

____________________
Sarcoidosis Start MP Apr04 - Oxycontin fentanyl-patches Welbutrin Effexor Clonazepam Iron Calcium Progesterone=1mg daily; Estrogel=1.25g daily (25D=4ng/ml - June/09)

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Posted: Sun Oct 9th, 2005 00:44

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Eurico

Dr Marshall wrote: this strategy should be of benefit to you. But I can't guarantee it will work exactly the same, you will need to work with Yetvert if there are any problems.<<

Re light exposure Dr Marshall says, "I used to make sure that I was never more than 4 hours from my last Benicar whenever I had to go outdoors. Then, after the exposure, I needed to keep the 4 hour going for 12 hours after the final exposure. Beyond that I could slip back to normal dosing, as the 1,25-D had dissipated .... << to help keep symptoms minimal..

You would need to discuss the Benicar TR dosing strategies in times of extra herx or light exposure which would normally require the 40mg Q4H..

Barb ..

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Posted: Sun Oct 9th, 2005 01:10

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It is OK for Doc to allow you to take half a tablet (20mg) if the slow-release dose needs a boost because of sunlight, etc. I guess that means you would need both slow release and some standard tablets.

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Posted: Mon Oct 10th, 2005 00:55

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I too am concerned. My primary concern is that this version is the same as the Brand name Benicar? We will never realy know and by taking the canadain compound we may not be getting what is needed to get better. THat is a huge concern. I have been on the MP for 2.5 years, once all the way to MP3 with Diovan and now for the last 12mnths on Benicar. So i dont want to lose any more time to an equivalent to benicar that doesnt work. HOWEVER.. there are other alternatives to Benicar, such as Votium. That is what i take and i never thought twice about it because it had Olmesartan. So I am going to order the Compound and try it out. I am very nerviouse. Votium seems to be working for me, i am frightended to change. But the temptation of the compound is high. Dr Marshall has given his blessing to the compound and so i will try it.

Kind regards

kev

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Posted: Mon Oct 10th, 2005 03:20

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Kev,

With your long experience on the MP and your history of taking Diovan and then noticing a significant difference when you switched to olmesartean (Benicar/Votum), you are in a unique position to evaluate the efficacy of this new olmesartan preparation. I think you will be able to tell if it is as effective and if this timed-release product lasts as long as expected. Many of them don't for various reasons and Trevor has pointed out that some folks with Th1 inflammation have gastrointestinal inflammation that may alter the absorption rate of medications.

I think the main incentive to develop this form of Benicar was to find a cheaper product. As you point out, the tried and true Votum is available for import to Canada but there are folks for whom cost is a major consideration. If this product works as well as hoped, there may be some folks who need the timed-released advantage at night who would also be interested.

Best,

Meg

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Posted: Mon Oct 10th, 2005 16:27

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All good points Meg. It is my intention to order some this week. Perhaps i will order a mix of time release and regular to see what happens. Interpreting why i feel differnet on the compund may be dificult, if i should feel differnet at all that is. I will give it a try and keep in touch.

kind regards

kev

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Posted: Tue Oct 11th, 2005 01:22

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My latest info from Yetvart (Oct. 10th):

Bad News: He can only accept prescriptions from Canadian Doctors (it would mean Yanks would have to be referred to a doctor/clinic across the border, where they would just confirm the diagnosis and issue a prescription (could do a big supply, then you could order 1-3 month refills)...? Guess it would depend how close to the border you are, and how much you would save? Compared to what I've paid at Rite Aid, it will save me $1,800./year.

Good News: The following is a specific reply to my queries about the compound:

Hi Bill, As per your request, I am answering your questions:

1. Yes. The Olmesartan that I use is identical to Olmesartan medoxomil found in Benicar.
2. Yes. By using the similar fillers, we can achieve similar time-release properties.

3. No. I will compound only in capsule form but, I can compound any strength (5, 10, 20, 40mg.).

I find this useful to ease your mind: I am a compounding pharmacist and member of PCCA.

Hope you will find this satisfactory.

Best regards Y.Paylan

In another email, he said it will be a month.

My Email to Yetvart: Bill Moser wrote:

Hi Yetvart:

As I reported to you, my prescription (and others will be coming from Greg B. here in the Vancouver area).

Perhaps you can ease my mind. I've asked you and Trevor these questions, but the responses came back relevant, but more like an answer to a somewhat different question. These are not only my concerns, but that of others as well who've asked me... (sort of like asking a farmer to design a two mile suspension bridge? )

Please respond in a yes/no manner to these questions:

1. Is the Olmesartan you will use identical to that specified by the US FDA as being in Benicar:
(http://www.fda.gov/medwatch/SAFETY/2003/03Feb_PI/Benicar_PI.pdf). Says it's: Olmesartan Medoxomil, a prodrug, which is converted to Olmesartan during absorption from the gastrointestinal tract. Olmesartan is a selective AT1 subtype angiotensin II receptor antagonist.
2. Irrespective of Trevor's TR suggestion, can you compound the mix to closely match Benicar's time-release period?
3. Can/will you put the compound up in tablets, which we are used to (and can be broken for smaller dosing) - or must it be in capsule form?

I've had a lot of responses to the postings I've placed in forums. Some from the US and Australia. Are you able to ship to those destinations?

Please advise.

Regards, Bill

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Posted: Tue Oct 11th, 2005 07:24

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Regarding the proposed timed release version of olmesartan

For any who are apprehensive regarding the proposed timed release version of olmesartan from Montreal, Yetvart (the pharmacist) indicated that if the timed release version is not desired or preferred by a patient, that he could simply fill their orders without the inclusion of the timed release filler.

I plan to order a one month supply of the timed release version in my first order. I assume that it could potentially reduce fluctuations in hormones and body chemistry by providing a more consistent level of olmesartan in the system. This may result in a more stable homesotasis. It may also make our interpretations of "what is happening" (regarding herx and other responses to MP meds) a little simpler to understand, by eliminating the variable of fluctuating olmesartan from the picture. I don't think we can know until we try.

I suspect that it is also likely that each patient may have a somewhat unique response (as they do to quercetin, and every other med of the MP).

Personally, I think it is worth a try. If it turns out that I do not prefer this type for any reason, I will simply request Yetvart to delete the timed release additive from my next order.

Without the willingness to try something new, the MP would not exist. I feel pride in testing (safe and sanctioned) initiatives to aid in the MP's further development

Regards,

- DaveW

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Posted: Thu Oct 13th, 2005 00:51

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SAP - "Special Access Program", is merely Health Canada's allowance to bring a medication into Canada that isn't available here. It pays for nothing.

The Doctor still must send a prescription to the source, and include a simple letter addressed to Health Canada stating the patient's need for the drug, which must be returned with the shipment. Without it, Customs would hold it at the port of entry.

I just returned from Blaine, WA with my last procurement from the US (hopefully). Because I was bringing it back for myself, the letter wasn't required - only if being shipped.

I walked into Rite Aid, and gave my name - it was already put up, and I paid the Princely sum of USD $229. (CAD$270.) for 120 - 40 mg tabs.

By the time I'm ready for the next repeat, I'm hopeful our arrangements with the Montreal Pharmacy are up and runniing! It will now cost exactly half including the shipping (CAD $125. + $8.-$10.) - and the Pharmacy can accept a prescription from doctors anywhere in Canada without a Quebec Doctor's co-signature. The prescription can be faxed, but the doctor must send the original too. The Pharmacist says if there's a rush on it they will have plenty of help to get it out quickly. He expects it will be about one week until you have your prescription in hand.

Another $20 can be saved by ordering a 3 month supply 360 tabs CAD $355.

Unfortunately, because it's not yet a Health Canada approved medication, none of our Provincial health departments will pay for it. I don't know if that applies to extended benefit plans, though?

My doc here in the Vancouver area is excited about the cost reduction, as he will now be able to switch some of his patients from Diovan to the far more effective Benicar (Olmesartant compound).

See pages 4 & 5 of this discussion string for all the details:

Last edited on Thu Oct 13th, 2005 01:31 by Mr Bill

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Posted: Thu Oct 13th, 2005 01:08

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Hi Dave:

In terms of the time release, one of Trevor's replies back in the string stated that there is already some sort of cellulose in Benicar, which I presume, means there is some period of time release effect already.

I just returned from Blaine, WA where I paid the Princely sum of $229. for 120, 40 mg (hopefully, the last before Yetvart is up and running!)

I had intended to ask the Pharmacist what the TR period is for Benicar (Sankyo), but there was a sweet, nicely built young woman with snug jeans standing in the line in front of me... you know how the train disappears. Hey, I do have Lyme symptoms, y'know!

I'll phone tomorrow and see if I can get the specs, then post. This TR thing is the only variable left rolling around in the vacancy where my brain used to be - but otherwise, I have full confidence in the product (as you well know).

Last edited on Thu Oct 13th, 2005 01:13 by Mr Bill

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Posted: Thu Oct 13th, 2005 01:11

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Oh yes, forgot to mention that Yetvart will only compound in capsule form. So, if you wanted to take half doses, you'd have to split the powder from a capsule (unless you had your doc order some smaller doses as well?).

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Posted: Thu Oct 13th, 2005 01:11

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I am a Canadian too and wondered what the pricing of your Benicar worked out to be. I paid$595 for 360 tablets plus 3 hours of my time.!!

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Posted: Thu Oct 13th, 2005 02:27

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The last price I paid for 196 40mg tablets of Votum from Germany was $310 Canadian. I just received the same order for Votum. It cost me $427! Has anyone else experienced this large price increase?

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Posted: Thu Oct 13th, 2005 03:29

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Mr. Bill,

One precaution. It is usually not advisable to split a timed-released product because the quantity of the timed-released portion may be altered which would affect the accuracy of the timed release. Those who want or need to take smaller doses of Benicar more often should have a supply of smaller dose capsules in non-timed release formula.

Best,

Meg

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Posted: Thu Oct 13th, 2005 04:14

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Thanks for the tip, Meg.

I had mentioned that option in my postings, but just thought some folks might not want the chore of seperating the compound.

I had assumed the compound would have been well mixed with the TR agent - is that not the case?

Greg B has me dividing my mino as I increase to 100 mg. Do you see any concerns with doing that?

I use some smooth foil and a stiff paper to square up the powder, then split it in half. It should be accurate enough... do you agree (or is it a different situation with the minocycline?

Please advise

Last edited on Thu Oct 13th, 2005 04:18 by Mr Bill

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Posted: Thu Oct 13th, 2005 04:37

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Mr. Bill,

Most timed-release medications carry this warning:

Do not crush, chew, or break any timed-release forms of .... Swallow them whole. They are specially formulated to release slowly into your body.

Of course, your compounding pharmacist is your best source of information.

Your minocycline should not be timed-release so my caution would not apply to it.

Best,

Meg

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Posted: Fri Oct 21st, 2005 19:20

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Hi Dave:

I called the pharmacy in Blaine where I picked up the Benicar - asked what the time relase for the med was. He read though all the literature and told me that he presumed it was twenty-four hours because it was a 1xd dosage recommendation.

When I told him we're taking 4xd, he said he didn't know how long it would take to enter the blood, but assumes that it must be active in the body for 24 hours.

So, my little brain still can't get around it in terms of understanding the TR formula Yetvart will compound.

It doesn't concern me all that much, but I sure would like to understand it accurately.

I'll try an email to Sankyo if they have a support address.

Cheers

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Posted: Fri Oct 21st, 2005 19:28

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Mr Bill,
Please don't write to Sankyo. This is a trivial problem that anybody trained in pharmacokinetics can handle.

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Posted: Fri Oct 21st, 2005 20:40

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Hi Trevor:

I haven't written them yet, but did look at their information sheet. Benicar Product Information

During all the discussion about compounding olmesartan, I (and DaveW) were asking about the existing TR in Benicar compared to the compound, but replies from yourself and Yetvart came back as: don't think we need to be concerned about 12 hr release, and I can compound it in any manner you like.

I am confident in Yetvart's concoction - Greg B already has an order in for me, but was just trying to get at the existing TR as a point of understanding...? I guess we had it in mind that if we took 2 - 80mg 2xd, as opposed to 4 - 40mg 4xd, there might higher concentration spikes than with the 4xd dosing, depending on what the existing Benicar TR was.

I read the Benicar Prod Info. It says:

Pharmacokinetics:

...appears to be eliminated in a biphasic manner with a terminal elimination half-life of apprximately 13 hours.

Steady-state levels of olmesartan are achieved within 3-5 days and no accumulation in plasma occurs with once-daily dosing. (didn't find any warning about plasma probs for higher dosing).

The absolute bioavailability of olmesartan is approx. 26%. After oral administration the peak plasma concentration (CMAX) of olmesartan is achieved in 1 - 2 hours. Food does not affect the bioavailability of olmesartant.

Clinical Trials:

comparisons were drawn between 20mg and 40mg dosing to see a difference in antihypertensive effect. However, it stated, "Olmesartan medoxomil doses greater than 40mg had little additional effect. The onset of the antihypertensive effect occurred within 1 week, and was largely manifest after 2 weeks.

Literature seems to indicate in general that you can't take too much...? "Olmesartan shows linear pharmacokinetics following single oral doses of up to 320mg and multiple oral doses of up to 80mg."

Thanks for your help in getting this established with Yetvart.

Last edited on Fri Oct 21st, 2005 22:36 by Mr Bill

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Posted: Sat Oct 22nd, 2005 00:02

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What Yetvart said was that he was compounding a slow release formulation. That way there shouldn't be concentration spikes, like there is with seperate tablets. The Olmesartan should be released to your body continuously and only start to drop at the end of the 12 hour period.

This is a pretty easy compounding job, as the half-life is comparable with the length of release. It would be harder to produce a 24 hour release version. I figured 12 hour would be enough, as that would allow a full night's sleep before a new capsule would have to be taken (I don't know whether Yetvart will compound using capsules or tablets).

This procedure has nothing whatsoever to do with anything on the Benicar package insert. This is called "compounding." Benicar is normally not compounded, just supplied in a single dose formulation.

At the beginning, until we are sure that the compounding is working properly, you probably also want a few 20mg bolus doses (standard tablets) that you can use when you need a bit more blockade.

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Posted: Sat Oct 22nd, 2005 05:21

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Yetvart has already told me that he will only compound in capsule form, but can produce them in any volume desired (20, 40, etc). Don't know how that would affect the price quoted for 40 mg.

Would you see any problem with ordering 80 mg capsules to be taken 2xd?

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Posted: Sat Oct 22nd, 2005 05:32

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The only problem I can see is if your GI tract is so sick that the slow-release formula does not dissolve at exactly the same rate as expected. I don't thibk this will be a problem. The advantage is that you can take the capsules less frequently, especially when you need to sleep.

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Posted: Sat Oct 22nd, 2005 10:21

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As a point of understanding, all I've been trying to establish is simply "what the TR of the Benicar I'm currently taking is." with no unstated thinking behind it.

Between the Sankyo prod info and what the pharmacist said, I believe I have that. 1-2 hrs to enter the circulatory system, 13 hr half-life, with ensuing 24 hr total effect. Sounds like a 12 hr TR with residual effect for another 12 (works for me!)

The problem is that the Pharmacodynamic half life is not the same as the pharmacokinetic half-life because there is a disassociation constant involved.

That means the benicar loses its affinity for the A-II receptor more quickly than it decays from the bloodstream. So the effective useful lifetime is 6-8 hours rather than the approx. 13 hours of the plasma half-life.

Additionally, if you take Benicar with a big meal, the data presented to the FDA by Sankyo show it can take 3-4 hours for the Benicar to enter the bloodstream.

The total effect is not 24 hours. That is a marketing fallacy. Sankyo's own studies show a dis-assocation constant in the 4 hour region, and we find that the drug has to be dosed every 4-8 hours for a proper blockade.

..Trevor..

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Posted: Sat Oct 22nd, 2005 22:45

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Hello (((Good Folks))),

I have just ordered two weeks of timed release olmesartan 40 mg, and two weeks 40 mg without timed release. This will permit me a direct comparison of the two types.

Currently I am taking regular benicar. My recent order from Montreal will also permit me to compare both new formulations with the old (regular) one.

I currently take 40 mg x 3 per day. I can see no potential problems arising from differing absorption rates with any timed release formulation.

From my perspective, any timed release formulation (whether it be 2 hours or 24 hours) should serve to level out the average level of olmesartan in my system (over the taking of several caps).

If the qty of Olmesartan released into my system becomes more constant per hour, the half life also seems to be a moot point.

I have made a (limited) initial order of 2 weeks of the timed release olmesartan, only because of the slight possibility of my being sensitive to the additives used to achieve a timed release.

I do realize that an in-depth analysis would be more complex than I have presented, but I can envision the graphs that would be used in such an analysis, and I anticipate that the outcome would match the conclusions I have presented.

