Stupid insurance

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STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 4/28/2011 1:53 PM (GMT -6)   
I was supposed to have SRT one today, more than 3 weeks after the radiation oncologist said go. The insurance company has yet to approve anything so we did a dry run and we'll wait for a call. Of course it's a bit late in the game to switch companies. All I can do now is spend as much of their money as possible. mad

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 4/28/2011 2:30 PM (GMT -6)   
BC/BS wouldn't pay for a script for Lunesta... They insisted I try something else like Ambien..
 
I don't know the difference but Lunesta will cover up to $50 co-pay 12 times a year mad  

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/28/2011 4:38 PM (GMT -6)   
Steve, easy answer there.

Ambien is now generic, under BC, I pay about $4 a month for them at CVS (been on Ambien over 11 years), Lunesta is not a generic at this point.

David in SC
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10

kbota
Regular Member


Date Joined Aug 2010
Total Posts : 487
   Posted 4/28/2011 8:35 PM (GMT -6)   
David, Does the ambien work just as well now as 11years ago? I worry about developing a tolerance to it. I hate taking any drug, but I am about to cave-in on the ambien. I hate staying awake all night even worse,....especially when I'm on the road.

K
Age 57 at Dx
5/09 PSA 2.26
6/2010 PSA 3.07 FPSA 18% DRE +
Biopsy, 7 of 18+, >60%, 4+5=9
7/21/2010 - RRP
Nodes neg, Ves neg
tumor contained, still 4+5=9
pni ext.
9/3, 2010 PSA - 0.04
9/3/2010, I'm 99% continent
10/14/10, PSA still 0.04, and lupron #1, now 99.9% continent
Total ED, 3 caverject failed
10/20/10 OD'd .5cc trimix, after 3hrs, neo synephrine shot
tried .15 & .17 cc neg, next .2

F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3992
   Posted 4/28/2011 8:39 PM (GMT -6)   
k -- i have been taking 10 mg of ambien at night for about a year and it puts me to sleep quickly.  when i was having hot flashes and other SE i wouldn't always stay asleep but ambien has helped me alot.
 
ed
 
 
age: 56
PSA on 12/09: 6.8
gleason 3+4 = 7
HT, BT and IGRT
received 3rd and last lupron shot 9/14/10
2/8/11 PSA <.1, T= 6 ng/dl

HD_Rider
Regular Member


Date Joined Apr 2011
Total Posts : 416
   Posted 4/28/2011 9:13 PM (GMT -6)   
I was taking Lunesta (2mg) off and on for the past three years or so.  It worked very well.
 
I just recently switched to a different health insurance and they would not cover the cost of the Lunesta until I tried Ambien first and my doctor would have to concur that the Ambien did not work.
 
I've now been taking 5mg of Ambien 4 or 5 nights a week for the past couple of months.  I have found that it works just as good as the Lunesta and costs me far less ($3 for a thirty-day supply of 10mg pills that I then cut in half).

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/28/2011 9:24 PM (GMT -6)   
K,

I was put on Ambien 11 years ago when I underwent major RT the first time. Over time, I did increase from 5 mg to the 10 mg tablets. At first, they would put me out like a light, and give me 6-8 hours of deep sleep, which is a lot for me. Come from a family of insomniacs.

There was a period when I didn't have any insurance, and was off Ambien for 6 months, I had no withdrawal problems, simply quit cold turkey. A monthly supply originally cost me $165 even with insurance.

I have been on the generic version as long as they have been on the market. I tried the "plus" version for 10 days, and found them not as effective. Also, to keep idiots from grinding up the Ambien to get high ( they snort the Ambien and then overdose onf caffine, to create hallucinations), the drug companys often coat the pills so that people can't crush them into a powder. I have found the coated generic ones work the best.

After all these years, an Ambien will knock me out in about 15 minutes on the average, and till give me at least 6 hours steady sleep. I never wake up with a sleeping pill hangover. I wake alert and instantly ready to go.

Like any prescription meds, people can and do abuse them, but I never have. If you take Ambien, you shouldn't take it till you are in bed and ready to sleep. The people that have had trouble with sleep walking or doing weird things under Ambien, usually take it, and then continue to try to be awake or active. Not a smooth move.

I have never tried Lunesta, so I have no opinion on it, but since it isn't generic, why pay the higher price?

Hope this helps

David in SC

Post Edited (Purgatory) : 4/28/2011 10:17:57 PM (GMT-6)


logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6079
   Posted 4/28/2011 9:33 PM (GMT -6)   
I do benedryl and works ok, wont do any thing stronger, oh yeah , it helps with allergies too. Why is it that us older guys all seem to have some sort of insomnia ?
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/28/2011 11:23 PM (GMT -6)   
logo,

i have spent my entire life with sleep problems. even when i was working, i can get by with 4-6 hours of sleep. before ambien, i use to use generic benedryl like you do, and it worked reasonable well for me. a pharmacist told me that you can do that safely for years, and if you have allergy problems (i have none), you get the secondary benefit. its a safe alternative to taking a prescription sleep aid in my opinion. cost wise, using wally world as the example, i can get a month supply of generic ambien cheaper than buying the generic bottle of benedryl.

i cant blame age in my case for sleep problems - my entire side of the family all suffer from sleep disorders. i even went to a sleep center one time and spent the night hooked up to a million sensors, personally, i thought it was a big waste of time, and it felt creepy. they never came to any kind of conclusion.

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10

JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3886
   Posted 4/29/2011 9:14 AM (GMT -6)   
I have always used melatonin. I used to do a lot of transcontinental flying and needed to sleep on the plane.    Both benedryl and melatonin worked well.
 
Now, each evening I use a 5mg Melatonin at about 9:30 pm and am dozing easily at 10:00. With few exceptions I sleep soundly until the alarm at 5:00 am.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard shot and daily Jalyn started on 10-7-2010.
IMRT to prostate and lymph nodes 25 fractions started on 11-8-2010
HDR Brachytherapy 12-6 and 13-2010.
PSA <.1 and T 23 on 2-3-2011.
PSA <.1 on 4-7-2011
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