why is multiple sclerosis (ms) medication so expensive?
generally, medical treatments for multiple sclerosis, a condition that requires lifelong care, are hellaciously expensive. this is true despite introductions of generic versions, and average u.s. retail prices are usually in the thousands of dollars. medication in the u.s. is always expensive, but ms medications are in another realm entirely, up there with treatments for cancer and rheumatoid arthritis. a 2020 study published by the american academy of neurology found that medicaid spending on …
that is what the data suggests. "the tamsulosin cohort had a higher incident risk of dementia compared with both the no medication group and the alternative medication group." this was from a study of medicare data of over 250,000 men who were 65 or older. ref: https://www.practiceupdate.com/content/dementia-risk-associated-with-tamsulosin-in-benign-prostatic-hyperplasia/71451 see more... brief answer: costochondritis and others as discussed. detailed answer: hi. thanks for your query, albeit short and specific. noted the history and understood the concerns. the commonest cause i can think of with the history you have provided is costochondritis. another/added possibility is... medication dosages might not be optimal. discuss with your doctor possible adjustments. see more... if you indeed do have mh then you should have been treated in a hospital setting. not only can it cause a deadly increase in muscle metabolism, but it also can increase heart rate. i would recommend against any stimulant like caffeine right now. make sure with your doctor that you have mh. mh is a medical emergency! about 10% lower than swes at google. which is still way higher than want asic companies pay. you can use it as soon as you get it.  keep in mind, no one can go into the dispensary with you unless they have a caretaker card, or a mmj card too.  also, they don't take debit or credit cards, you have to pay cash.  the average price of a cartridge is $50.  get a pen and battery form the dispensary (about $10). they burn at a lower temp than what you get at a regular vape store. 

you can also go online and see what they have available in your local dispensary.  they will have a pharmacist (a real pharmacist, not someone who calls themselves a pharmacist) who will assist you in choosing the right kind for whatever condition you have. dear sham park<br>cholesterol medication can cause abnormal liver functions - one is usually worried when the count is 2-3 times higher than normal. i would just monitor this to see that the levels stay stable and change or stop medication if it constantly increases. you have an older dog. arthritis was a reasonable first diagnosis. your vet did the right thing by going with the most likely diagnosis and conservative treatment. 

since the arthritis meds have not helped, that means there may be something else going on. 

you need to make another appointment with your vet and take your dog back. this time, your vet may want to do more expensive testing such as blood work or x rays. 

since dogs can't talk and tell us what is going on with them, sometimes a condition has to be diagnosed by process of elimination. a good vet will start with the most common conditions and be mindful of your budget. it sounds like you have a good vet. you've given the pain meds time to work and are seeing no improvement. that means, you need to go back and be prepared to pay for more expensive testing. 

a couple of weeks ago i took my 12.5 year old boy to the vet because he was favoring his back leg. i figured it was arthritis and best to check it out. the vet agreed and we put him on anti-inflammatory medication. after 4 days on the meds, he was not better and was even worse, feeling lethargic. i took him back and the vet suggested blood work. based on the blood work at that visit, the vet recommended an abdominal x-ray. when that was done, it was determined he had end stage cancer and his body was failing. i don't tell you this to scare you. but merely to illustrate how a good vet works. the first vet visit cost me $24 office visit. the second $245. had it just been arthritis, there was no need to incur the blood work and xray when an office visit and a course of meds would have solved the problem. when that did not work, we knew we needed to look deeper and do additional testing. sick she might be depressed. judicious low dose treatment might help her.... and you. see a geriatrician.