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ivanushka

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THIS CONCERNS MY POST THIS BEFORE HERE IS THE LINK

Thousands of Americans cross the border every year in order to save a great deal of money buying prescription drugs. This is a major industry, and total sales to foreigners exceeds two hundred million dollars annually. Despite these numbers, however, too many Americans have little or no information about purchasing prescription drugs in Mexico.

First and foremost: Mexico is a stable, regulated Republic with established rules and laws regulating drug manufacturing, distribution and sales. Counterfeit drugs are extremely rare, but alternative brands of drugs are quite common.



Mexican Pharmacies
There are two 'classes' of farmacias (pharmacies). The most common is sequnda clase (second class), which is allowed to sell all but regulated medicines. Pharmacies that sell controlled or regulated drugs are referred to as primera clase. Controlled medicines are those that are deemed as having a high potential for abuse, such as Tarpon®, Valium® and anabolic steroids. If the word 'controlado'' is used, it means that the drug is controlled and you can not buy it over the counter without a prescription from a recognized and registered Mexican doctor.

Check with your U.S. pharmacy before you leave home and ask your druggist if your medications are "class II or class III or class IV". If any of them are designated class II, III or IV, then you can be assured that you'll need a prescription to buy them in Mexico.

Drugs that are considered contralado are monitored by a federal agency called Sector Salud. If druggists are caught selling medicinas contralados without a prescription, Sector Salud can fine them, pull their business license or even put them in jail. The same conditions hold true for doctors that over-prescribe controlled medicines or prescribe inappropriate medicines such as anabolic steroids. If a doctor loses his federal registration number, he is branded an 'outlaw' and might as well take up truck driving for a living.


Check With Your Doctor!
You should first call your U.S. doctor to ask permission to purchase Mexican medicines. If you receive an emphatic "NO!", reconsider your effort. Some heart rhythm drugs, for instance, are so sensitive that different brand names of the same chemical in the same dosage react differently in the same person. On the other hand, if your needs aren't so sensitive, such as for arthritis drugs, antibiotics or asthma inhalants, you may want to consider playing the part of 'The Aware Consumer' and forge ahead.

If you decide to buy prescription drugs in Mexico, ask your U.S. pharmacist to provide you with a tiny brochure called a 'package insert' that is attached to all bottles of U.S. wholesale medicines. This insert has exactly the same information listed in a huge reference book called Physician's Desk Reference (or PDR). The package insert contains an enormous amount of information about the medicine, including its generic name, dosage formulations and other information.


Make Sure You Get The Correct Drugs
When you hand this insert to a counter person in a Mexican pharmacy, they can cross reference the names and dosages, and provide a sample for your approval. The counter person is experienced in identifying generic names and equivalences, (example: erthyromycin, nambumetone, prednisone, etc.) and by crossing the name over to, perhaps, a 'Latinized' version of the same generic medicine, the consumer will end up with an acceptable alternative.

If you end up purchasing medicine that doesn't feel 'quite right', then don't take it without consulting your U.S. doctor. Whatever you do, forget about playing the part of Albert Schweitzer and prescribing your own formulas. Also, don't rely on the advice of the person behind the counter. Unlike their U.S. counterparts, they have no medical training ? they are salespeople. Prescription drugs are regulated in the United States because they are so powerful. They can be potentially deadly if used improperly or paired with an incorrect, conflicting drug.

I feel comfortable purchasing medicines that are identical in name and dosage to their American counterpart. For instance, Nabumetone is sold under the trademark name of Relafen by Smith Kline, Beecham here in the U.S. In Mexico, this medicine is still Nabumetone, but the name has been latinized to 'Relifex', and the manufacturer (Beecham) is recognizable as being part of the familiar U.S. name.

Another common drug is Pepcid which is actually Famotidine and is manufactured by Merck, Sharpe & Dahme. In Mexico the identical Famotidine is Latinized to 'Pepcidine' and has a prominent 'MSD' as a trademark.

By recognizing that drugs have two names, one being a trademark and the other a generic, you can see that the generic name is the critical one. This is the reason that you'll want the 'package insert' along to corroborate your comparisons. In addition, be absolutely certain that the Mexican drug contains only the identical ingredient(s) and in the identical dose(s) to its U.S. counterpart (with no added ingredients or chemicals).



Getting A Mexican Prescription
You may find yourself wondering how to find a doctor that is authorized to write legal prescriptions for controlled medicines. The best way is to first find a first class pharmacy and then ask the supervisor for the name and telephone number of a doctor that they know and trust. Usually their 'recommended' doctor is within a block or two of the pharmacy.

If you need a large amount of controlled medicine, you will find that most doctors will balk at the idea of issuing prescriptions for more than one hundred tablets; even then they may write two different prescriptions for fifty tablets each and tell you to purchase the other prescription at a different pharmacy. Be sure to ask the doctor to telephone the pharmacy and confirm the fact that they do have the medicine on the shelf. It can be frustrating to go through the trouble of finding a doctor and paying him (commonly, twenty dollars) to write a prescription, only to find that the pharmacy is out of stock.

It would be wise to provide the doctor with a recent U.S. pill bottle, showing that you are under the care of a U.S. doctor.

Have the farmacia make a photocopy of the prescription (this is a very common practice) and keep it with you. If you are asked to provide proof of purchase at U.S. Customs, this receipt can save you a lot of time.

PS CHECK MY THREAD I PUT EARLIER
http://boards.elitefitness.com/forum/showthread.php?threadid=170797

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this might help

CONTROLLED MEDICINES

To purchase controlled medicines (medicinas controlados) you'll first need to visit a federally registered medical doctor. The easiest way to go about this, is to inquire at a first class pharmacy. Every first class pharmacy has a list of approved, familiar doctors that they will share with you. Often their office is within a block or two of the store. Because of intense pressure from the US, Mexican doctors are reluctant to issue prescriptions for more than 30 tablets of a controlled medicine. All prescriptions are held by the pharmacy for inspection by the Mexican DEA, the SECTOR SALUD, who audits pharmacy inventories against presription sales. Violators, are subject to stiff fines and jail sentences. Special prescriptions are written for controlled medicines; they have an "SS" (sector salud registration number) printed on them, and the issuing doctor must affix a rubber stamp seal to further corroborate the legal issuance of the prescription. The farmacia will keep the original prescription, and then offer to make a "copy" for your own record (often the copy is produced by their FAX machine). You'll want to keep this copy handy in case of later inspection by Mexican authorities somewhere down the road. HINT: It's a lot easier to get the doctor to write a prescription for a controlled medicine if you bring a pill bottle from home, indicating your name and the doseage.

RETURNING TO THE USA

Because of intense lobbying by the AARP, US Customs officials are very lenient about allowing even large quantities of medicines to accompany you through customs. The medicine must be for your own personal consumption, and you absolutely must declare all medicines when asked to do so. Only drug smugglers have anything to worry about. Senior citizens who pass through the border with enough medicine to last six months is a common occurance. The phrase "And I have a quantity of prescription medicines for my own use", is usually sufficient to allow quick passage.
 
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