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Asanee Yutta

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Posts posted by Asanee Yutta

  1. A bit late reply but I believe that my uncle could do the operation since he’s a surgeon. 
    go to surapol clinic at the South Pattaya road about 100m from sukhumvit rd. 
    สุรพล คลินิกศัลยกรรม เสริมหน้าอก เสริมจมูก ทำตา ดึงหน้า เสริมคาง พัทยาใต้
    081 975 6719
    https://goo.gl/maps/zpx4RFqkadGj6ajBA

  2. The advantages of Xarelto over warfarin has never been less incidence of loss of blood, the main advantage is that you dont have to worry much about food-drug or drug-drug interaction.
    ANY anticoagulant will give you increased risk of blood loss and the gastrointestinal bleeding is the less obvious one. 
    You are lucky and I am sorry that you are not informed thoroughly about the possible side effects when first prescribed.
    Thanks for sharing.

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  3. Jett fitness perhaps? There is one at Little Walk on Sukhumvit road and the other at royal garden plaza.
    Definitely not a simple gym but you can watch youtube on their running machine screen.

  4. My parents have been vegetarian since 1999. We are local Thai family.
    I remembered going to 5-star J once or twice.
    Mostly when we eat out we usually rotate between MK, Sizzler, Yes Vegan, and Panpan. I know that these are not all vegan restaurant but with enough customization we can make do.

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  5. My uncle is a surgeon (about 30 years experience). Let's him have a look.
    Here is the place https://g.page/surapolclinic8?share (yes, it meant to be the breast augmentation clinic at first)
    and the facebook (20+) ริดสีดวง สุรพลคลินิกพัทยาใต้ | Facebook
    Most of his patients are Thais though and his English might not be very well. I could be there if you need someone to translate. 
    Here's his wife's number 081-975-6719 (she is the one who make appointment for patients) 

  6. On 8/25/2021 at 12:48 AM, Sheryl said:

    Aspirin is in no way an adequate substitute for Xarelto

     

    If cost is a barrier best low cost substitute would be warfarin but will require frequent blood testing so much less convenient, and it also has a somewhat lower safety profile.

    Hey, I looked up Thai FDA website.
    The generic brands of Xarelto that have been registered are Rivarox, Noblexa and Rivoxan.
    Doesn't mean that they would be available in any pharmacy though. Sometimes the company just registered the meds and never really sell them. But I do see Rivarox in some hospitals though.
    So ask around for these brand might save you more or less

  7. 10 minutes ago, Banana7 said:

    My concern of using drugs made in Thailand, is quality control. Is there any quality control? If a batch/lot wasn't made quite right, would the manufacturer dump/destroy it or would they sell it anyway ? From what I have seen, most products made in Thailand are made the cheapest way possible, to achieve a low selling price. Also there is very little, if any, quality control checks.

     

    Are there any reputable third party checks, using international standards, on every batch of medication? If QC checks are done, could that party be easily bribed to pass a batch that doesn't meet standards?

     

     

    I've been working as a community pharmacist for 5 years

    There is quality control although the information is not really easy to access to. The only time that I have received the information about quality control is when the med rep came to talk with us. And I know they tend to be biased toward their company but alas, there is no such a thing as third party organization to check in Thailand. Although some company like MEGA or Berlin (the ones that I know of) do acquired some international manufacturing standard that I cannot recall (lol sorry).

    They do recall the product when found correlation with major side effect though. There were 3-4 incidences where I have to recall meds in the past five years that I've been in the field.

    About bribery - I'd say it's above my pay grade to say anything
     

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  8. As a Thai my advice is that look around a large hospital near you (the ones with med school of their own). As these pharmacies tend to position themselves as retailer priced as wholesaler. 
    If you live in Bangkok then Diamond pharmacy (https://goo.gl/maps/Le5j2fQUeyDwE5D86) is the first to come to my mind when I'm thinking of buying inexpensive meds for my grandma. Although, I do not think these pharmacies have very well English spoken assistants. The other pharmacy that I saw my mom ordered from is Chula Bhesaj จุฬาเภสัช (Chula Bhesaj Drug Store) - Bang Rak, Bangkok (foursquare.com). I haven't order from this shop personally but know that they have wide selection with very competitive price.

    You can try fascino. They have fairly large selection of drugs at higher price (depends on where it's located, tend to be more expensive around tourists crowded area) , the largest branches are the big three that they called drug center, Fascino Siriraj, Fascino North Pattaya, Fascino Chiangmai.

    Don't forget to research which brand would you really want as the prices varied tremendously.
    For example, Lipitor (the original atorvastatin) could be up to 3,000 a box. While, Xarator (the second brand also from pfizer) is about 40% less expensive. Or you can opt for Thai brand and get them for even less than that.

     

     

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