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POLYPILL

posted Tuesday, 24 August 2004

One of the main dilemmas working in healthcare today is prescribing medications for a particular health problem which patients can afford. Many medical offices provide samples to their patients because of the cost of medications. This is only a short-term solution because there is a limited amount of sample medication available. Currently Medicare does not cover pharmaceutical expenses for the elderly population which means most medications are paid out-of-pocket. There are a lot of elderly patients in Arizona who travel to Mexico on a regular basis to purchase name brand medications cheaper than provided in the U.S. It is questionable if the medication is equivalent to the U.S. version. Many patients are on four or more medications. I have seen up to 15 medications on one list. This costs the elderly population hundreds of dollars every month. They are usually on a limited budget and have to decide whether to buy their prescription medications, buy food, or pay their rent/mortgage. This decision can cause astronomical health consequences.

A couple of weeks ago I heard of a “polypill.” This is several medications rolled into one pill. It contains aspirin, a statin (cholesterol lowering), three blood pressure lowering agents, and folic acid. I needed to do a little research on it and found this article. I personally think this is a good direction to go for the patients who are on multiple medications for heart disease, hypertension, and hyperlipidemia. I only hope the polypill does not cost six times the amount of the regular prescription cost. I had heard the reason for rolling all of the medications into one pill was to cut cost. I really hope it is true and hope this is a new trend to cut costs of prescription medications.