Sheryl

@george This is very unlikely to be due to the Centrum. More likely the eye drops as it is a beta blocker and beta blockerrs do case non-allergic rhinitis in some people. When did you start the eye drops and when did the rhinitis start?

https://www.aoc-insurancebroker.com/

IHerb has many brands and no, it is NOT "banned", and sent through iHerb it will not get confiscated. IHerb does limit the quantity that can be ordered at one time and they do this based on experience with shipments to Thailand. Lazada and Shoppee have it on and off. Currently Lazada has only Life Extension brand liquid melatonin. https://www.lazada.co.th/products/american-life-extension-quick-acting-liquid-melatonin-citrus-vanilla-flavor-59ml-sleep-i5023787814-s21237470407.html?c=&channelLpJumpArgs=&clickTrackInfo=query%3ALiquid%2BMelatonin%2BLife%2BExtension%3Bnid%3A5023787814%3Bsrc%3ALazadaMainSrp%3Brn%3A763a2c01fc45089fbaefcfed2cf33ede%3Bregion%3Ath%3Bsku%3A5023787814_TH%3Bprice%3A736%3Bclient%3Amobile%3Bsupplier_id%3A1000227943%3Bbiz_source%3Ah5_internal%3Bslot%3A0%3Butlog_bucket_id%3A470687%3Basc_category_id%3A12211%3Bitem_id%3A5023787814%3Bsku_id%3A21237470407%3Bshop_id%3A456229&fastshipping=0&freeshipping=0&fs_ab=2&fuse_fs=&lang=th&location=ต่างประเทศ&price=736&priceCompare=skuId%3A21237470407%3Bsource%3Alazada-search-voucher%3Bsn%3A763a2c01fc45089fbaefcfed2cf33ede%3BunionTrace%3A2151e60617064199556271858e30c5%3BoriginPrice%3A73600%3BvoucherPrice%3A73600%3BdisplayPrice%3A73600%3BsourceTag%3A%23auto_collect%231%24auto_collect%24%3BsinglePromotionId%3A-1%3BsingleToolCode%3AmockedSalePrice%3BvoucherPricePlugin%3A1%3BbuyerId%3A0%3ButdId%3AwpA86wG6ZDp2YCAQEE%2BxF%2F6D%2FI%3Btimestamp%3A1706419956174&ratingscore=0&request_id=763a2c01fc45089fbaefcfed2cf33ede&review=&sale=2&search=1&source=search&spm=a2o4m.searchlist.list.0&stock=1&pdpBucketId=5 Line shopping has Puritan Pride (excellent brand) melatonin 10 mg. 500 baht for 120 capsules. The only thing you are likely to find in a pharmacy is Merck's Circadin, expensive and only 1 mg dose.

Sorry, I misunderstood - thought you were saying you were going not MedConsult, which is in Bangkok.

P.S. LINE shopping has it. I just now purchased 120 tabs of 10mg Puritan's Pride which is my preferred brand. 500 baht.

Melatonin is approved as a medication under brand nbame Circadin by Merck. (Overpriced and very low dose). Foreign made melatonn considered as "nutritional supplements" in country of origin have been sold here on and off for years and still is, subject to availability. Lazada currently lists Life Extension brand Liquid Melatonin I find with all western "nutritional supplement" imports availability fluctuates greatly.

Medconsult does not levy additional charges for this. However, it is a one doctor place, a British GP, not opthalmologist so not really who can advise on what medication to take. If you are going to have to have a consultation anyhow, it would make more sense to have it with an ophthalmologist at Rutnin (eye hospital), if any place has the drops they will, and if the drops are truly off market now in Thailand the doctor could advise on alternatives. https://www.rutnin.com/en/home/ However if you are going all the way into Bangkok, you might like to first check at some of the larger pharmacies there e.g. RungRote Pharmacy on Soi Onnut (about 75 meters in from Sukhumvit, on right hand side) Siam Pharmacy on Ploenchit Southeast Pharmacy on Sukhmvit between I think Sois 13-25 (you might be able to call them first to ask, 095 905 8829) or message them https://www.facebook.com/SEPharmacy/ as they speak English Chulalongkorn Community Pharmacy (Opposite MBK, cross the footbridge to Siam Square)

A post with serious misinformation has been removed.

