Reader Question: CPAP for apnea and medicine in Thailand?

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December 19 2015

Dear readers,

On December 30th I will “emigrate” to Thailand. I have two health questions:

1. CPAP for breathing ease
Due to apneas I use a CPAP device(. The CPAP is a kind of air pump. The pump creates a slight overpressure, which keeps the airways open at night. The air pump can be compared to an aquarium pump. The pump draws extra air from the bedroom and blows it into the nose through a tube and a mask.This keeps the airways open and prevents apneas.You also stop snoring.

I have to hand in the current device when I leave. I am considering buying a device myself in the Netherlands and taking it with me. But then there is no further control. Are there any thailandblog readers who have experience with such a device in Thailand?

2. Medicines available in Thailand?
At the moment I am taking pantoprazole, atorvastine and clopidogrel. Are these medicines available in Thailand? Or are there similar medicines and if so, what are they called?

Thanks in advance.

Regards,

Rob

13 Responses to “Reader Question: CPAP for Apnea and Drugs in Thailand?”

  1. ThailandJohn says up

    Hello Rob,
    The CPAP machine is available in Thailand through Bangkok Hospitals. I got mine from Bangkok Hospital Pattaya. But they are pricey. But you can also have the check done there. Good luck with it.

  2. grain says up

    atorvastine = available but pricey 30 tablets at least 1590 Baht but I also paid 2050 Baht. So search well.
    Don't know about the other drugs.

  3. French says up

    Dear Rob, I also have such a device and got it here from the OLVG, the health insurance paid for it. I have taken it to Thailand several times, it comes with a passport. So no problem. As far as medicines are concerned, everything is available without a prescription, but you have to pay for it.
    Good luck,

    Greetings Frans.

  4. January says up

    Dear Rob,

    I also have a machine, I always take it with me, all medicines are available, or alternatives and also very good, at a good pharmacy there is someone who has studied for it, at least in Bangkok, she is looking at a similar medicine or a pulmonologist in a hospital, there is everything, as far as the machine is concerned, do not buy in thailand, but through thailand, resmed machines are very cheap in America, search the internet, you can just call them, and they will send one, you first transfer money quickly saves a lot of money,

    or let your family have a look here in Holland and call it here and take it with you, maintenance only needs to be done after 5 years, you can also have the inspection done in Thailand for your own machine, no problem.
    the big secret the fatigue is not caused by the alneu , but by your food , drink vegetable juice for a week and you will notice the difference , you probably have a leaky gut

  5. eduard says up

    Hello Rob, All three of the medications you mention cost about the same, about 3 baht per box. Unfortunately, I have problems with almost every organ and also take many pills per day. If something goes wrong here, you will receive bags of medication. ALWAYS check whether they go together with the medications you are already taking. If I receive medication from the Bangkok hospital, I can throw away 1700% because it is a danger with the medications I am already taking at that time. They don't take this into account at all in the hospital. I have pantoprazole for you, but I can reach you with the operator's permission. And just an addition to Jan, who talks about a leaky intestine, so a perforated intestine. This will mean that emergency surgery will be required due to peritonitis. So that won't be too bad. Maybe I'll hear you again. With kind regards

  6. Khaki says up

    Dear Rob! I also have OSAS and use a CPAP here in NL. The strange thing is that I never need this device when I'm in Thailand. I also sleep normally there, unlike in NL. Also last month I didn't need CPAP during my stay in Thailand and after a few days back in NL I have to use it again. I have also heard the same experience from a German couple. Have you ever tried sleeping there without the CPAP?
    Otherwise, it is not possible for you to take over the CPAP from the insurer and/or the supplier. I asked my supplier, ComCare Medical (Eindhoven) back this year and that was certainly possible. If the device still breaks in Thailand, you can always buy a new one there.
    Success!
    Khaki

  7. Christian says up

    Rob, Clopidogrel (Plavix) in Belgium 44,26€ for 84 tablets without hospital intervention. Last week I visited Boots Retail in Thailand and they don't have any Clopidogrel in their assortment. Found at a Chinese Pharma Plavix Clopidogrel at 1300Bath for 12 tablets. It is better to bring a large stock from Belgium or the Netherlands with the payment label or doctor's certificate.
    Regards, Chris

  8. Jasper says up

    Severe apnea was diagnosed in the Netherlands and immediately received such a device at home.
    Coincidentally, I had another apnea exam (night in hospital) right after coming home from a 1/2 year Thailand. As it turned out: apnea gone, gone.

    According to my wife I sometimes snore in Thailand, but no apnea despite being very overweight.

