Drug Prices in the United States vs. the Rest of the World

1
USA Drug Prices Compared to the World
Prescription drugs cost more in the US than in
almost anywhere else in the world. As a result,
Americans are illegally importing drugs from
other countries.
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In Canada and other developed countries, the same
prescription drugs manufactured in the same
factories, by the same companies are available
for a fraction of the price compared to in the
U.S.  In fact, Americans spent 1,112 per person
on prescription drugs in 2014, according to the
Organization for Economic Co-operation and
Development. Canadians, on the other hand, spent
772 over the same year.  Online Canadian
Pharmacy prices can range between 50 and 80
percent less than buying similar prescription
drugs through your local U.S. pharmacies. CIPA
certified online pharmacies follow the same
prescription process as the U.S. mail-order
companies, requiring a valid and signed
prescription from the patients doctor or other
licensed health care provider.   Take Crestor,
for example. AstraZeneca manufactures this drug
that is used to prevent cardiovascular disease in
those at high risk and treat abnormal lipids and
sells it to consumers in the U.S., Canada, U.K.,
Australia, New Zealand, India, and Turkey. 
4
One 40mg pill costs 259.58 in the U.S. compared
to 69.30 in Canada. The price drops even more to
2.21 in the U.K., Australia and New Zealand. In
India and Turkey, the same pill costs less than
37 cents.  Cymbalta is also sold at a
significantly higher price in the U.S. than
elsewhere in the world. Shionogi and Eli Lilly
co-develop and co-market duloxetine HCl in Japan.
Duloxetine, marketed in many countries as
Cymbalta the antipsychotic drug in Japan and
sells it in the U.S. for 34.51 per pill. The
same pill costs 4.65 in Canada 87 percent less
than in the U.S.  Many of the most expensive
drugs are taken for an extended period of time,
and costs quickly add up. The following are the 9
most expensive drugs, period, in the U.S., taking
into account both drugs you can get at a pharmacy
and healthcare practitioner-administered drugs.
Relatively few people take most of these drugs
but their outsized costs can translate into
higher premiums and more restrictive formularies
for everyone. 
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Crestor - 3175.5 

• Crestor (rosuvastatin) is a drug that is used in
  conjunction with a healthy diet to decrease bad
  cholesterol levels, raise good cholesterol
  levels, and lower triglycerides (a type of fat in
  the blood). It is prescribed for adults and
  children aged 8 and up. This drug is also used 
• In adults, to prevent plaque accumulation in
  blood arteries, which can obstruct blood flow. 
• In males 50 years and older and women 60 years
  and older who have coronary heart disease or
  other risk factors, reduce the risk of stroke,
  heart attack, and certain other heart problems. 
• To treat forms of high cholesterol that are
  hereditary. 

6
Crestor Side Effects in Women and Men 

• Common
• Headache 
• Weakness 
• Muscle aches 
• Nausea, stomach pain 
• If you develop any of the following symptoms,
  contact your doctor right away 
• Unexplained muscle pain or weakness 
• Hip, shoulder, neck, and back muscle weakness 
• Trouble lifting your arms 
• Trouble climbing or standing 
• Memory problems or confusion 
• Liver problems  
• This drug might cause serious adverse effects. If
  you have any significant side effects, contact
  your doctor immediately, or dial 911 or your
  local emergency number. 

7
Crestor Side Effects in Women and Men 

• These arent the only adverse effects that come
  with it. Other, perhaps more rare side effects
  should be discussed with your doctor and
  pharmacist. Before using this medication, inform
  your doctor of any of the following  
• Allergies you have 
• Medications you are taking 
• Previous medical history 
• Pregnant or breastfeeding 
• Alcohol consumption  

