Sheryl

Yes, I saw this and mentioned it on the other thread currently running. Apparently Jomtien Hospital also has so good chance so do some other private hospitals. No pediatric doses but if doctor is willing, they can do a fractional dose from adult vial if so inclined.

Moved to appropriate forum. You can enter visa exemot and will get 60 day stay (as of now, could change in future).. Within 3 days if departure you need to fill out online arrival card https://tdac.immigration.go.th/arrival-card/#/home

just checked - Mahodol Travel clinic has it, too! 1,762 baht (there will be add on charge for deoctor etc so call it 2K) https://www.thaitravelclinic.com/cost.html And they are also offering RSV for seniors, which is pretty new. but costly at 7,211

That is amazing if true, as it is the newest vaccine. First I have heard of it being available anywhere in Thailand. If you get it, check that the vial says"Comirnaty JN.1"

@Lorry any info on current Paxlovid availabiliyy?

Yes, weight loss will do a lot. I take it the results were of a follow up test after using the machine. What do you mean by results being "spot on". Were they improved over baseline?

Please see this thread re vaccine availability. https://aseannow.com/topic/1362237-covid-vaccines-for-children-where/ Note that the newest vaccine is not available anywhere in Thailand, and in many places the available vaccines are several generations (vaccine generations) old. BPH has vaccine but I do not know which version. The current strain is unusually infectious (more so than the already very infectious earlier strains) but also unusually mild in most cases. If you test positive nothing other than symptomatic treatment and isolating at home is needed unless you have specific risk factors. If you do have the latter, Paxlovid might be advised but I have no current info on its availability. Other antivirals more readily available don't do much to be frank.

Current Thai Pediatric Guidelines (2024) include vaccination of children but there is no mass vaccination campaign for anyone at this time let alone children. As already mentioned Thailand also does not have the newest version of vaccine. The government has really not formulated a coherent response to this latest outbreak yet. No new guidelines issued and if anything is being done on vaccine procurement it has not been publicized. Given the recent study findings it can safely be said that there will not be any mass vaccination of children in Thailand unless the epidemiological or clinical picture significantly changes. The main argument for mass COVID vaccination of children is not child health per se (though the benefits do outweigh the risk in children, the overall risk is is very low unless the child has other health problems) but epidemic control: children live in families and can easily infect other members some of whom may be elderly and/or high risk. Infections in childten -- easily acquired at school - can fuel spread of infection in the ovrerall population. Public health / publicly funded disease control measures are one thing, individual clinical decision making is quite another. A number of vaccinations recommended by the Pediatric Society of Thailand are not (at least as yet) part of the public vaccine schedule, but they remain recommended and can be obtained, for a price, at private facilities. Parents can and do make individualized choices for their children. OP had a bad experience with severe COVID in one of his children some years backs and wants to vaccinate themboth now. Nothing wrong with that, even if there is no mass vaccination campaign underway or justification on public health grounds. Public health measures are basef on the iverall population and , of necessity, always take cost benefit into account, and (unfortunately) are also not exempt from political considerations.

Some people are never symptomatic. Will still have positive test. When the test turns positive depends on viral load. May be positive before symptoms or not until after, even a few days after in some cases. Retesting makes sense if there is strong suspicion and if the information is critical (for example if you or a family member are high risk, or if it would affect your behavior).

Perfectly possible to have both.

The tests OP refers to check for three things: COVID, influenza and RSV. As to what difference it would make: - between the 3 illnesses, none if the illness is mild and there are no high risk persons in the household. With all 3, one should take measures to avoid infecting others, keeping in mind that among the general public there are people at high risk, even if there are none in your household. Between these 3 illnesses and common cold: it has implications for (1) measures one should take to avoid infecting others, since all 3 of these illnesses present a higher risk to certain groups of people than the common cold does and (2) risk of the illness worsening or causing complications.

An unhelpful post has been removed

I added the source, please do not post unsourced quotes. Urolift has not been around enough to have data on very long term use. To date studies show only 5 year use data: https://pubmed.ncbi.nlm.nih.gov/28646935/ Basically, about 14% of patients required and receive additional surgical intervention within a 5 year period. (Study only tells what percent had surgery, could have been additional ones with an indication for surgery who did nto receive it for one reason or another). Note that improvements were statistically significant but not as complete & dramatic as some might expect, i.e. average 36% improvement in International Prostate Symptom Score, 52% improvement in BPH Impact Index Score. These are averages, and likely conceal considerable variation among patients i.e. there may have been some with dramatic improvement and some with little to none. There are likely individual factors that may help predict which patients will get the most benefit from this, and that should be discussed in detail with a urologist with extensive experience in it. It is nto a panacea nor suitable for everyone.

Make sure it is Comirnaty XBB.1.5, as there are early versions still around.

