Jump to content
This Topic

Looking for Cheaper Tadalafil & Other Generics + SSO Coverage Advice

Globenauta

By Globenauta
in Health and Medicine

 Share

Recommended Posts

  • Replies 96
  • Created
  • Last Reply

Top Posters In This Topic

Popular Days

Top Posters In This Topic

Popular Days

Popular Posts

Upnotover
Upnotover

Medisafe Bangkok, THB 1750 for 30 x 5mg.

KhunLA
KhunLA

That's a silly price ... 😎   MedSafe 30 tabs / 20mg @ ฿389 ... simply cut in half

Freddy42OZ
Freddy42OZ

Do you have to say "Ta Da! Arise!" whilst making a suitable gesture, after taking one?

Posted Images

scorecard Star Member

scorecard

Posted
Posted
  On 1/15/2025 at 7:51 AM, Upnotover said:

I answered this in an earlier question. I don't care if it's legal, or if they are reputable, but it works. At least the side effects are the same as the stuff I used to get from the UK NHS. I take it for prostate, but get the side effect benefits that others take it for.

Expand  

 

For what prostate condition? Please share.

Upnotover Ruby Member

Upnotover

Posted
Posted
  On 1/15/2025 at 8:12 PM, scorecard said:

 

For what prostate condition? Please share.

Expand  

Mild BPH.  It doesn't treat the cause but relieves the symptoms, I was prescribed it by my GP in the UK 2 years ago and it has been effective, and my condition has remained stable.

  • Like 1
KhunBENQ Star Member

KhunBENQ

Posted
Posted
  On 1/14/2025 at 12:44 PM, Upnotover said:

I had 60 (generic) delivered yesterday. Never been a problem so far.

Expand  

Got 30 pills some two weeks ago. First trial for me.

"Tadarise-5" (as above)

20250116_074209.jpg

KhunBENQ Star Member

KhunBENQ

Posted
Posted

Some people seem unaware that the very most generic (non patented) medications come from India or China. Recently read that in a trade war China could stop antibiotic export and pose a real big problem.

A factory burned down in India and an important medication was on world wide shortage.

Big western pharma is uninterested in these medications as they don't make the huge profits.

  • Like 1
  • Thumbs Up 1
GarryP Platinum Member

GarryP

Posted
Posted
  On 1/15/2025 at 8:12 PM, scorecard said:

 

For what prostate condition? Please share.

Expand  

It is used to treat Benign Prostatic Hyperplasia. In addition, the daily 5mg dosage for BPH also supports treatment for ED.  

GarryP Platinum Member

GarryP

Posted
Posted
  On 1/16/2025 at 12:53 AM, KhunBENQ said:

Some people seem unaware that the very most generic (non patented) medications come from India or China. Recently read that in a trade war China could stop antibiotic export and pose a real big problem.

A factory burned down in India and an important medication was on world wide shortage.

Big western pharma is uninterested in these medications as they don't make the huge profits.

Expand  

While the patent expired years ago on Cialis (tadalafil), the last time I checked, no generic versions had been registered with the THai FDA, which seems strange.  

KhunLA Star Member

KhunLA

Posted
Posted
  On 1/15/2025 at 2:27 PM, ricklev said:

One of the rare times a drug is much cheaper in the USA:

 

https://www.costplusdrugs.com/medications/tadalafil-5mg-tablet/

Expand  

Yes, some statins are also cheaper at Costco (USA), <$6 a month.  Along with so many others.  

 

On Topic ... from past pricing here / TH, my local pharmacy is cheaper for most everything, than what's available online.  With statin being the exception, as not offered.  Only one other script was a wee bit cheaper online, but I prefer to support my local pharmacy, so they stay in business for all the other less expensive things I may need in the future.

 

Medisafe was cheaper across the board, than MedTide.  The only 2 online vendors that I compared  pricing.  Against my local govt hospital, & pharmacy, with pharmacy the clear better choice.

 

4 different local pharmacies, and 2 were silly priced, 1 located in Lotus's (old Health Up), wasn't too bad, if not pushing international brand.   You do need to ask for generic and or made in TH, IN.   Don't think I've bought anything made in CH.

 

You may even find a major pharmaceutical company making their own generic version with exact same ingredients at half price, which surprised me with 1 script I used in the past.  Unless you looked at the 'mfg by' and both from same in OZ, you'd never notice.

 

You find they cater to the markets, as same drug is like 30X the cost in the USA.  Still cheaper here, even if you had insurance in USA, as less than the deductible.  That's screwed up, if a Yank.

