Sheryl

There are well over a dozen different medicationd to conttol blood sugar and suitability for a specific patient depends on many factors. Trying to research med prices on your own is not the way to go with this. What you need to do is clearly tell your doctot that cost is a priority and ask for medications for which there are locslly made generics available. Do not buy the meds at the hospital or clinic, get the names & doses then buy at a pharmacy. Absent clear information from you, doctor will assume you prefer the newest and Western made brands.

There is no "universal" standard. Public health authorities & experts in different countries use different ones. But differences among these arr not great. The main differnce is how BPs with systolic in 130 - 139 range and diastolic in 85-89 range are classified : "high normal" vs "pre-hypertension" vs "Stage 1 hypertension". Choice of cut iff is not immune to financial considerations especially since the number of people in such borderline categories is quite large. At that level of hypertension/pre-hypertension, unless there are other risk factors like cardiovascular or kidney disease, the recommended management is lifestyle changes (diet, exercise etc) and often weight loss. These require time intensive counseling from health professionals, something very hard for overtaxed national health systems to provide. If the patient is also obese then treatment with GLP-1 agonists may be indicated, very expensive for a cash-strapped health system.

Yes, it is possible to have gastritis without h. Pylori. It is also very possible to get a false negative on breath test. Especially if PPIs (omeprazole etc) were taken within 2 weeks prior. Certain other medications also interfere including antibiotics and bidmuth preparations (includes Gaviscon and Pepto Bismol) https://www.ncbi.nlm.nih.gov/books/NBK542286/ But what exactly do you mean by "intermittent gastritis" and how was diagnosis made?

In the case if trichomonal nfection partner (s) must also be treated or reinfection will occur. (Not applicable to candidal infection).

There is no brand of that specific drug other than imported Jardiance. There are many diffrent drugs which can be used to control blood sugar, choice of which is used must be individualized based on the patient's medical history etc. Do not try to make substitutions yourself. This is s conversation you should be having with your doctor.

An insensitive post has been removed. No reason to assume this is an STI. Non-STI vaginal infections are extremely common. All women get them fom time to time and they can indeed be very uncomfortable. Conversely, STIs are often asymptomatic in women.

No, cold does not cause pneumonia. Pneumonia is an infection which can be due to many different organisms: viruses, bacteria fungi. The influenza virus is one of many viral causes of pneumonia. In temperate climates, influenza is most common in the winter months. In SE asia, influenza is most common in the rainy season.

They are different drugs though with similar action. Brilinta (ticagrelor) is slightly more effective.

If her sexual partners are asymptomatic, vaginitis may be more likely than an STD. But if not - or if this fact cannot be ascertained - then STDs must also be kept in mind. Putting STIs aside, there are many type of vaginal infections a woman can have and treatment for each differs. Excluding STIs, the main types are fungal (candida), trichomonal and bacterial. There are some "3 in one" preparations to be had which can be useful when it is nto clear which type is present, as follows: Gynecon Neo-Penetran Forte and some others. No presecription needed. These are vaginal suppositiories, to be inserted before bed. Use up the full pack. Please ignore the suggestion for Amoxicillin Clavulanate (clamoxil) as this is not effective treatment for vaginitis and indeed can make some types worse. If above treatment does not work then there is nothing for it but to see a doctor. Ditto if an STI is suspected.

I like https://rsuhealth.com/ On Sukhumvit around Soi 31. No need to get a full package, can just request what you want https://www.brianet.com/en/labolatory/ is also good but not so convenient location

Locally made brand is Ticata. I don't know cost, perhaps others could advise. Will be less than Brillnta brand.

There are currently 4 types of vaccine available which each address specific types of pneumonia. There remain other types for which there is no vaccine, so it is not the case that anyone with pneumonia necessarily failed to get a vaccine. For that matter, people can still get specific infections despite vaccination, but severity and risk of death will be much less. These vaccines are mainly or especially recommended for the elderly and those with underrlying risk factors like heart disease, diabetes, asthma/COPD. Some of them are also recommended for infants/young children (pneumonia mortality is highest in the very young & very old). 1. Influenza vaccine: needs to be given annually. There is a special high dose version for the elderly. 2. RSV vaccine: single dose for adults aged over 70 or with rusk factors 3. COVID vaccine - once a year if new vaccine available 4. Pneumoccocal vaccine - schedule varies depending on immunization history https://www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/index.html

Pneumonia had nothing to do with temperature and is just as common in hot clmates as cold ones.

You should go yo thd hosputal. This is not something to try to self treat.

Chat GPT like other AI programs just regurgitates back content that appears somewhere on the web -- accurate or not. It is not a reliable way to research anything. Aspirin in any dose is a category D drug in Thailand and can be sold without prescription provided the pharmacy has a grade 1 pharmacist always on duty. Records are supposed to be kept of sales. Vast majority of medications in Thailand are category D. However enforcement of the category D requirements (grade 1 pharmacist, record keeping etc) is rather selective and mainly done for just drugs of particular concern (which csn chslange over time). There is concern about regular dose aspirin being used for fever in patients of any age due to its adverse effects in dengue, and aspirin is contraindicated in febrile children and teenagers (risk of Reyes syndrome).