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#4658 - 05/26/06 12:11 PM Any substitute concoctions for Lac-Hydrin 12 %??
London Offline
Junior Member

Registered: 05/26/06
Posts: 2
Loc: NW USA
Hello all.

I'm new to this. I recently married and my wife has ichthyosis vulgaris and uses the dreadfully expensive Lac-Hydrin 12% (ammonium lactate) prescription cream. I think a bottle of it in 400 ml costs her about $70. Her Kaiser insurance doesn't pay for it, so it's all out-of-pocket each month.

Have the "alchemists" invented another way to combine the same or similar ingredients, so that we can make it ourselves at home???

Is this the million dollar question (aside from a cure)?


Any hints or suggestions from others out there???

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#4659 - 05/26/06 03:07 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
ShaunaJ Offline
Member

Registered: 07/29/03
Posts: 233
Loc: Ogden,Utah
I don't know about mixing things at home, but even for me to have a pharmacy mix my daughters velvachol with lactic acid cost me $50.00. I know just the velvachol is like $12 - $16 depends on where you get it. Even if I could do that mix mat home I am sure I would only save $5 or so. Not enough for me to mix it myself. I also know if you mix the wrong things together it can realy burn and hurt. I did this on accident with just over the counter lotions. Have you tried dermal therapy it works good and so does Aqua Glycolic. I know how it is to spend lots of money on lotions and love to find lotions that work just as well but are cheaper. Good luck!!

------------------
Shauna Johnson
Independant Consultant
Cookie Lee Jewelry
"Choose a job that you LOVE and
you'll never WORK a day in your life!"
_________________________
Shauna Johnson
Independant Consultant
Cookie Lee Jewelry
"Choose a job that you LOVE and
you'll never WORK a day in your life!"

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#4660 - 05/26/06 05:33 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
gryphon Offline
Member

Registered: 04/12/06
Posts: 298
Loc: Alberta, Canada
Here are a few suggestions London.

If you live near the Canada/US border, drive across and pick it up in Canada. It is OTC here and I can get brand name Lac-Hydrin 12% for CDN$12 (for 255ml) where I live. Or else order it from a Canadian online pharmacy. Since it is OTC here you won't even have to got through the 'script-process'. Here is a site from which you can buy the brand name or generic version of Lac-Hydrin for US$20 or less for either one (enter "lac-hydrin" into the search bar).
http://www.canadapharmacy.com/


I would also suggest that your wife perhaps try a urea based cream. I find that urea works better for my IV than lactic acid alone. So here are a couple of 10% urea lotions to try, both of which will run you US$10 each for 250ml.

1- The first is Uremol lotion 10% (also OTC in Canada)and it is offered at the same price I would pay for it myself in Canada at the above-linked pharmacy site (search "Uremol" and it is the Uremol 10 lotion in the results).

2- I second Shauna in recommending Dermal Therapy Extra Strength Body Lotion (it is my own lotion of choice and I used to be a Lac-Hydrin user). The lotion contains a combination of 10% urea, lactic acid, and malic acid. To try the lotion (also OTC here) go www.dermaltherapy.com and call their toll-free number to either order directly or to enquire about a retail distributor in your area in the US.

It's shocking to me that you pay US$70 when I can get the same quantity here at any drugstore for US$20. Westwood-Squibb certainly has no qualms about gauging US customers on a product that has been on the market for over 30 years.

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#4661 - 05/26/06 05:54 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
Les Avakian Offline


Member

Registered: 08/13/00
Posts: 680
Loc: Fresno, Calif. USA 93705
Hello London, Erin, and Gryphon
Everyone has great ideas on saving money substituting Lachydrin with other generics.You are so correct Gryphon on the skin cream expenses we are subject to.May I add Amlactin made by Upsher Smith is very reasonably priced at around 10 dollars for a 140 gram tube and Amlactin Non-Itch at around 13 dollars at Sams Club.I was in the trials for LAClotion made by Paddock Labs,and it is a generic for Lachydrin 12, but I am not sure of the price.The best buy, in my opinion, is Dermal Therapy`s Alpha Hydroxy Acid cream 10% urea/10% lactic acid at 18.99 for a 16 ounce container.I am particularly impressed by their 30% urea/10% lactic acid called PrimaDerm 30 at around 9 dollars.Many are also helped by Aqua Glycollic.The bottom line is to find a cream that works best for you. For my x linked skin, I need a stronger acid to exfoliate and moisturize, while others might be helped by milder creams.Its all by trial and error, and the opinions and ideas listed on this board are the best you will find in the whole world. Good luck to you London.
Sincerely,
Les
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Les Avakian

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#4662 - 05/26/06 07:26 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
gryphon Offline
Member

Registered: 04/12/06
Posts: 298
Loc: Alberta, Canada
Les, how did you find that the LacLotion (generic) compared to the brand name Lachydrin. I've never bothered to try the generic lotions and am curious whether you found them equal in efficacy. Incidently, if you're wondering about the price of Laclotion, it is $15 offered as the generic option for lachydrin at the online pharmacy.

