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Lower Prescription Costs: An Easier Pill to Swallow

Overview

You may be spending thousands of dollars needlessly on prescription drugs. Perhaps you're sacrificing food or other necessities to buy medications. But you have a choice! Most high-priced medications can be substituted with a lower-cost generic.

Lower Prescription Costs: An Easier Pill to Swallow can help reduce your prescription expenses. Using this guide, you can save hundreds if not thousands of dollars per year even with Medicare D ...

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Overview

You may be spending thousands of dollars needlessly on prescription drugs. Perhaps you're sacrificing food or other necessities to buy medications. But you have a choice! Most high-priced medications can be substituted with a lower-cost generic.

Lower Prescription Costs: An Easier Pill to Swallow can help reduce your prescription expenses. Using this guide, you can save hundreds if not thousands of dollars per year even with Medicare D coverage.

This book:

· Compares prices on drugs within the same class

· Identifies generics available for $4 in many national and local pharmacy chains

· Provides savings tips
· Lists potentially inappropriate medications for the elderly
· Is designed for easy use

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Product Details

  • ISBN-13: 9781449060862
  • Publisher: AuthorHouse
  • Publication date: 7/16/2010
  • Pages: 208
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.63 (d)

Table of Contents

Contents

Acknowledgments....................xii
HOW TO USE THIS GUIDE....................1
ALLERGY MEDICATIONS....................10
ALZHEIMER'S MEDICATIONS....................14
ANXIETY MEDICATIONS....................16
ASTHMA, COPD, AND LUNG MEDICATIONS....................18
ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) MEDICATIONS....................30
BARBITURATES....................32
CHOLESTEROL AND LIPID-LOWERING MEDICATIONS....................33
DEPRESSION MEDICATIONS....................43
DIABETES MEDICATIONS....................53
FIBROMYALGIA MEDICATIONS....................63
GASTROINTESTINAL MEDICATIONS (STOMACH AND BOWELS)....................65
GOUT MEDICATIONS....................72
HEART AND CARDIOVASCULAR MEDICATIONS....................74
HIV MEDICATIONS....................97
HORMONE REPLACEMENT....................104
INSOMNIA MEDICATIONS....................110
MUSCLE RELAXANTS....................112
OSTEOARTHRITIS MEDICATIONS....................114
OSTEOPOROSIS MEDICATIONS....................115
PAIN MEDICATIONS....................116
PARKINSON'S MEDICATIONS....................130
PROSTATE MEDICATIONS....................135
PSYCHIATRIC MEDICATIONS....................138
RESTLESS LEG MEDICATIONS....................144
RHEUMATOID ARTHRITIS MEDICATIONS....................146
SEIZURE MEDICATIONS....................148
SEXUAL ENHANCEMENT MEDICATIONS FOR MEN....................152
STEROIDS, ORAL....................153
STROKE MEDICATIONS....................155
THYROID MEDICATIONS....................156
URINARY AND BLADDER MEDICATIONS....................158
WEIGHT LOSS (PROMOTE WEIGHT GAIN) MEDICATIONS....................162
Glossary....................165
Index....................171
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First Chapter

Lower Prescription Costs

An Easier Pill To Swallow
By MARY E. JACKSON

AuthorHouse

Copyright © 2010 Mary Jackson
All right reserved.

ISBN: 978-1-4490-6085-5


Chapter One

ALLERGY MEDICATIONS

Allergy Medications, Combination

Desloratadine with Pseudoephedrine, Fexofenadine with Pseudoephedrine

Brand[R] to Generic Names: Allegra-D[R]: Fexofenadine with Pseudoephedrine Clarinex-D[R]: Desloratadine with Pseudoephedrine

Used for treating: Allergic reactions, allergies, cold symptoms, itching, runny nose.

Savings Tips:

Check with various pharmacies to see if one pharmacy may offer a lower cost over the others. Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you. Consider taking the medications separately. There are less-costly antihistamines and the individual medications may be available as generic. Take allergy and cold medications only when you have symptoms.

