RESULTS: Of the medications purchased, the most frequent were: antibiotics 54analgesics 49fixed drug combinations 29and blood pressure medications Many products purchased were of pharmacoes therapeutic value, and others could be harmful when used inappropriately. Pharmacy clerks were poorly trained and did not offer appropriate information on drug use; contraindications were never discussed.
Contrary to popular perception, some generic drugs were cheaper in the United States than mexican pharmacies Mexico. Conflicts of interest were identified that could be leading to over-medication. The authors suggest five steps for reducing the risks and improving pharmaceutical utilization in the border area. Key words: Community pharmacy services; education, pharmacy; prescription drugs; border areas; Mexico; United States. Se compararon los precios de los medicamentos adquiridos con mayor frecuencia con los de las farmacias de El Paso, Texas, Estados Unidos.
The high cost of pharmaceuticals in the United States of America has many consumers turning to neighboring countries or the Internet for their medications. The practice of purchasing medication north of the border, from Canada, was a topic of public debate, mexican pharmacies federal and state legislators repeatedly pursuing legalization 1, 2.
Likewise, United States residents living near the country's southern border frequently obtain medicine at Mexican pharmacies, but mexican pharmacies of the practice has not captured the attention of legislators.
A possible explanation for this is the uncertainty regarding what impact it would have on the health of United States border residents.
Prescription Drug Savings in Mexico
Some researchers discourage the use of Mexican pharmacies based on the absence of a robust and reliable quality assurance program in the country. However, other studies 9, 10 have shown that Mexican medications comply with the standards of the United States Pharmacopeia. The United States has 24 counties that border Mexico comprising a population of about 6.
Buying medication in Mexico is convenient because regulators only enforce the prescription requirement for controlled substances 3 and antibiotics, the latter only since August Socioeconomics also come into play: the proportion of United States residents using Mexican pharmacies is higher among low-income groups Individually-owned pharmacies, referred to as traditional pharmacies, are mexican pharmacies throughout the city and primarily serve the local population.
They mexican pharmacies to be small and their prices are higher than those of mexican pharmacies chains. Pharmacy chains tend to be located in shopping centers and within close proximity of the international bridges blocks away. There are no Mexican regulations dictating who can own a pharmacy, but physicians are not permitted to practice on the premises Nevertheless, most pharmacies have arrangements with physicians in nearby "clinics," some adjacent to the pharmacy, but with a separate entrance.
These walk-in clinics offer consultations at affordable prices 22, Mexican pharmacies require a current doctor's prescription only for controlled substances and antibiotics as of August ; all other prescriptions can be reused for as long as the client keeps them Thus, simply having a prescription does not ensure that the client is currently under medical supervision.
Moreover, a controversial regulation to discourage self-medication limits the amount of information available on the pamphlet insert that accompanies most prescription medications 23 ; therefore, patients have to rely on the information written in the prescription, or on the verbal recommendation of clerks.
Regarding pharmacy clerks, Mexico does not impose any educational prerequisites beyond completion of secondary education for the position, though clerks can be quite influential. Clerks work largely unsupervised since Mexican law requires that a chemist-pharmacobiologist QFBs be present mexican pharmacies for a few hours per week in pharmacies where controlled substances are sold.
QFBs are primarily trained to work for industries and chemical or clinical labs; only recently have a few universities started training hospital and community pharmacists.
After plotting these on a city map, 32 pharmacies were selected, giving preference to those frequented by border residents. Of these, 23 were pharmacy chains and 9 were traditional. All of the traditional pharmacy owners agreed to participate. Access to pharmacy chains had to be obtained from the company headquarters, all but one of which was located in other cities.
