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High Prescription Drug Prices

 by: Phyllis Staff, Ph.D.

Anyone who's been to the pharmacy to fill a prescription lately is well aware that prices on prescription drugs have gone through the stratosphere. But there are steps you can take immediately to reduce your expenses in this area. Moreover, there are long-term actions you can take to create an atmosphere in which such high prices cannot flourish. This week and next, we'll discuss these steps.

1. Stay well. You know the drill.

Diet. Eat more live food. The best kind comes from your own yard. You benefit doubly by the nutrition fresh live food provides and the exercise you get caring for your plantings.

Exercise. Walking is great, but you will also benefit from lifting weights.

Stress reduction. Worry is there to alert you to potential harm, but past a certain point, it is self-defeating. Regular meditation will help you keep a tendency to worry and stress out under control.

Do something to help others. Often, changing your focus from internal to external helps reduce your awareness of discomfort. And it's always helpful to be reminded that many other people have a more difficult life than you.

2. Ask your physician about alternative methods to health:

Lifestyle changes. Lifestyle changes may bring about the good effects you seek. Such changes may include changing to a vegetarian or semi-vegetarian diet, increasing the types and frequency of activities and exercise. Add meditation to your daily routine. Get a dental checkup. Gum disease is associated with heart problems.

Generic substitutes for name-brand prescription drugs. Frequently less expensive generic drugs may be substituted without losing effectiveness.

Alternative medicine. Many Americans, concerned with the high cost of medical care, not just prescriptions drugs, but the medical care industry as a whole, have moved toward a more natural approach, seeking help from acupuncturists, naturopaths, chiropractors, etc. Who knows what might help? Try something new if you're not entirely satisfied with your present treatment. If your physician is totally opposed to alternative medicine, you might consider trying a different physician.

Biomedical Devices. We've had good results with a device called a Plant Growth Stimulator, such good results, in fact, that we have avoided antibiotics for more than ten years. However, we suggest you not use it on your ivy houseplant. Too much of a good thing!

You can learn more about biomedical devices from Wayne Green's website at:

http://www.waynegreen.com/wayne/

Look under the section entitled "Bioelectrifier." And, no, we're not making a joke here. Something similar has been recently tested at Columbia University's Medical Center with very positive results. Be aware, however, that these devices are not approved by the Federal Drug Administration.

3. Reduce your dependence on medication of all types. - If you, your children, or your elders don't absolutely have to take it, don't. Popping a pill to cure a minor ailment can have serious consequences, including:

Bacteria resistance to antibiotics. Tina goes to her physician for antibiotics every time she gets a cold. The fact that antibiotics don't work on colds doesn't keep her from asking for or her physician from prescribing a course of antibiotics, just to be sure. Meanwhile, Americans are experiencing the effects of drug-resistant bacteria.

Over-medication. It's difficult to know exactly the extent to which Americans, particularly the very young and the very old are being over-medicated, but many believe it to be significant. Lethargy, lack of interest in surroundings, slurred speech, unsteady gait - all can be symptomatic of overmedication. So, watch children and senior citizens for signs that they may be over-medicated.

Your pharmacist can be a great resource in this instance. Find one who likes to talk. Ask questions, and listen to her answers.

If you suspect overmedication, act quickly. One of easiest things you can do in this case is to check with your local pharmacist. He or she, if aware of the various medications an individual is taking, can tell you whether or not overmedication is likely. Your pharmacist is an especially good resource in those instances in which a patient is receiving medications by prescribed by different physicians.

A caveat: We are, by no means, advocating refusing needed medications. We do, however, suggest that close attention to the numbers and types of medications taken can not only reduce the high costs associated with prescription medications but may, in many cases, contribute to a greater level of health. The body has its wisdom and its healing mechanisms. Often, we simply need to get out of the way and let them work for us.

Self-medication errors. Especially with easy availability of prescription drugs from foreign pharmacies and so many available over-the-counter medications, it's easy to overdo it. Don't! Just because pills are easily available does not guarantee their safety. And certain combinations of over-the-counter drugs and other substances, such as alcohol, can be deadly.

Drug interactions. Not only do certain drugs create unwanted interactions when combined, others can create unwanted side effects when taken with certain foods. Know what to watch out for by checking out the side effects of all medications.

4. Get prescription drugs free - maybe! Most pharmaceutical companies offer certain expensive drugs free to patients who might not otherwise be able to afford them. The rules for each company vary, so find out which company manufactures the drug you need, then go to their website or call them to see what they require. In general, you may qualify if your income is below a certain level and your physician recommends that you receive drugs from their free drug program. There may be a number of different qualifiers, however, depending on the manufacturer and the specific program, so you must check each drug and each company individually.

The Pharmaceutical Research and Manufacturers Association of America maintains a list of drug companies and their free drug programs. Check them out at http://www.phrma.org/searchcures/dpdpap/index.phtml. This helpful file may be downloaded in Adobe format.

5. Order by mail from the least expensive American pharmacy. Often PHARMOR has the least expensive pricing; AARP, the most expensive pricing. And watch out for shipping and handling costs that can add up quickly, especially for overnight shipping required on products such as Xalatan (a medication for glaucoma). Sometimes, if you buy in quantity, you can avoid shipping and handling charges altogether, so look for these deals.

The best site we've found for comparing prescription prices is pillbot.com. Find them at:

http://www.pillbot.com

You can search on a specific drug name on this site and find a variety of sizes and quantities from a variety of pharmacies. Try it. We think it's a find!

6. Order from foreign pharmacies - with or without a prescription.

Pharmaceutical companies sell the same prescriptions drugs in foreign countries that they sell in the US. The difference is the price, typically 30 to 50% lower than prices in the US.

On visits to Canada, we frequently stock up on drugs not available or available at much higher prices in the US. But you don't need to go to Canada or Mexico to take advantage of these savings. Pharmacies in these and other countries offer you the option of buying by mail.

You don't necessarily need a prescription to order. Although prescriptions are required in the US, our own government'

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