DataX
August 2, 2013, 1:05am
22
nearwildheaven:
Injectable vancomycin, which can be reconstituted and taken orally, is dirt-cheap. The capsules are frightfully expensive, and IDK why anyone would dispense them unless they lived in an area with no hospital. Yes, retail pharmacies purchase things from the local hospital all the time, and vice versa.
Well being that my mom got c-diff from the place she was getting rehab from - she is in no hurry to get back there. It didn’t work anyway hopefully something else will.
[QUOTE=Joey P]
If you’re checking prices, check Walgreens too. Most people don’t know that Walgreens will compound.
[/QUOTE]
Only some locations - you can search them here.
DataX
August 2, 2013, 1:20am
24
nearwildheaven:
Injectable vancomycin, which can be reconstituted and taken orally, is dirt-cheap. The capsules are frightfully expensive, and IDK why anyone would dispense them unless they lived in an area with no hospital. Yes, retail pharmacies purchase things from the local hospital all the time, and vice versa.
Thank you for the tip though - if she has to take it again - I will see if we can do the reconstitution thing. My cursory search suggests this shouldn’t be too difficult - if I can get the doc/pharmacy to give us the stuff.
This site used to have US pharmacies, now it is pretty much all canadian. I guess the US pharmacies pulled out for whatever reason.
Unless it’s a 24-hour store, expect to wait several days, if you can get it at all. This compounding thing is just another gimmick, and the stores are horrifically understaffed.
An independent pharmacy is your best bet. Actually, dermatologists and veterinarians know where to send people who need complex compounding.
There is a probiotic product called Florastor that may help her, it is a probiotic made of S. boulardii.
http://cid.oxfordjournals.org/content/31/4/1012.long
Recurrent Clostridium difficile disease (CDD) is a difficult clinical problem because antibiotic therapy often does not prevent further recurrences. In a previous study, the biotherapeutic agent Saccharomyces boulardii was used in combination with standard antibiotics and was found to be effective in reducing subsequent recurrences of CDD. In an effort to further refine a standard regimen, we tested patients receiving a regimen of a standard antibiotic for 10 days and then added either S. boulardii (1 g/day for 28 days) or placebo. A significant decrease in recurrences was observed only in patients treated with high-dose vancomycin (2 g/day) and S. boulardii (16.7%), compared with those who received high-dose vancomycin and placebo (50%; P = .05). No serious adverse reactions were observed in these patients. Comparison of data from this trial with data from previous studies indicates that recurrent CDD may respond to a short course of high-dose vancomycin or to longer courses of low-dose vancomycin when either is combined with S. boulardii.
Saccharomyces boulardii, a nonpathogenic yeast, is effective in treating some patients with Clostridium difficile diarrhea and colitis. We have previously reported that S. boulardii inhibits rat ileal secretion in response to C. difficile toxin A ...
So, any ideas what this stuff would be on a cost basis?
Joey_P
August 2, 2013, 4:55pm
29
nearwildheaven:
Unless it’s a 24-hour store, expect to wait several days, if you can get it at all. This compounding thing is just another gimmick, and the stores are horrifically understaffed.
An independent pharmacy is your best bet. Actually, dermatologists and veterinarians know where to send people who need complex compounding.
I’ve only had compounding done once, at a Walgreens, took a few hours and wasn’t a big deal at all.
A gimmick?
bob_2
August 2, 2013, 5:42pm
30
nearwildheaven:
Auralgan, a local anesthetic ear drop my brother and SIL loved when their kids were babies, was dirt cheap at the time but has since been reformulated, and since it can’t be sold generically, the company can now charge whatever it wants.
Isn’t this yet another racket? The patent on a perfectly effective medication expires, so the producers ‘reformulate’ it as NEW IMPROVED and jack up the price.