8
Crestor comes in tablet form. You can take this
with or without food, and the manufacturer
suggests taking it once a day. And it is supplied
as 5 mg, 10mg, 20mg and 40mg. Crestor is used
once a day in doses ranging from 5 to 40 mg in
adults. 10 to 20 mg once daily is the typical
beginning dosage. Make sure you follow your
doctors dose and use instructions. Your
treatment plan will be personalized to your
requirements and the problem youre dealing with.
The medical condition being treated, pediatric
doses, cholesterol levels, and other factors all
impact dosages. Talk to your doctors about
dosages and any related questions. 
9
Crestor Price 
Country  Strength and Quantity  Price in US 
US  40 mg, 1 pill  8.70 
Canada  40 mg, 1 pill  0.40 
UK  40 mg, 1 pill  0.81 
Australia  40 mg, 1 pill  0.37 
India  40 mg, 1 pill  0.63 
10
Cymbalta - 3285 

• Cymbalta is a prescription drug that is used to
  treat a variety of ailments. This medication is
  used to treat the following conditions in
  adults  
• Major depressive disorder (MDD) 
• Generalized anxiety disorder (GAD) 
• Diabetic neuropathy causing pain (nerve damage) 
• Fibromyalgia  
• Chronic musculoskeletal pain This is also used to
  treat the following conditions in children 
• GAD in children aged 7 and up 
• Fibromyalgia in children aged 13 and up 

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 Cymbalta Side Effects 

• Mild
• Decreased appetite 
• Dizziness 
• Dry mouth 
• Excess sweating 
• Lack of energy 
• Sleepiness 
• Headache 
• trouble sleeping 
• Digestive problems 
• Sexual side effects 
• The majority of these adverse effects should
  subside within a few days or weeks. However, if
  the symptoms worsen or do not go away, see your
  doctor.  

12
 Cymbalta Side Effects 

• Serious
• Liver damage 
• Orthostatic hypotension 
• Serotonin syndrome 
• Severe skin reactions 
• Eye problems 
• Low sodium levels 
• Trouble urinating 

13
 Cymbalta Side Effects 

• Serious
• High blood pressure 
• Unusual bruising and/or bleeding 
• Withdrawal symptoms 
• Allergic reaction 
• Suicidal thoughts and behaviors 
• This drug might cause serious adverse effects. If
  you have any significant side effects, contact
  your doctor immediately, or dial 911 or your
  local emergency number. 
• These arent the only adverse effects that come
  with it. Other, perhaps more rare side effects
  should be discussed with your doctor and
  pharmacist. Before taking this medicine, tell
  your doctor about any allergies you have,
  medications you are taking, pregnant or
  breastfeeding, and any previous medical history
  you have.  

14
 Cymbalta Dosage 

• This medication is provided in the form of an
  oral capsule. There are three strengths of
  capsules available 20 mg, 30 mg, and 60 mg. 
• Your doctors Cymbalta dosage will be determined
  by a number of factors. These are some of them 
• The kind and severity of the disease youre
  treating with this medication 
• Age 
• You may struggle with other medical problems 
• Medications you are currently taking 
• How this medication affects your disease 
• Side effects experienced 
• Usually, your doctor begins at a low dose then
  theyll tweak it overtime to find the optimum
  quantity for you. In the end, your doctor will
  prescribe the smallest dose that produces the
  desired effect. 
• Make certain to take the dose given to you by
  your doctor.  

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Cymbalta Price 
Country  Strength and Quantity  Price in US 
US  40 mg, 1 pill  9 
Canada  40 mg, 1 pill  0.45 
UK  40 mg, 1 pill  0.88 
Australia  40 mg, 1 pill  0.62 
India  40 mg, 1 pill  0.23 
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Daliresp - 4712.5 
This medication is used to treat and prevent the
symptoms of chronic obstructive pulmonary disease
(COPD), such as wheezing and shortness of breath.
To treat COPD, it should be used with other
medicines (bronchodilators like salmeterol and
ipratropium).  Controlling the symptoms of
breathing problems may allow you to return to
work or school sooner.  
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Daliresp side effects 

