Question

Considering the list of medications the patient has been prescribed, what can you suggest to make...

Considering the list of medications the patient has been prescribed, what can you suggest to make their drug therapy most cost-effective?

Brand and generic names_Dose/Route/Frequency_Therapeutic class (TC) & Pharmacologic Class (PC)

Crestor (rosuvastatin) 5 mg PO daily Statins (TC) HMG-CoA reductase inhibitor (PC)

Glucophage (metformin hydrochloride) 500 mg PO daily Antidiabetic (TC) Biguanides (PC)

Lantus (insulin glargine) 10 units SQ every AM Antidiabetic (TC) Insulin, Long Acting (PC)

Lasix (furosemide) 20mg PO daily Diuretics (TC) Loop Diuretics (PC)

NovoLOG (insulin aspart) Sliding scale coverage Antidiabetic (TC) Insulin, Ultra Rapid Acting (PC)

Prinivil (lisinopril) 10mg PO daily Antihypertensive (TC) ACE inhibitor (PC)

Prilosec (omeprazole) 20mg PO daily Antiulcer agent (TC) Proton-pump inhibitor (PC)

Toprol XL (metoprolol) 25mg PO daily Antihypertensive (TC) Beta Blockers (PC)

Advil (ibuprofen) 400mg. PO PRN Q4-6 hours for pain NSAIDS (TC) Non-opioid Analgesics (PC)

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Answer: The drug cost is increasing day by day and most of the antidiabetic and cardiovascular system related drugs has been most costlier than any other drugs. As a patient, purchasing so many drugs become more difficult. To make drugs cost effective there is a government plan in which the government provide subsidiaries. There is fixed rate of the drugs as well as can be easily available. Many times patients doesn't know about the complete knowledge of the drug, for them branded medicine is more effective. But the truth is all the ingredients and active pharmaceutical ingredients are added in the same quantity in all the brands. There is limit for every medicine, but the brand name has different rate of the drugs. So people should not run towards the brand name, they maut know about the uses as well as the subsidiaries.

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