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Have you considered switching to a concierge or directPCP doctor?

In between all the doctor co-pays, I'm already paying close to $1000 a year just for prescriptions. My insurance has very good medication coverage so the main hurdle for me is always getting the prescription. If i can get it prescribed, the medication is almost entirely covered most of the time.

Ivabradine for example, i went from paying ~800 a year IndiaPharma to ~250 a year USPharma where the majority is spent on doctor visits just to renew the prescription. I'm also on several controlled substances, so I need to do monthly visits just to renew them, but some of these medications aren't available in India either.

Branded named Vascepa under my insurance, for instance is $10, even without the discount coupon. The coupon only saves me $1. Repatha as well, thats an additional cardiologist visit to renew..

I'll probably save alot more, even if i have to pay $100 a month for a directPCP doctor, if i can get all medications prescribed by him. Medication quality will also improve (USPharma).

It will also save me time on having to stockpile, worry about customs, tariffs, looking for a good brand for India medication, finding space for medication storage etc. Medication you get is supposedly also better inspected by the FDA, better kept etc.
I had to switch doctors, and the first telemed doc I found just asks me what I want. I get Vascepa, telmisartan, and nebivolol from him all for a small copay.

For those who need controlled substances, like benzodiazapines, finding and good psychiatrist is your best bet. They're able to prescribe just about anything for any reason.

As far as drugs not approved for use in the US, I have no idea. We used to write our congressmen. But I guess you could always storm the Capitol.
 
The cardiologist said he would send in a prescription for me, and I was very excited. Went to pick it up.... he had prescribed clonidine. My nephrologist wrote back and started talking about clevidipine, thinking that's what I meant.
That’s too damn funny.

I’m very surprised that a cardiologist would confuse anything with clonidine. Clonidine is old and viewed with notorious suspicion. I’m mildly confident that no CCB has a risk profile as great or greater than clonidine.
 
The main benefit for. me from India pharma is autonomy over my own medical decisions.

Bypassing gatekeepers.

Then convenience. Not having to keep getting "permission" for refills. Just having on hand what you need.

Lastly savings.


"Worst case scenario" planning would have me prioritize "stocking up" like this. (The meds I'm mentioning are just for illustration of the point, from the things I keep on hand): :

1. The things which are not available to me at all. Cilnidipine, for instance.

2. Things that are technically available with a prescription, but extraordinarily difficult and potentially inaccessible. Modafinil could fall into that category.

3. Unique forms not available to me, of otherwise available meds. Oral Dutasteride tablets (vs gelcaps).
5mg Accufine/isotretinoin (5mg, a good skin anti aging dose, no longer available in US). Pitavaststin / Ezetimebe combo tablets, reduces pill count.

4. Things that could be acquired, but expensive and time consuming. $500+ a year for prescripts for Selegiline from an anti aging clinic, plus $400 for the pills, vs $50 for a year's supply.

5. Emergency meds, while available from "prepper medicine" services like Jace, or cooperative doctors, are often not dispensed in large quantities, like antibiotics.

6. Lastly is the stuff that's cheaper from India than even the deductible. Daily Tadalafil for instance, and again, the convenience of not having to refill it every 3 months.
 
The main benefit for. me from India pharma is autonomy over my own medical decisions.

Bypassing gatekeepers.

Then convenience. Not having to keep getting "permission" for refills. Just having on hand what you need.

Lastly savings.


"Worst case scenario" planning would have me prioritize "stocking up" like this. (The meds I'm mentioning are just for illustration of the point, from the things I keep on hand): :

1. The things which are not available to me at all. Cilnidipine, for instance.

2. Things that are technically available with a prescription, but extraordinarily difficult and potentially inaccessible. Modafinil could fall into that category.

3. Unique forms not available to me, of otherwise available meds. Oral Dutasteride tablets (vs gelcaps).
5mg Accufine/isotretinoin (5mg, a good skin anti aging dose, no longer available in US). Pitavaststin / Ezetimebe combo tablets, reduces pill count.

4. Things that could be acquired, but expensive and time consuming. $500+ a year for prescripts for Selegiline from an anti aging clinic, plus $400 for the pills, vs $50 for a year's supply.

5. Emergency meds, while available from "prepper medicine" services like Jace, or cooperative doctors, are often not dispensed in large quantities, like antibiotics.

6. Lastly is the stuff that's cheaper from India than even the deductible. Daily Tadalafil for instance, and again, the convenience of not having to refill it every 3 months.
I was just offering a solution for US accessible drugs. I have no idea what to do for someone who needs, or wants, to take innumerable pills. Also, I'm not sure what control you think you ultimately have over drugs which come from other countries.

It's probably worth it to constantly reassess what it is you think you want, need and deserve.
 
That’s too damn funny.