• Common 
• Nausea 
• Diarrhea 
• Loss of appetite 
• Weight loss 
• Headache 
• Dizziness 
• Sleep problems 
• Back pain 
• Cold and flu symptoms 
•  

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Daliresp side effects 

• Serious 
• Mood and behavioral changes 
• Anxiety 
• Depression 
• Trouble sleeping 
• Impulsive thinking 
• Thoughts of suicide 
• Fast and unintentional weight loss 
• Pain or burning with urination 
• Tremors  
• This drug might cause serious adverse effects. If
  you have any significant side effects, contact
  your doctor immediately, or dial 911 or your
  local emergency number. 
•  

19
Daliresp side effects 
These arent the only adverse effects that come
with it. Other, perhaps more rare side effects
should be discussed with your doctor and
pharmacist. Before taking this medicine, tell
your doctor about any allergies you have,
medications you are taking, and any previous
medical history you have.  Inform your doctor
about all of your existing medications, as well
as any that you begin or stop taking. Many
medicines interact with one another, and certain
pharmaceuticals should never be used together.   
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 Daliresp 500 mcg  
The initial dose of Daliresp 250 mcg is just for
the first four weeks of therapy and is not the
effective (therapeutic) amount.  Daliresp is
taken once a day, with or without meals, at a
dosage of 500 micrograms (mcg), as the
maintenance dose.  In certain individuals,
starting therapy with Daliresp 250 mcg once daily
for four weeks and then increasing to Daliresp
500 mcg once daily may lower the risk of
treatment cessation. The effective (therapeutic)
dosage is not however 250 mcg per day. Always
follow your doctors guidelines about the dosage
and usage of this medication. 
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Daliresp/Rofaday/Fluticasone/Salmeterol Prices 
Country  Strength and Quantity  Price in US 
US  500 mcg, 1 pill  12.9 
Canada  500 mcg, 1 pill  3.08 
UK  500 mcg, 1 pill  3.50 
Turkey  500 mcg, 1 pill  1.66 
India  500 mcg, 1 pill  0.20 
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Dexilant - 2491 

• This medication is a prescription brand name drug
  that may be used in a variety of ways,
  including 
• To aid in the healing of erosive esophagitis 
• To alleviate heartburn and control symptoms of
  erosive esophagitis that has already healed 
• Help alleviate the symptoms of gastric reflux
  (GERD) 
• This medication includes the medication Dexlansopr
  azole, which belongs to the proton pump
  inhibitor (PPI) family of medicines. PPIs operate
  by preventing acid from being pumped into the
  stomach by specific stomach cells. This
  medication is safe to use in adults as well as
  children aged 12 and above. 

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 Dexilant Dosage 

• Your doctors Dexilant dose will be determined by
  a number of factors. These are some of them 
• Age 
• The illness youre treating with this
  medication. 
• Liver function 
• Regardless of widely used or suggested
  doses, follow your doctors instructions and take
  the dosage that they recommend. Your physician
  will prescribe the appropriate dose for you. 

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 Dexilant Side Effects 

• Common in adults 
• Diarrhea 
• Abdominal pain 
• Nausea 
• Upper respiratory infections 
• Vomiting 
• Flatulence  
• Common in children 
• Headache 
• Abdominal pain 
• Diarrhea 
• The common cold 
• Mouth and throat pain  

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 Dexilant Side Effects 

• Serious in adults and children  
• Inflamed kidney 
• Diarrhea associated with C.diff 
• Bone fracture 
• Lupus 
• Vitamin B-12 deficiency 
• Low magnesium levels 
• Abnormal growth in the stomach 
• Serious allergic reaction

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 Dexilant Side Effects 

• This medication might cause serious adverse
  effects. If you have any significant side
  effects, contact your doctor immediately once. If
  your symptoms are life-threatening or you believe
  youre suffering a medical emergency, dial 911 or
  your local emergency number. 
• These arent the only adverse effects that come
  with it. Other, perhaps more rare side effects
  should be discussed with your doctor and
  pharmacist. Before taking this medicine, tell
  your doctor about any allergies you have,
  medications you are taking, and any previous
  medical history you have. 
•  

