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dalsaan
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Hi everyone,

 

I'm putting together an academic paper related to antidepressants and I have a quick question. Australia provides government subsidies for most antidepressants through the pharmaceutical benefits scheme. Are medications subsidised like this in other countries? if not, who pays for it and under what conditions? Does it depend on whether you have insurance and who with?

 

I could research this but I thought I would seek the help of my community first

 

Thanks

 

Dalsaan

Please note - I am not a medical practitioner and I do not give medical advice. I offer an opinion based on my own experiences, reading and discussion with others.On Effexor for 2 months at the start of 2005. Had extreme insomnia as an adverse reaction. Changed to mirtazapine. Have been trying to get off since mid 2008 with numerous failures including CTs and slow (but not slow enough tapers)Have slow tapered at 10 per cent or less for years. I have liquid mirtazapine made at a compounding chemist.

Was on 1.6 ml as at 19 March 2014.

Dropped to 1.5 ml 7 June 2014. Dropped to 1.4 in about September.

Dropped to 1.3 on 20 December 2014. Dropped to 1.2 in mid Jan 2015.

Dropped to 1 ml in late Feb 2015. I think my old medication had run out of puff so I tried 1ml when I got the new stuff and it seems to be going ok. Sleep has been good over the last week (as of 13/3/15).

Dropped to 1/2 ml 14/11/15 Fatigue still there as are memory and cognition problems. Sleep is patchy but liveable compared to what it has been in the past.

 

DRUG FREE - as at 1st May 2017

 

>My intro post is here - http://survivingantidepressants.org/index.php?/topic/2250-dalsaan

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Hi Dalsaan

This is the situation in nz ...not sure if this helps.

http://www.health.govt.nz/your-health/conditions-and-treatments/treatments-and-surgery/medications/prescription-charges

Many medicines in New Zealand are subsidised by the Government. You make a small contribution to the cost of the medicines you receive when you pay a prescription charge.

 

All the best with the paper.

nz11

Thought for the day: Lets stand up, and let’s speak out , together. G Olsen

We have until the 14th. Feb 2018. 

URGENT REQUEST Please consider submitting  for the petition on Prescribed Drug Dependence and Withdrawal currently awaiting its third consideration at the Scottish Parliament. You don't even have to be from Scotland. By clicking on the link below you can read some of the previous submissions but be warned many of them are quite harrowing.

http://www.parliament.scot/GettingInvolved/Petitions/PE01651   

Please tell them about your problems taking and withdrawing from antidepressants and/or benzos.

Send by email to petitions@parliament.scot and quote PE01651 in the subject heading. Keep to a maximum of 3 sides of A4 and you can't name for legal reasons any doctor you have consulted. Tell them if you wish to remain anonymous. We need the numbers to help convince the committee members we are not isolated cases. You have until mid February. Thank you

Recovering paxil addict

None of the published articles shed light on what ssri's ... actually do or what their hazards might be. Healy 2013. 

This is so true, with anything you get on these drugs, dependance, tapering, withdrawal symptoms, side effects, just silent. And if there is something mentioned then their is a serious disconnect between what is said and reality! 

  "Every time I read of a multi-person shooting, I always presume that person had just started a SSRI or had just stopped."  Dr Mosher. Me too! 

Over two decades later, the number of antidepressant prescriptions a year is slightly more than the number of people in the Western world. Most (nine out of 10) prescriptions are for patients who faced difficulties on stopping, equating to about a tenth of the population. These patients are often advised to continue treatment because their difficulties indicate they need ongoing treatment, just as a person with diabetes needs insulin. Healy 2015

I believe the ssri era will soon stand as one of the most shameful in the history of medicine. Healy 2015

Let people help people ... in a natural, kind, non-addictive (and non-big pharma) way. J Broadley 2017

 

 

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Thanks NZ, that's the same kind of set up.

 

Anyone with info on Europe, the US, Canada

Please note - I am not a medical practitioner and I do not give medical advice. I offer an opinion based on my own experiences, reading and discussion with others.On Effexor for 2 months at the start of 2005. Had extreme insomnia as an adverse reaction. Changed to mirtazapine. Have been trying to get off since mid 2008 with numerous failures including CTs and slow (but not slow enough tapers)Have slow tapered at 10 per cent or less for years. I have liquid mirtazapine made at a compounding chemist.

Was on 1.6 ml as at 19 March 2014.

Dropped to 1.5 ml 7 June 2014. Dropped to 1.4 in about September.

Dropped to 1.3 on 20 December 2014. Dropped to 1.2 in mid Jan 2015.