The newest vaccine ever brought into Thailand is the Pfizer-BioNTech Comirnaty XBB.1.5, and that, only some places have; the ones I know of are all in Bangkok. The newer 2024-2025 Pfizer vaccine is not available. The XBB 1.5 vaccine will still be of some help especially in completely unvaccinated children who have never had COVID (these will be a minority, see below). Older vaccines, which might be all that one can find outside of Bangkok, might still help but are not approved in Thailand for children under current guidelines; only the Pfizer-BioNTech Comirnaty XBB.1.5 is approved for chldren under current Thai guidelines. Last I heard (admittedly about year old info) these places had the XBB1.5: Mahidol University Thai Travel Clinic Queen Saovabha Memorial Institute Bumrungrad Hosptal Praram 9 Hospital quite possible some other large private hospitals in Thailand now have it too HOWEVER, these have only the adult formulation. As you likely know, the dosage for children is different from adults. 3 mcg dose for your 3 year old and 10 mcg dose for your 6 year old. The vaccine is otherwise the same and per the guidelines of the Thai Pediatric Society, if the pediatric formulation is unavailable, fractional dose can be used i.e., they can give a partial amount of adult dose vial. Therefore even if a hospital or clinic does not have the 3 or 10 mcg dose, they can use a partial quantity of the adult dose -- but you'd want to make sure they understand this and calculate correctly. And they will probably end up wasting most of the vial, which if quantities are scarce, they may be unwilling to do. Do not expect anyone answering phone or email to know this, they will likely answer only that they do not have the pediatric vaccine, which is technically true. Doctor may or may not be willing to partial dose from use adult vial , and it would take direct doctor order to make that happen. Which you may or may not be able to get. While the official COVID vaccine guidelines have not so far changed, the current outbreak is of an extremely contagious but unusually mild (for most people) variant. A recent study found that 80% of young children in Thailand already have immunity to COVID. This study has not yet been peer reviewed or published in a scientific journal but it has been widely publicized in the general media and a Chulalongkorn researcher even took the unusual step of posting it on Facebook. While any change in guidelines remains to be seen, pretty much everyone knows about this finding and it will probably influence provider behavior/willingness to use a fractional dose from an adult vial to vaccinate a child if there are no special risk factors present. If you have not already, you can try asking Bumrungrad and Praram 9. Do not ask if the have the pediatric vaccine (they don't); ask if they have Pfizer-BioNTech Comirnaty XBB.1.5 vaccine available. If they do, ask if they will administer fractional dose based on age to children (better yet, go and ask this in person -- Thais tend to always say no to anything they are unsure of, and whomever you could reach by phone or email will not be a decision maker). If it is any comfort, your 6 year old, having already had COVID for sure, probably has good immunity and your 3 year old also likely (80% chance) has some immunity, and the current strains are much less severe than what was around when your now 6 year old got it. Of course if either of your children has special risk factors due to chronic disease, or if there is an older person in the same household with unusual risk factor that needs to be protected, that changes matters and best to go see a pediatrician at a hospital you know has the XBB.1.5 vaccine in stock to press your case.

That is not s prescription it's a label. By definition a prescription is a signed doctor order for a medication. Neither doxycycline nor most other drugs require this in Thailand. However, drugs in their classification (Thai FDA Categiry D) can only be sold by a Grade 1 pharmacist. If there isn't one (either at all, or on duty at the time you go) legally they can't dispense to you. Nothing to do with your having a prescription it is a pharmacy issue.

Still seems odd for such small enlargement. 26 ml is almost normal dize. I continue to suggest ruling out infection.

Doxycycline does not require a ptescription in Thailand.

Of course doxycycline is available but not in 20 mg dose which is what OP needs. Thay are capsules not tablets.

You seriously do not want a colonoscopy without anesthesia. Gastroscopy also unpleasang (choking sensation) ,but nowhere near as bad. The Camelluan price is sbout as good as it getd private hospital wise. 37.4k package at MedPark. https://www.medparkhospital.com/online-store/gastroscopy-colonoscopy-package Colonoscopy can be gotten at Chulabhorn (govt hospital) for under 10k but I am not eure they will do a gastroscopy on demand. Unlike colonoscopy gastroscopy is not reommended for routine screening). https://chulabhornhospital.cra.ac.th/

This is indeed unavailable in Thailand. It is technically illegal to import medications by mail without an FDA license which is very difficult to get. Some people do order from Indian pharmacies and in the past small quantities usually got through but I am seeing more reports of things stopped by customs these days. Perhaps someone with very recent experience ordering online fom India could respond. If it were me, I would just bring in a year's supply with me making sure adequate expiration date. However be aware that rule is just 30 day supply. They do not ususlly count out the numbet of pills (indeed do not ususlly check luggage, period) but a small risk exists that supply in eccess of 30 days might be confiscated. I have heard of this happening only a few times in some 20 years on this forum. Make sure the pills are clearly labelled so as not to be confused with a contolled substance. https://en.fda.moph.go.th/entrepreneurs-medicines/category/faqs-medicines/#:~:text=1) In the case of,(1967) and its amendments.

Use of ivermectin in prostate cancer is still in very early stages of investigation. No human trails yet, still long way off much less an approved protocol. But I think OP knows this. And he did not ask for opinions on its use, he asked where to get it. That info has been supplied. As long as he does not forego conventional treatment banking on this unproven, undeveloped therapy, it is unlikely to hurt. Thread therefore closed as going way off topic.

https://bangkokdrugstore.com/product/iver-6-ivermectin-6-mg-box-of-12-tablets/ 1,200 baht for 12 tablets of 6 mg You should also ask Medisafe https://medisafepharma.com/ (use the messenger function)

Pink eye (if that is what you ،have) is often viral. But antibiotic drops may stiill be given as secondary bacterial infections can occur. It can easily last 2 weeks. If it goes much beyond that, an allergic rather than infective origin may need to be considered.

Completely off topic posts removed. Thread closed. OP please feel free to start another if needed after you have seen Dr.