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 Dexilant/Deltone/ Cost 
Country  Strength and Quantity  Price in US 
US  30 mg, 1 pill  6.83 
Canada  30 mg, 1 pill  3.06 
UK  30 mg, 1 pill  1.07 
Australia  30 mg, 1 pill  1.19 
India  30 mg, 1 pill  0.21 
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Incruse Ellipta  1022 
Adults with chronic obstructive pulmonary disease
(COPD) are treated with Incruse Ellipta, a
brand-name prescription medication. COPD is a
lung disease that makes it difficult to breathe.
Chronic bronchitis and emphysema are among the
illnesses that cause it.  The Incruse Ellipta is
intended to be used as a long-term COPD therapy.
When taken on a regular basis, it helps to lessen
the symptoms of the illness over
time. Incruse Ellipta, on the other hand, is not
a rescue inhaler. It also shouldnt be used to
treat acute respiratory difficulties. 
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Incruse Ellipta How to Use 
Your doctor or pharmacist can explain you how to
take Incruse Ellipta properly before you take it
for the first time. On the manufacturers
website, you can also watch an instructional
video.  Checklist of steps  1. Examine the
dosage counter. (At no point should you
shake.)  2. Keep sliding the cover down until you
hear a click.  3. Breathe slowly out (away from
inhaler)  4. Close your lips and place the
mouthpiece in your mouth to establish a proper
seal. (Do not use your fingers to obstruct the
air vent.)  5. Inhale deeply and steadily.  6.
Hold your breath for 5 seconds or as long as you
feel comfortable doing so.  7. Remove the inhaler
from your mouth while holding your breath.  8.
Breathe slowly out. 
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Incruse Ellipta Dosing 
Incruse Ellipta is a powder that is inhaled once
a day via an inhaler. It comes in only one
strength 62.5 mcg. 
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Incruse Ellipta Side Effects  

• Common
• Joint pain 
• Cough 
• Upper respiratory infections 
• Stuffy or runny nose 
• Throat pain 
• Change in taste 
• Muscle pain 
• Tooth ache 
• Belly pain 
• Increase in heart rate 
• Irregular heartbeat 
• Skin bruising 

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Incruse Ellipta Side Effects  

• Serious
• Unexpected bronchospasm 
• Eye problems 
• Urinary retention 
• Severe allergic reaction 
• This drug might cause serious adverse effects. If
  you have any significant side effects, contact
  your doctor immediately, or dial 911 or your
  local emergency number. 
• These arent the only adverse effects that come
  with it. Other, perhaps more rare side effects
  should be discussed with your doctor and
  pharmacist. Before taking this medicine, tell
  your doctor about any allergies you have,
  medications you are taking, and any previous
  medical history you have. 

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Incruse Ellipta Cost 
Country  Strength and Quantity  Price in US 
US  62.5mcg  351.22 
Canada  62.5mcg  90.90 
UK  62.5mcg  52.45 
Australia  62.5mcg  227.92 
India  62.5mcg  167.50 
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Dulera Inhaler - 127 
Formoterol and mometasone are combined in Dulera
inhaler. Formoterol is a long-acting
bronchodilator that improves breathing by
relaxing the muscles in the airways. Mometasone
is a corticosteroid that inhibits the release of
inflammatory chemicals in the body. Dulera is a
medication that is used to treat and prevent
asthma symptoms in adults and children aged 5 and
up.
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Dulera Inhaler Dosage

• Maintenance Dose for Asthma in Adults 
• Orally inhale two inhalations twice a day
  (morning and evening). 
• Mometasone (100 mcg or 200 mcg) and formoterol (5
  mcg) are used in each inhalation 
• Maximum daily dosage 800 mcg mometasone and 20
  mcg formoterol.
• Maintenance Dose for Asthma in Children 
• For children 12 and up orally inhale two
  inhalations twice a day (morning and evening). 
• Mometasone (100 mcg or 200 mcg) and formoterol (5
  mcg) are used in each inhalation 
• Maximum daily dosage 800 mcg mometasone and 20
  mcg formoterol  
• Stated above are just the usual doses give.
  Therefore, be sure to stick to the dosage and
  usage guidelines given to you by your doctor.  