However, I am struggling with significant cognitive difficulties, and would not be surprised if my analysis were somehow flawed. Heck, I would not be surprised if I spelled my name wrong.

Regards,
- DaveW

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Posted: Sat Oct 22nd, 2005 23:27

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DaveW,
That sounds like a very sensible plan. Ultimately the only way to know if slow release is superior is to try it. I think it should be a lot easier to manage, as you can take a 20mg bolus from time to time, if needed, and you don't have to wake up to take your morning dose

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Posted: Sat Oct 22nd, 2005 23:59

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Hi DaveW:

You mean there isn't a "W" in Dave??

Thought that's the way they spelled it in Moose Jaw?

There is already cellulose in Benicar, which is what Yetvart will use to affect TR.

The other stuff in it appears to be there for colour, and binding...?

Prehaps Trevor could comment on this.

Last edited on Sun Oct 23rd, 2005 00:01 by Mr Bill

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Posted: Wed Oct 26th, 2005 19:45

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Hi

I just wanted to say that I now have a prescription from my doc for

400 * 40mg Olmesartan.

I do not know if i should order time release or not but i have to order NOW or i will run out. I was going to order 300 time release and 100 none time release for top up on those bad herx days.

Is this a good plan? I just need to here another opinion for my own peace of mind before i place the order .

Kind regards to you all.

Kev

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Posted: Wed Oct 26th, 2005 19:58

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Hi Kevan:

Don't take offense, but I wonder if you aren't thinking this to death? If you go back three postings, I believe Trevor's posting already gives the answer.

Seems a good plan.

Only diff I see is he suggested bolus capsules 20 mg, and you are thinking 40 mg. YOU need to decide whether the bolus capsules should be 20mg or 40mg and whether 12 hr TR or 6-8 hr TR is best for you. The relative time release factor for Benicar is 6-8 hours. It is not a drastic change. Just means you can take two times a day instead of four (80mg 2xd as opposed to 40mg 4xd).

Time to make a decision and try it. Your prescription is for at least 3 months. Order a month's supply in the combo you want, and see how it goes. You can then order the rest of the prescription according to your results.

I'm confident in the TR for the main dosing, and have requested a month's supply of 40mg 12 hr. TR capsules as discussed. I look forward to not having to try and remember the 4xd regime. I take other meds morning and night, so this will cincide.

Cheers

Last edited on Wed Oct 26th, 2005 20:11 by Mr Bill

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Posted: Wed Oct 26th, 2005 20:32

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Thanks for your reply Mr Bill. I apologise, i have read the posts a few times but i guess it isnt quite sinking in to me. Im not sure what "Bolus" is. And why 20mg? i thought we were supposed to be on 40mg?

Presently i take 40mg every 6 hrs. Every 8 hrs doesn’t seem to work too well for me.

I just read your post again. Does it mean that if i order 80mg with 12hour TR that i only need to take it twice a day? Instead of my 40mg 4xday? Is that the best?

Kind Regards

Kev

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Posted: Wed Oct 26th, 2005 22:24

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I believe bolus means a boost (sorta). So, if you are taking the 12 hr TR caps, and you feel a drop in their effect occasionally, you could take a 20mg boost to tide you over to the next 40 or 80 mg time. You might want the lower Tr for the bolus capsules?

You're definitely overthinking this!

You don't need to order 80 mg capsules - get 40mg 12 hr TRs, and take 2 of them 2xd. That will leave the door open for you to take them every 6 hours if you prefer to.

Neither is best, per say. It's a simple choice of what's best for yourself. In either case, you are ingesting 160 mg a day, which will remain active over a one-day cycle. Two choices:

2xd: 80 mg 12 hr TR + 80 mg 12 hr TR = total of 160mg active for 24 hrs (whether you take 2, 40mgs or 1, 80mg each time)

4xd: 40 mg 6 hr TR + 40 mg 6 hr TR + 40 mg 6 hr TR + 40 mg 6 hr TR = total of 160mg active for 24 hrs

I don't think there is a chance of anything dire happening to you if you change to the 12 hr TR 2xd, and if you get some 20, (or 40?) 6 hr TR bolus capsules, you should be covered. I would get the basic 12 hr TR capsules in 40 mg.

Don't know what else I can tell you? So, pick a combo you think best suits your pill-popping routine, order a month's supply, and see how it works for you.

If this doesn't address your concerns, I suggest you PM Trevor - you've already strained the limits of my knowledge!

Cheers

Last edited on Wed Oct 26th, 2005 22:27 by Mr Bill

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Posted: Wed Oct 26th, 2005 22:59

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Now i understand. The light is finally breaking through the brain fog. THANKS. its a great help.

I will place an order: 3/4 of which shall be 40mg 12TR, and 1/4 shall be 40mg 6TR.

That will give me the options you just mentioned to dose at 12 or 6hr intervals with some more immediate effect tablets available for those bad herx days.

Kind regards. I appreciate your help.

PS, you are rite, i always over think everything and usually drive myself up the wall!!

Cheers kev

Mr Bill
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Posted: Fri Oct 28th, 2005 22:34

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Latest update from Yetvart (28 Oct):

Hi Bill,
Since the half life of olmesartan is thirteen hours , theoretically it
could be compounded as eighty miligrams twice daily but when we take
into the consideration that peak plasma concentrations is reachen after
one to two hours then forty miligrams four times daily dosage is
recommended for steady blood levels.
I will compound 40mg olmesartan slow-release and non-slow release
capsules next week.
Best regards
Y.Paylan

Dr Trevor Marshall
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Posted: Sat Oct 29th, 2005 00:56

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Mr Bill,
You need to contact Yetvart and tell him that although the pharmacokinetic half-life is 13 hours, the dis-association time constant is about 4 hours, and that is why you need a continuous release.

..Trevor..

Mr Bill
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Posted: Mon Oct 31st, 2005 07:34

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I suggest that all you Canadians currently taking Benicar get in touch with your docs, and let s/he know that the compound is now available!

Latest update from Yetvart. 28 October, 2005

Hi Bill,
Since the half life of olmesartan is thirteen hours , theoretically it could be compounded as eighty miligrams twice daily but when we take into the consideration that peak plasma concentrations is reachen after one to two hours then forty miligrams four times daily dosage is recommended for steady blood levels.
I will compound 40mg olmesartan slow-release and non-slow release capsules next week.
Best regards
Y.Paylan

Last edited on Mon Oct 31st, 2005 07:38 by Mr Bill

kevanwd
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Posted: Mon Oct 31st, 2005 15:37

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Trevor & Mr Bill

Confussed again!!!

Does Trevor’s last response "you need a continuous release" mean we need the 12hr release only? or does our previous conclusion still stand. ie mostly 40mg 12hr & some 40mg 6hr?

kind regards

kev

Mr Bill
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Posted: Mon Oct 31st, 2005 19:08

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Kev:

I'm beyond understanding it... :shock:

My doc gave me three options, after I'd asked why he suggested the pure olmesartan only with no TR (I would think that would cause spikes in the system?).

The answers I get, while totally well-meant are beyond me (in a language I can't seem to grasp), and seems sometimes to be contradictory. What I am going to do is try a month's supply of what ever my doc recommends, then see what the outcome is. I have no fear that it will do the job, just confused about TR and how often.

From comments about 12hr TR, and Trevor saying it might help one in terms of sleep not being interrupted, I assumed that we could take 80 mg 12 hr TR every twelve hours...? I no longer have that understanding. Trevor mentioned Benicar has cellulose in it (hydoxypropylcellulose), which I assume creates a slow release of some sort?

I had thought to request 40 mg 12 hr TR capsules thinking I could take two in the morning, and two at night (leaving the option open to make variations according to effect). My doc says two 40's no good - must take one 80. The only difference I can see is the fact there would be two gelcaps to dissolve - and even if there was some minute variance, we want a long release anyway??? - and he is recommending the pure olmesartan compound!!

I am so confused about dosing and TR, I could just ____!

I'd like to hear plain talk like, "no, the 12 hr TR release is misleading - it won't last 12 hrs., you must still take them every 6", or yes you can take 80 mg every 12 hours (of course with the caveat to monitor effects), etc. skipping technical explanations.

When we got into 1/2 lives, time to penetrate the gut varying on food/no food, etc. I thought I understood... but noooo!

All techno-speak aside, the key thing we want to know as patients in terms of TR compound/no TR compound is the time period the particular compound is doing the job in our system.

I would like to be able to take the med every 12 hours. I would also like to only have to order 1 strength (40 mg) and take 2 every 12 hrs, or 1 every 6 hrs as effects indicate. To start ordering different compound strengths and TRs, it may end up taking the cost back to what we were paying before - and if the 80's don't work, they're a loss I can't afford??

I suggest you/we stop asking questions here and do what our docs recommend irrespective of whether we understand it or not.

As I said, I am confident in the olmesartant being identical to the that in Benicar, so I am just going to take what the doc suggests for a month, then see how it works.

Gotta go... off to the john to see if I can unload this confusion...?

Trevor: feel free to comment about TR, how long a particular compound does the job, & times to ingest if it will help us to get our heads around this? (PM me if you don't want to post it)

Thanks

Last edited on Mon Oct 31st, 2005 19:38 by Mr Bill

DaveW
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Posted: Wed Nov 2nd, 2005 03:56

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With the Hope of Simplifying

Please understand that you don't have to take the full order your Doc has prescribed on your first order. The pharmacist can keep the balance of your prescription on file until you contact him and request that more be sent.

So, for your first order, why not order a couple of weeks supply of any formulations you (or your Doc) think may work for you? After you try them, you can then order more of the one you prefer in your next order.

Also, to simplify... if you normally take 40 mg x 3 per day of regular (non-time released) olmesartan, then taking the same dosage and schedule in a timed release formula will neither increase nor decrease the average level in your system. It will simply make the average level more consistent from one hour to the next.

This remains true no matter how many hours the timed release targets. As long as you keep the dosage (40 mg) and schedule (every 8 hours) the same, you need not worry about having too much or too little in your system at any given time. The timed release (whether it be a 2 hour or 24 hour release) can only serve to reduce the peaks and valleys experienced without timed release. It doesn't have to be any more complicated than this.

If you still have questions you may PM me if you wish, and I will attempt to address any specific questions you may have regarding the rationale behind my presentation above.

I hope this serves to simplify the timed release dosage and scheduling issues.

- DaveW

Last edited on Wed Nov 2nd, 2005 05:25 by DaveW

Mr Bill
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Posted: Sun Nov 6th, 2005 21:57

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HOORAYYYYYYY !

The Pharmacy is now shipping the compound!

Yetvart emailed me that my prescrition had been sent.

I suggest everyone advise their doctors, and fellow sufferers who are currently paying the big bucks for Benicar!

Cheers!

kevanwd
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Posted: Tue Nov 8th, 2005 18:39

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Congrats My Bill

I just received my order too.

My doc has a few other patients on Benicar now and he is aware of the compounding in Canada. He has also written to health Canada to try and get it covered by insurance. I will keep you all posted.

Kev

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Posted: Tue Nov 8th, 2005 22:03

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That would be great if it could be covered by the Provincial plans, but my understanding is that it is already under review, but takes forever to get approval.

Cheers

DaveW
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Posted: Wed Nov 9th, 2005 16:17

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Hello (((Good Folks))),

I just rec'd my order from Yetvart as well. He sent me two weeks supply of a timed release formulation and two weeks supply without timed release (as ordered).

I am very pleased, but I noticed on the formulation insert that both formulations include lactose (presumably as a filler or stabilizer). This concerns me as I am allergic to milk products.

The timed release formulation includes 2.4 olmesartan, 6.6 methocel and 11.4 lactose.

The non-timed release formulation includes 2.4 olmesartan and 10.5 lactose.

I am trying to ascertain how significant this lactose concern is, for those of us allergic to milk products. To that end I have a few questions:

Does anyone know if lactose is part of the formulation of olmesartan (or benicar) produced by Sankyo? If yes, do you know if the quantities are similar?

Dr Marshall, if you don't mind responding;

- May I please have your evaluation of the formulations provided above? Do you approve of these formulations?

- Are there any other substitutes you could recommend to replace the lactose (for those of us who are lactose intolerant)?

I suspect that Yetvan will be cooperative and willing to custom formulate orders to suit the needs of each patient.

PS. I have not tried either formulation yet, as I am currently experiencing a difficult unstable adjustment period with my meds, and I would like to stabilize (with the old olmesartan formulation) before trying the new formulation(s).

Thank-you for any responses shared.

Regards,

- DaveW

Mr Bill
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Posted: Wed Nov 9th, 2005 16:49

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I previously posted the link to the product specs. Check it out and you will see that the Benicar you've been taking has lactose in it already.

Maybe it is needed for some reason as you suggest, or part of the TR effect?

Just email Yetvart and ask him.

Mr Bill
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Posted: Thu Nov 10th, 2005 18:24

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LATEST UPDATE:

I spoke with Yetvart this morning and he tells me there has been quite a response. Says he's shipped over 1,000 already and has more to go.

My doc ordered as Benicar. Make sure you tell your doctors to order the olmesartan generic, not Benicar - or it will be delayed by having to get a confirmation that the generic is what is really wanted.

Delivery time: previously stated is one week. However, it's only about 3 days in the mail from Montreal. I guess Yetvart has allowed a bit extra for busy times...? You may get it sooner. Questions are still being asked even though there have been regular updates on it in this topic string back to about page 4 - it's a done deal. Get your docs to fax your prescription!

Yetvart said he's being asked why his pricing is lower - are people still suspicious that he is mixing up some talc and sugar in his bathtub??? He can't comment about others' pricing, but I can! Some drugs in the US sell for as much as 5-6 times more - even the same drug, made by the same manufacturer, and imported into Canada! A CBC report showed special tours that brought Americans up here to buy meds - one lady from Florida saved over $6,000. even after the cost of the trip! The show reported that US military and Veteran's Affairs buy a ton of meds from Canada because it is so much cheaper for the same meds.

In respect to him selling the compound for less than another Canadian compounding Pharmacy: brand name drugs are price controlled in Canada. However, a pharmacist compounding a med can charge what he wants to. Yetvart is satisfied with what he is making on the med (what does that tell you about the other guy?).

Final resolution on the TR: The Benicar you are currently taking is not raw olmesartan - it too has stuff in it to affect a gradual release to some degree - Yetvart's compound just has a bit more. Take the same dosage, at the same time interval as with Benicar whether you get the TR, or not. However, the TR formula will give a smoother absorption into the system, and it wouldn't be as critical to set the alarm to take the next pill at a precise 6 hour interval - if you can get 8 hours in the rack, do it. (I probably complicated things by posting a lot of questions about time release, as I'd hoped that I could take 80 mg of a longer TR twice a day, but that's not the case!).

Additives: Same stuff as in the Benicar you are already taking. Go back in the topic string to find my posting showing the link to the Benicar specs to see for yourself.

For those still asking questions: go back to page four in this topic string and review all the postings to see how it went from people discussing all the problems of getting Benicar into Canada to getting it compounded in Canada. Just about anything imaginable and sensible has been asked and answered. Once you've done that, you have two options: get the olmesartan compound easily from this Pharmacy, or go back to going through all the hassles and double the cost of bringing Benicar in from the US/Germany.

Yetvart tells me he's been inundated with requests from the US and Australia. I thought I'd posted that he can only accept prescriptions from Canadian doctors. However, there may be an option to that. I will start another topic about it.

I don't know what more to say, except that it's a done deal, it's already being shipped, it's identical to Benicar, it's half the price - AND... JUST ADVISE YOUR DOCTORS!

Last edited on Fri Nov 11th, 2005 02:01 by Mr Bill

kevanwd
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Posted: Thu Nov 10th, 2005 19:23

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great post Mr Bill. Thanks to you and everybody else involved in this VERY successful project.

Kind Regards

Kev

Larry
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Posted: Mon Nov 14th, 2005 16:08

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Hello, Canadian Members

I was pleased last week to receive my first order of 200 40mg Olmesartan capsules from Yetvart Paylan in Montreal.

I also ordered and received from him my minocin capsules. Not having to divide the 50mg standard minocin capsule will be nice.

I spoke with Mr. Paylan yesterday by phone; and in response to my question, he said it was OK to let members know that he can provide the minocin in the doses that you require. I paid $50.66 for the 80 x 25mg minocin capsules.

I paid $208.33 + $10 S/H for the 200 40mg Olmesartan capsules.

I am eager to begin the MP; my start date will be December 2.

Regards-----Larry-----

kevanwd
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Posted: Tue Nov 15th, 2005 16:08

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Hi all

I have started the compounded olmesartan. I do feel different, however i have also at the same time cut my abx rite down for a weekend trip and just started to ramp them back up again. So that might be the reason why i feel different.