  • Like 1
cjinchiangrai Gold Member

cjinchiangrai

Posted
Posted
  On 1/14/2025 at 7:31 AM, Globenauta said:

Hi everyone,
 

I’m currently prescribed two medication:

 

- Tadalafil 5 mg (Talafil by Millimed): 2,316 THB for 30 pills
- Rosuvastatin 10 mg (Vivacor): 888 THB for 28 pills

I live in Samut Prakan and was wondering if anyone can recommend alternative (possibly cheaper) brands or pharmacies - either online or in-store - especially for Tadalafil.
 

Also, does anyone know if these specific medications are covered under Thailand’s Social Security system (SSO)?


Thanks in advance for your help and advice!

Expand  

You doctor is not being nice. Simvastatin does the same job as Rosuvastatin for a fraction of the cost. The dosage may be different though. If you talk to a doctor at the public hospital, they will get you the generics that are bought for the whole country.

kingstonkid Ruby Member

kingstonkid

Posted
Posted
  On 1/14/2025 at 8:03 AM, scubascuba3 said:

In Pattaya people tend to buy the 20mg Apcalis and split to 4x5mg. Can try Medisafe Pharmacy in Bangkok, message or email them, on Facebook. 3x20mg is 200-300mg. Also Lilly is available 30x20mg but don't know how legit that it

Expand  

 A lot of us in BKK doing that you can get the apcialis for 500 baht in NANA at the main pharmacy on Suk near Hermes.  Stay away from side streets

Sheryl Star Member

Sheryl

Posted
Posted
  On 1/16/2025 at 1:19 AM, FritsSikkink said:

Hello Sheryl, is there a complete list somewhere what is covered by SSO and what isn't?

Expand  

Virtually everything is covered, inpatient and outpatient. Main exception would be drugs not on the MoPH list. Other exception are some medical devices, for example the special catheters used for cardiac ablation.

 

You can find that list here, but it is not complete as they are constantly adding to it . ALso some drugs I don't see on it, nonetheless people seem to get under SS. Whether because added more recently or hospitals just don't bother to charge, I am not sure.

https://pubmiddleware.mims.com/resource/document/82AE6301-4B56-473D-A76E-ADA40096A174/pdf/MIMS_1_2022

Patong2021 Platinum Member

Patong2021

Posted
Posted
  On 1/14/2025 at 8:03 AM, scubascuba3 said:

In Pattaya people tend to buy the 20mg Apcalis and split to 4x5mg. Can try Medisafe Pharmacy in Bangkok, message or email them, on Facebook. 3x20mg is 200-300mg. Also Lilly is available 30x20mg but don't know how legit that it

Expand  

 

It is not recommended to split medications 3X or more. Even 2X  has a risk, albeit much lower.

Dividing pills  assumes that there is a consistent spread of the dose in the pill.  Unfortunately, the manufacturing process of a pill does not guarantee that the dose will be consistent through the entire pill. It could be more concentrated  in one part of the pill.  This matters if there is a need to maintain a set  amount of medication because of the drug's pharmacokinetics.  Statins can come in increments of 5. Because Tadalafil can be used to treat specific illnesses, an accurate dose may be more important than if it is to treat  ED.  It's not a critical issue for most people, but I do mention it as a caution.

  • Like 1
Sheryl Star Member

Sheryl

Posted
Posted
  On 1/16/2025 at 3:25 AM, cjinchiangrai said:

You doctor is not being nice. Simvastatin does the same job as Rosuvastatin for a fraction of the cost. The dosage may be different though. If you talk to a doctor at the public hospital, they will get you the generics that are bought for the whole country.

Expand  

Actually rosuvastatin does have some advantages over simvastatin. Matters more for some patients than others. Especially advantageous if triglycerides are elevated as well as LDL. Many patients will do fine on Simva or aotrvastatin, but some do need rosuvastatin. The poster should discuss with his doctor where a change to Simvastatin would be appropriate in his specific case.

 

There are now many locally made generic forms of rosuvastatin now in Thailand. Brand names:

 

Cholestar

Crestatin

K-zuva

Otagil

Rosetta

Rostatin

Rosuva

Rovas

Surotin

 

Many  of these brands cost less than what that poster is taking (Vivacor, an import) . For example, Rosetta 10 mg is 365 baht for box of 30 here   https://bangkokdrugstore.com/product/rosetta-rosuvastatin-10-mg-box-of-30-tablets/

 

 

  • Like 1
  • Thumbs Up 1
cjinchiangrai Gold Member

cjinchiangrai

Posted
Posted
  On 1/16/2025 at 5:57 AM, Sheryl said:

Actually rosuvastatin does have some advantages over simvastatin. Matters more for some patients than others. Especially advantageous if triglycerides are elevated as well as LDL. Many patients will do fine on Simva or aotrvastatin, but some do need rosuvastatin. The poster should discuss with his doctor where a change to Simvastatin would be appropriate in his specific case.

