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Re: typhoid

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Dave,I just write a prescription for "Oral typhoid vaccine, 1 capsule every other day x 4 doses, Disp #4" and have the patient get it at the pharmacy. Just make sure they don't take any antibiotics at the same time. SetoSouth Pasadena, CA

I do not do much travel medicine other than reviewing CDC guidelines for patients. However I have a patient that needs oral typhoid. Can I just send a prescription for the pharmacy for that with the instructions for the vaccine manufacturers or do I have to order those pills do the actual vaccine manufacturer like injectables?

Any input is most appreciated, thanks, Dave

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And  dont  swallow the pills with  water from the Broad Street pump...

 

Dave, I just write a prescription for " Oral typhoid vaccine, 1 capsule every other day x 4 doses, Disp #4 " and have the patient get it at the pharmacy. Just make sure they don't take any antibiotics at the same time.

Seto

South Pasadena, CA

 

I do not do much travel medicine other than reviewing CDC guidelines for patients.  However I have a patient that needs oral typhoid.  Can I just send a prescription for the pharmacy for that with the instructions for the vaccine manufacturers or do I have to order those pills do the actual vaccine manufacturer like injectables?

Any input is most appreciated, thanks, Dave

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You can do either. Marty mentioned to me I could order the capsules. I have so many different vaccines that I chose just to Rx to pharmacy. Most insurances don't cover travel medicine. But interestingly, I have see patients' insurances not cover Vivotif, patient come back for the injection, their insurance cover the majority of the cost, only a $5 copay. Patients like that!

Wen

 

And  dont  swallow the pills with  water from the Broad Street pump...

 

Dave, I just write a prescription for " Oral typhoid vaccine, 1 capsule every other day x 4 doses, Disp #4 " and have the patient get it at the pharmacy. Just make sure they don't take any antibiotics at the same time.

Seto

South Pasadena, CA

 

I do not do much travel medicine other than reviewing CDC guidelines for patients.  However I have a patient that needs oral typhoid.  Can I just send a prescription for the pharmacy for that with the instructions for the vaccine manufacturers or do I have to order those pills do the actual vaccine manufacturer like injectables?

Any input is most appreciated, thanks, Dave

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And the oral typhoid vaccine needs to be refrigerated.Sharon 

 

I do not do much travel medicine other than reviewing CDC guidelines for patients.  However I have a patient that needs oral typhoid.  Can I just send a prescription for the pharmacy for that with the instructions for the vaccine manufacturers or do I have to order those pills do the actual vaccine manufacturer like injectables?

Any input is most appreciated, thanks, Dave

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Have seen the cost as low as around $50 at Costco Pharmacy.

I tell patients the oral vaccine has 3 advantages over the injection...

....not a shot

....costs less

....good for 5 years vs. 2 years

They almost always choose the oral but better to go with the injection if within 2 weeks of departure.

Marty

MSent from my Motorola Droid 2

 

And the oral typhoid vaccine needs to be refrigerated.

Sharon 

 

I do not do much travel medicine other than reviewing CDC guidelines for patients.  However I have a patient that needs oral typhoid.  Can I just send a prescription for the pharmacy for that with the instructions for the vaccine manufacturers or do I have to order those pills do the actual vaccine manufacturer like injectables?

Any input is most appreciated, thanks, Dave

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thanks all

 

Have seen the cost as low as around $50 at Costco Pharmacy.

I tell patients the oral vaccine has 3 advantages over the injection...

....not a shot

....costs less

....good for 5 years vs. 2 years

They almost always choose the oral but better to go with the injection if within 2 weeks of departure.

Marty

MSent from my Motorola Droid 2

 

And the oral typhoid vaccine needs to be refrigerated.

Sharon 

 

I do not do much travel medicine other than reviewing CDC guidelines for patients.  However I have a patient that needs oral typhoid.  Can I just send a prescription for the pharmacy for that with the instructions for the vaccine manufacturers or do I have to order those pills do the actual vaccine manufacturer like injectables?

Any input is most appreciated, thanks, Dave

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