36
Side Effects of Dulera Inhaler 

• Common 
• Stuffy nose 
• Hoarse or deep voice 
• Dry mouth 
• Sore throat headache 
• Sinus pain 
• Changes in menstrual periods 
• Dizziness 
• Anxiety 
• Headache 
• Sleeping problems 
• Back pain 
• Muscle cramps 
• Cough 
• Skin rash 
• Itching 
•  

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Side Effects of Dulera Inhaler 

• Serious 
• Serious allergic reaction 
• Oral thrush, and similar mouth or throat
  infections 
• Paradoxical bronchospasm 
• Glaucoma 
• High blood sugar 
• Low potassium 
• Low cortisol 
• Decreased bone density 
• Withdrawal symptoms 
•  

38
Side Effects of Dulera Inhaler 

•  
• Dulera Inhaler might cause serious adverse
  effects. If you have any significant side
  effects, contact your doctor immediately, or dial
  911 or your local emergency number. 
• These arent the only adverse effects that come
  with it. Other, perhaps more rare side effects
  should be discussed with your doctor and
  pharmacist. Before taking this medicine, tell
  your doctor about any allergies you have,
  pregnant or breastfeeding, medications you are
  taking, and any previous medical history you
  have.  
•  

39
Dulera Inhaler/ Formost 200 Inhaler (Formoterol
Mometasone) Price 
Country  Strength and Quantity  Price in US 
US  5mcg  2.80 
Canada  5mcg  2.10 
UK  5mcg  0.31 
Australia  5mcg   0.54 
India  5mcg  0.40 
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Emend - 432 
Emend (Aprepitant) is an oral medicine that is
used to alleviate nausea and vomiting caused by
surgery or chemotherapy. Emend is intended to
prevent these symptoms from occurring it does
not treat nausea or vomiting that has already
begun. Its generally used in conjunction with
other medications.  
41
Emend Dose 
Each capsule for oral administration comprises of
either Emend 40 mg, 80 mg, or 125 mg.  Each oral
suspension pouch comprises 125 mg (for
individuals who are unable to take oral
capsules)  Dosage  The doses listed above are
only a sample of the most common. Remember that
your doctors dosage and usage recommendations
will be customized to your medical needs and
conditions. If you have any questions about the
dose or how to use it, talk to your doctor. 
42
Emend Dose 

• The typical dosage for chemotherapy-induced
  nausea and vomiting in adults is 
• Strong chemotherapy 
• Day 1 125 mg orally 1 hour before chemotherapy 
• Day 2 and 3 80 mg orally, in morning 
• Duration of therapy 3 days 
• Moderate chemotherapy 
• Day 1 125 mg orally 1 hour before chemotherapy 
• Day 2 and 3 80 mg orally, in morning 
• Duration of therapy 3 days 
• The typical adult dose for postoperative nausea
  and vomiting is 
• Single, oral 40 mg dose administered 3 hours
  prior to anesthesia 

43
Emend Side Effects 

• Common 
• Tiredness 
• Hiccups 
• Nausea 
• Vomiting 
• Heartburn 
• Abdominal pain 
• Diarrhea 
• Constipation 
• Loss of appetite 
• Hair loss 
• Headache 
• Dizziness 
• Mild skin rash 
• Ringing in the ears 
• Sleeping problems  

44
Emend Side Effects 

• Serious 
• Feeling like you will/might pass out 
• Low blood cell counts 
• Fever 
• Chills 
• Tiredness 
• Mouth sores 
• skin sores 
• Easy bruising 
• Unusual bleeding 
• Pale skin 
•  