    I blame the difference on the air quality (I have to blow my nose very often in the Netherlands, never here!), and a slightly different diet.

  9. Fun Tok says up

    The danger of Cpap equipment is that you become 'lazy', so to speak, with regard to the autonomic breathing system. Plus you will gain weight. Your breathing will no longer stop, but will be absorbed by the device. But if you use it in the Netherlands and think you don't need it in Thailand, it can be very dangerous. I would discuss this with the sleep center or your doctor. The annoying thing is in Thailand, especially if you're in the interior, that you often have power cuts and then you don't notice that your device has stopped. If you are very dependent on your CPAP, you could also simply suffocate. But that depends on the extent to which you need the support and the amount of apneas. Precisely because your autonomous breathing system became lazier, I chose a different way. I started exercising and losing weight as much as possible. The result was that from the 30 apneas per hour I went back to 1 or 2 and now even none. Ergo CPAP out the door.

  10. Harry says up

    I would scan that passport for that device and put it on Hotmail or Gmail in some places.
    @jan: leaky gut, so everything straight into your abdominal cavity: you will live a few more days at the most.
    @Fon Tok: on top of the hose that enters the mask, there is a kind of valve. It should open when the pressure from the air pump drops, so suffocation should not be possible.
    MY problem: there are a bunch of small holes near the mouthpiece. As a result, the exhaled air must escape. That only works if you breathe very little, so almost already at “sleep position”, and not if you are still breathing in “walking position”. In other words: I get the feeling of breathing in my own exhaled air again and a very oppressive feeling.
    Very interested in the experiences of others.

    I was “sold” this device because I am always so tired in the morning: as if I were just going to work when I arrived in Suvarnabhumi in the morning. This could be because the apnea causes my body to wake me from deep sleep to supplement the oxygen deficiency. The strange thing is, after several months of use: sleeping with or without the hood on: the permanent, all-day feeling of fatigue is exactly the same.
    Lose weight: yes, that would be the best medicine, well under 100 kg. However, due to back surgery, every step still hurts, so running etc. is not really experienced as pleasant.
    Snoring: hardly. Waking up at night: no.

    Very interested in the experiences of others. hromijn at casema point nl

    • Fun Tok says up

      You don't understand my response. It has nothing to do with the holes that open automatically.

      It has to do with the fact that the device gives you a lazy autonomous breathing system and it therefore intervenes much too late when your “automatic” system fails. That is what apnea is all about (breathing arrest). As I mentioned, the extent to which you are dependent on your cpap device is decisive here. The duration of the apnea determines the damage to your organs and, if you're unlucky, even death as a result. Read again carefully what apnea is all about.

  11. harry says up

    hey,
    You can buy all medicines here in original form or replacement at the pharmacies. sometimes you have to try a few different pharmacies until you find one. often a big difference in price.

    cpap. You can simply buy different brands of resmed cpap devices here. they even deliver to your home! also all masks, hoses, filters, etc. etc. The telephone number of the representative is 083 568 1271. Several pulmonologists also have a lot of experience with apnea and CPAP. you can simply visit them in the various hospitals. setting up a new machine is a piece of cake so anyone can do it and the representative who delivers it to your home can do that for you too.

    There are quite a few comments here that make it all harder than it is! Also a few comments as if one is a medical specialist in this field. I know fat people who have sleep anea and thin ones, so that can't be 100% indicated. it is a simple and reliable solution in my eyes and completely hassle-free. I have bought my device in NL for 22 years, used it in Australia for 15 years and in Thailand for 5 years. no problem. never serviced as someone here says. not necessary! You can easily cope with a power outage by buying a good gel battery and a power converter from 12 volts to 220/240. for example, I have traveled over 100.000 km through Australia 4wd-ing and charging the battery during the day and letting it work at night. I had made a permanent connection so only had to plug in when I went to sleep. for home use you can use a battery charger trickler and the converter. if the power goes out you can still sleep for 8-10 hours with your cpap! cheap and effective.

    so don't worry and be a little inventive and problem solved. good luck!

  12. John Apeldoorn says up

    Hi there!
    I happened to buy a 2nd hand Apnea device at the former Comcaire, now Vitaaire in Eindhoven. Wasn't that big either. They have regularly cleaned good 2nd hand, at a reasonable price, so it can last for years! I paid 120 for it. but you still have to look for mask and hose! And regularly renew filters and 1 xp year mask!
    My device goes everywhere, around the world! And yes, also a Customs form. apply for an airplane!
    Greetings Johan.


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