Specifically i am having insomnia. I wake up at in the middle of the night after only 3 or 4 hrs of sleep and i cannot get back to sleep. Today i have terrible upper back / lower neck pain. Both of these symptoms are the same as when i first started MP3. I did cut out the MP3 for one week and now i have restarted so perhaps that is it? I dont know.

I am concerned that the new compound is not regulating the D125 like it should and my symptoms are down to that.

Anybody else started?

cheers

kev

Mr Bill
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Posted: Tue Nov 15th, 2005 16:57

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Kev:

You silly buggah

Why change your other meds at a time when you wanted to see how this new compound would compare to Benicar? Must have been one hot date you had on the weekend! And just what were you doing on the weekend, huh?

Your posting has me confused. I thought the purpose of the Benicar was to reduce the Th1 inflammation, and you regulated the 1,25 D by staying out of sunlight, avoiding foods and supplements???

I'm guessing that you are just suffering your body's revenge for having changed your regular medication regime.

What you might do is to search the compounds that Yetvart added to the olmesartan to see if there are any side effects such as sleep, body aches, etc.

Cheers

kevanwd
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Posted: Tue Nov 15th, 2005 17:30

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What can i say, it was worth it, a special weekend for the wife and myself. You are rite, it is silly to change other meds, that has just muddied the waters. I will swap back to the benicar, stabilize and then try again. Perhaps that will be a better test.

It has been a long time since i read through all the theory but i thought the ARB plugged the receptors and so prevented inflammation and the resulting surge in D125. D125 is generated by the Sarc Granulomas, the skin in response to light and indirectly by food. Food supplies D25 a precursor of D125 that is converted by something (kidneys?) into D125. That’s what i thought was going on inside of me. But as i said im not to well read up on this recently and its all so confusing. Does that sound rite?

Cheers

Kev

Mr Bill
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Posted: Tue Nov 15th, 2005 17:44

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Ya got me on that?

I was asking about the 1,25 D regulation, not telling...

Sounds like you've delved deeper into it than I have!

As you say, best to get stablized, then do the comparison.

Let us know

Mr Bill
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Posted: Wed Nov 16th, 2005 07:52

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I spoke to Yetvart last Thursday at about 2:00 PM Eastern. He said he would send my prescription out that day.

It arrived Monday "Xpresspost". Pretty good considering the interval was comprised of a holiday and a weekend!

As stated, $125. plus $10. for shipping - 120 capsules, container states olmesartan 40 mg. Will start in 3 days when Benicar is done.

I can't say how long it was from the time Greg faxed the prescription, because he ordered Benicar, not the olmesartan generic. I was kinda wiped out and didn't respond to Yetvart's email for a few days to confirm generic.

Only problem is we're back to the TR confusion. Label says 2 capsules, 2 times a day

. I think I will take 1 about every 6 hours. At least for a while...

kevanwd
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Posted: Wed Nov 16th, 2005 18:06

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I just wish to add a little more to my previous post regarding the herx i am experiencing since i started the Compounded olmesartan.

Last night i couldn’t lift my head up because of severe pain. I couldn’t look left or right at junctions in the road. My wife did that for me!. I had exactly the same symptoms, the same pain when i started the MP3 only a couple of months ago. So i really believe that i am now experiencing this again because i took a short 1 week break form the MP3 just as i was getting used to it, and i am now ramping MP3 up again. it seems to much of a coincidence to have EXACTLY the same symptoms when i ramp up the MP3 on both occasions.

I am now maintaining the MP3 and i shall take only Benicar for 1 week and then switch back to the compound next week.

Kind regards

kev

jillbc
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Posted: Sun Nov 20th, 2005 16:53

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Hi, just a note to let you know how fast Yetvart is. I faxed him on Sun, he left a message on Mon, I talked to him on Tues and gave him my credit card #, the meds were here on Fri. Wow, we waited over 3 weeks for the meds from the medisave website to come via Germany. Plus his price was so much better and in CAD$. German tab=$1.71 Yetvart's caps =$1.04 (incl shipping). Now if I had any real math skills I'd be able to figure out our monthly and yearly savings.

When I asked about the time release product he didn't seem too keen on sending it and has sent us the regular capsules. I thought we might get more sleep if my hubby had the TR caps. Nonetheless, its here and it was easy.

Thanks so much to all who persisted in getting this up and running.

Cheers jill

and the fisherman :cool:

Mr Bill
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Posted: Sun Nov 20th, 2005 17:54

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Yes, we no longer have to wait for a long time, and it is so much cheaper.

Based on the costs you reported, you will save $934./yr if you are taking 4 a day (gr 4 math skill

). Im my case, I was getting Benicar in US and it will save me $1,620./year. Now dont' you wish you were buying it from the US so you would be saving even more...?

He didn't include any information about the TR additives on the container or in the prescription slip for me, and I'm going to email him so I know just what has been aded (if anything).

I'm starting today on the new generic, and will post any significant observations (if I survive

).

Cheers

metalevel
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Posted: Tue Nov 22nd, 2005 18:06

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I would like to hear back from anyone who has received and is now using the new compound being made in Montreal. Have you noticed any differences in the way it works, side effects, etc. Also, if you are using the time release formula or regular and what your experience has been.

Thanks, I would appreciate any input.

metalevel

Toronto
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Posted: Wed Nov 23rd, 2005 01:37

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Good News, Glebe Pharmacy in Ottawa is reducing it's price due to volume of sales. 40 mg tab is $1.00, and 20mg is $0.70. I have been dealing with Glebe since July and have found their product and service to be great. Hope this news is of some help.

Cheers

Deborah

____________________
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Mr Bill
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Posted: Sat Nov 26th, 2005 17:28

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Reporting in:

Day seven on the Olmesartan TR compound, which I continued right along at the same (approx) 6 hour interval as Benicar (and with no change to the other meds or activities).

I've had no reaction - no sweats, no unusual head rushes, no unusual GI effect, no sudden hair growth in strange places, no urge to bay at the moon... really no change that I can see at all.

Hopefully, for those who still can't get their head around the fact that this compound has the same stuff in it that Benicar does, this may help ease their concerns...?

I had asked Yetvart to put something in it to make me irresistible to women, but sadly, whatever he added for that purpose doesn't seem to be working...

Mr Bill
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Posted: Mon Nov 28th, 2005 05:43

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Another report:

A couple that I know who are both infected with LD, and are on the MP have reported that they have been on the Olmesartan compound for a couple of weeks now.

They were initially, appreshesive about the generic, so alternated between their remaining Benicar and the generic. They report a "seamless transition".

Cheers

kevanwd
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Posted: Wed Nov 30th, 2005 15:15

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Olmesartan report

Its day 9 of olmesartan. I have notice no significant changes in my herx levels or anything. The herx has gone up and down with the abx dose just as it did with benicar. THe only thing that may be related to the olmesartan is the couple of days of insomnia i had when i changed over. I have had these before so it may jst be coincidence but it did occur the day after i started olmesartan.

I am happy with the olmesartan.

kev

kevanwd
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Posted: Thu Dec 8th, 2005 16:00

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How is every body elese making out with the compounded olmesartan?

Any thoughts?

kev

Chubby Chicken
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Posted: Fri Dec 9th, 2005 01:28

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Hello everyone,

I am new to these forums and have yet to start the protocol (besides limiting my expoure to sun/lights and avoiding vitamin D in my diet). I have already received my first 120 caps of olmesartan TR but now since reading through this topic wonder if I should have requested the non-TR? I will be making another request for more caps soon enough and am questioning my choice?

Thanks for all the help, CC

PS: Nice to see some members here from the lower mainland

____________________
Borrelia, Rickettsia, Suprascapular denervation, Phase-1 Dec 9/05, Phase-2 Feb 23/06, Phase-3 Jun 25/06, Olmesartan 40mg Q8H, M+Z+C, avoiding dietary D, 04/05:Vit-D:60/40ng/mL

kevanwd
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Posted: Fri Dec 9th, 2005 15:55

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Hi CC

I ordered 12hr TR and that is what i am using. I didnt notice any change when switching from benicar to Olmesartan except for a couple nights of insomnia. That may have been caused by a change of D125 regulation between the 2 drugs. But I don’t know for sure, im not a medical person. I sometimes get insomnia anyway. I had read that Benicar has some TR properties but i myself cannot give you accurate details on that either. The impression i got from this thread is that their is no real clear direction or understanding of advantages of TR vs non TR. It seems to be a bit of an experiment. I am happy with my choice. I feel good. I still herx and still feel better if i take more olmesartan. But i dont know if it is really working compared to benicar. I will only know if i get better in the next 12mnths or so.

Kev

Mr Bill
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Posted: Tue Dec 13th, 2005 03:38

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Chub:

Depending in which of these pages you began reading, you may be confused (for lack of a better word). If you go back to about mid page 4, you will see how it all began/developed, and how all the TR concerns were addressed and resolved.

You will also see a link I posted to Sankyo's FDA document showing Benicar's chemical structure (and more than you ever want to read about the rest of it). You will see that there is cellulose and another additive in Benicar that creates a TR. All Yetvart has proposed to do, is to increase it a bit. Trevor has endorsed it saying that it would allow some flexibility in getting 8 hours sleep - wouldn't have to set the alarm to hit the dose interval on the dot. Something else you can play with in terms of the usual 3 every 8 hours or 4 every six hours is the time it enters the system relative to food. 1-2 hours on empty stomach, or 2-4 hours with meals. The TR just gives some flex to the rigidity of having to take Benicar or the pure olmesartan precisely on the recommended interval.

I'm no chemist, but it seems to me that the olmesartan compound with TR is closest to the Benicar we've all been taking. If you take olmesartan without TR, you may have it introduced into your system in peaks as opposed to a more controlled absorption.

Those who have reported their experience to me mainly ordered the TR. They report a smooth transition to the compound, and no noticeable difference. A couple, such as Ken, have reported some minor anomalies, but are the same as those occasionally experienced when taking the Benicar regularly (and/or relative to fluxes in other meds).

Having said all that, as you are about to begin the MP, you must be prepared to experience bad herx reactions that come with the overall treatment! You have to be very careful not to assume that it has anything to do with the TR in the compound. You'd be wise to read all you can in MP Forum Topics about Herx reactions so you know what to expect.

I'm guessing we are seeing the same LLMD - GB on w4th. PM me if you have any questions.

Hope this helps

Chubby Chicken
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Posted: Tue Dec 13th, 2005 16:41

Quote

Thank you kevanwd and Mr Bill for your responses

I started taking my olmesartan-TR this past Friday (Dec 9th) and avoiding vitamin D in my diet and through sun/lights. So far I have yet to experience any noticeable side effects or herx reactions ... but I am ready!!

I will mention the information you guys provided about olmesartan to Dr. B when I see him today as I would like to place another prescription as not to run out mid-phase 1.

Thanks again, CC

____________________
Borrelia, Rickettsia, Suprascapular denervation, Phase-1 Dec 9/05, Phase-2 Feb 23/06, Phase-3 Jun 25/06, Olmesartan 40mg Q8H, M+Z+C, avoiding dietary D, 04/05:Vit-D:60/40ng/mL

kenc
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Posted: Wed Dec 28th, 2005 22:07

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The compounded time release Olmesartan from the Montreal pharmacy appears to be working for me. I take two 40mg capsules every 12 hours. During the last hour (hour 12) I experience the same symtoms that I normally get when on Benicar (i.e. photosentivity, mild dizziness when arising quickly and muscle fatigue and soreness). The degree the symptoms are experienced varies throughout the period, however, I have not yet been able to determine a pattern. So, in summary at this time I would give this form of olmesartan two thumbs up.

Larry
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Posted: Fri Dec 30th, 2005 00:10

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Hi, kenc

Your timing of your Olmesartan doses I found to be very interesting.

I take the 40mg timed-release Montreal Olmesartan one capsule four times a day, usually somewhere between 6 and 10 hours between capsules. The timed release does offer a lot of flexibility with the timing of our doses--something that Yetvart Paylan had indicated in a phone call I had with him several weeks ago.

Regards

Larry

Last edited on Fri Dec 30th, 2005 00:11 by Larry

Nikki
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Posted: Fri Dec 30th, 2005 02:49

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kenc,

How was the Olmesartan shipped to you? Regular mail? Do you know how long it took from the time it was sent and then received?

Eurico

Last edited on Fri Dec 30th, 2005 02:50 by Nikki

____________________
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Posted: Fri Dec 30th, 2005 03:11

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Hi Eurico:

It comes faster than a speeding bullet! My prescription was faxed Wed. PM, and I had it the following Friday - the Friday before Christmas!

My previous prescription took three dyas - over a weekend and a Monday holiday!

It cost $10. "XPRESSPOST"

Last edited on Fri Dec 30th, 2005 03:38 by Mr Bill

kevanwd
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Posted: Mon Jan 9th, 2006 19:05

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HI

Has anybody tried claiming olmesartan on their medical insurence? it is a Canadian sourced drug now?

What about tax refund. Can we claim the cost on our taxs?

kev

grace hansen
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Posted: Mon Jan 9th, 2006 21:45

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I have submitted my first receipt from Yetvart in Montreal, and will let you know if my extended medical plan pays some or all of it. It is interesting to hear about different schedules for the olmesartan/benicar--I hadn't realized I could avoid my 4:30 a.m. alarm.

I hadn't realized when my doctor prescribed the olmesartan that it wasn't just the generic name for benicar. Now that I read the prescription I see that it contains methocel and lactose as well. I am not up on my chemistry, but I am assuming that this drug is a suitable alternative (especially since it appears to be the only one available in Canada).

____________________
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kevanwd
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Posted: Mon Jan 9th, 2006 23:39

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Hi

I still stick with 6 hourly alarms. Im not sure if 80mg every 12hs is good?

kev

Toronto
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Posted: Mon Jan 9th, 2006 23:43

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You can claim your Olmesartan on your income tax. I think you can also claim Noir sunglasses, and possibly sun protective clothing, My drug plan wouldn't cover Olmesartan because it doesn't have a DIN number, and is not approved by my plan (Blue Cross). I'm not sure but it my be more beneficial to save your medical expenses for two years before claiming them. (any accountants out there?) I'm still dealing with Glebe in Ottawa for my meds, but may try the Montreal source because of their time release. Happy New Year to All.

Deborah

____________________
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Mr Bill
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Posted: Mon Jan 9th, 2006 23:52

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Hi TO:

You can deduct any medical expenses that haven't been paid for by health plans. However, you have to reduce the amount by a percentage of your taxable income (2-3%?), then deduct the balance. Depending on your taxable income, you may have nothing to deduct.

Nikki
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Posted: Tue Jan 10th, 2006 01:17

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My extended health plan covers the Olmesartan. I phoned the insurance company and I believe they said that in a compound medication, if at least one ingredient is covered (has a DIN), then the whole compound is covered. Anyway, I may have forgotten exactly what I was told, but I'd suggest you phone your insurance company. The pharmacy that sells you the Olmesartan must also provide you a letter with a detailed description of what's in the compound. I've been getting Olmesartan with Magnesium Oxide Light in it but I don't recall if that's what caused it to be covered or not.

Hope this helps.

____________________
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Brad
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Posted: Tue Jan 10th, 2006 04:01

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Eurico

Why does your olmesarten have this ingredient, is it just a filler? Do you get it from Yetvart? Would sure like to know if that is why it was covered so we could do the same.

Paulette

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Posted: Tue Jan 10th, 2006 11:40

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Paulette,

The Glebe Apothecary put the Magnesium Oxide Light in the compound at the suggestion of an Ottawa environmental medicine doctor (at least initially). When I phoned the insurance company, they asked what was in it and they said they would cover it. I believe that if at least one DIN is covered, they'll cover the entire compound. The problem is that Olmesartan does not have a DIN but Magnesium Oxide Light does.

I'm now getting the Olmesartan from Yetvart and I asked him to put the Magnesium Light Oxide in it just to make sure.

Call your insurance company and ask or just submit the claim. Just make sure you also submit the letter that the pharmacist gives you (you have to ask for it) detailing the ingredients (with DIN #'s) in the compounds.

Eurico

____________________
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Brad
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Posted: Tue Jan 10th, 2006 21:06

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Eurico,

Thanks for the info, I called Mr. Paylan and he told me the lactose that he normally uses has a DIN # . I didn't realize you could get a pharmacist letter detailing ingredients. I will be sure to ask. The cost is so much better and what a bonus for us if our health plan will pay part of it. It sure helps when you're on a fixed disability income.

