2015年8月15日土曜日

Supplements of economic efficiency (cost-effectiveness): Comparison with drug

Following yesterday, we want to consider supplements of economy the (cost-effectiveness). I tried to calculate the specific examples. ■ dyslipidemia (hyperlipidemia): statin agent vs. monascus (lovastatin) First, it is red yeast. Monascus, for the cholesterol-lowering effect, has the same effect with a statin agent, and has been known to be fewer side effects. In addition, cardiovascular events lowering effect is also shown, from the safety and efficacy, can be recommended to equal to or higher than that of the drug. Considering the cost-effectiveness (economy), prefer the DHC of concentrated red yeast, it is better than the statin agent. When I compared the drug prices, it looks like the following. And pharmaceuticals: statin agent (HMG-CoA reductase inhibitors) Mevalotin tablets (5mg) 54.00 円 Lipitor tablets (5mg) 59.40 円 Supplement: DHC concentrated red yeast 40.24 yen per grain DHC concentrated red yeast is the effect of as much as 5mg tablets of Mevalotin and Lipitor. (Although there are individual differences.) Because Mevalotin and Lipitor is also 10mg tablets, you can increase also concentrated red yeast as needed. (It should be noted, also concentrated red yeast statin agents are also recommended in combination with coenzyme Q10.) ■ Depression: SSRI vs. St. John's Wort Next, depression, compared with the SSRI medicines, in the St. John's Wort, for the depression of moderate from mild, there is the same effect as SSRI, and fewer side effects, we have established evidence that . (St. John's Wort is a high safety alone use, but you must be careful to adverse events due to the interaction of the drug.) Compared to the SSRI, St. John's Wort, it will be one of the cost of three minutes from half-price. And pharmaceuticals: SSRI Paxil tablets (5mg) 60.50 円 Jay Zoloft tablets (25mg) 106.00 円 Supplement: DHC St. John's Wort (extract powder 650mg) 29.74 yen per the 1st ■ Anti-Aging: ubidecarenone vs. coenzyme Q10 Coenzyme Q10, which is used widely in the field of anti-aging, anti-aging, there is also a product as a medicine. However, since the 1st dose is 30mg, it is the dose of prescription because 3 tablets 10mg tablets. In clinical trials, doses of around 100mg is common. For example, the DHC coenzyme Q10 has 90mg contain per two tablets a day. It also contains 35mg per bag to DHC Protein diet. And pharmaceuticals: Noikinon Tablets (10mg) 18.8 円 ⇒ 90mg = 169.20 円 Supplement: DHC coenzyme Q10 (45mg) 12.50 円 ⇒ 90mg = 25.00 円 When compared with per day 90mg, more of the supplements is the cost of a fraction of the drug. ■ vitamin D: Erude Caliciviridae tall (active form of vitamin D3 formulation) vs. vitamin D3 Vitamin D has been known variety of acts such as the immunomodulatory effects and anti-cancer effect. Pharmaceuticals is the active form of vitamin D, it is a prescription for the treatment of osteoporosis. Supplements, vitamin D3 is common, will be absorbed into the body in its active form. And pharmaceuticals: Eddie roll capsule (0.5μg) 68.5 円 Supplement: DHC vitamin D3 (25μg; 1,000 IU) 10 yen per the 1st In addition, drugs, will be the insurance adaptation, so the actual copayment is 30%. Therefore, the above drug prices, the difference between the price of supplements, has become larger than the actual copayment. However, in the case of pharmaceutical products, in addition to the prescription charge, payment of examination fees and prescription of a medical institution is required. In particular, If the self-pay 30 percent, First, in the hospitals and clinics, First, re-examination fee ¥ 810, total 1210 yen of dosing fee 399 yen is the self-pay. Next, in the pharmacy, Dispensing technology fee and pharmacy management fee, it will be added in addition to the drug charge is the price of medicine. Supplements, first, will be used for health maintenance, disease prevention. In this case, the health effects of vitamins and minerals, has antioxidant and anti-inflammatory effects of the functional food ingredient works. On the other hand, when it is utilized for improvement of certain diseases or conditions, And wide there are many available that have been functional food ingredient as a supplement rather than as a pharmaceutical product. In addition, safety and efficacy, when you think about the economy, as described above, there is the same effect as pharmaceuticals, high safety, also known excellent supplement ingredient to economic efficiency.

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