I’m very surprised that a cardiologist would confuse anything with clonidine. Clonidine is old and viewed with notorious suspicion. I’m mildly confident that no CCB has a risk profile as great or greater than clonidine.
Right? I understand (now) that he couldn't find cilnidipine in his system, but yeah, kind of crazy that he just prescribed clonidine without confirming or questioning anything. I've been taking 0.1mg 2x/day for months now with zero noticeable side effects though, and some of its benefits actually fit some of my secondary conditions pretty well, which is why is gave it a shot anyway.
 
The main benefit for. me from India pharma is autonomy over my own medical decisions.

Bypassing gatekeepers.

Then convenience. Not having to keep getting "permission" for refills. Just having on hand what you need.

Lastly savings.


"Worst case scenario" planning would have me prioritize "stocking up" like this. (The meds I'm mentioning are just for illustration of the point, from the things I keep on hand): :

1. The things which are not available to me at all. Cilnidipine, for instance.

2. Things that are technically available with a prescription, but extraordinarily difficult and potentially inaccessible. Modafinil could fall into that category.

3. Unique forms not available to me, of otherwise available meds. Oral Dutasteride tablets (vs gelcaps).
5mg Accufine/isotretinoin (5mg, a good skin anti aging dose, no longer available in US). Pitavaststin / Ezetimebe combo tablets, reduces pill count.

4. Things that could be acquired, but expensive and time consuming. $500+ a year for prescripts for Selegiline from an anti aging clinic, plus $400 for the pills, vs $50 for a year's supply.

5. Emergency meds, while available from "prepper medicine" services like Jace, or cooperative doctors, are often not dispensed in large quantities, like antibiotics.

6. Lastly is the stuff that's cheaper from India than even the deductible. Daily Tadalafil for instance, and again, the convenience of not having to refill it every 3 months.

That's why I was considering concierge doctors, to bypass gatekeepers. These doctors usually own their own practice, are not bound to any insurance requirements and are more willing to prescribe what you want as long as it's reasonable. (repatha, moda, jardiance, selegiline, sleeping meds, painkillers, beta blockers, ivabradine, vascepa, tirz, pita etc)

Naturally one should use a combination of sources.

US Pharma for medications used on a regular basis, subjected to availability based off FDA approval. Much better quality, hopefully more inspections, you will know if there are recalls, usually longer period to expiry date, better stored etc.

India Pharma for rarely used medications like emergency medications, antibiotics etc.

There are of course medications only available in US or India and you adjust accordingly.

Right? I understand (now) that he couldn't find cilnidipine in his system, but yeah, kind of crazy that he just prescribed clonidine without confirming or questioning anything. I've been taking 0.1mg 2x/day for months now with zero noticeable side effects though, and some of its benefits actually fit some of my secondary conditions pretty well, which is why is gave it a shot anyway.

I'm not sure which is funnier, the fact that he just randomly prescribed something or the fact that you decided to use it lol
 
Clonidine/Catapres is actually a good drug, but it's notorious for a rebound effect so not supposed to be d/c'd abruptly. I keep some on hand but have never used it - I see it as a BP med of last resort when ARB/CCB/diuretic/BB etc won't do the job.

So AISA-021... it 'contains' cilnidipine. My guess it is that plus some PDE5 inhibitor in a combo pill that they can somehow justify charging a fortune for , despite the component drugs costing pennies from India pharmacy. US Pharma is f'ing ridiculous, completely driven by profit obsessed CEOs. I'm all for capitalism but life saving drugs should be available for all.

Re: benzos my wife had some severe anxiety with frequent panic attacks during a stressful time, and saw a psychiatrist. She was prescribed everything but a benzodiazepine over numerous visits... SSRIs, atarax, gabapentin, propranolol, etc. They absolutely would not prescribe a benzodiazepine. Tried some tofisopam (from pct24x7) and that didn't help either, nor did other easily available anxiolytics. Got some zopiclone which was the closest thing I could easily source, and it sort of helped but caused amnesia.

Was ultimately able to find some alprazolam... problem solved with just occasional prn use. I know benzos can be addictive and can have severe, potentially fatal withdrawal, but there is simply nothing more effective for treating acute anxiety - and they should be prescribed (appropriately) for that.

Since the whole oxycontin thing, it's become very difficult for docs to prescribe controlled substances and many just flat out refuse to do it. Those that do tend to make a profitable business of it, but many of them ultimately end up under major beaurocraticic scrutiny and can get their licenses revoked easily. Sad but true in these times.
 
The main benefit for. me from India pharma is autonomy over my own medical decisions.

Bypassing gatekeepers.

Then convenience. Not having to keep getting "permission" for refills. Just having on hand what you need.

Lastly savings.


"Worst case scenario" planning would have me prioritize "stocking up" like this. (The meds I'm mentioning are just for illustration of the point, from the things I keep on hand): :

1. The things which are not available to me at all. Cilnidipine, for instance.

2. Things that are technically available with a prescription, but extraordinarily difficult and potentially inaccessible. Modafinil could fall into that category.