Thanks,

Paulette

grace hansen
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Posted: Tue Jan 10th, 2006 22:15

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I have been using the olmesartan from this same Montreal source which I have accepted as being reliable. But, to play devil's advocate, what is to stop an enterprising "druggist" from altering the composition of the capsules and making what is becoming in this single-source Canadian market, huge profits? Are mail order prescriptions subject to any kind of quality control in Canada?

Mr Bill
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Posted: Wed Jan 11th, 2006 00:48

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Grace:

If a pharmacist were to do that, s/he wouldn't be "enterprising", s/he would be a crook! One cannot state a specific chemical compound in a med, then supply something else - the pharmacist's license would be at risk, not to mention prosecution! All prescriptions are subject to controls irrespective of whether they go by mail, or handed over the counter. Yetvart has stated that he is using the identical Olmesartan that is used in Benicar. Benicar also has a TR factor, with lactose and cellulose in it (see previous postings to see the link to the actual chemical and FDA specs).

Canada has some of the highest standards and controls in respect to pharmaceuticals, and dispensing thereof in the world.

In terms of pricing, branded/prepackaged medications are price controlled by the Provinces. However, I doubt if there are any price controls on compounded meds. I am convinced Yetvart is making a pretty penny on the compound, but it is about half the price of getting it abroad, and you should be aware that Glebe in Ottawa was charging considerably more for compounding the same Olmesartan in capsules. However, since Yetvart began offering it, they have dropped their price close to his. I think they are making so much on it, that it would just be dirt stupid to risk substituting something that might cost them a few pennies less!

Any pharmacy can compound meds (many specialize in it), so there is no single source as you suggest. If there is enough demand, others may begin to compound it as well, and the competition may bring the price down more?

If those now taking advantage of the benefit of the compound would go back to about page 4-5 in this topic and read how it all came about, most of the questions being asked have all been discussed and answered.

I would caution against posting unwarranted speculation about this product, as it might frighten others off who would otherwise take advantage of the savings (and may cast a shadow of doubt on the pharmacy). If one has such concerns, one should look into it by calling the Pharmaceutical Association in Quebec and asking the questions - as opposed to posting them publicly.

Cheers

grace hansen
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Posted: Wed Jan 11th, 2006 01:20

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Thank you for your reassurance. I wasn't questioning this supplier, but the general idea of buying prescription drugs from an unknown source. I have tried so many different "cures" for my pain that my friends and family, while supportive, do ask questions, and I find this site a wonderful source of answers.

Toronto
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Posted: Thu Jan 19th, 2006 20:03

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I just received the time release olmesartan from Montreal. Is it better to take 80mg twice a day, or is 40mg four times a day better, or does it matter. Also I have a large supply of the non time release left, how do I incorporate them into my olmesartan dosing? Thanks for the help.

Deborah

____________________
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Posted: Thu Jan 19th, 2006 22:42

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We've gone arond in circles with this in previous topic pages, but I think the concensus is that one should continue with the normal intervals (every six hours if 4x daily). However, you don't have to worry about getting up in the early hours of the morning to take that first pill of the day exactly at the 6 hour interval. The extra TR gives you the flexibility to get 8 hours sleep - do it!

Two of my friends alternated their existing stock of Benicar with the compound until it was used up, and they stated it was a smooth transition with nothing to report. The compound is the same active ingredient that's in the Benicar.

Hope this helps.

Nikki
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Posted: Sat Jan 21st, 2006 16:25

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A small correction regarding DIN for Olmesartan/Magnesium Oxide Light...

I had said previously that I thought that my insurance company paid for the compounded Olmesartan capsules if at least one DIN is covered. On the Olmesartan bottle from the Glebe Apothecary, there is a DIN marked on it. In fact, there is a different DIN on the Olmesartan receipt from Yetvart in Montreal as well.

Well, as it turns out, these DINs are not true DINs with regards to registered drugs in Canada. I beleieve they are the pharmacies' own DINs for their own use. This was explained to me by someone who spoke with the Glebe Apothecary.

So, I now believe my insurance company covers the capsules because they cover one of the ingredients, regardless of whether it has a registered DIN or not. I no longer remember, but I suspect it may be the Magnesium Oxide Light that they cover.

If you want to know if your insurance company will cover your Olmesartan capsules, phone them and ask what criteria they use to pay for compounded medications - if they say they'll cover it if at least one of the ingredients is covered, then tell them the contents and ask if any are covered.

Eurico

____________________
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kevanwd
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Posted: Wed Jan 25th, 2006 20:13

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Hi

I just got word form my drug insurence company that my olmesartan claim is not covered. I asked if i could upgrade my coverage for the furtur and they said that it not possible. I am with Equitable Life. Im not surprised they are not covering it.

Eurico. Who are you insured with?

Kind regards

kev

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Posted: Wed Jan 25th, 2006 21:24

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What has to be done is to ask your company what criteria they use to cover compound medications. If they say it depends on the contents, ask if it will be covered if it contains Magnesium Oxide Light.

____________________
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kevanwd
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Posted: Wed Jan 25th, 2006 23:01

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Thanks, i will try that. Are you sure that ingredient will not affect the MP?

Cheers

kev

JohnMcC
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Posted: Mon Jan 30th, 2006 15:48

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Hello Eurico,
I'm having problems with the DIN # issue. I used the DIN # for Mg O light as per the Canadian drug info database - 00520861.

Is this the same # that you used? Do you have other DIN#'s.
I contacted Yetvart and he sent a short list of non-medicinal ingredients (Methocel e4, lactose or amidon, Mg O light.) and so far only Mg O L seems to have a DIN # - however it does not show up as a accepted compound for my carriers and they told me that I needed to see if any other # was available. If not, then my anticipated start on the protocol is, once again stonewalled..

Thanks
John

____________________
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25/04/05(25D-41 1,25D-94 ACE 35)
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Nikki
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Posted: Tue Jan 31st, 2006 01:09

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John,

My understanding is that the DIN # beside the Magnesium Oxide Light does not represent an officially-recognized DIN according to Health Canada. Someone I know phoned the Glebe Apothecary in Ottawa and asked them about it since they're the ones who first started adding this ingredient to their Olmesartan capsules. I was told by this person that the DIN for the Mg Ox Lt is for the pharmacy's own use - that's why you can't find it on Health Canada's database.

So, I didn't use any DIN # when I submitted the claim. You must ask the pharmacy for what's referred to as a third party letter or form which lists all the ingredients in each capsule every time you fill a prescription of compounded capsules. The insurance company must see this. I always submit the letter and the receipt.

If you're still unsure, I'd suggest you email or phone Yetvart and ask him about it.

Eurico

____________________
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grace hansen
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Posted: Thu Mar 16th, 2006 15:57

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I have been following this thread and as far as I can tell, no one has been successful in reimbursement attempts from their extended medical plans. My first application was rejected by Empire Life, but I wonder if anyone knows of developments which would make a second attempt successful. I have accumulated about $600 in receipts. Thanks for any help.

volley2
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Posted: Sat Jun 3rd, 2006 02:40

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New lower prices for all Olmesartan users. Available in 20mg, 40mg and in Time-Release Capsules in Ottawa 1-888-698-9890 ext#240.

Last edited on Sat Jun 3rd, 2006 02:40 by volley2

Dogster
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Posted: Sun Jun 4th, 2006 05:07

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Can someone tell us what the prices are? Regards, Dogster

Aussie Barb
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Posted: Mon Jun 5th, 2006 17:42

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Volley2
Your post has been added to the Canada thread where people come to look for Information re the availability of Benicar in Canada.

When you can, please fill your signature line to help Staff and others reading < see this link for details to include Thank You ..

all best, Barb ...

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Posted: Tue Jun 6th, 2006 04:01

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Volley2, could you please post the prices you are referring to. Curious if they are better than the compound put together at the Montreal pharmacy.

metalevel

Mr Bill
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Posted: Tue Jun 6th, 2006 05:04

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I am wary of volley2's posting.

Just joined to post a toll free number for olmesarten...? No name, no prices... be wary of giving credit card information! If it is the Pharmacy previously mentioned in Ottawa, they were charging Ontario users more than the Montreal Pharmacy.

Things we've already learned: an Ontario Pharmacy cannot fill prescriptions from doctors outside the Province (or country) without an Ontario Doctor's co-signature --- they can fill an amount at their discretion, but only an amount they estimate is enough to supply one until they can get to see an Ontario Doctor --- Yetvart had no problem with posting his Pharmacy name and contact numbers --- he was extremely helpful and patient, taking many emails and calls from us, and discussed formulation with Trevor to ensure proper dosage --- he allowed his (better) prices to be posted without reservation --- even though he was wary, he took a chance and invested a chunk to obtain the Olmesartan and compound it for us --- his service has been nothing short of excellent --- all our members have reported no difference between his compound and Benicar --- they were totally open with us about their business.

I know it's an old concept these days, but we need to consider giving loyalty in return for things like good service and customer concern. If it is some "warehouse" Pharmacy, I doubt they will have the same concern for their patients or maintaining the supply as will a Pharmacy where one can walk in the door off the street and meet face to face. Their only concern is the volume of numbers.

Even if this "phone number pharmacy" is somehow legitimate, and has decided to ignore the Pharmaceutical rules of Ontario to take the sales away from the Montreal Pharmacy, how do you think Yetvart will respond if this unnamed Pharmacy falls through, and can no longer/will no longer supply the Olmesartan?

If anyone has called the number, please post any information.

I will send Yetvart an email with the number and he can check it out.

Cheers

Toronto
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Posted: Tue Jun 6th, 2006 13:51

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I have used this pharmacy from the beginning. Their service is above board and very reliable, perhaps they felt they couldn't advertise on this board (that is only my opinion). They were the first to take the plunge and bring olmesartan into Canada, and for that I am very thankful. Both companies are doing a great job, perhaps the company in Montreal could buy a bigger supply because they can supply all of Canada,( unfortunately Ontario has different laws) and thus they could sell it cheaper. In all fairness to the company in Ottawa I think we should take these facts into consideration. When I mentioned to the company in Ottawa that their prices were high they immediately agreed to lower their price, when I requested that I needed time release caps they also immediately made them available.

____________________
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volley2
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Posted: Tue Jun 6th, 2006 14:45

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That # 188- 689-9890 ext#240 (correction)

volley2
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Posted: Wed Jun 7th, 2006 01:55

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Hi Grace

You can purchase Olmesartan compouned Capsules with a Rx from any dr in Ontario in 20mg 40mg and now S.R.

Give your Dr the phone # 1-888-689-9890 ext# 240

volley2
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Posted: Wed Jun 7th, 2006 02:02

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I can post these as soon as I get into work tomorrow. Yes they are now cheaper than Montreal including the dispensing fee. In Ontario we can only fill Ontario Rx's by law. Other provinces have their own rules. If you're not in the Ottawa area we can ship anywhere in Ontario for a small fee.

Alison
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Posted: Wed Jun 7th, 2006 13:25

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Just so there's no confusion here, the phone number that volley2 is providing is the same toll free number for FeelBest.com, which is run by the Glebe Apothecary, the same Ottawa compounding pharmacy that is mentioned earlier in this post. And in addition to phone in services, it is an actual "brick and mortar" pharmacy on Bank Street in Ottawa. They have a sister website at glebe-apothecary.com.

That being said, I have to question volley2's approach to advertising these new lower prices. Most certainly "x240" directs you directly to this person - does he/she get a commission off of these sales?

Don't get me wrong. Lower Olmesartan prices could benefit many Ontario members on the MP. I would just prefer a more open method of communication here. I don't like the thought that a sales person might be trying to take advantage of an MP'ers need by anonymously advertising on this forum. While we need this new information as it surfaces, this is not the place for advertising.

Something more along the lines of "Hi, I'm So-and-So from the Glebe Apothecary in Ottawa. Just wanted to let you know that we have lowered our prices on Olmesartan... you can contact me at... " would have been better received, at least by me. Even a forthright signature line would have helped.

Personally, I have not ordered Olmesartan from either the Montreal or Ottawa pharmacy yet (still pre-MP). From what I've read about Yetvart, he has been very helpful. But then again, all pharmacies are in the business to sell us Rx drugs, right? I've always leaned towards being a loyal customer as long as I'm getting good service for a quality product - price isn't always my #1 priority - but it helps.

I wouldn't necessarily penalize the Glebe pharmacy because volley2 advertised on our forum - instead I might use the pharamcy's (not FeelBest.com's) toll free number, 1-800-461-4697. (Nothing personal, volley2.) Others may want to reward volley2's initiative. Others may feel the need to stick with Yetvart. <shrug>

Just my 2 cents (ok, maybe it was more like 7 cents),

Alison

Last edited on Wed Jun 7th, 2006 13:40 by Alison

____________________
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Mr Bill
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Posted: Thu Jun 8th, 2006 04:05

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I think it's more like 11 cents worth, but why not? It's a forum...

I agree that it seems a shady way to be doing business. Would have preferred if they were right up front like Yetvart's Pharmacy was - and we went looking for him.

I have to comment that the price for a month's supply of 40 mg is only $3.69 less than what we pay at Yetvat's Pharmacy. There was previous speculation that he was somehow able to buy for less, and that's why his price was much better than Glebe's. In fact, when we first contatced him, he said they had to buy a minimum of the Olmesartan, and it was a fair chunk to invest without knowing how much demand there would be. We convinced him that there would be lots of demand, and he proceeded on our insistance only.

In any case, it's only for Ontario residents due to the Ont. Pharmaceutical policies. (I suspect they are both doing well considering it isn't a branded product controlled by the Health Department markups).

cheers

Mr Bill
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Posted: Sat Jul 29th, 2006 16:59

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Progress report...

Yetvart called me about my prescription this AM to confirm my change from 40 4xd to 80 2xd, and we had a long chat. He tells me that they have about 200 patients for Olmesartan, and are starting to see prescriptions coming from all over Canada (no idea of how many patients Glebe Pharmacy services in Ontario alone?). While it has worked out well for him, we need to thank Yetvart for taking the risk, and laying out the significat bucks without knowing if it would be a worthwhile venture for them.

The numbers speak well for us Canucks being able to find more MDs willing to treat with the MP - and possibly for the word getting around...? I've encouraged many of our CLDF members who were considering the MP to post requesting for referrals, and in many cases where there were none in their area, I've sent them referrals to licensed MDs who treat chronic illnesses, hard to DX patients, and those more open to alternative treatment (open to thinking outside the "traditional" box, and to finding whatever it is that will improve their patients health).

We are beginning to see theGov't Health Department doors opening (slightly) to admitting the prevalence of/dealing with TBID (vector-borne zoonoses). We definitely need to, not just get more awareness of these diseases, but the use of the MP in treating them in front of the eyes of our MDs!

In terms of financial impact (not to mention no more doctors' letters, customs problems,etc.), the savings is 50% of what it cost us to get Benicar from the US. Based on what I was paying, on an annual basis, we 200 patients are saving $300,000. annually!

He told me that the US seems to have relaxed their policy of getting meds from Canada. However, while their Quebec regulations allow them to accept a prescription from any Canadian doctor, they prevent them from accepting prescriptions from out of country.

Yetvart mentioned that he's impressed with our Dr. Greg and asked about how the treatment was working for me.

Cheers

Last edited on Sat Jul 29th, 2006 17:00 by Mr Bill

kevanwd
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Posted: Wed Oct 11th, 2006 17:58

Quote

Hi

I have just received my new order of olmesartan from Yetvart. This time the capsules are smaller and red. The order was the same as always and the capsules are usually larger and white. I call Yetvart and he has said that he made them with NO Time release but they are 40mg. So i suppose i am going to give them a try.

Has anybody else been using the red capsule NO TR ?

kind regards

kev

jillbc
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Posted: Thu Oct 12th, 2006 17:48

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Hi Kev,

Haven't had red caps arrive yet and last order came only about 3 weeks ago. However, have been on the non- TR since the beginning, last Nov. When I talked with Yetvart the first time re the TR he said he would rather send non-TR so that's what we got. There has been no problem with them.

cheers jill

and the fisherman :cool:

kevanwd
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Posted: Thu Oct 12th, 2006 21:57

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Thanks Jill

I have just noticed that some of my old empty olmesartan bottles are also marked NTR and some are marked TR. so it looks like i have always received a mix of time release and non time release. I do not know why these new red capsules are so much smaller though.

Did Yetvart say why he prefers non time release?

kind regards

kev

jillbc
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Posted: Sat Oct 14th, 2006 18:40

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Hi Kev,

Nope he didn't explain and I didn't ask. We were pretty much newbies in those days and just went with the flow.

Why don't you phone Yetvart, I'm sure he will give you a reason for the red caps. Maybe its just less fillers- my guess.

cheers jill

and the fisherman :cool:

Mr Bill
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Posted: Sat Oct 14th, 2006 20:19

Quote

I don't know why Yetvart might change your TR/NTR without a change in the prescription from your treating doctor?