Dropped to 1 ml in late Feb 2015. I think my old medication had run out of puff so I tried 1ml when I got the new stuff and it seems to be going ok. Sleep has been good over the last week (as of 13/3/15).

Dropped to 1/2 ml 14/11/15 Fatigue still there as are memory and cognition problems. Sleep is patchy but liveable compared to what it has been in the past.

 

DRUG FREE - as at 1st May 2017

 

>My intro post is here - http://survivingantidepressants.org/index.php?/topic/2250-dalsaan

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The US healthcare system confuses all but the wonkiest political science experts, but I will give it a go.

 

Question: are antidepressants subsidized?

 

Partial answer: Yes, but the extent depends on the state of residence, income, and if you receive insurance from Medicaid (State-run, federally funded through block grants, primarily for poor and/or disabled under 65) or Medicare (health care for those over 65). 

 

This link explains difference between the two programs:

 

http://www.diffen.com/difference/Medicaid_vs_Medicare

 

This wiki page discusses the Medi-Cal program (funded by Medicaid), the indigent medical insurance plan for the state of California.  Every state has its own model.

 

https://en.wikipedia.org/wiki/Medi-Cal

 

In California, if the state labels you as mentally disabled, you can get your anti-depressants for free, depending on your income level.  If you make more than 250% above the federal poverty level as a working disabled person on Medi-Cal, you must pay a share of cost (co-pay).

 

Official websites on the programs listed:

 

Medicare.gov

 

Medicaid.gov

 

I didn't touch on private insurance, but that's an interesting monster in itself.  Private insurers have drug formularies that they base the co-pays on.  Those cost differ from company to company and plan to plan.

 

Good luck dalsaan!

Edited by PluckyPony

2006-2009 Zyprexa and Wellbutrin (dc Wellbutrin cold turkey, dc Zyprexa cold turkey with disastrous results) 2009-2010 Transitioned from Zyprexa to Abilify 2010-2015 Reduced from 20 mg of Abilify to 8mg. Cold turkeyed once during this period but finally learned my lesson.  12/2015 -  8mg of Abilify.  04/15/ 2016 -  7mg of Abilify. 09/15/2016 - 6.3mg of Abilify.  11/2016 - 5.7 mg of Abilify.  11/30/2016 - 5.1mg of Abilify. 01/2017 - 4.6mg of Abilify,  02/2017 - 4.1 of Abilify, 03/2017 - 3.8 of Abilify, 04/2017 - 3.4 of Abilify, 05/2017 - 3.0mg of Abilify, 07/2017 2.7mg of Abilify, 8/2017 2.5mg to 2.3 of Abilify , 9/2017 2mg to 1.8mg of Abilify, 10/2017 400mg of Abilify Maintena, unknown amounts of paroxine (sp), geodon and unknown benzo (forced), 11/2017 Abilify 6.0mg , 12/2017 Abilify 5.5 , 1/2018 Abilify 5.0mg, 3/2018 Abilify 4.5mg, 4/2022 Haldol Deca 200mg (injectable)

It's always darkest before dawn.

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  • Administrator

In the U.S., some companies, such as Walmart, Target, and the big pharmacy Walgreen's, provide some generic drugs for very little cost to the consumer, about $4-$10 per monthly prescription.

 

These prices are not subsidized; rather, they reflect the companies reducing their profit margins on some generic drugs as "loss leaders" to get people into the stores.

 

Otherwise, as PluckyPony posted, drug costs are reduced through the means-tested government program Medicaid (amount of subsidy and name of program varies by state) or the Veteran's Administration (for military veterans and sometimes family members only).

 

Everyone else in the US is either 1) uninsured, paying full price for all drugs (often purchasing from Canadian online pharmacies); or 2) has drug coverage through health insurance, where the amount of discount varies from plan to plan and drug to drug and is reflected in the "co-pay" required of the consumer.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Thanks for that info PluckyPony and Alto, I appreciate it.   Any Europeans want to chip in?

 

Dalsaan

Please note - I am not a medical practitioner and I do not give medical advice. I offer an opinion based on my own experiences, reading and discussion with others.On Effexor for 2 months at the start of 2005. Had extreme insomnia as an adverse reaction. Changed to mirtazapine. Have been trying to get off since mid 2008 with numerous failures including CTs and slow (but not slow enough tapers)Have slow tapered at 10 per cent or less for years. I have liquid mirtazapine made at a compounding chemist.

Was on 1.6 ml as at 19 March 2014.