Antihistamines

Low to non-sedating antihistamines: Desloratadine, Fexofenadine, Loratadine

Sedating antihistamines: Brompheniramine, Carbinoxamine, Chlorpheniramine, Clemastine, Cyproheptadine, Hydroxyzine, Levocetirizine, Meclizine, Promethazine

Brand[R] to Generic Names: Ahist[R]: Chlorpheniramine Alavert[R]: Loratadine Allegra[R]: Fexofenadine Antivert[R]: Meclizine Atarax[R]: Hydroxyzine Bidhist[R]: Brompheniramine Brovex[R]: Brompheniramine ChlorTan[R]: Chlorpheniramine Chlor-trimeton[R]: Chlorpheniramine Clarinex[R]: Desloratadine Claritin[R]: Loratadine CPM[R]: Chlorpheniramine Lodrane[R]: Brompheniramine Lohist[R]: Brompheniramine Palgic[R]: Carbinoxamine Periactin[R]: Cyproheptadine Phenergan[R]: Promethazine P-Tann[R]: Chlorpheniramine Tavist[R]: Clemastine Vistaril[R]: Hydroxyzine Xyzal[R]: Levocetirizine

Many of these antihistamines are available both by prescription and over-the-counter.

Used for treating: Allergic reactions, allergies, cold symptoms, itching, runny nose. Hydroxyzine and Promethazine are also used for nausea and vomiting. Cyproheptadine is used to increase appetite and to treat vascular headaches. Meclizine is used for motion sickness.

Savings Tips:

If a tablet is scored (indented), then it can usually be split in half. Ask your doctor or pharmacist to tablet split your medications when possible. For example, instead of taking one 20 mg tablet daily, you may be able to take half of a 40 mg tablet. Even if it is not scored, ask your pharmacist if it can be split in half. Over-the-counter (OTC) drugs are often cheaper than prescription drugs but may be sedating. You can take allergy medications only when you have symptoms. Check with various pharmacies to see if one pharmacy may offer a lower cost over the others. Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you. The price of an extended-release medication may be higher or lower than the immediate-release form. Compare prices and ask your doctor if the less-costly form is an alternative.

Chapter Two

ALZHEIMER'S MEDICATIONS

Donepezil, Galantamine, Memantine, Rivastigmine, Tacrine

Brand[R] to Generic Names:

Aricept[R]: Donepezil Cognex[R]: Tacrine Exelon[R]: Rivastigmine Namenda[R]: Memantine Razadyne[R]: Galantamine Reminyl[R]: Galantamine

Used for treating: Alzheimer's and Parkinson's dementia.

Savings Tips:

If a tablet is scored (indented), then it can usually be split in half. Ask your doctor or pharmacist to tablet split your medications when possible. For example, instead of taking one 20 mg tablet daily, you may be able to take half of a 40 mg tablet. Even if it is not scored, ask your pharmacist if it can be split in half. Studies show that these medications can slow the progression of Alzheimer's dementia. In practice, however, only a portion of patients appear to benefit from these medications. If mental ability and memory continue to decline rapidly, then the medication may not be benefiting the patient. Please consult a doctor for advice. Check with various pharmacies to see if one pharmacy may offer a lower cost over the others. Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you. The price of an extended-release medication may be higher or lower than the immediate-release form. Compare prices and ask your doctor if the less-costly form is an alternative. (Note: Generic Aricept should be released in late 2010.)

Chapter Three

ANXIETY MEDICATIONS

Short-acting benzodiazepines: Alprazolam, Lorazepam, Oxazepam

Long-acting benzodiazepines: Chlordiazepoxide, Clonazepam, Clorazepate, Diazepam

Other: Amitriptyline with Chlordiazepoxide, Buspirone, Meprobamate. Selective serotonin reuptake inhibitors (SSRIs) are also used for anxiety.

See depression and barbiturates sections.

Brand[R] to Generic Names: Ativan[R]: Lorazepam Buspar[R]: Buspirone Klonopin[R]: Clonazepam Librium[R]: Chlordiazepoxide Limbitrol[R]: Amitriptyline with Chlordiazepoxide Miltown[R]: Meprobamate Niravam[R]: Alprazolam Serax[R]: Oxazepam Tranxene[R]: Clorazepate Valium[R]: Diazepam Xanax[R]: Alprazolam

Used for treating: Anxiety, panic disorders. Some are also used for treating seizures and insomnia.