You do NOT need to see doctor in person for this, it can be handled on phone. Make sure they understand it is for refill of existing medication.

That would have been Bimo Mac, not Bimo Max and it is another brand of same thing. Which online sources have you tried? Did you ask Medisafe? (ask by generic name Brimonidine not brand name) Can also ask Medconsult, they can usually get anything and will mail it but there is a 300 baht add on for the service https://www.medconsultasia.com/pharmacy-refil-service/

Alphagan-P is Brimonidine. Another brand (locally made) of this in Thailand is Brinidin. Lanotan is a different drug than Alphagan-P. Do not change glaucoma drugs unless advised by your ophthalmologist. That said, latanaprost (brand names here: Lanotan and Prosdrop is generally the more effective treatment compared to brimonidine.

All GI doctors are trained in this. But some are better than others in identifying the cause, which can sometimes be complex. A very highly recommended GI specialist is https://www.bumrungrad.com/en/doctors/parit -mekaroonkamol https://www.bangkokhospital.com/en/doctor/asst-prof-dr-parit-mekaroonkamol (same doctor, different hospitals) If you have nto already, there are numerous lifestyle modifications which may help. Therse include: - stop smoking if you smokle -lose weight if overweight - do nto lie down for 2 hours after eating -avoid or minimize caffeine - eat smaller amounts at a time - avoid overfilling stomach, especially at night -elevate head of bed

No reason to think there is a ban Shoppee doesn't have any at the moment. Lazada currently has some, but not the brand/type OP was looking for.

As has been explained he does not have "many significant issues", the report was badly and inaccurately done. His only abnormal result is an elevated PSA, which does need further exploration. We have no way of knowing if he has had a colonoscopy in past ten years but if not, indeed should.

Are you sure dosage was the same? Cardoxa comeso nly in 2 and 4 mg but Pencor comes in 1, 2 and 4 mg

What @Mike Lister wrote is correct.

If it is anything like the "interview" I had for my yellow house book they just ask you questions about yourself. Parent's name. Where born. Dates you lived abroad etc. Definitely not a test as such.

To be able to see a doctor of your choosing you would need to go through a government hospital "after hours" clinic as going through the public channel you have no choice of doctor and most care is provided by interns/residents in training. The "after hours" clinic consultation costs can be almost as high as private hospitals, but the cost of tests etc will be much less. I suggest you see Prof.Dr. Khajohn Tiranathanagul (various spellings to both first and last name transliterations, including Kajon for first name and both Tiranathanakul and Teeranathanakun for last name) at Chulalongkorn Hospital) "Special Clinics". (please ignore the underlining, I can't see to get rid of it) https://chulalongkornhospital.go.th/specialclinics/ He is there on Sunday mornings and Thursday evenings (start from 4 PM onward). 3rd floor of the Phor Por Ror building which is large highrise on the corner of Rajadamri and Rama IV, directly connected by overhead walkway to both Silom MRT and Saladaeng BTS. You have to make appointment first through the Call Center at least 1 day in advance 02-256-5193. They will give you an appointment number, make careful note of it. And assuming you have not previously been a patient there, you need to start by going to the ground floor of the building to register and get a patient hospital card. Bring your passport, and show them your appointment number when you do as they will issue you both the hospital card and an appointment slip which you then show at the nurses' counter on the 3rd floor. Special Clinic starts issuing queue numbers at 4 PM. The time of your appointment has little or nothing to do with when you will actually be seen. Be prepared for as much as a 5 hour wait and bring plenty of reading material. Also bring a warm sweater, I was just there yesterday (different floor) and it was freezing cold. BTW if the Hua Hin hospital diagnosis was based solely on eGFR, and your creatnine level and BUN were normal, it is may be a faulty diagnosis. Happens a lot in small Thai hospitals. Anyway see what the Prof. says.