Pharmacy in Puerto Vallarta at Hospital CMQ
This was a cumbersome process that, in some cases, took several months. All but two agreed to participate. A survey of pharmacy clients, half of which were United States residents. The interviewers approached the clients as they left the pharmacy, explained the study and, if eligible, obtained their consent and applied the questionnaire. Eligible clients had to have purchased medications and be at least 18 years of age. After asking to see their purchases, the interviewer took note of product names; amounts purchased; whether or not the consumer had a prescription, and if not, who had recommended the medication; the sociodemographic characteristics of the client; the sociodemographic characteristics and health problems of the end-user of the products; the reason s why a United States resident was purchasing medicine in Mexico; and their experience with United States customs.
To ascertain the role and influence of pharmacy clerks on the selection and purchase of medication, study observers monitored interactions between clerks and clients from a discrete position near the counter using a guide specifically prepared for this purpose.
To gather information on each pharmacy's history, services offered, sociodemographics, training of its clerks, and its relationship with the pharmaceutical industry and wholesalers, interviews were conducted with the pharmacy owner or highest-ranking clerk. The interviews took place in a quiet area in the pharmacy and lasted about 45 minutes each. For budgetary reasons, only 25 of the 32 pharmacies were included 16 chain pharmacies and 9 traditional.
All of the questionnaires, including pre-coded and open-ended questions, and the observer's guide were pilot-tested in three pharmacies. In August-Novembertwo bilingual nurses from the Mexican Institute of Social Security IMSS carried out components I and II of the study, mexican pharmacies client interviews and observing clerk-client interactions 7 days a week at varying times of day 8 a. To verify any price advantage of Mexican pharmacies over United States pharmacies, the researchers visited several on both sides of the border, gathering pricing information on 15 of the medications most frequently purchased by the study respondents.
This quantitative information is sup- plemented by fieldwork observations and knowledge acquired during the years that the authors have resided along and conducted research on the United States-Mexico border. One of the principal researchers Mexican pharmacies and the Mexican physician coded all open questions.
An important mexican pharmacies within the association of traditional pharmacies mentioned that if patients lack prescriptions some pharmacies mexican pharmacies sell them along with the medicine to facilitate their entry into the United States 13 May Table 3 mexican pharmacies the type of medications purchased with and without a prescription, according to the end-user's country of residence.
Other products, such as antidiarrheals and cough medicines, are of little therapeutic value, and could represent a waste of resources. More troublesome is the fact that of the products sold without a prescription, were prescription-only drugs.Mexican pharmacies require a current doctor's prescription only for controlled substances and antibiotics (as of August ); all other prescriptions can be. OBJECTIVE: To determine the benefits and risks of using Mexican pharmacies by better understanding the sociodemographics and medication needs of pharmacy.
Thus, none of the patients who obtained analgesic opioids pharnacies oral contraceptives had a prescription; and a high proportion of antibiotics, blood pressure medications, thyroid medicine, and corticosteroids were sold without prescriptions. Most clients bought the amount of medicine required to treat an episode, but some United States residents purchased excessive amounts of antibiotics e. Mexican pharmacies and msxican opiates were among the products most frequently recommended data not shown by pharmacy clerks.
The drug dispensed 4 was matched by the researchers with the health problem of its intended user, as reported by the purchaser see Table 1. For instance, multivitamins were bought for six persons who were feeling tired, four who had lost weight, and mesican who were tired and had lost weight; thyroid phafmacies, for three who had gained weight; cough medicine, for eight with productive coughs; and antibiotics, for 15 of 19 pharmwcies who may have had upper respiratory infections. Clerks at traditional pharmacies had more years of experience, in part mexican pharmacies some of phafmacies pharmacies had been family-owned for many years and employees were mexican pharmacies by kinship or friendship.
On average, the presence of a QFB was limited to less than 2 hours per week, and consequently the clerks worked without supervision and without access to a professional capable of resolving doubts or addressing clients' questions.
Among the respondents, a high-ranking administrator of a pharmacy chain stated he was proud of the weekly trainings provided by drug suppliers and pharmaceutical companies. In addition, the study uncovered pnarmacies pharmaceutical companies were offering financial incentives to promote their products, and those incentives mexican pharmacies often ppharmacies to pharmacy clerks. The final income of mexican pharmacies clerks, especially those working for pharmacy chains, was based on the amounts and types of products they were able to sell.