Savings Tips:

If a tablet is scored (indented), then it can usually be split in half. Ask your doctor or pharmacist to tablet split your medications when possible. For example, instead of taking one 20 mg tablet daily, you may be able to take half of a 40 mg tablet. Even if it is not scored, ask your pharmacist if it can be split in half. If an antidepressant (see depression section) or buspirone is used to control the anxiety, then a benzodiazepine may not be necessary. Check with various pharmacies to see if one pharmacy may offer a lower cost over the others. Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you. The price of an extended-release medication may be higher or lower than the immediate-release form. Compare prices and ask your doctor if the less-costly form is an alternative.

Chapter Four

ASTHMA, COPD, AND LUNG MEDICATIONS

Bronchodilators: Anticholinergics, Inhaled

Short-acting Inhaler and Nebulizer: Ipratropium

Long-acting Inhaler: Tiotropium

Brand[R] to Generic Names: Atrovent[R]: Ipratropium Spiriva[R]: Tiotropium

Used for treating: Chronic Obstructive Pulmonary Disease (COPD) and other lung and breathing disorders.

Savings Tips:

The inhalers are available in brand name only. The Ipratropium nebulizer solution is available in generic for a lower cost. Often inhalers are not used properly so the medication is not as effective. Ask your pharmacist to teach you the correct use of the device. For maximum benefit, wait 1-2 minutes between puffs of the same inhaled medication and 5 minutes when using a different inhaled medication. Check with various pharmacies to see if one pharmacy may offer a lower cost over the others. Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you. Ipratropium and Tiotropium should not be used together since Ipratropium competes with Tiotropium in the lungs and can make it ineffective.

Bronchodilators: Beta Agonists

Short-acting Inhalers and Nebulizers: Albuterol, Levalbuterol, Metaproterenol, Pirbuterol, Terbutaline

Long-acting Inhalers and Nebulizers: Arformoterol, Formoterol, Salmeterol

Oral: Albuterol, Metaproterenol, Terbutaline

Brand[R] to Generic Names: AccuNeb[R]: Albuterol Alupent[R]: Metaproterenol Brethine[R]: Terbutaline Brovana[R]: Arformoterol Foradil[R]: Formoterol Maxair[R]: Pirbuterol Perforomist[R]: Formoterol ProAir[R]: Albuterol Proventil[R]: Albuterol Serevent[R]: Salmeterol Ventolin[R]: Albuterol VoSpire ER[R]: Albuterol Xopenex[R]: Levalbuterol

Used for treating: Asthma, Chronic Obstructive Pulmonary Disease (COPD) and other breathing or lung disorders.

Savings Tips:

If a tablet is scored (indented), then it can usually be split in half. Ask your doctor or pharmacist to tablet split your medications when possible. For example, instead of taking one 20 mg tablet daily, you may be able to take half of a 40 mg tablet. Even if it is not scored, ask your pharmacist if it can be split in half.

Often inhalers are not used properly so the medication is not as effective requiring the dose to be increased. Ask your pharmacist to teach you the correct use of the device.

For maximum benefit, wait 1-2 minutes between puffs of the same inhaled medication and 5 minutes when using a different inhaled medication.

Check with various pharmacies to see if one pharmacy may offer a lower cost over the others.

Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you.

Long-acting bronchodilator medications may NOT be substituted for short-acting bronchodilator medications. Using a long-acting bronchodilator medication for an acute breathing attack can result in death.

Bronchodilators, Combination

Beta Agonist plus Anticholinergic: Albuterol with Ipratropium

Beta Agonist plus Steroid: Formoterol with Budesonide, Salmeterol with Fluticasone

Brand[R]to Generic Names: Advair[R]: Salmeterol with Fluticasone Combivent[R]: Albuterol with Ipratropium Duoneb[R]: Albuterol with Ipratropium Symbicort[R]: Formoterol with Budesonide

Used for treating: Asthma, Chronic Obstructive Pulmonary Disease (COPD) and other breathing or lung disorders

Savings Tips:

Buying the individual drugs may be less costly. For example, getting two separate prescriptions for albuterol nebulizer solution and ipratropium nebulizer solution may save money. If you use the individual nebulizer solutions, the treatment will take longer.

Often inhalers are not used properly so the medication is not as effective requiring the dose to be increased. Ask your pharmacist to teach you the correct use of the device.