45
Emend Side Effects 

• Serious 
• Cold hands and feet 
• Short of breath 
• Dehydration symptoms
• Feeling like you will/might pass out 
• Feeling thirsty or hot 
• Being unable to urinate 
• Heavy sweating 
• Hot and dry skin 
• Theres a risk this medication will have
  significant side effects. If you have any serious
  side effects, call your doctor or phone 911 or
  your local emergency number right away. 
•  

46
Emend Side Effects 

• These arent the only drawbacks of employing it.
  Other, maybe more uncommon, adverse effects
  should be discussed with your doctor and
  pharmacist. Notify your doctor before using this
  medicine if you have 
• Any allergies 
• Are taking any medications, including over the
  counter medications and supplements 
• Have or had any previous health issues 
• Pregnancy status 
• Breastfeeding status 
•  

47
Emend Price 
Country  Strength and Quantity  Price in US 
US  125mg  339.33 
Canada  125mg  79.11 
UK  125mg  5.25 
Australia  125mg  78.0 
India  125mg  6.09 
48
Entresto - 1917 
Emend (Aprepitant) is an oral medicine that is
used to alleviate nausea and vomiting caused by
surgery or chemotherapy. Emend is intended to
prevent these symptoms from occurring it does
not treat nausea or vomiting that has already
begun. Its generally used in conjunction with
other medications.  
49
Entresto Dose 

• Entresto comes in three strengths 
• 24/26 mg 24 mg of sacubitril with 26 mg of
  valsartan 
• 49/51 mg 49 mg of sacubitril with 51 mg of
  valsartan 
• 97/103 mg  97 mg of sacubitril with 103 mg of
  valsartan 
• The pills in Entresto are designed to be
  swallowed. If you cant take the tablets, your
  pharmacist can smash them and combine them with a
  liquid to drink. An oral suspension is the name
  for this type of medication. 

50
Entresto Dose 

• Your doctors Entresto dose for you will be
  determined by a number of factors. These are some
  of them 
• The severity and types of your condition 
• Age and weight 
• Form of Entresto you are given 
• Past and current medical conditions  
• Your doctor will usually start you on a modest
  dose. Then theyll tweak it over time to find the
  optimum quantity for you. In the end, your doctor
  will prescribe the smallest dose that produces
  the desired effect.
•  
• Make careful to follow your doctors instructions
  about dosage. The dosage you should take will be
  determined by your doctor.  

51
Entresto Side Effects   

• Common 
• Cough 
• Dizziness 
• Abdominal pain 
• Irregular heartbeat 
• Nausea and vomiting 
• Numbness 

52
Entresto Side Effects   

• Serious  
• Kidney problems 
• High potassium levels 
• Severe allergic reaction 
• Hypotension 
• Fetal toxicity  
• This drug might cause serious adverse effects. If
  you have any significant side effects, contact
  your doctor immediately, or dial 911 or your
  local emergency number.
•  
• These arent the only adverse effects that come
  with it. Other, perhaps more rare side effects
  should be discussed with your doctor and
  pharmacist. Before taking this medicine, tell
  your doctor about any allergies you have,
  medications you are taking, and any previous
  medical history you have. 

53
Entresto cost / Entresto price 
Country  Strength and Quantity  Price in US 
US  51mg, 1 pill  10.76 
Canada  51mg, 1 pill  3.10 
UK  51mg, 1 pill  1.85 
Australia  51mg, 1 pill  8.50 
India  51mg, 1 pill  0.50 
54
Flovent HFA - 415 
Flovent HFA is a medication used to treat asthma
in people aged 4 and above. It also aids in the
prevention of asthma symptoms when used on a
regular basis.  Fluticasone propionate, a
synthetic corticosteroid, is the active
ingredient in Flovent HFA.  Corticosteroids are
naturally occurring chemicals in the body that
aid in the battle against inflammation. Asthma is
treated with corticosteroids, which decrease
inflammation in the airways.  Flovent HFA does
not help with asthmatic breathing difficulties
that occur suddenly. Always keep a
backup rescue inhaler on hand to address
unexpected symptoms. If you dont have a rescue
inhaler, make an appointment with your doctor to
get one. 
55
Flovent HFA Usage
Flovent HFA is a fluticasone inhaler that comes
in an aerosol form. This gadget produces a spray
that you inhale into your lungs through your
mouth. How to use an inhaler can be shown to you
by your doctor or pharmacist.  Read any drug
guides or instruction sheets and follow all
recommendations on your prescription label.
Follow the medications instructions to the
letter. Do not take the medication more than you
are prescribed.  After using this drug, rinse
your mouth with water (do not swallow) to avoid a
yeast infection. Keep a watchful eye on your
dental hygiene. Fluticasone can cause tooth decay
and discoloration. 
56
Flovent HFA Side Effects