Dropped to 1.5 ml 7 June 2014. Dropped to 1.4 in about September.

Dropped to 1.3 on 20 December 2014. Dropped to 1.2 in mid Jan 2015.

Dropped to 1 ml in late Feb 2015. I think my old medication had run out of puff so I tried 1ml when I got the new stuff and it seems to be going ok. Sleep has been good over the last week (as of 13/3/15).

Dropped to 1/2 ml 14/11/15 Fatigue still there as are memory and cognition problems. Sleep is patchy but liveable compared to what it has been in the past.

 

DRUG FREE - as at 1st May 2017

 

>My intro post is here - http://survivingantidepressants.org/index.php?/topic/2250-dalsaan

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  • 3 months later...

I'm in the U.S. I used to have private insurance but now Medicaid. Since Medicaid still thinks I have private insurance, they won't pay for my medication. Some pharmacies have programs you can join to get a discount on the medication if you're uninsured, like Walgreen's. Since I have Medicaid, I cannot join their program though. They told me they didn't know of any other discount, so I was paying cash for my medication. Then, I found this prescription discount cards sitting at a doctor office somewhere. Had never seen such a thing and didn't know if they really worked. Went to Walgreen's to pick up my medication, handed them the card, and lo and behold, I get 40% off my meds, which is a much better situation.

2014-2015, tapered off risperdal 1 mg done 11/14, Librium 2/15 from 25 mg (switched from Klonopin), and Prozac 40 mg to 20 mg and went off without tapering last 20 mg I think (no record of that) by March or April 2015. Possible rebound anxiety started in May 2015 (plus I'm anxious anyway but controlled usually).

Flexeril in August 2015 (for a couple weeks) and then 1 5 mg dose of Prozac in September 2015. Either going off flexeril or trying the Prozac or both plus my previous jump off Prozac that spring set off withdrawal symptoms, which at the time I just thought was severe anxiety due to a frightening situation that had happened plus insomnia and neuro symptoms. Also had a 1-week of steroid in July 2015 that made things a lot worse (anxiety, obsessing)

Buspar, Sept. 2015, didn't work well (severe chest pain), tapered off. Ambien, 2 nights for terrible new insomnia. Afraid of Ambien and went on Mirtazapine. Tried some ativan 2 or 3 times during this time, felt great while on, but rebound anxiety severe so stopped.

Mirtazapine 15 mg, 1 night on Oct. 9 '15, brain fog, too sedated, groggy all day; Mirtazapine 7.5 mg for about a week. Told pdoc didn't like bc side effects. He said I could jump off. Tapered down to 5.8 mg in a few days and held to talk to doc. He said stay on, seemed to help. It is helping sleeping but nothing else. Went from 5.8 mg to 5.6 mg on one day and 5.7 mg the rest. Taken from 5.7 mg to 5 mg while hospitalized in December 2015. Took a total of 3 doses of Valium during that time. Started on less than 5 mg Paxil by pdoc after hospitalization.

Started lowering mirtazapine dose from 5 to 4.6 mg on Mondays on Jan 4, 2016. Horrible. 1/18/16. Held mirt at 5 mg and 4 mg Paxil by weight on scale until April 2016. Slowly tapering since then 0.1 mg at a time.

Current dose: 2/17, 3.4 mg mirtazapine; 2.4 mg paxil; 3/17, 3.1 mg mirt; 2.1 mg paxil; 7/17 2.8 mg mirt, 1.8 mg paxil; Jan 2018 1.5 mg paxil, 2.5 mg mirtazapine  Update; January 11, 2021:  1.1 mg paxil and 2.5 mg mirtazapine and holding since at least January 2019.

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  • 5 months later...

Hi Dalsaan

i have just come across your posting and you probably have finished your research on the subsidising of anti depressants in different countries.  For what it's worth, no one in Scotland pays anything for their prescriptions, including anti depressants.  It's paid for by the Scottish  government.

In England the charge is £8.60pence per item.

Prince 1924

From 2000 onwards - Prozac 20mg daily.. Numerous attempts to come off have been disastrous - extreme anxiety,  depression.

(2005 - 2007 Tried Citalopram, 20mg. But switched back to Prozac.)

2007 - 20016 Prozac, 20mg.

Feb 2016 - Feb 2017 Have reduced gradually from 20mg to13mg.

Feb 2017 -  Jan 2018,  have reduced gradually from 13mg to 12mg.

This is going very slowly  because I reduced too quickly and had to go back up. 

Been a long journey but already I feel much more like me. Less brain fog...

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