For maximum benefit, wait 1-2 minutes between puffs of the same inhaled medication and 5 minutes when using a different inhaled medication.

Use your anti-inflammatory inhaler last for maximum benefit (i.e. steroid).

Check with various pharmacies to see if one pharmacy may offer a lower cost over the others.

Leukotriene Receptor Antagonists

Montelukast, Zafirlukast, Zileuton

Brand[R] to Generic Names: Accolate[R]: Zafirlukast Singulair[R]: Montelukast ZyÀo[R]: Zileuton

Used for treating: Allergies, asthma, and to prevent breathing spasms.

Savings Tips:

If a tablet is scored (indented), then it can usually be split in half. Ask your doctor or pharmacist to tablet split your medications when possible. For example, instead of taking one 20 mg tablet daily, you may be able to take half of a 40 mg tablet. Even if it is not scored, ask your pharmacist if it can be split in half.

Often an inhaled steroid and/or a beta agonist is used first before trying these medications. If the doctor prescribed a leukotriene receptor antagonist first, ask if a lower-priced steroid or beta agonist is appropriate for you instead. Check with various pharmacies to see if one pharmacy may offer a lower cost over the others.

Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you.

Mast Cell Stabilizers

Cromolyn

Brand[R] to Generic Names: Gastrocrom[R]: Cromolyn Intal[R]: Cromolyn

Used for treating: Allergies, asthma, and to prevent breathing spasms.

Savings Tips:

Often inhalers are not used properly so the medication is not as effective, requiring the dose to be increased. Ask your pharmacist to teach you the correct use of the device.

For maximum benefit, wait 1 minute between puffs of the same medication and 5 minutes when using a different medication/ inhaler device.

If also using a bronchodilator (e.g. albuterol, ipratropium) with cromolyn, use the cromolyn second.

Steroids, Inhaled

Beclomethasone, Budesonide, Ciclesonide, Flunisolide, Fluticasone, Mometasone, Triamcinolone

Brand[R] to Generic Names: AeroBid[R]: Flunisolide Alvesco[R]: Ciclesonide Asmanex[R]: Mometasone Azmacort[R]: Triamcinolone Flovent[R]: Fluticasone Pulmicort[R]: Budesonide QVAR[R]: Beclomethasone

Used for treating: Prevention of asthma, breathing spasms, and other breathing problems.

Savings Tips:

If you are inhaling two puffs or more per dose, ask if the same drug is available in a stronger dose. Then you may be able to use only one puff per dose and extend the use of the inhaler.

Often inhalers are not used properly so the medication is not as effective requiring the dose to be increased. Ask your pharmacist to teach you the correct use of the device.

For maximum benefit, wait 1-2 minutes between puffs of the same inhaled medication and 5 minutes when using a different inhaled medication.

Use your anti-inflammatory inhaler last for maximum benefit (i.e. steroid).

Inhaled steroids are only effective if they are used regularly. They cannot be used for an acute breathing problem.

Check with various pharmacies to see if one pharmacy may offer a lower cost over the others.

Compare prices between medications within this class, then ask your doctor if a lower-priced substitution is appropriate for you.

Theophylline

Theophylline

Brand[R] to Generic Names: Elixophyllin[R]: Theophylline Theo-24[R]: Theophylline Theochron[R]: Theophylline Uniphyl[R]: Theophylline

Used for treating: Asthma, prevention of breathing spasms, and Chronic Obstructive Pulmonary Disease (COPD).

Savings Tips:

If a tablet is scored (indented), then it can usually be split in half. Ask your doctor or pharmacist to tablet split your medications when possible. For example, instead of taking one 20 mg tablet daily, you may be able to take half of a 40 mg tablet. Even if it is not scored, ask your pharmacist if it can be split in half.

Prices differ among the different forms of theophylline (i.e. capsule, tablets, sustained release, extended-release). Ask your pharmacist about the lowest priced product, then ask your doctor if that product is appropriate for you. If switched, your theophylline blood level will need rechecked.

Check with various pharmacies to see if one pharmacy may offer a lower cost over the others.



Excerpted from Lower Prescription Costs by MARY E. JACKSON Copyright © 2010 by Mary Jackson. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

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