 

There are now many locally made generic forms of rosuvastatin now in Thailand. Brand names:

 

Cholestar

Crestatin

K-zuva

Otagil

Rosetta

Rostatin

Rosuva

Rovas

Surotin

 

Many  of these brands cost less than what that poster is taking (Vivacor, an import) . For example, Rosetta 10 mg is 365 baht for box of 30 here   https://bangkokdrugstore.com/product/rosetta-rosuvastatin-10-mg-box-of-30-tablets/

 

 

Expand  

Or maybe there is a generic second pill for that. That is why a doctor is needed. What if Rosuvastatin is overmedicating? We do not know the specifics.

FritsSikkink Star Member

FritsSikkink

Posted
Posted
  On 1/16/2025 at 5:18 AM, Sheryl said:

Virtually everything is covered, inpatient and outpatient. Main exception would be drugs not on the MoPH list. Other exception are some medical devices, for example the special catheters used for cardiac ablation.

 

You can find that list here, but it is not complete as they are constantly adding to it . ALso some drugs I don't see on it, nonetheless people seem to get under SS. Whether because added more recently or hospitals just don't bother to charge, I am not sure.

https://pubmiddleware.mims.com/resource/document/82AE6301-4B56-473D-A76E-ADA40096A174/pdf/MIMS_1_2022

Expand  

Thanks a lot Sheryl 🙂

Globenauta Explorer Member

Globenauta

Posted
  • Author
Posted
  On 1/16/2025 at 1:08 AM, GarryP said:

While the patent expired years ago on Cialis (tadalafil), the last time I checked, no generic versions had been registered with the THai FDA, which seems strange.  

Expand  


Talafil by Millimed is available at some pharmacies/hospitals and it's registered under Thai FDA

20231117_121443.jpg

  • Agree 1
Globenauta Explorer Member

Globenauta

Posted
  • Author
Posted
  On 1/16/2025 at 5:57 AM, Sheryl said:

Actually rosuvastatin does have some advantages over simvastatin. Matters more for some patients than others. Especially advantageous if triglycerides are elevated as well as LDL. Many patients will do fine on Simva or aotrvastatin, but some do need rosuvastatin. The poster should discuss with his doctor where a change to Simvastatin would be appropriate in his specific case.

 

There are now many locally made generic forms of rosuvastatin now in Thailand. Brand names:

 

Cholestar

Crestatin

K-zuva

Otagil

Rosetta

Rostatin

Rosuva

Rovas

Surotin

 

Many  of these brands cost less than what that poster is taking (Vivacor, an import) . For example, Rosetta 10 mg is 365 baht for box of 30 here   https://bangkokdrugstore.com/product/rosetta-rosuvastatin-10-mg-box-of-30-tablets/

 

 

Expand  



 

Thank you, Sheryl! That’s really helpful. I’ll definitely discuss with my dr. whether switching to a different statin or another generic rosuvastatin. At Fascino, Vivacor was actually the cheapest of the 3 or 4 options they had, but I’ll check around elsewhere.
 

Also, I generally prefer to stick to meds that are registered with the Thai FDA (it doesn’t necessarily mean “locally made,” just that they are localluy registered).
 

Really appreciate your guidance!

Jaggg88 Silver Member

Jaggg88

Posted
Posted
  On 1/15/2025 at 7:38 AM, Globenauta said:


Is that for Tadalafil made by Millimed, or a different manufacturer? I’m currently paying around 2,300 THB at Fascino.


I contacted Medisafe via Line and they only gave me the price, but when I asked for details like the maker or brand name, they stopped replying. Is Medisafe a reputable pharmacy?


Thanks!

 

Expand  

I've been using them for quite some time, and they seem legit. If you are in Bangkok, you can go to their shop.

  • Thumbs Up 1
  • Popular Post
Ben Zioner Platinum Member

Ben Zioner

Posted
  • Popular Post
Posted
  On 1/16/2025 at 1:03 AM, GarryP said:

It is used to treat Benign Prostatic Hyperplasia. In addition, the daily 5mg dosage for BPH also supports treatment for ED.  

Expand  

Yep, works really well for me. Often sleep through the night and wake up with a boner. Wife likes it..

  • Thumbs Up 1
  • Haha 2

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
 Share
Go to topic listing

  • Recently Browsing   0 members

    • No registered users viewing this page.



ASEANNOW

ASEANNOW (formerly Thai Visa) Thailand's oldest and most popular forum for expats and foreigners.

Sign up today and have your say

MORE INFO

POPULAR AREAS

CONTACT US

219/59 Asoke Towers, 15th Floor, Soi Sukhumvit 21, Watthana, Bangkok 10110
(+66) 99 196 1100
support@aseannow.com

×
×
  • Create New...
↑