Don't know why the change in color, but could be something as simple as running out of the other color?

You can email him at: yetvart@hyperidrosis.com --- might check with your doc as well to see if s/he made any changes?

Just to let you all know, I had my prescription changed to 80 mg TR about two months ago, and saw very little difference as compared to the 40 mg 2xd.

I do notice nausea, and definite tinitis for a while after I take my morning meds (tinitis almost constant to varying degrees actually). However, I take a number of meds, mostly in the morning, and didn't really pay close attention to those levels when taking the 40 mg. It has really helped, as I take several meds, some at 1xd, two at 2xd (one is the olmesartan), and one has to be taken 3xd. I can't get it in a dosage to take once or twice daily - at least only one to try and remember to take mid day.

Cheers

Moderator add:
Kas wrote: US citizens can either contact the pharmacy in Ottawa or the one in Montreal to find out if it can be exported. I would imagine the one in Montreal would be more amenable to doing so.

Rico
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Posted: Sat Oct 14th, 2006 21:20

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Is Olmesartan 80mg q12h of the time-release format accepted as valid MP dosage as opposed to 40mg q6h non time-release? Sure would help people with memory problems.

____________________
No diagnosis/some symptoms; wife with Sarc on MP; Olm 40mg q6h| avoid D| 1,25D=63 25D=32 (May 2006) 1,25D=44; 25D=10(Dec 2006)PhaseI(May06) PhaseII(Aug06) PhaseIII(Aug07)

Dr Trevor Marshall
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Posted: Sat Oct 14th, 2006 21:41

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The optimal Olmesartan dosing is 40mg every 6 hours. Timed release can give you a little safety margin, but if you use less than 40mg every 6 hours you will not be getting anywhere near the benifit that Olmesartan can provide you. As I explained in my presentation at the FDA - "it's all a matter of dose."

PB has suggested that some people might take 20mg, as needed, on top of the base 40mg every 6 hours. see BenicarQuiklink

Kas
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Posted: Sat Oct 14th, 2006 22:16

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I have been taking 40mg of time release caps every 8 hours and have been coping well on that dose. Is it okay to stay with it, or should I be taking it every 6 hours? I do have some 20mg non- time release caps, which I use inbetween as needed ( for example, if I am going to have more sun exposure).

I hope the t-r caps every 8 hours will continue to be enough as I move into phase two next week, but if not, I will take them every 6 hours. The 8 hourly dosage works out well for me at work - I take one on waking, one at 3pm and the last one at 11pm when I go to bed again. My blood pressure continues to be very low ( I hardly measure it these days and nor does the doc when I see her), but to be honest, it the thing I now am concerned about least. Like Meg, I work and function well enough even when it is as low as 75/45 and very seldom experience any light headedness or dizziness. Ironically, I have never had any problems on getting up from a lying or sleeping position on the benicar.

I get my Benicar from the Pharmasave in Glebe, Ontario and continue to be more than satisfied with their service and prices. They will also compound any of your MP abx into the dosages you need, if your doc writes it on the script.

____________________
Sarc Dx by splenectomy 03- Lungs, lymph nodes, liver. Non MP meds: natural progesterone cream three weeks a month; cal/mag; probiotics; milk thistle daily; cranberry caps prn; quercetin prn.Noirs outdoors and under flourescent work lights, Spectra 3 cream

Rico
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Posted: Fri Oct 20th, 2006 01:22

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I hate the way Yetvart has made the new Olmesartan capsules. They are exactly the same color and size as the Minocycline capsules. It's so easy to mix them up. I think I'll suggest he keep them as before.

____________________
No diagnosis/some symptoms; wife with Sarc on MP; Olm 40mg q6h| avoid D| 1,25D=63 25D=32 (May 2006) 1,25D=44; 25D=10(Dec 2006)PhaseI(May06) PhaseII(Aug06) PhaseIII(Aug07)

kevanwd
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Posted: Fri Oct 20th, 2006 15:20

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Hi Rico

Are your olmesartan smaller and red as well?, i must confess that i was worried there had been a mix up and I had the wrong capsule. I wasn’t comfortable with Yetvarts answerer on the phone, only because i didn’t fully understand what he had said due to the language barrier. It all made me worried i had the wrong capsules but it sounds like he just made a simple change tot the packaging.

kev

Rico
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Posted: Sat Oct 21st, 2006 00:40

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Well, kev, I can't say 100% that it's Olmesartan, but if we both got red capsules and both say Olmesartan on the bottles, we're probably ok. What I don't like is that he packages the Minocycline in the same colored capsules and they're the same size as the Olmesartan.

I sent him an email requesting he use different capsule colors to differentiate them but haven't received any reply yet.

____________________
No diagnosis/some symptoms; wife with Sarc on MP; Olm 40mg q6h| avoid D| 1,25D=63 25D=32 (May 2006) 1,25D=44; 25D=10(Dec 2006)PhaseI(May06) PhaseII(Aug06) PhaseIII(Aug07)

MacBrian
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Posted: Tue Nov 21st, 2006 21:01

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Thanks for all the info from all members.

I am just about to fill out my signature,but have 1 question while I am here.

Despite all efforts, am I safe in assuming ( after reading this large thread ) that as of todays date, there is no feasible way , to obtain a discount on Benicar for patients with government confirmed, incapacitating disabilities- on minute , long term pensions.

Thanks and yours in the battle

Last edited on Tue Nov 21st, 2006 21:05 by MacBrian

kevanwd
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Posted: Sun Nov 26th, 2006 09:31

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Hi MacBrian

I am not an expert or an MP moderator. But as far as i am aware no canadain has been able to get coverage for Benicar.

cheers

kev

Mr Bill
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Posted: Sun Nov 26th, 2006 20:05

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MacBrian:

About May-June last year I was told by my doc that Benicar was under application for acceptance in Canada. However, the approval process takes a v-e-r-r-r-r-y long time.

Around Sept. I emailed the BC Pharmaceutical College and asked about the status, but didn't get a response at all.

You might go to Health Canada's Food and Drug Administration and Regulation Agency and ask what the status is...?

Even if the med is approved for use in Can., it may not necessarily be approved as appropriate treatment for your illness (unless your Doc might risk saying it's just for treatment of hypertension).

The compound from the Montreal Pharmacy still remains about half the price of getting the Branded Benicar from the States, and a great many of us (if not the vast majority) get the compound. It has been seamless in terms of converting from Benicar. It's normally in your hands in 2-3 days from their receipt of your MD's fax for a $10.00 delivery. If you have the prescription sent ten days before your supply runs out, you are certain to have it before you're out.

Your only recourse may be to go to the Health and Welfare Dept. and ask if they can subsidize the med for you? Even if they consider it, your Doc would likely have to convince them of the need for Benicar, and it's not approved in Can., nor for the treatment of Th1 diseases...

...and the band plays on

MacBrian
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Posted: Mon Nov 27th, 2006 13:01

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Thanks mr. Bill and Kev

Now that I know that the only way to obtain this med, is to save up and pay for it, time to start my Progress Report thread.

I am only on Minocycline , at the moment, after Nystatin and Benicar - should I start my post on the Benicar and Minocycline forum?

MacBrian
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Posted: Mon Nov 27th, 2006 13:02

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Aussie Barb
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Posted: Mon Nov 27th, 2006 15:42

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Welcome MacBrian
Do please start your own thread and tell us your details and etc and you will receive a reply asap.
Thanks, Barb ....

Leslirae
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Posted: Mon Dec 18th, 2006 04:28

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My daughter has just started on Benicar for her Sarcoidosis. However, she often sleeps a lot longer than 8 hours, due to chronic fatigue, etc.

Should we consider getting time-released 12 hour tablets for overnight from Montreal, and use the 40 mg capsules twice during the day at 6 hour intervals? Thus she would be getting the full 160 mg but taken in 3 doses instead of 4?

Thanks,

Leslirae

____________________
MP Ph1 June708:B+Min:50mg DXs:Environmental sensitivities, chronic fatigue, celiac, osteoporosis, calcified low thyroid, extreme low magnesium/B-12 D:20.8ng/ml;1,25D:75pg/mlJan07; May07

=15.6;1,25D=52.9 June08 D=

Dew
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Posted: Mon Dec 18th, 2006 16:11

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To clarify my question, can we mix timed release and non timed release on a daily basis?

Thanks,

Leslirae

____________________
Sarcoidosis stage IV celiac environmental sensitivities PH1Dec06 ModPh2May07 Ph2: Jul908 B12 due to celiac, NoIRs regular outings covered up, June 10 D levels were about 4 and the 1.25 levels were 24; No Ph3: abx ended Aug09 - Olmesartan only now

Kas
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Posted: Mon Dec 18th, 2006 21:38

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Hi Leslirae,

I take the 40mg s-r three times a day ( 7am, 3pm and 11pm), and if necessary, I add a 20mg non s-r capsule inbetween as needed. I find if I am going to add a non s-r capsule, I do it at around 11am or 5pm, but you could add it at anytime the herx becomes intolerable/needs relieving.

I have had absolutely no problem with mixing the time release and non time release capsules at all and my doctor is quite happy with my doing so when the need arises. When herxing is really bad, I even take 4 t-r capsules a day, with one 20 mg inbetween. I believe it is quite safe to do so and I have even noticed a rise in my low BP when I add that extra 20 mg.

Hope this clarifies matters for you.

Kas
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Posted: Mon Dec 18th, 2006 23:13

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I see you live in Ottawa, so why would you want to use the Montreal Pharmacy, when the Glebe Pharmacy on Bank Street can supply you with all the Benicar you need? ( time release and regular).

I have found them to be a pleasure to deal with and they even make up my capsules without lactose for me. I have them sent here by UPS, but I am sure they can be delivered right to your door in no time at all if you can't pick them up yourself.

Dew
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Posted: Sat Dec 23rd, 2006 15:52

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Kas,

Thanks so much for your reply. I wasn't aware before that Glebe Apothecary could do the timed release too. Yes, it is much more convenient to get them to do both!

Thanks also for sharing that you can mix time release and non-time release on a daily basis.

Leslirae (for Dew)

highway89
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Posted: Tue Oct 30th, 2007 18:36

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Hi everyone on this forum. I was diagnosed with Sarcoid over a year ago now, and I'm trying to find out if Benicar has ever been formally approved in Canada by Health Canada? If so, has anyone been successful in having their medical benefits cover the costs? Or if not, what is the approx. monthly cost for Benicar while on the MP treatement plan?

Many thanks,

Ed

Kas
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Posted: Tue Oct 30th, 2007 19:33

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Benicar has not been approved by Health Canada and most likely won't be as, at this point in time, they do not apparently see the need for further ARBS. If the MP becomes mainstream, I reckon it will slowly get here, but that may still be a long time in coming.

I do not know of any Canadians who receive benefits for their Benicar and I guess we are all paying out of pocket for it. I see it as a small price to pay for recovery and actually spend far less now that I have virtually eliminated all the naturopathic pills and vitamins I was previously taking to control my sarc, and which actually never worked.

I get my Benicar made up at the Glebe Apothecary in Ottawa, who UPS it to me for a fee of about $13. I buy 40 mg capsules, some time - release 40 mg caps for night usage and I always have a supply of 20 mg caps for inbetween use as needed. I cannot give you an actual price, as I order amounts specific to my needs, but I would estimate that you are going to be spending around $200 a month, ( maybe less) depending on your dosage. Now that the C$ is at parity with the US one, you may find it easier to cross the border and get your Benicar in, say, Niagara Falls, NY, where they do honour Canadian scripts. Perhaps the generic price will also come down a bit now, too.

Best would be to call the pharmacy for information. I have my caps made up without lactose, so perhaps my cost is a bit higher, but not sure about that.

Good luck and better health on the MP.

highway89
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Posted: Tue Oct 30th, 2007 20:05

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Thank you so much for the information. This certainly helps a lot. I didn't even have a rough guess on how much the prescriptions would cost so your estimate eliminates the fear I had that it might be in the thousands/month area. Now my next step is to try and find a Specialist or Doctor in the Barrie, Ontario area that will support the MP plan. My family Dr. is very encouraged by it, but I think she is afraid to prescribe me medications she is not familiar with.

Thank you again, very much appreciated, and hope your health is steadily improving!

Rico
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Posted: Wed Oct 31st, 2007 01:52

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Ed, I purchased 120 capsules Olmesartan (non time-release) 40mg for about $107 last week at Glebe Apothecary. You'll pay more for 240 capsules at 20mg.

I think 120 capsules at 40mg from the Montreal compounding pharmacy (Yetvart Paylan) is about $120 and they charge $8-10 for shipping.

____________________
No diagnosis/some symptoms; wife with Sarc on MP; Olm 40mg q6h| avoid D| 1,25D=63 25D=32 (May 2006) 1,25D=44; 25D=10(Dec 2006)PhaseI(May06) PhaseII(Aug06) PhaseIII(Aug07)

jasper
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Posted: Wed Oct 31st, 2007 04:57

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There is a brand new compounding Pharmacy in Ottawa called Watson's Pharmacy and Wellness Centre who can prepare Olmesartan (Benicar) capsules. They offer shipping across Ontario for a small fee using UPS or Canada Post which ever is cheaper. A state of the art compounding faciltiy and with over 28 years of experience, you will get great service.

Per 100 - 40mg cost approx. $90.00 . Per 100 - 20mg cost approx. $65.00

The dispensing fee per prescription is $10.99

Last edited on Wed Oct 31st, 2007 05:01 by jasper

kevanwd
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Posted: Fri Nov 23rd, 2007 18:43

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Hi

Has anybody purchased olmesartan for the " Watson's Pharmacy and Wellness Centre" ?

kind regards

kev

Rico
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Posted: Sat Apr 12th, 2008 02:03

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I called Watson's pharmacy and was told they don't sell Olmesartan. Anyone know otherwise?

Glebe Apothecary is also no longer selling it due to some patent thing re Schering-Plough !!#@* That's going to make it quite difficult for a lot of people!

Last edited on Sat Apr 12th, 2008 02:08 by Rico

____________________
No diagnosis/some symptoms; wife with Sarc on MP; Olm 40mg q6h| avoid D| 1,25D=63 25D=32 (May 2006) 1,25D=44; 25D=10(Dec 2006)PhaseI(May06) PhaseII(Aug06) PhaseIII(Aug07)

Kas
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Posted: Sat Apr 12th, 2008 04:48

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Oh no - don't tell me that Glebe is no longer selling Benicar!!

I just received a supply last week from them.

Do you know if the Montreal pharmacy is still supplying it?

Ruth Goold
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Posted: Sat Apr 12th, 2008 20:48

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Rico: Thanks :shock:

for posting that.
Kas: Yes - a Glebe pharmacist confirmed it for me this morning. He was very careful in what he said but apparently the decision is permanent.

As most Canadian MPers know, olmesartan is not approved for use (for any purpose) in Canada. Apparently Schering Canada has made or is making an application for approval in Canada. I have no particular knowledge of the Health Canada drug approval system but I do know it is very slow.

It might be a good idea for any Canadian with a current prescription for olmesartan to try and have it filled as quickly as possible by the Montreal pharmacy.

Health Canada's Special Access Program (SAP) allows physicians to request un-approved drugs for treatment of their patients with serous illnesses. However, I believe the approval is given for standard doses for a particular period of time such as six months. The requirement for a drug for an unrecognized treatment at a dose four times the standard (40 mg per day for hypertension) is likely to cause problems (as well as a mess of paperwork for Doc). Information and froms for the SAP are available here:
http://www.hc-sc.gc.ca/dhp-mps/acces/drugs-drogues/index_e.html

Ruth

____________________
03/02/07 Ph 1 MP; 2001: Pulmonary sarc; 01/04/07: 125 D=110pmol/L(45.8 pg/ml)| 25D=20.8 ng/ml: 04/07 19.2: 07/07 11?: 09/07 16.5: 11/07 <10.0: 01/08 <10.0: 05/08 10 ng/ml. Ca. Elocom (ears). diphenhydramine 25 mg. Adidas EE glasses outside. NoIRs

Markt9452
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Posted: Sat Apr 12th, 2008 21:51

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This doesn't look good. Short of making the stuff myself I'm not really sure what to do.

I think whatever we do to resolve the problem we might consider doing it together in an organized fashion to in order to maximixe the effectiveness of our actions.

For example - The Health Canada "Special Access Program"

If this is our only recourse we could enhance the process by working together on how the forms should be filled out. That way nobody who applies is deficient in the information.

I am certainly open to any ideas and would like to help any way possible.

There must be several hundred Canadians on the protocol - surely we can come up with something - together - as opposed to taking our chances with the system individually.

Also - it occurs to me that this dilemma is not only scientific and process related but also ethical.