I take it you are saying that no, you did not gave sexual activity of any kind nor ride a bike/moto in the 48 hours prior to either PSA test? If so do not repeat the test first, go direct to uroligist (though the wide difference between the 2 test results is odd and, together with the unprofessional wording of"results" from the second check up makes me question the accuracy of their lab). There has been some good feedback on these doctors at Bangkok Hospital CM (not CR) https://www.bangkokhospital-chiangmai.com/en/doctor/dr-supon-sriplakick-m-d/ https://www.bangkokhospital-chiangmai.com/en/doctor/dr-wittawat-rawiyotai-m-d/ That said, expertise in urology is much better in Bangkok so if it emerges that there is a serious problem should at that point consuder coming there.

No need for another Hb1Ac then. Yours are in normal range. You are not pre-diabetic and can safely ignore the fasting blood sugar result. In the 48 hours prior to the 2 PSA tests, had you had any sexual activity or ridden a bike or motorcycle? Are you driving ftom Ubon to CR? As if do might consider overnighting in Khon Jaen and seeing urologust at KKU Hospital.

First of all, you did not have "high levels of Liver Cancer". You had an elevated AFP, a "tumor marker" test that is wrongly used by many private hospitals here as screening for liver cancer. In fact (1) AFP can be elevated for many reasons other than liver cancer and is not suitable for mass screening and (2) they use a much lower cut off for AFP levels in Thailand than is the international norm. The internationally accepted normal range goes up to 10 meaning your 7.1 result would be considrred normal in the West (where the test would not have been performed anyhow, being unsuitable for general screening). In addition it it sounds like you also had an abdominal ultrasound, which found no mass in the liver, just some fatty liver which is common in people who are overweight. In actual liver cancer AFP values tend to be in the hundreds. Secondly your blood sugar is not "high" it is borderline, in the range for pre-diabetes but that cannot be diagnosed from a single fasting blood sugar. Just the stress of having blood drawn can raise the blood sugar a bit. You need to get an Hb1Ac test which will show what your blood sugar has been like over the prior 3 months. This will show if you are actually pre-diabetic or not. If you are, treatment is lifestyle modifications (avoid/minimize orocessed carbs and get more exercise) and weight loss. Third -- the eGFR is not a test but rather an estimation calculated based on age race, and serum creatnine. Considerable error is possible and it can particularly be off in people who are obese. If your serum creatnine was normal, I would pay no attention to the eGFR. Lastly, the PSA. It is important to avoid all sexual activity before a PSA test and also refrain from riding a bicycle or motorcycle. If this was not done, you should repeat the test. If still elevated, then see a Urologist. In short: get an Hb1Ac and repeat the PSA after ensuring no sexual activity for 48 hrs and no biking. If still elevated see a Urologist. (If your earlier PSAs were already done under these conditions, skip that and see Urologist now bringing both PSA results with you. You can get these tests at a lab, do not need to go to a hospital. https://uwellness.tech/en/about-us-u-wellness-international/

Actually your systol8c blood pressure (top number) is borderline high. As for the diastolic (bottom number), most likely just an error. In some people the sound continues past the true diastolic level (sometimes even all the way to 0). There is a shift in volume which denotes where the true diastolic value is, but only an experienced human practitioner will detect this...not machines and not mediocre staff. Do not increase salt intake and do not take BP/ cardiac advice from a dentist. No harm in seeing a cardiologist to be sure, but if you can, first get your BP taken the old fashioned way (stethoscope and manometer) by an experienced human. May well rurn out that yoyr diastolic is actually normal or even a bit high.

Annual check ups are not that expensive (and would not be covered by most insurance policies anyhow). What you need insurance for, is serious accidents and major illnesses (heart attack, cancer, stroke, kidney failure etc). These can easily run into millions of baht. Most policies offer options whereby you accept an excess (deductible) in exchange for a lower premium. They also usually offer about 10% saving if you pay premium annually rather than monthly.

There are several local brands Gabapentin GPO Berlontin Gabutin Neupentin Rontin Vultin And a few othrrs. Does not require a prescription. But I don't recommend self prescribing it.

You have been taking the tartrate only once a day? As needs to be twice a day due to short duration of action Metopropolol succinate is available here in brand name Betalic Zok but comes only in 100 mg tabs. Although you have been getting sub-therapeutic dose should still not discontinue without discussing with your carfiologist