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RE: how much do you Rxs cost per month~ ? - 9/28/2008 6:35:19 PM   
Hippiekinkster


Posts: 5512
Joined: 11/20/2007
From: Liechtenstein
Status: offline
quote:

ORIGINAL: atropa7

quote:

ORIGINAL: Hippiekinkster

Vivaious- " Escitalopram (trade names Lexapro, Cipralex) is the pure (S) enantiomer of citalopram and is a selective serotonin reuptake inhibitor (SSRI)."

Citalopram is Celexa. Citalopram is available as a generic.

This is yet another example of the bullshit "research" righties claim is so expensive.


Are you aware of the dramatic differences R & S enantiomers can have? The R enantiomer of thalidomide, for example, is effective against morning sickness, while the S enantiomer causes birth defects. Different receptors can be very selective in whether or not they bind to the R or S enantiomer of a molecule, especially in neurochemistry. So to say that a racemic mixture containing equal amounts of both the R & S enatiomer is the same as a homogenous sample of just one enantiomer is just plain wrong. Separating enantiomers out isn't cheap or easy, either. Just keep that in mind.

Yes, I'm aware that some enantiomers can have differing effects. I'm also aware that a stereoselective synthesis is more complicated than making the racemic mixture. In the case of citalopram, I haven't seen any evidence that the S-enantiomer and the racemic mixture differ clinically in any specific way. I'm not saying the proof doesn't exist; just that I'm not aware of such in my readings. The following is from Wikipedia:

" Escitalopram can be considered an example of "lifecycle management"[2] - the strategy pharmaceutical companies use in order to extend the lifetime of a drug, in this case of the citalopram franchise. Escitalopram is an enantiomer of citalopram, used for the same indication, and for that reason it required less investment and less time to develop. Two years after escitalopram's launch, when the patent on citalopram expired, the escitalopram sales successfully made up for the loss. On May 23, 2006, the FDA approved a generic version of escitalopram by Teva.[3] However, on July 14 of that year, the U.S. District Court of Delaware decided in favor of Lundbeck regarding the patent infringement dispute and ruled the patent on escitalopram valid.[4"

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(in reply to atropa7)
Profile   Post #: 41
RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:10:42 PM   
Kirata


Posts: 15477
Joined: 2/11/2006
From: USA
Status: offline
quote:

ORIGINAL: candystripper

I take Nexium for my tummy; $157/month, which I will now be paying entirely on my own.

I was prescribed Nexium by an ENT with the following recommendation. Take as prescribed for about a week or until symptoms abate, then reduce to every other day. If symptoms do not return, reduce to once every three days. Etcetera. I'm down to once a week and happy. On a followup visit, the ENT said that's exactly what he found too. He was taking it once a week himself. I'm just passing along the information for whatever it may be worth. But given the cost of the stuff, it was worth a helluva lot to me!
 
K.
 

(in reply to candystripper)
Profile   Post #: 42
RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:43:30 PM   
MissSCD


Posts: 1185
Joined: 3/10/2007
Status: offline
What a question!  Since I do not have medical insurance, my meds costs at least $200.00 each month.   I am bipolar.  It is very expensive to be crazy. 
 
Regards, MissSCD

(in reply to pahunkboy)
Profile   Post #: 43
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