Medications

has Ecuador Government removed penalties for buying opioids and taken away the sigma of buying because of chronic pain? It would be nice to live somewhere that I could retire too and be treated properly. thanks

Hello my name is Maggy Ibarra i am from Ecuador. i dont know so much what do you need about medicine, But ,I offer you I have a beautiful place in Cumbaya, it is a center for adults. A club where you have everything you need, you live comfortably with everything. They include medical specialists, we get your medicines, walks, activities, nurses. It is not the same as a hospital. It is a residence. A beautiful, warm and safe valley. ****

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Top 10 things that happened on the way to getting my meds.

10.  About 10 days ago, when I was planning to have a procedure done at a clinic in Quito, the Guayaquil-based specialist-doctor decided not to come for his weekly one-day visit to the capital where I live.  This created a 'problema' because he was also supposed to provide me with a 'receta especial' necessary to replenish my prescription of 'tabletas' for sleep, which pills had run out the night before.

9.  I rushed over to Hospital Metropolitano at 5 p.m.  A helpful pharmacist at Fybeca pharmacy directed me to a doctor in the nearby medical tower who provided me with 10 tabletas.  There was no consultation .. and no charge for the 'receta'.

8.  This week, the Guayaquil doctor blew off his Quito trip for a second consecutive week.  My 'suministro de tabletas' was again running low.

7.  I phoned and made an appointment for Friday afternoon with a Quito medical provider that supposedly was going to send a doctor between 5 and 6 p.m. 

6.  When I called to confirm the appointment on Friday, they had no record of the scheduled visit .. and we arranged again for the doctor to come.

5.  The doctor didn't show .. and the provider's rep told me on the phone they couldn't assist me before the pills would run out on Saturday.

4.  I found another medical provider via online search.  On Friday evening, a doctor there said he could provide the 'receta especial'.  A language barrier was preventing me from getting the logistics straight over the phone.

3.  Fortunately, my part-time assistant, Melva, was on the scene.  She spoke with the doctor in his 'idioma' and arranged for payment over the Internet and for a Uber delivery of the 'receta' document to my 'casa'.

2.  An hour later, the Uber car arrived.  However, the doctor had prescribed the wrong medication!

1.  And the number-one series of events that capped the hunt for my meds...

Melva called the doctor, arranged for a substitute 'receta,' the document arrived in another Uber .. then we drove to a 24-hour Fybeca pharmacy and obtained 'la medicina correcta'.

The end.

cccmedia in Quito
has Ecuador Government removed penalties for buying opioids

No



It would be nice to live somewhere that I could retire too and be treated properly.

you'll be treated properly. Just don't expect opiods to be prescribed in anyway near north American levels. No where in the world does.  If for whatever reason you must have opiods, there is no better place than the US to be. For good or ill
@cccmedia wow. What an experience!! I'm glad you finally got what you needed. It never ceases to amaze me, as a retired nurse, how there are people in the helping professions, who should never be there or don't know when to leave. You cannot be a caregiver on any level and be selfish at the same time . Even a dog has basic compassion- not to mention blowing off your  fundamental responsibilities and ethical code of conduct when it comes to patients .

Wishing you well CC. I know what ur going through.

Take care
@user159

So if you have prescriptions when you expat in your country be they opioids or say, biological for autoimmune conditions. Will you face difficulty in obtaining your meds? . If one has a chronic illness and takes medication- then it sounds like some planning needs to be done to insure access to complete healthcare, which includes easy access to required medication. Before you even think about living your best life there. I'm just saying…
You can expect better luck with this process if you locate in a city such as Quito than some remote area of Tungurahua province or Nalgas del Cerdo.

Twice I have run out of an essential medication since I moved to Quito in 2013.  The first time was during my first year here, the second was the recent incident I chronicled on this thread.

Both times I got excellent assistance at Hospital Metropolitano, which is one of the top hospitals in South America.  The doctor who saved the day recently was Dr. Julián Vacas in one of the medical towers, an internal medicine specialist.

Mind-altering and mood-altering drugs often must be prescribed by a specialist doctor who is authorized by El Ministerio de Salud to issue 'recetas especiales'.

cccmedia in Quito
I have occasional need for prescription medications to help with occasional insomnia.

My experience in Guayaquil has been simple.

I walk down to our neighborhood doctor. His office is attached to his home. My first visit, i explained that my doc in the US prescribed me the medicine for the same reason. He asked me a few questions about my general health and then wrote my a prescription. Consult was 10 minutes and $10.

I took my prescription to the pharmacy around the corner. They had it in stock and i got a 30 day supply (which lasts me about 6 months) for $8.
I haven't seen doctor-visit pricing like that ever in Quito, especially for specialist doctors.  When I got here in 2013, the specialist's fee was $50 for my visits at each of two doctors.

Since then it's gone up to around 60 or 70 US.

For the Uber-delivered prescription I described above I paid $75, including the Uber.  When it became obvious the wrong medicine was specified in the receta, the second Uber delivery was 'gratis'.