• Common 
• Cold symptoms including stuffy nose, sneeze, sore
  throat, sinus pains 
• Low fever 
• Cough 
• Wheezing 
• Tightness in chest 
• Hoarse voice 
• White patches/sores in mouth 
• Headache 
• Nausea 
• Vomiting 
• Stomach upset 

57
Flovent HFA Side Effects

• Serious 
• Weakness 
• Tiredness 
• Nausea 
• Vomiting 
• Light headedness 
• Wheezing 
• Choking 
• Breathing problems after use 
• Eye problems 
• Worsening of your asthma symptoms 
• Fever 
• Cough
• Stomach Pain
• Weight Loss

58
Flovent HFA Side Effects

• Serious 
• Skin rash 
• Numbness or tingling 
• Chest pain 
• Stomach pain 
• Loss of appetite 
• Dark urine 
• Clay colored stools 
• Yellowing of skin and eyes 
•   

59
Flovent HFA Side Effects
This drug might cause serious adverse effects. If
you have any significant side effects, contact
your doctor immediately, or dial 911 or your
local emergency number.  These arent the only
adverse effects that come with it. Other, perhaps
more rare side effects should be discussed with
your doctor and pharmacist. Before taking this
medicine, tell your doctor about any allergies
you have, medications you are taking, and any
previous medical history you have. 
60
Flovent HFA Price  
Country  Strength and Quantity  Price in US 
US  250mcg, 1  781 
Canada  250mcg, 1  152 
UK  250mcg, 1  152 
New Zealand  250mcg, 1  152 
Australia  250mcg, 1  152 
61
Should Americans Be Allowed to Buy Medication
from Other Countries?  Data show 36 million
American adults did not fill a prescription in
2016 because of the cost. This figure does not
include millions of patients over the age of 65
and under the age of 18.  According to Gabriel
Levitt, President of Pharmacy Checker, This
burden of high drug prices is placed on
middle-class Americans and it can bankrupt them
and it often does bankrupt them especially for
cancer patients, Levitt said. To put the burden
on them is unjust and unethical.  Over the past
year, several cities, counties, and school
districts have started helping employees buy
medicines from Canada and overseas to save money,
according to Kaiser Health News report. Levitt
said more people could benefit from importing
drugs into the U.S. now, but technically its
against the law.  There are real regulatory
obstacles, Levitt said. Drug companies pay a
lot of money on scare tactics to discourage
Americans from buying from online pharmacies. 
62
Did you know? 36 million American adults did not
fill a prescription in 2016 because of the cost. 
63

• Citations 
• U.S. Drug Prices vs The World -
  https//www.drugwatch.com/featured/us-drug-prices-
  higher-vs-world/ 
• Bluth, R. (2016, December 17). Looking for
  Bargains, Many Americans Buy Medicines Abroad.
  Retrieved from https//www.npr.org/sections/health
  -shots/2016/12/17/505690791/looking-for-bargains-m
  any-americans-buy-medicines-abroad 
• Cohen, R. Villarroel, M. (2015, January).
  Strategies Used by Adults to Reduce Their
  Prescription Drug Costs United States, 2013.
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