Cutting off hundreds of patients in the middle of their participation in an FDA
study appears to have an ethical component.

I understand that Forest and Sankyo are companies that like to use the word ethical on their website a lot. If a patent is the only barrier perhaps reasoning with them about the ethics of their decision may bring some results.

Pleas contact me if you have any ideas.
Mark

____________________
Th1 Lyme Symptoms 125D20 D25<10 Ph1Feb08 Ph2Apr08 Ph3Oct08 daily med.exp covered up NoIRs| MyStory|

Dr Trevor Marshall
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Posted: Sat Apr 12th, 2008 22:07

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Sankyo's US patent is written specifically in the indication "hypertension" and the patent does not cover the indications we have found for the drug. US Patents are not the issue with SAP.

Markt9452
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Posted: Sat Apr 12th, 2008 22:27

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I looked at the Canadian Patents last night and it was my conclusion that they did not apply for any number of reasons including the one you just raised. On the other hand I can just imagine the conversation between the Shering drug rep and pharmacy owner.

I suspect the patent wasn't the only thing they talked about. I understand that Schering is a large company that sells many proprietary products.

____________________
Th1 Lyme Symptoms 125D20 D25<10 Ph1Feb08 Ph2Apr08 Ph3Oct08 daily med.exp covered up NoIRs| MyStory|

Ruth Goold
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Posted: Sat Apr 12th, 2008 23:21

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Hi Trevor,
Just want to make sure I understand. Are you saying that in the US, Sankyo holds a patent on olmesartan only for the treatment of hypertension? Does that it make it legal for others to market the generic forms for the MP? How is it described for this purpose? As an anti-inflammatory?

Mark: In Canada, the stumblng block for the pharmacies currently supplying olmesartan probably isn't strictly patent-related. I suspect it is not legal for them to be marketing a drug that is not Health Canada approved.

I agree that this may benefit from a concerted effort. I am just not sure of what direction to take yet. I wasn't kidding when I said I had no experience with the government medical bureaucracy. Hopefully, we will get some feedback from Canadian doctors or pharmacists on the MP board as to whether the SAP route is feasible. I am pessimistic: the info about the SAP states specifically that it is not meant to be a 'fast track' for un-approved drugs. More along the lines that it should only be used for patients who are critically ill (read - almost dead) and for whom there is little hope of recovery (i.e. they will die soon and quit being a problem). Don't know about you, but I don't qualify yet.

Fortunately for us, Schering Canada is a highly principled organization that only has our best interests at heart. If you don't believe me, just read the following from their website.

"Schering-Plough’s Vision: To Earn Trust, Every Day
Schering-Plough Canada aspires to earn the trust of doctors, patients and customers as a champion for them and as a company that provides them with a steady flow of innovative, science-based medicines and services. By earning trust, the company builds growth. It also involves a commitment to the core operating principles of business integrity, quality and compliance.
Schering-Plough Canada’s Mission: Living the Vision
We earn trust every day by excelling in the delivery of innovative medicines and healthcare solutions. We treat customers, colleagues and communities with respect, integrity and dignity, as exemplified by our values and leader behaviours. Schering-Plough Canada is a vibrant environment where ownership, creativity, continuous improvement and innovation are encouraged and rewarded."

There is more should you want to check them out. I tried contacting their Medical Info line - not open on Saturdays.

Ruth

Kas
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Posted: Sun Apr 13th, 2008 00:23

Quote

Supposing you could get three months' supply from Montreal, how long is the shelf life of the compounded product?

I guess we could crosss the border and get Benicar from the Walmart pharmacy in Niagara Falls, but whether they keep enough to fill our scripts for three months at a time, remains to be seen. I also wonder if they would be prepared to send the drugs to us, and if they could, are there implications for bringing them into Canada?

This is a real blow to the many of us here on the MP.

Markt9452
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Posted: Sun Apr 13th, 2008 01:04

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I doubt very much that any canadian pharmacist would be involved in anything remotely illegal.

I don't think that's the case. I obviously don't have all the facts but what I do know is that the sale of olmesartan in Canada appears to be shut down effectively stranding hundreds of patients.

Does Scherer have anything to do with that? I have no idea.

What I do know is that this is clearly an issue of ethics.

If they are involved than clearly they are involved in an ethical issue that they may not even be aware of.

I am going to start by calling Sankyo - I am going to ask them straight out if they or any of their agents are responsible for this and if they are aware of the impact to the patients and the ongoing FDA trial.

Sankyo - Comprehensive compliance hotline 1 866 672 6596
If you are an Employee, vendor, supplier, customer, or member of the general public and have.questions on compliance or ethical issues, or wish to report unethical or questionable activity.

The paradoxical thing about this is that there are warehouses in Canada full of Olmesartan - right now!!

Last edited on Sun Apr 13th, 2008 01:07 by Markt9452

____________________
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Ruth Goold
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Posted: Sun Apr 13th, 2008 03:55

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Mark,
I refer to you the following Health Canada website providing info on Access to Therapeutic Products: The Regulatory Process in Canada.

http://www.hc-sc.gc.ca/ahc-asc/pubs/hpfb-dgpsa/access-therapeutic_acces-therapeutique_e.html#1.1

Let us know what response you get from Sankyo.

Ruth

Markt9452
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Posted: Sun Apr 13th, 2008 04:24

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Thanks Ruth - The government Bureaucracy is completely overwhelming in it's complexity.

There is no information on Olmesartan at any of the health canada databases.

I'm taking the position that there is no patent or relevant legislation that should discourage the legitimate use of the compound or chemical substance known as Olmesartan for use as an anti-inflammatory agent in Canada.

This is not a new compound and it's effects are well known.

On the other hand If someone has a prescription for benicar specifically for it's ability to modify heart function and that prescription results in their receiving Olmesartan rather than the brand name Benicar that is a completely different matter and does deny the patent holder their legal right.

____________________
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maggie weeks
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Posted: Sun Apr 13th, 2008 07:27

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I live in vancouver and have been obtaining Benicar in the form of Olmesartan 40mg from Montreal from the Yetvart Paylan Pharmacien 8897 Lajeunesse Montreal H2M1R8 tel 514 382 5921 It is time release form and they have an agreement with my Physician to fill repeat orders when I or wanyone else requires it phones directly. They can ship it ordinary mail or special delivery. Allow 2 weeks to be safe. They will not ship on a Friday so it is best to phone on a Friday and have it made up on the Sunday and shipped out on Monday so it does not hang around over the weekend. They are easy to deal with and I charge it to my visa card. Hope this helps.

Moderator note: See Sources of Benicar

Ruth Goold
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Posted: Fri Apr 25th, 2008 05:35

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Try the following pharmacy in Montreal:

La Pharmacie Obonsoins Yetvart Paylan
8897 Boul. Lajeunesse
Montréal, Québec
H2M 1R8 CANADA
tel: 514-382-5921
fax: 514-382-5415
E-mail: yetvart@hyperidrosis.com
Website: http://www.hyperidrose.com/index_en.htm

You can specify either time-release(TR) or non-time-release (NonTR) capsules.
Ruth

Maureensew
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Posted: Sat May 17th, 2008 08:22

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I just received my first prescription from Yetvart Paylan. The process was very smooth and simple. I read through the info since 2005 about Canadians buying Benicar. I want to thank everyone who has been part of pursuing this reasonably priced, convenient pharmacy from which Canadians can buy Benicar. The information about time release/not time release, dosages and daily schedules has been very helpful.

____________________
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White Falcon
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Posted: Sun Jun 1st, 2008 21:00

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I have had my prescriptions filled by both the Ottawa and the Montreal pharmacies. Montreal pharmacy cost $70 more for the same 3 month prescription, the capsules are dark red (Ottawa used clear caps). For now, it's better than nothing, but who knows how long it will continue?

AS far as crossing the border to the US for a prescription, I have done that before, too. You are allowed to bring back prescription medications, 3 month supply, for personal use only. I think you have to get it and bring it back yourself, but a phone call to Canada Border Services should clarify if it can be mailed or brought back by someone else. They may want to see the actual prescription, which you won't have, because you have to give it to the pharmacist. So it's a good idea to make a photocopy of the script before you fill it. I brought back tramadol pain meds before it was approved in Canada, about 200 tabs (a lot), and there was no problem. They didn't even ask to see anything, but it depends on the mood of the agent you get.

Washington state pharmacies will fill prescriptions from BC doctors for drugs that are not considered narcotics (schedule whatever DEA controlled etc). Benicar should be fine. I was not able to fill a script for Ambien because the BC doc was not licenced by the DEA for that schedule/class drug. Tramadol was okay, but not Ambien. As far as having enough pills on hand to fill a 360 pill script, a phone call ahead of time might be a good idea. They would probably be willing to order it in for you - pharmacies here frequently don't have what I get prescribed but they can get it within a day. It's probably the same in the States.

The best thing, of course, would be for Health Canada to approve benicar in Canada. Then my insurance would pay for it. That would be very nice.

____________________
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Toronto
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Posted: Fri Sep 26th, 2008 20:42

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Hi White Falcon,

Did you notice that the Benicar from Montreal (red caps) are somewhat smaller than the Ottawa caps? Also do you find they work the same?

Thanks Deborah

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White Falcon
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Posted: Fri Sep 26th, 2008 21:54

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Hi Deborah,

Yes the red capsules are smaller and didn't smell as strong. They are the identical capsules that my other pharmacy used for compounding my clindamycin, so that has been an added nuisance - I can't tell which is which, so I can't put them together in a pill case! Anyhow, I thought the red caps didn't work as well and I asked my doctor about it. He said that some people have noticed the opposite - they think the red caps work better. So who knows?

I have tried to order generic olemsartan from Canadian pharmacies over the internet . They make it extremely difficult. Apparently it's because of a licencing issue with the international supplier who won't sell to Canadians. the Cdn pharmacy sends the prescription to this international pharmacy and as soon as they see a Canadian doctor or Canadian shipping address, they won't fill the prescription. You would have to find a US doctor and ship to a US address. The pharmacy I talked to also required payment with a US credit card, even though they are located in Langley, BC. Price is 66 cents each as compared to $1.05 each from Montreal (not including shipping). Costco.com and Rite Aid in Bellingham only sell the brand-name Benicar for way more money.

So for now, I just ordered another 360 capsules (3 month supply) from Montreal for about $390 (incl $15 shipping). My insurance (Pacific Blue Cross) won't pay because the drug is not approved by Health Canada.

Ruth Goold
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Posted: Sat Dec 20th, 2008 08:58

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Here is some info for Canadians:

Olmesartan has been approved for use in Canada (finally). Schering-Plough received a NOC (Notice of Compliance) for it on Oct. 28, 2008. It will be called Olmetec and the DIN (drug identification number) for the 40 mg tablet is 02318679. It is not yet listed in the DPD (drug product database) which, I think, means that Schering-Plough has not yet notified Health Canada of its intention to market the drug. Nevertheless, the NOC should provide a basis for protest for those of us who have had insurance coverage for olmesartan denied on the basis that the drug was not approved for use in Canada.

Ruth

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Posted: Sat Dec 20th, 2008 15:46

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Thanks for this awesome news, Ruth!!

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kevanwd
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Posted: Sat Dec 20th, 2008 18:57

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thank you

This is great news. One of the reasons i stopped the MP was the cost of the Olmesartan. It became difficult for me to afford. Does this mean it will be covered now by insurance?

Cheers
kev

Kas
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Posted: Sat Dec 20th, 2008 20:43

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Great news indeed! If our med insurance covers this, it will mean a substantial saving for many of us and also make the MP more accessible to so many more Canadians.

Thank you, Ruth, for getting this info for us.

White Falcon
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Posted: Mon Dec 22nd, 2008 22:04

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Thanks for letting us know. This is very good news. I've emailed my doctor and my pharmacist to let them know, too, and find out when we can actually get a script filled. This news is a nice Christmas present!

It would probably be good for people to start asking their pharmacists now, so they know there is interest, and they can try and start ordering it, even without an immediate prescription.

My husband just got his script filled on Dec 13 from Yetvart in Quebec. I will try and argue with Blue Cross about paying for it, since it's after the Oct. approval date - it's $375, so worth a try. The receipt does not have the DIN so that might be a problem.

I noticed that the Notice of Compliance also included other strengths and the Plus version with a diuretic, so people will have to be careful they get the right stuff.

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Posted: Fri Dec 26th, 2008 06:05

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Hi White Falcon,

I am sure you already have the DIN number for Olmetec, but its
"It will be called Olmetec and the DIN (drug identification number) for the 40 mg tablet is 02318679." to quote.
in case you didnt.

Cheers,

Elyse

thelymelight
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Posted: Fri Dec 26th, 2008 21:40

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Hi Folks,

I called Schering-Plough on Dec 23rd asking when the Olmetec would be available in Canada....A pharmacist returned my call, (leaving me a message), as I was out at the time...They said there is no release date as of yet for the Olmetec...uhh!

I wonder if it would help speed up the process if we all started calling requesting it....or would this make matters worse? ie -Are they aware of how much we MP'ers are taking per day and that there is already a pharmacy in Canada selling it in the compounded version....If they are not aware of this, perhaps it would be better to just sit tight and not say a word....as I am sure there must be some kind of conflict with the pharmacy selling it and the patent rights?

Anyone have any idea how this all works?....

____________________
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Kas
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Posted: Fri Dec 26th, 2008 22:01

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I am not sure how this works, but I would suggest not rocking the boat right now. We do not want to jeopardise our supply from the Montreal Pharmacy. If they get word of this, they may stop making up the compounded benicar and that would leave many of us stranded.

With the economy the way it is right now, it is easier for most of us to buy our benicar locally, rather than having to import it from the US or other countries.

I have a good friend who is a pharmacist and owns her own place, so after the holidays, I will give her a call and ask her what the procedure is and how long it should take to get it into dispensaries.

thelymelight
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Posted: Fri Dec 26th, 2008 23:33

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Kas,

Yes, I think you're right...best not to do anything right now...When you find out more info from your pharmacist friend, perhaps you could fill us all in.

Thanks!!

____________________
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Kas
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Posted: Tue Dec 30th, 2008 17:21

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I spoke to my pharmacist friend today and she is going to find out everything for us asap.

As soon as I know, I will report back here.

Happy, healthier New Year everyone! :dude:

White Falcon
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Posted: Thu Jan 8th, 2009 16:24

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I spoke with a rep from the Medical Information dept at Schering-Plough. She said that no date has been set for the sale of olmesartan. I did not get the impression that she had tried very hard to find out. She couldn't even give me a guess as to whether we are looking at weeks, months, or years. Nothing. She suggested I call back in a month, and maybe they would have a date then.

The number to call is 1-800-463-5442. Maybe if more people call, they might get the message that people are interested, and get going on it. I made no mention of my dosage, or that I'm already taking it, or where I get it from. There's no need to tell them that. I've asked my local pharmacist, too.

I've also heard from another patient that Yetvart cannot use the new DIN. Has anyone else talked to him about this?

Last edited on Thu Jan 8th, 2009 16:34 by White Falcon

Toronto
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Posted: Fri Feb 20th, 2009 18:35

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Good News.

Olmetec will be available at Shoppers Drug Mart some time next week!!!!!! I got the info from Schering-Plough and then confirmed at Shoppers Drug Mart.

Cheers Deborah

____________________
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Kas
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Posted: Fri Feb 20th, 2009 19:33

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Thank you so much for this, Deb!!

It will certainly help many of us to get it covered, but Yetvart is going to lose all his business here, sadly. I ordered enough from him for the next three months, but I am definitely going to go the Shoppers' route next time around- if I can just remain on the MP!!!!!

thelymelight
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Posted: Fri Feb 20th, 2009 22:04

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I called Shopper's this afternoon, to find out what the price would be..The pharmacist said it isn't listed in their system yet, but she did check on her palm pilot and found a wholesaler that will be carrying it....She said the the price will be approx. $95.00 for 30 pills..so it's 3x the amount per pill, then what Yetvart is charging.....YIKES!!!

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Rico
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Posted: Fri Feb 20th, 2009 22:37

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If that's the price, then only people with insurance will be able to afford it a Shoppers - Yetvart will have to cater to those without insurance.

____________________
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Kas
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Posted: Sat Feb 21st, 2009 04:02

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Yetvart might stop bringing in the compound, though, once it is in the pharmacies. He also might start charging more. We will just have to wait and see what happens.

Toronto
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Posted: Sat Feb 21st, 2009 14:17

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I talked with Yetvart yesterday and he said his price would still be cheaper, and that he had a good supply of olmesartan. I didn't get the impression that he planned on putting the price up. He said he is charging approx $120.00 for a one month supply. Perhaps the pharmacist that quoted a price was looking at the brand product Benicar from the States. We'll just have to wait and see. We have been waiting all this time, we're all most there.