As for the meds themselves, yes, they are cheap in Quito.  I just bought 100 pills for each of four meds for a total of $48.

cccmedia in Quito
@user159

So if you have prescriptions when you expat in your country be they opioids or say, biological for autoimmune conditions. Will you face difficulty in obtaining your meds? . If one has a chronic illness and takes medication- then it sounds like some planning needs to be done to insure access to complete healthcare, which includes easy access to required medication. Before you even think about living your best life there. I'm just saying…
- @bumpierswank0e


opiods just aren't prescribed here like there are in the developed world. They are very very restricted. Yes it is possible, in very rare cases. But you cannot just come in with your foreign prescription and expect that to be that. A Dr will see you and decide what they think is best for you. Which may not be the same as your home Dr.


As a rule of thumb, Ecuador is not a heavily medicated society when compared to the US.



As some one said above, you will have a better CHANCE in the major cities. ZERO in the smaller cities / towns. If these medications are essential, serious research required.  Ecuador is a poor, developing country, things are different here.
I have occasional need for prescription medications to help with occasional insomnia.

My experience in Guayaquil has been simple.

I walk down to our neighborhood doctor. His office is attached to his home. My first visit, i explained that my doc in the US prescribed me the medicine for the same reason. He asked me a few questions about my general health and then wrote my a prescription. Consult was 10 minutes and $10.

I took my prescription to the pharmacy around the corner. They had it in stock and i got a 30 day supply (which lasts me about 6 months) for $8.
- @lebowski888

for general medicine yes, for abusable medicines (opiods / benzos / amphetamines) I have never heard of it being so simple.

Getting special meds the easy way.

Part 1.



When my sleep meds ran out this week,

I was expecting to take advantage of my

location in El Centro, Quito, one short

block from a dental practice I use.  There

is signage for a doctor there named Larco

although I'm not sure he has an office

of his own.  He's not there frequently.


I called up Dr. Larco at his office

in the suburb of Tumbaco .. and we

arranged for me to email my information

to him so I could pick up the document

known as the 'receta especial' at the

dental office near me.  Then I could

theoretically pick up the meds at

a Fybeca pharmacy.


My special meds had run out on

Monday night.  I was supposed to

pick up the 'receta' on Tuesday afternoon

after its delivery to the dental office

by a Larco relative.  This multi-step

plan would require Dr. Larco receiving

my info-email and properly filling out

the 'receta'.


Then I got a 'bounceback' email stating

that the infamous Mailer Daemon could

not do delivery of my information email

to the doctor.  I had left the letter 'm' off

of the dot-com part of the doctor's

email address. Holy cow!  This time

it was my mistake!


So there I was, with no more sleep

medicine for that evening .. and the

logistical impossibility of getting a

suburban Tumbaco doctor to

assist me in time.


Fortunately it was only 2 p.m.

Getting meds the easy way.

Part 2.


I then went online and Googled

a couple of phrases that included

the words 'a domicilio', meaning

home delivery.  I saw one of the

early listings was for Devita Medical,

a service that advertised it could

send a doctor to your home

24 hours a day.


As it turned out later, this was

the sane service that had ended my

June 2022 search for meds

with an ultimately successful

delivery to my condo.


Dr. Martín of Devita answered

the phone .. took some information

.. and a few minutes later, I

received a call that he would be

at my condo in 35 minutes.


Sure enough, the doctor appeared,

did a brief examination, asked me

about my medical history, and

then produced a flawless

'receta especial'.  I know it was

perfect becauseI inspected the

completed form closely, having

caught errors by other doctors

in the past.


I called Fybeca.  They told me

the location of their nearest

'sucursal' -- at Plaza del Teatro.

I walked the several blocks

over to there, and the prescription

was promptly refilled.


---


Notes:


Devita Medical is easily Googled.


I do not receive compensation

for discussing Devita Medical or

any other person or entity

mentioned on this thread.


cccmedia in Quito

The doctor I go to for my stupifying med receta on special blue paper is about a mile walk for me. He caters to gringos since he speaks perfect English. His office is adjacent to a Farmacia Económico owned by his parents. I imagine his parents own the building he works in as well, but never asked. When, I need a refill, I send him an email to schedule an appointment for the next day.

That was an apparent reference to 'estupefacientes',

which is a Spanish word for 'narcotics'.  It can be a

noun or a 'verbo'.


Source... wordreference.com

When a 'receta especial' is required.


Most pharmaceuticals needed by Expats can be

purchased over-the-counter in Ecuador's larger

cities, provided you know the Ecuadorian name

for the medicine.


Psicotrópicos and estupefacientes normally

require a 'receta especial' filled out by a specialist

doctor, whose fee may be higher than a

general practitioner's.


cccmedia in Quito

Recent pricing.


I paid the doctor from Devita Medical $30 for

his service 'a domicilio' that produced

the receta especial.


Fybeca charged me about eight dollars for

the medicine itself, a Benzo.


Fybeca sold me 30 tablets at my request, but

the pharmacist said I could obtain a total of

90 tables or three months' supply in a

single purchase.  I have emailed Dr. Lorca

to upgrade me to 60 additional tablets in

the still-to-be-produced 'receta' for which I

paid earlier at the dental office ($35).


cccmedia in Quito

That was an apparent reference to 'estupefacientes',
which is a Spanish word for 'narcotics'. It can be a noun or a 'verbo'.
Source... wordreference.com
-@cccmedia



My Oxford Spanish dictionary app indicates a noun or adjective. I misspelled it, but stupefying is an adjective as well.