Ninety mexucan of clients who bought mexican pharmacies type of medicine without a prescription asked for the product by name, and none of the clerks referred the client to a physician or expressed concern about selling the product without a prescription.
Mexican pharmacies 19 clients who went to the pharmacy seeking advice, all received a recommendation from the clerk and all but one bought the recommended drug.
Only one client was referred to a physician. The clerks provided very little information about adverse events; drug interactions were not discussed during any medican the observed clerk-client interactions. This is the first study to examine the risks and benefits canadian pharmacy cialis 20mg Mexican border pharmacies and the training and substantial role played by the clerks in these pharmacies.
Pharmacy clients might be spending their meager resources to treat symptoms; for example, mexidan bought medicines for fatigue or weight loss, most probably without ruling out underlying health problems, and delaying necessary treatment. Patients also purchased medicines that could hinder recovery e. The availability of walk-in clinics-where mexican pharmacies diagnose and prescribe for a minimal fee-is very attractive to patients, including United States mexcian who are either uninsured, cannot access medical care in a timely manner, or cannot afford co-payments.
In addition, you will need a prescription to buy antibiotics. Antibiotics should only be used when they are actually needed, and only if they have been ordered or prescribed by your doctor or treating physician. Antibiotics are only effective and should only be used to treat bacterial infections, and should never be used for treating viral infections, as they have no positive effect over viruses.
According to the recommendation of the American Academy of Allergies Asthma and Immunology AAAAIallergic reactions to penicillin should always be prevented and considered, especially in young kids. Nevertheless, you should always check with your doctor before taking any type of medication, including penicillin. Always remember that one of the most serious symptoms of an allergic reaction is the shortness of breath.
If you are experiencing shortness of breath, you should seek immediate medical attention pharmaccies your nearest hospital. Unfortunately, self-medication is a common habit in our communities that poses risks and challenges. In most cases of self-medication, people incur incorrect dose usage, which can cause harm to their body.
Another frequent problem of self-medication, is that the underlying cause of the disease could be hidden by the effects of the misused medication, as the drug could effectively block the discomfort caused by the symptoms, while hiding the root-cause of the disease.
Here are some additional things to consider mdxican taking your medication:. Unfortunately, due to Mexican health laws and regulations, only public government-managed hospitals can provide vaccination services. However, our doctors and specialists can help you and give you proper advice in terms of which vaccinations are important, when to have them and where to get them. In addition, we mexican pharmacies provide you with a list of public hospitals and clinics where you can get a particular type mexifan vaccination, along with the corresponding addresses and telephone numbers.
During the appointment, your doctor will evaluate your condition and will decide if the controlled medication is pharacies. If mecican is the case, your doctor will give you a prescription for this type of medication. Share Tweet. Main goals and duties -Pharmacy in Puerto Vallarta at Hospital CMQ Our pharmacy department strives pharmafies achieve the highest standards in dispensing, distribution and management of drugs and medications.
Our Pharmacies main goals and duties: Hospitalized patients Selection of drugs and medications Procurement mexican pharmacies drugs and medications Safe storage, distribution and control of drugs and medications, and its expiration dates Prescription validation of drugs and medications Prevention and oversight of allergies and multi-drug interactions. Our Pharmacies main goals and duties: Outpatients and walk-ins Procure and maintain a wide variety of drugs and medications in stock Safe storage, distribution and control of drugs and medications, and its expiration pharmacied hour availability of drugs and medications.
Webber Pharmacy is a full-service independent pharmacy in Mexico, MO providing a wide variety of services including conventional prescription filling. Mexican pharmacies that deliver retin a - We are Online 24*7 - The best service from the best Online pharmacy Exclusive novelties - It's US!