Take Care

Deborah

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Rico
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Posted: Sun Feb 22nd, 2009 19:43

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According to Health Canada's Drug Product Database, the DIN (Drug Identification Number) for Olmetec is as follows:

Olmetec 40mg (DIN = 02318679)
Olmetec 20mg (DIN = 02318660)

NOTE: Do not order Olmetec Plus as this contains THIAZIDE DIURETICS and is not the right one for the MP.

____________________
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Kas
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Posted: Sun Feb 22nd, 2009 19:50

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When we order from Yetvart, we should perhaps ask that he includes the DIN # on the receipt, so that if we do have insurance for drugs, we can submit and, hopefully, get something back. That would be a great help, too.

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Posted: Sun Feb 22nd, 2009 19:56

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I'm not sure, Kas, but I don't think Yetvart can do that with his product, which is a real shame if true. We're being ripped off with the Olmetec price of around $95 for 30 tablets! Only people with insurance can afford that.

____________________
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Kas
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Posted: Sun Feb 22nd, 2009 20:06

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I see no reason why he should not be able to do so. I get my mino compounded, and with a DIN#, we have been able to claim through the insurance for it. Perhaps if we assured him of our loyalty to his product ( and his price), he may be able to do it?

thelymelight
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Posted: Sun Feb 22nd, 2009 23:46

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Darlene wrote in a different thread the following:

"NorthWestPharmacy.com is in Canada. They may be updating their price lists--they are a little different just about everytime I order. I have never been successful ordering online. I just call them and fax the Rx. This last time, I just faxed a refill request, and they e-mailed me a confirmation. It does take a couple of weeks or more to get, so you have to plan ahead.

I asked for generic for Benicar, which is Olmecip rather than Olmetec. Sorry--brain fog or senior moment.

1-866-539-5330 or CustomerService@NorthwestPharmacy.com for questions or concerns about order. It has been really easy. My most recent purchase was $77.33 for 120 pills + $9.99 for shipping. My order previous to that was "free shipping."

Darlene

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Rico
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Posted: Mon Feb 23rd, 2009 00:04

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I didn't think that these internet pharmacies based in Canada which sell prescription meds to Americans at cheaper rates than they can get (and perhaps to those oversees) could sell to Canadians?

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Posted: Mon Feb 23rd, 2009 01:33

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Yetvart told me he could not put the DIN number on his scripts as it is specific to OLMETEC. Could someone tell us what the US DIN number is on Benicar just to see if it is different.

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Posted: Mon Feb 23rd, 2009 14:42

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I spoke with Yetvart earlier this morning and gave him the Olmetec 20mg and 40mg DINs. He called me back to tell me that he'll be able to sell these at about half the price that Shoppers Drug Mart will be selling it at (which someone said would be about $95 for 30 tablets). He said the Olmetec can be ordered now.

If you already have Olmesartan prescription with him on file now and you have insurance which would pay for the Olmetec, you may want to ask him if he can convert the existing Olmesartan prescription to Olmetec.

____________________
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Kas
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Posted: Mon Feb 23rd, 2009 15:05

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Thank you so much for finding this out for us, Rico. It is much appreciated. I will certainly continue to use Yetvart if his prices are so much cheaper, and I can claim something from my insurance. Did he say he could convert the scripts, or will we need to get new ones from our docs?

Rico
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Posted: Wed Mar 4th, 2009 19:09

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Yetvart has received the new Olmetec, both 20mg and 40mg. He's charging $150 for 120 tablets. The 40mg or 20mg cost the same. It might be easier to only have your doctor prescribe 40mg tablets and if need to take 20mg, the tablet should be easy to cut in half.

____________________
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White Falcon
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Posted: Mon Mar 9th, 2009 18:25

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Pharmasave in North Delta quoted me $441 for 364 X 40 mg (3 mos supply) of Olmetec. This comes to $1.21 per tablet. The price above ($150 for 120) comes to $125, plus shipping.

Still waiting to find out if Pacific Blue Cross will pay for it. Anyone else have any luck with PBC?

The "old" compounded price was $1.04 per capsule, plus shipping.

Toronto
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Posted: Mon Mar 9th, 2009 19:43

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Just take the script to your pharmacy and ask them to check if it will be covered, I have Blue Cross and they told me right away

. Or you could phone the insurance company direct with the DIN number.

____________________
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Posted: Fri Mar 13th, 2009 04:49

Quote

I did phone Blue Cross and was told that they haven't yet decided whether to pay for it. I guess Blue Cross in BC is slower than in Ontario. But that's good news that it has been accepted in Ontario. BC Blue Cross should follow suit.

Also, only people whose plan allows for direct payment to the pharmacy would be able to find out from the pharmacist. Blue Cross is a big company and has many different plans. They may pay under one plan, but not under another. My employer does not offer a direct payment plan. I have to pay and submit receipts. The pharmacist can't tell me anything.

I'm trying to get them to pay for a script filled through Yetvart in December, after it was approved in Canada, but before it was available anywhere else.

Last edited on Fri Mar 13th, 2009 04:55 by White Falcon

Mr Bill
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Posted: Wed Apr 15th, 2009 07:29

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This may be a first.

Here in BC we have begun a topic in an ILADS-treating Lyme Literate MD's site, in which MPers can share their experiences, and answer questions about them. It comes with conditions that don't allow anyone to give their negative opinions about the MP, challenge or argue the science, or bash the ptotocol or any of the individuals involved with it.

Dr. Murakami (MD BA Bacteriology, Immunology Clinical Associate Professor Emeritus, UBC) has been treating infectious diseases for 15 years (mainly to do with Lyme and coinfections) all the while battling a hostile and denying Health-Care system. Although an ILADS-treating LLMD, he is a very open-minded, and believes that, instead of all the arguing over treatment protocols, MDs need to get together and study them collectively to see how they may best benefit the patient.

Recently retired, he continues his battle against the Tick-borne diseases, and the ignorance, hostility, and Gov't denial about the prevalence and treatment of these infections. He is well regarded not only in Canada, but across the US as well. He's actively promoting awareness, and has spoken to patient groups, Universities, Medical Students, corporations, and medical professionals at numerous venues in Canada and the US.

I'd suggest that all Canadians on the MP look in and contribute. You will need to register in order to view topics or post in the forum. Go to: http://www.drerniemurakami.com and click on Lyme Chat to register

See the topic here: http://drerniemurakami.com/forum/index.php?topic=672.0

Cheers

beeletcher
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Posted: Wed May 20th, 2009 00:06

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To all BC MP members,

I just got reimbursed for my Olmesartan, $676.41 for the $750 I spent at Yetvart Paylan in Montreal.

I pay $90 per month for Blue Cross in BC. I have Type 1 diabetes and use an insulin pump, so my supplies are very expensive.

This is what I wrote with my claim:

" There is also a receipt for Olmesartan from a pharmacy in Montreal. It is a 6 month supply. Up to now it wasn't available in the rest of Canada. I have Sarcoidosis, an inflammatory autoimmune disease. I am on a clinical trial and olmesartan is part of the treatment. I have sent an example to show that Sun Life paid for this when I was still working. Also, now that there is a DIN# (02318660 for 20 mg Olmetec and 02318679 for 40 mg), I have been told that Blue Cross in Eastern Canada has been reimbursing their clients. All of us in BC are hoping that you will do the same."

So everyone go for it! I made sure I put "inflammatory" in the letter.

Brenda

____________________
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kevanwd
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Posted: Thu May 21st, 2009 20:51

Quote

Hi

I just called Blue Cross and they said that the Olmetec was covered.

My local Phamasave wants $43.94 for 28 tablets, thats $1.56 / 40mg tablet.

Its realy good news that its now available and covered in canada. Ive been off all MP drugs for 11mnths, i did approx 5 yrs of the MP prior to that and im thinking of comming back.

cheers

kev

Dr Trevor Marshall
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Posted: Fri May 22nd, 2009 13:28

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See the Press Release here:

http://www.newswire.ca/en/releases/archive/May2009/21/c6035.html

Frans
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Posted: Fri May 22nd, 2009 14:17

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So Sankyo isn't the only one anymore ?

____________________
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Ruth Goold
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Posted: Fri May 22nd, 2009 15:46

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Hi Frans,

I think this is the Sankyo product - Schering-Plough is just the Canadian distributor. The 'olmetec' is more expensive than the compounded olmesartan that Yetvart (Montreal pharmacy) provides. So, Canadians without extended medical coverage may still wish to order the compounded version from Yetvart (be sure to specify which one you want when you place your prescription),

Ruth

kevanwd
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Posted: Fri May 22nd, 2009 17:49

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Remedy's RX Pharmacy. (250) 352-6928, Nelson, BC Just quoted me:

Olmetec 180 x 40mg for $206 all in. Thats $1.14 per 40mg.

kev

Kas
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Posted: Fri May 22nd, 2009 19:17

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Pity that Olmetec is so effective at lowering BP, according to the Canadian study!! For those of us with starting low BP( and even lower BP on the MP), it would have been a benefit to not have it so effective

for those of us who need to get it up some!

If it is so good at doing its job at regular dosages, how will my BP ever get up to 'decent' values on even more than usual,or is that irrelevant? I have had BP of around 75/45 and lower for years now and often wonder what it would feel like to have it up at my 90/60 ish pre MP readings.

Dew
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Posted: Sun Jul 5th, 2009 17:40

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Hi Cas,

I agree it might be nice to have our blood pressure up in the 90s and 60s again, but frankly until I started the Olmetec I never felt any effects of low blood pressure. Even when my blood pressure was around 60/30 I felt OK.

Now, however on the Olmetec I am getting brownouts with loss of vision and feeling faint, lightheaded, far more fatigued, etc. I have been worried about fainting! I have never fainted before in my life. My daughter is getting the same symptoms and is also in a lot more pain.

At first I was not sure it was not just a coincidence, but thelymelight has also responded that she is noticing the greater fatigue and light-headedness and loss of vision from what I call the "brown-outs" as well on the new Olmetec. Both she and we are both using some left over Olmesartan as well as the Olmetec so there remains a possibility that there is some interaction between the two. However, since she says she got some similar symptoms when she got lactose instead of avicel in the Olmesartan, it could be the lactose in the Olmetec or lactose and some other additional ingredient that we did not have in the powdered capsules that is in the Olmetec tablets.

Are other people noticing increased symptoms of "low blood pressure" on the new Olmetec that they did not experience either on the Glebe or Montreal versions of the Olmesartan?

Thanks,

LR (for Dew)

Last edited on Sun Jul 5th, 2009 17:42 by Dew

Kas
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Posted: Sun Jul 5th, 2009 18:21

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Hi LR,

I have never used Olmetec, and am still using the compound I get from Montreal since Glebe stopped supplying. I also get it made up without lactose. As I having been using this for ages now, in my case the low BP is not from any change made. I would have to get the 'real' stuff from a pharmacy to see if it made any difference, and right now, I would hate my BP to get any lower, as it appears to affect my kidney function when they are not being perfused adequately.

Since the Montreal compound has included a DIN# on my receipt, my insurance company, Manulife, had paid 100% of the cost, which might be encouraging to those of you who think you have to get your meds 'uncompounded". Another benefit is that Montreal is a fair bit cheaper and I find Yetvart no problem to deal with and the meds arrive promptly. The only hassle is the postage, but it is not that much.

Dew
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Posted: Mon Jul 6th, 2009 21:17

Quote

Hi Kas,

Thanks for the info about your insurance company paying for the Olmesartan now it has the DIN number. Congratulations! Maybe it will bode well for some others of us too.

I understand about the low blood pressure. Have always had that too, and of course on Olmesartan or Olmetec, it is a lot lower. It used to shock medical personel and they would ask "Do you faint a lot?" But I never did -- I never noticed symptoms from having low blood pressure. Now they make more positive statements like, "Not such a bad thing to have low blood pressure".

Are you getting the brown and/or black-outs of vision and threatening of unconsciousness on the lactose-free generic version? I didn't get that kind of thing on the Olmesartan, but we have been getting it on the Olmetec. I really don't mind that much what the bp numbers are, as long as we are not about to keel over or have other aggravated symptoms. In your case it sounds like you are having kidney issues from it-- do you feel symptoms with that, or do you know about it strictly from the test results?

LR

jr_md
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Posted: Thu Dec 31st, 2009 17:11

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Olmesartan - Now Widely Available in Canada!
Olmetec Now Available in Canada through regular pharmacies

OK, I know this may not be big news to those of you in the US, but for
those of us in Canada, this is HUGE!

As far as I know (and believe me, as a Canadian physician, I made many attempts to find out) Olmesartan was only available through the Yetvart pharmacy in Montreal. A good friend of mine owns a Shopper's Drug Mart here in Ontario (THE pharmacy chain in Canada) and has tried unsuccessfully to bring olmesartan into Canada since I first went on the protocol.

While I appreciate that Yetvart was willing to do this (they were having to compound it themselves at the pharmacy, likely just for the MP folks), they are charging ridiculously high prices for it, and then - if you don't live in Montreal - there's the cost of having it shipped.

It simply wasn't available elsewhere in Canada - interestingly, CanadaGeneric - which you'd think by the name would sell to Canada - doesn't, even though it's located in British Columbia. It's just a source for cheap drugs for Americans.

Anyway, here I'm sitting in my office over the holidays sorting through my mail and I come across the latest Canadian Journal of Continuing Medical Education and there's an add for Olmetec right on the front cover! Says - Now in Canada! So this has to be new.

Wouldn't you know, I ordered from the"thousand-dollar pharmacy" just a few days ago, and my thousand dollars worth of olmesartan are now winging their way to Ontario. Well, it's great news for the future, anyway!

Please post this on the regular forum - I don't know where best to post it - so that Canadian members of the MP are aware of this. It may, in fact, still be expensive, because it looks to be the name brand and not the generic, but all competition is good for the consumer, and may force Yetvart to lower their prices. And with the name brand here, the generic is bound to follow soon...

Happy holidays to all!

Jenn Rae, MD

Rico
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Posted: Thu Dec 31st, 2009 17:19

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Jenn, just to let you know that Olmetec has been available in Canada (and at least Ontario) for a few months now.

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leroybrown
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Posted: Thu Dec 31st, 2009 17:29

Quote

I've been getting mine from Shopper's Drug Mart since the end of Sept. Maybe it is different with larger cities vs smaller centers.

I pay about $30 a month with insurance, so without insurance it would be about $120 a month for 4 a day - about $1 a pill.

____________________
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25D = 25 1,25D = 58 Aug 18/09|25D < 4.8 Mar 11/10
Phase 1: Sept 29/09 benicar 40mg q8hrs * Nov 26/09 40mg q6hrs * May 28/10 mino 25mg MWF * Jun 11/10 M 50mg * Jun 21/10 25mh MWF

jr_md
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Posted: Thu Dec 31st, 2009 17:48

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Well I really wish someone had posted that information as it would have saved me a lot of money - probably other people to! As it stands now, I'm paying nearly $200 a month.

Maybe it was posted somewhere and I just didn't see it. As a doctor, I'm usually aware when new things arrive in the country, so I'm surprised that I didn't know about this - this especially.

Thanks,

Jenn

jr_md
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Posted: Thu Dec 31st, 2009 18:03

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The interesting thing is that if you search for "Olmesartan" and "Canada" on this site (as I did the other day when I was searching for the link to the Yetvart pharmacy) this isn't the thread that's coming up - it's that original thread which lists where things are available in each country, and Yetvart is the only thing showing for Canada. So maybe the moderators can make an amendment to that. I'm quite sure that I can't be the only Canadian on the MP unaware of this.

Also, while it's true that the Olmetec may be cheaper with insurance coverage, I'm fairly certain the many insurance companies won't cover the drug for this use - it might fly under the wire if it's indicated as BID (twice a day), but if you indicate it as QID, they might balk at that - they'll realize it's being used for off-label purposes, and I have run into problems with patients getting these kinds of prescriptions filled. Yes, you could ask your physician to write is as BID, but ultimately you're going to run out of the prescription "early" (according to your insurer), so if a 6-month prescription is only lasting you 3 months, they won't fill a new prescription 3 months early - even if the doctor writes one.

Not surprising, I guess - they don't want to have to pay for more than they have to.

Anyway, thanks for the links. I guess I don't find this site that that easy to navigate around - when searching for things, I seem to miss important information!

Thanks to all.

Jenn

Rico
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Posted: Thu Dec 31st, 2009 18:06

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Jenn, FYI... it was posted by Ruth Goold on Sat Dec 20th, 2008 04:58 at:

http://www.marshallprotocol.com/forum11/4320-12.html

____________________
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leroybrown
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Posted: Thu Dec 31st, 2009 18:13

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Hi Jenn,

Sorry you didn't know. I think it had been posted on curemyth1, I haven't been a member on this site very long. I guess by the time I came along, I didn't know getting olmesartan in Canada was an issue.