BTW to anyone in the US who buys lotions (or even other drugs for that matter) whether it is Aquaphor, Eucerin, Amlactin etc., etc. I would suggest always checking the prices at www.canadapharmacy.com (or other reputable online Canadain pharmacies) to see what savings are available through Canada, even if the lotion is OTC in the US. When you search any lotion or drug the site will also advise you if there is a Canadian generic option also available to you (Canadian patent laws are not strictly the product of pharmaceutical lobbying and thus generic versions can compete with the brand names much sooner than in the US).

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#4663 - 05/26/06 07:49 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
London Offline
Junior Member

Registered: 05/26/06
Posts: 2
Loc: NW USA
Thanks to all who replied to my post this morning. I appreciate you taking the time to share your thoughtful comments!

- London [img]http://www.ichthyosis.com/ubb/smile.gif[/img]

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#4664 - 05/27/06 04:24 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
arkangel Offline
Junior Member

Registered: 10/27/03
Posts: 1
Loc: Arkansas, US
I have been buying AmLactin 12% in the 8 oz. (225g) at Wal Mart pharmacy for several years. I have to ask the pharmacist for it since they don't stock it on the counters. It costs about $12.
Hope this helps.
Ellie

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#4665 - 05/30/06 06:06 AM Re: Any substitute concoctions for Lac-Hydrin 12 %??
Les Avakian Offline


Member

Registered: 08/13/00
Posts: 680
Loc: Fresno, Calif. USA 93705
Hello Gryphon
Thanks for your question and for the information you supplied on LAClotion.I didnt know in the trials whether I was using LAClotion or a placebo.I called Paddock Labs last Friday and asked about their cream. It is by prescription in the U.S.,but he didnt give a retail price.I think the cost of LAClotion in Canada is very reasonable.The anomaly here is if Amlactin can be sold as an over the counter generic, why does Lachydrin and LAClotion have to be by prescription and at a higher price in the U.S.Another question I pose is can you purchase Lachydrin and LAClotion from an online Canadian pharmacy without a prescription?For me personally, Ive been using Lachydrin for 24 yrs, and am fully satisfied with the results.Amlactin didnt have the potency I require for exfoliating and helping my itching problem.Like Ive always said, what works for some, will not work for others, and everything is by trial and error.Take care everyone
Sincerely,
Les
_________________________
Les Avakian

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#4666 - 05/30/06 04:29 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
Anonymous
Unregistered


Pick up Lac-Hydrin 12% (225ml) from a Canadian pharmacy for $10 CDN.

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#4667 - 06/03/06 10:30 PM Re: Any substitute concoctions for Lac-Hydrin 12 %??
gryphon Offline
Member

Registered: 04/12/06
Posts: 298
Loc: Alberta, Canada
Thanks for your reply Les. I am surprised that double blind and/or placebo-based trials were used for Lacloction. I wouldn't have thought that necessary for topical cream testing. I would think that skin improvement is visually obvious and not a product of clinical suggestion or psychosomatic effects. (and what would they give you anyway? a "sugar lotion" similar to a "sugar pill" placebo...these questions are rhetorical [img]http://www.ichthyosis.com/ubb/smile.gif[/img]).

The active, and presumably risk-causing, ingredients appear to be identical in Lachydrin and Amlactin. Whereas even 25% urea and 12% lactic acid creams are not deemed to pose a risk of harm or abuse to the Canadian public or to drug effectiveness/resistance, I don't know why in the US lacydrin is categorized as it is, particularly if Amlactin is OTC in the US. As for the higher prices, it's a product of competition (there are for more acid lotions available on the Canadian market OTC that aren't on the US market) and the culture of 'higher prices for US customers' that seems to pervade all sectors of the pharmaceutical industry.

As far I can quickly glean from several of the online pharmacy sites, if the product is OTC in Canada then no presciption is need for orders from outside Canada, even if the same item is a prescription medication in the recipient's jurisdiction. Anyone ordering from the US should however ensure that the online pharmacy is one with integrity. There are unlicenced or unscrupulous pharmacies that purport to be Canadian, while actually based in another country.

Trial and error is indeed the only way to find what best suits an individual's personal preference and skin needs for each the different types of ICH. My father, sister and I all have IV and we each have our own lotions of choice. At the same time there are some universal principles of skin care that apply to all three of us.

[This message has been edited by gryphon (edited June 03, 2006).]

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