3. Unique forms not available to me, of otherwise available meds. Oral Dutasteride tablets (vs gelcaps).
5mg Accufine/isotretinoin (5mg, a good skin anti aging dose, no longer available in US). Pitavaststin / Ezetimebe combo tablets, reduces pill count.

4. Things that could be acquired, but expensive and time consuming. $500+ a year for prescripts for Selegiline from an anti aging clinic, plus $400 for the pills, vs $50 for a year's supply.

5. Emergency meds, while available from "prepper medicine" services like Jace, or cooperative doctors, are often not dispensed in large quantities, like antibiotics.

6. Lastly is the stuff that's cheaper from India than even the deductible. Daily Tadalafil for instance, and again, the convenience of not having to refill it every 3 months.
Just looked up Selegiline. Sounds pretty interesting.
 
For now tariff rates are irrelevant as our packages, with declared values under $800 fall under de minimus exemptions from customs duties.

This ends 8/29/25, and all parcels entering the US are subject to customs duties being charged.

Packages shipped starting 8/29/25 will be required to provide more detailed "standard" customs paperwork, and customs duties due will be calculated by CBP based on the declared contents.

The USPS will send or email you a notice of the charges due, you pay online or at the post office, and then it'll be delivered.

As to the actual rate, once a deal is worked out, I'm going to guess the tariff rate will be closer to 15%, not 50%.

If you want to avoid all this make sure you order early enough for it to be shipped by 8/28/25. The 8/29 cutoff date applies to the date the pack departed its origin, not when it arrives.
Does all of this really matter ? I mean they can just lie on the detailed paperwork as much as they did now. The only thing thats going to get worse is that the CBP workforce will be larger and thus will be able to inspect more packages but as long as some wont be inspected than they will pass through.
 
Just looked up Selegiline. Sounds pretty interesting.
Yea, it looks pretty good. The only thing that concerns me is the rise in creatinine levels. If it is just a side and doesn't actually affect the kidneys negatively, no issues. However I can't seem to find if that is the case or not.
 
The test e we have are Arachis oil based , testacyp 250 mg is Miglyol 840+EO
Retesto 250 mg ( test mix) is also Miglyol840+EO
I like the Arachis oil. Seems very similar to GSO. However if you have a peanut allergy, that could possibly be an issue. Although most pharm Arachis oil is purified pretty well to remove any proteins that cause the reaction for people with peanut allergies.
 
HI everyone ,

As everyone is well aware about De Minimis is about to get revoked on 28th of August , Hence it's best to order your medication supplies in time as we don't know the effect of this on package clearance rate is going to be entire exporters union is in stress currently .

Please Email us for - Price list / Orders / Queries

Our Email - shop@pct24x7.store

Thanks & Regards
PCT24X7
 
HI everyone ,

As everyone is well aware about De Minimis is about to get revoked on 28th of August , Hence it's best to order your medication supplies in time as we don't know the effect of this on package clearance rate is going to be entire exporters union is in stress currently .

Please Email us for - Price list / Orders / Queries

Our Email - shop@pct24x7.store

Thanks & Regards
PCT24X7
Only issue I could see in ordering now is reshipping from seizures
 
HI everyone ,

As everyone is well aware about De Minimis is about to get revoked on 28th of August , Hence it's best to order your medication supplies in time as we don't know the effect of this on package clearance rate is going to be entire exporters union is in stress currently .

Please Email us for - Price list / Orders / Queries

Our Email - shop@pct24x7.store

Thanks & Regards
PCT24X7
Discount % until de mininus?
 
Pitavaststin / Ezetimebe combo tablets
What's this product called/what's the pricing? Can't find it on price list and assume it'll be on the new one they publish in the next few days. It's the one product I'm 'missing' as I still have Rosuva.
 
What's this product called/what's the pricing? Can't find it on price list and assume it'll be on the new one they publish in the next few days. It's the one product I'm 'missing' as I still have Rosuva.

Don't bother, none of the India PCT sources on the board can get it.
There's a few Pita brands too, I believe they cant get them either.
 
It's actually ideal in someone prone to reflex tachycardia and angina.

Cilnidipine lowers blood pressure by relaxing blood vessels like other calcium L channel blockers, but it also blocks N channel nerve signals that trigger the reflex increase in heart rate. This prevents reflex tachycardia, reducing the heart’s workload and oxygen demand. Because of this, cilnidipine not only doesn't cause reflex tachycardia or angina, it protects against them from other causes as well.

View attachment 339479

Would this help alleviate HGH BP spikes? AI search tells me it will because Cil helps:

"Blocks the sympathetic spike GH causes"
"Lowers HR/BP without sedation"
 
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