I had no problem at all getting the script filled for 4 a day. The pharmacist had to call Dr Blaney to double-check, then he had to fill in a form on his machine, and then he crossed his fingers and it worked. I have private insurance that I pay for myself too, and I was surprised it went through that easily.

ammc
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Posted: Thu Dec 31st, 2009 19:06

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jr_md wrote: Well I really wish someone had posted that information as it would have saved me a lot of money - probably other people to! As it stands now, I'm paying nearly $200 a month.

Maybe it was posted somewhere and I just didn't see it. As a doctor, I'm usually aware when new things arrive in the country, so I'm surprised that I didn't know about this - this especially.

Thanks,

Jenn

I know someone in BC on the protocol who has been getting their Olmetec at Costco since June of this year. I would assume your prescribing Doctor would be up on that information my non-prescribing GP is the one who told me. This MP thread here talks extensively about it being available at most pharmacies looks like some were getting it as early as March of this year and I know I have read it in other threads as well. And the price you are paying now is the same pretty much unless you have a health care plan. If I had to pay for mine from Shoppers it is/would be $ 398.40 for 70 days of pills at 4 pills a day so the same as you are paying about 200.00 a month. I have 100% coverage with my work drug plan for enough olmetec for up to 6 pills a day it costs me nothing. I know several people who are all getting it from pharmacies in Canada who all pay nothing with their insurance from work and it's all covered 100%. I also know of more then 10 people who prefer to still buy from the Montreal compounding pharmacy as they prefer that to the other option.

http://www.curemyth1.org/forum2/541.html

Last edited on Thu Dec 31st, 2009 19:32 by ammc

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ammc
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Posted: Thu Dec 31st, 2009 19:27

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leroybrown wrote: I've been getting mine from Shopper's Drug Mart since the end of Sept. Maybe it is different with larger cities vs smaller centers.

I pay about $30 a month with insurance, so without insurance it would be about $120 a month for 4 a day - about $1 a pill.

Leroy,

I find this interesting I just picked up my Olmetec at Shoppers today and I pay nothing but looking at my receipt it says you would have paid $398.40 for 280 tabs I wonder why yours was so much less? I realize that 280 tabs gives me 70 days worth but that works out to more then $1 a pill.

Last edited on Thu Dec 31st, 2009 19:32 by ammc

leroybrown
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Posted: Thu Dec 31st, 2009 19:50

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Ok, I dug up a receipt for 63 days.

Total was $315.35 for 252 tabs, including the pharmacist fee, for about $1.25 a pill.

I paid $79.38, approx 25% of the total. (I'm not sure how the insurance works out the pharmacy fee, there is a limit on that).

Total without the pharmacy fee was $303.36 = $1.20 a tab.

I used to pay almost $200 a month for cyclosporine WITH insurance paying 75% - total was almost $800 a month, so Olmetec seems cheap!

ammc
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Posted: Thu Dec 31st, 2009 20:16

Quote

Ok makes sense so it's about par we paid about the same then. I am switching mine to Safeway from now on.

Ruth Goold
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Posted: Thu Dec 31st, 2009 20:36

Quote

Ouch!

You may want to bargain a bit. I just picked up my fourth '3-month' batch of olmetec at my local Pharmasave. I have paid the same price for each of the four batches of 360 pills: $391.33 (cost $381.34 + dispensing fee of $9.99).

One of the pharmacists at this store is quite interested in the MP and did some research on obtaining olmetec for me when it was first available and also tried to help me obtain deme in Canada. I think he factored in a 'buying in quantity' discount into my price the first time and the other staff have honoured it since. Worth asking about - especially for those without any insurance coverage.

Ruth

Mr Bill
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Posted: Thu Dec 31st, 2009 21:20

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Costco here in BC (Abbotsford) charges $378.76 incl. dispensing fee for 360, 40 mg Olmetec. $1.05/pill. You don't need a membership to use the pharmacy. Just tell the checker at the entrance that you are going to the pharmacy.

Yetvart's compounded Olmesartan used to be very close to this price.

I've not heard a better price than this...

Pharmasave's big, new 24 hr/day outlet here wants. $411.60 with disp fee.

Last edited on Thu Dec 31st, 2009 21:27 by Mr Bill

ammc
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Posted: Thu Dec 31st, 2009 21:40

Quote

Thanks for the info both Bill and Ruth..

I guess I never really thought much about the pricing as I don't pay for it at this point in time with this job I currently have. I am switching to Safeway as I am told their dispensing fee is less and I like the pharmacist there. Ruth I am still in search of a nice/helpful or at least pleasant pharmacist. ( sending you a pm)

Bill good to know about the Costco not needing a membership for persciptions I had no idea that could come in handy for me.

Angela

leroybrown
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Posted: Thu Dec 31st, 2009 21:43

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My 3 month script worked out cheaper, but I can't find the receipt off hand. It worked out to approx $30 a month for me instead of $40.

Joyful
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Posted: Thu Dec 31st, 2009 23:14

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The MP knowledge base needs to be updated... the page I will make a note to modify is here:
http://mpkb.org/doku.php/home:mp:mpmeds:olmesartan:buying

Unless, of course, someone else wants to try their hand at editing the page?

p.s., I have been able to negotiate a better price with my pharmacy by buying my full year's supply in one order. (Doctor was nice enough to write it for 6/day and I pay out of pocket, so there are less hoops to jump through.)

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leroybrown
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Posted: Fri Jan 1st, 2010 01:44

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What is the story with the generic? I am assuming that the generic is not available in Canada because the patent hasn't expired on the brand name (Olmetec) yet?

Mr Bill
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Posted: Fri Jan 1st, 2010 20:03

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If I'm not mistaken, Olmetec is a generic in the US? The Can. Pharm. Colleges have adopted it here because it is the same but cheaper than Benicar.

Legit Can. Online Pharmacies will sell the Olmetec (or another identical generic) at greatly reduced prices, but only if delivered to a US address. One local OL Pharmacy told me they would sell it to me here, but at the same price as other Can. Pharmacies charge. There are mail forwarding companies who will forward non-addictive drugs to Canada. I heard one in Oregon was the cheapest with a $13./month fee and forwarding postage costs. I think(?) I posted about this a few pages back (straining my memory here, but think it was about $75. USD for 120 40 mg).

Irrespective of insurance benefits, as I see it, here's how things stand:

Buy Olmetec at your preferred pharmacy (check Costco first)

Order compounded Olmesartan from Montreal (they can put it up in any dosages desired, with/without time release or additives - and can put up any doseage of your ABXs).

Order through a legit Can. online pharmacy to be delivered to a US address for forwarding (friends, family, mail forwarding co.) or cross the line to pick it up.

Last edited on Fri Jan 1st, 2010 20:05 by Mr Bill

Mr Bill
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Posted: Fri Jan 1st, 2010 21:12

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In response to some comments about the length of the thread, I think it needs to be said that the reason is most persons reading the thread refuse to go back to previous pages to find what they are interested in (some refuse to go back a page or two).

I'm forever reading resources, and wish the answer to what I want to know was on the first page that opened. It really doesn't take all that long to click on a page and just scan the posts for useful information or a specific item, or heaven forbid, one might use that dreaded, evil function called the "search' feature.

Things really began in this thread about mid page 4, but mainly developed in the next 2-3 pages. There have only been a few real additions, but persons who won't go back just ask their question on the last page of the thread and let someone else give the link to the page, or the answer - and the thread just grows with mostly duplicated stuff.

The same questions and their answers have been posted many times over, not to mention speculation, guessing, and wishing. Just about anything one could possibly want to ask about Benicar, Olmesartan, or Olmetec has been answered way back - who, where, prices, compounding options, bodily effects, dosing, cross border customs restrictions, product reliability, etc., etc., etc.

Maureensew
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Posted: Fri Jan 1st, 2010 21:22

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I have been getting my olmetec covered by my extended health for several months now. My prescription is for 80 mg q4h. I indicate that I use it for inflammation.

Maureen

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PoochyMama
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Posted: Fri Jan 1st, 2010 22:32

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I go to Wal-Mart for my Olmesartan and I pay $301.28 for 280 40mg pills. That works out to $1.07 and they don't ask any questions.

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BIGDOG
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Posted: Fri Feb 19th, 2010 06:17

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LOL

"they don't ask questions"

Well said... I think most pharmacists just follow the 'usual' dosing instructions.

One pharmacy I simply reiterated that my doctor was good and knew what he was doing.

Most want to help, but if they get to probing too much, the hint of taking your business elsewhere works.

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Posted: Fri Feb 19th, 2010 21:01

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Is anyone currently using compounded olmesartan in Canada? If so where are you getting it from? I am getting severe stomach pain from something in the Olmetec - maybe the lactose? So wanting to try it compounded. I had problems with the Montreal pharmacy before, so hoping to find another pharmacy in Canada that supplies it. Anyone have any info. on this? Anyone else have stomach problems with the Olmetec? My stomach is really sensitive. In past only anti-inflamms. and steroids bothered it. Now the olmetec. 'Frustrating.

Thanks.

____________________
RA diagnosed 99 symptoms since 97. CFS diagnosed spring 03. 25-D 27.6 ng/ml 1-25 D 54.17 pg/ml 7.5 mg mobicox 20 mg cortef Started benicar 20 mg 3x/day 13/05/07 Benicar 40 mg 3x/day 20/05/07 started avoiding D 01/07

ammc
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Posted: Fri Feb 19th, 2010 23:12

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scroll back to the beginning of this post and you will find the contact info for compounded benicar.

Isabelle
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Posted: Fri Feb 19th, 2010 23:54

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I only see Montreal and Ottawa listed as place to get compounded benicar in Canada. Ottawa no longer sells it and as I said I have had problems getting it from Montreal - they say they will send it and then don't so I run out. is there some other info. I am not seeing?

Rico
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Posted: Sat Feb 20th, 2010 01:29

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I wonder if the stomach pain might be the immune system kicking in as a result of the VDR being unblocked due to the Olmetec. The earlier you call Montreal, the sooner you'll get it. My insurance co didn't cover the Olmesartan from Mtl last time I submitted my receipts, even with the Olmetec DIN. Keep that in mind.

____________________
No diagnosis/some symptoms; wife with Sarc on MP; Olm 40mg q6h| avoid D| 1,25D=63 25D=32 (May 2006) 1,25D=44; 25D=10(Dec 2006)PhaseI(May06) PhaseII(Aug06) PhaseIII(Aug07)

Isabelle
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Posted: Sat Feb 20th, 2010 01:32

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No my MP doc doesn't think so. The same pain happens when I take anti-inflamms or steroids. Something in the olmetec is flaring up the ulcer caused by long-term anti-inflamm usage. Compounded benicar did not hurt my stomach. Something in the olmetec is - maybe the lactose. I am lactose intolerant.
I am looking for a pharmacy that compounds in Canada OTHER THAN Montreal. In the past Montreal did not deliver regularly for me.

Thanks.

Mr Bill
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Posted: Sat Feb 20th, 2010 02:59

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If memory serves, I believe that Glebe Pharmacy in Ottawa ceased compounding olmesartan due to some infringement problems.

I think that Yetvart's Pharmacy in Montreal is the only one compounding it.

It's tough to tell if a titch of lactose is causing your stomach pain or if it's symptomatic to stages on the MP? For a long time, I had severe bloating and heartburn, but it eventually went away. I think in my case, it was a matter of too little digestive acid being produced, or ABX somehow reducing it's effectiveness.

You might try some counteracting meds/supplements before getting a compounded supply - need to identify whether you have high/low acid, reduced digestive organisms. etc.

Dew
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Posted: Sun Feb 21st, 2010 06:40

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Hi,

I also had problems with Olmetec for first 6 or 8 months (am also lactose intolerant and was getting severe brownouts from Olmetec) and would much have preferred to be on the olmesartan compounded by Glebe, but they dropped it a long time ago due to threats from Schering Plough.

Montreal is the only pharmacy I know that is currently compounding it in Canada.

I don't think there is anyone else, unless new ones have begun subsequent to Health Canada giving the go-ahead to Schering Plough -- but I doubt it as it appears that S-P has the monopoly at the moment. Not sure that generics are available in Canada at the moment, which may be why the Montreal prescriptions are not being paid for by insurance companies even with the new DIN number. I have also been fighting this but so far no luck with my insurance so stuck with the Olmetec -- fortunately my symptoms associated with olmetec have been improving in last couple of months.

Good luck,

LR

Isabelle
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Posted: Sun Feb 21st, 2010 06:45

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hi dew thanks for your reply. what do you mean by 'was getting severe brownouts from Olmetec'? i may have to suck it up and pay for olmesartan then. i just can't take the olmetec. i can handle the sever dizziness and nausea i get as well as lightheaded rapid heartbeat but the digestive pain is so bad it feels like someone is stabbing me from the inside. who is your ins company? mine is sunlife. in past they have covered compunded meds if doc writes on rx i need the compunded. i hope that makes a difference? how can montreal keep making it if none else does? is quebec law different?

thanks
isabelle

Hi,

I also had problems with Olmetec for first 6 or 8 months (am also lactose intolerant and was getting severe brownouts from Olmetec) and would much have preferred to be on the olmesartan compounded by Glebe, but they dropped it a long time ago due to threats from Schering Plough.

Montreal is the only pharmacy I know that is currently compounding it in Canada.

I don't think there is anyone else, unless new ones have begun subsequent to Health Canada giving the go-ahead to Schering Plough -- but I doubt it as it appears that S-P has the monopoly at the moment. Not sure that generics are available in Canada at the moment, which may be why the Montreal prescriptions are not being paid for by insurance companies even with the new DIN number. I have also been fighting this but so far no luck with my insurance so stuck with the Olmetec -- fortunately my symptoms associated with olmetec have been improving in last couple of months.

Good luck,

LR

Rico
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Posted: Sun Feb 21st, 2010 12:16

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My wife had a hard time when she first introduced Benicar. Her symptoms worsened right from the start. When Yetvart and Glebe got into the picture, their compounded Olmesartan made little difference for her. We believe her worsening was due to the fact that she had IP from an activated immune system as a result of the Olmesartan. Now she has no problem with it. If Yetvart's version doesn't make you feel as bad, then go with it. Ask Yetvart if he can print OLMETEC and its DIN # in bold (for insurance) on the receipt and order it far in advance. They are sometimes slow with processing. If you haven't received the batch within a reasonable time, don't keep waiting. Call them again to make sure it was shipped out. I've had to do that on numerous occasions. To my knowledge, Yetvart is the only one in Canada compounding the Olmesartan.

Last edited on Sun Feb 21st, 2010 12:18 by Rico

____________________
No diagnosis/some symptoms; wife with Sarc on MP; Olm 40mg q6h| avoid D| 1,25D=63 25D=32 (May 2006) 1,25D=44; 25D=10(Dec 2006)PhaseI(May06) PhaseII(Aug06) PhaseIII(Aug07)

thelymelight
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Posted: Sun Feb 21st, 2010 19:31

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What I have learned with Yetvart Pharmacy is to order my meds "two wks" advance from the time I need them.

I fax my order so it is all in writing, (less chance for error) and I order enough for 5 wks each time....and I give them a date on the fax that I NEED my meds by....Then about a wk prior to running out, I follow-up with a phone call to make sure they have shipped them out etc....They have always arrived in enough time before I run out.

Your Dr. should put on your script that you can't tolerate Olmetec and that you want Olmesartan compounded with something other than Lactose (ie: Avicel Filler) and hoepfully then your insurance co. will cover it, if you can show you cannot tolerate the Olmetec. (I don't have ins. so we just pay for it out of pocket)

However, it maybe something other than the 'lactose' that your are reacting to in the Olmetec....I couldn't tolerate it either...similar problems as to Dew, with shortness of breath, vision brown outs etc....I had both Olmetec, Olmesartan with lactose and with avicel filler vega tested and I could tolerate the lactose and avicel ones, just not the Olmetec...so there was something else in there that I was reacting to...I am very sensitive to chemicals & medications anyways..

I use to get all my Olmesartan with Avicel filler, then started experiencing with Lactose and find I got stronger IP with the lactoser filler...so I have switched over to lactose only now and think I am okay with it..

Hope this helps!

____________________
Lyme, Babesia, 20 yrs w/neuro-psych-cognitive |125D/30, 25D/8 (Sep08), Weaning hydrocortisone- Feb08, Ph1Feb09|25D5, Ph2July10|25D8

Isabelle
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Posted: Mon Feb 22nd, 2010 21:14

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thank you. this is very helpful. do you hapen to know the DIN no. for the compounded olmesartan? then i could call my ins co and see if they will cover it.

isabelle

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