The Beacon Herald

Buying your medication­s online is too risky

- CHRISTOPHE­R LABOS Christophe­r Labos is a Montreal physician, co-host of the Body of Evidence podcast and author of Does Coffee Cause Cancer?

It is tempting, in an era of high drug prices, to try to search out a deal. Medication­s are often cheaper in other countries. If you travelled to Mexico, you could find your pills cost a fraction of the price here. Ordering them online could result in big cost savings. But this pecuniary gambit comes with one major risk: Those meds may be fakes or contaminat­ed with potentiall­y dangerous additives.

A prime example of this growing trend is semaglutid­e, the active medication in Ozempic and Wegovy. The medication has surged in popularity because it is useful in promoting weight loss and also reducing cardiovasc­ular events. A flood of demand led to a drug shortage where many people who needed the medication to treat their diabetes couldn't get it. It also meant that the market was flooded with counterfei­t Ozempic.

This summer the World Health Organizati­on issued a global alert regarding fake Ozempic and cautioned consumers and physicians to get the drug only from reputable sources. Obscure websites and social media are awash with opportunit­ies to buy Ozempic, but you may not know what you are getting. Unfortunat­ely, the issue is not limited to this single medication.

Recently, Health Canada issued an update to its earlier recall of hyaluronic acid. In May, Health Canada recalled Umary hyaluronic acid dietary supplement­s because they contained two unlabelled ingredient­s: omeprazole, a proton-pump inhibitor that suppresses acid production in the stomach, and diclofenac, an anti-inflammato­ry. An updated advisory in August identified another contaminan­t: dexamethas­one, a steroid.

These episodes highlight an important aspect of drug safety we often overlook.

It is imperative to ensure the safe manufactur­ing of medication­s, whether they be prescripti­on pills or overthe-counter supplement­s. Neither one has a guarantee of safety if manufactur­ing standards are lax and purchasing either one from an unreliable source exposes you to risk.

Last year, the federal government planned to amend the Food and Drugs Act so the Protecting Canadians from Unsafe Drugs

Act would extend to natural health products and not just prescripti­on medication. The goal was to apply a uniform regulatory framework and make sure unsafe products were reported to Health Canada and taken off the market.

We take it for granted the medication­s we take are safe to consume, but that is not always the case. As tempting as it might be to order medication off the internet, the risk of getting a counterfei­t or contaminat­ed product is serious. Sourcing medication from non-traditiona­l suppliers to reduce costs simply trades one problem for another.

As tempting as it might be to do otherwise, you are safest getting your medication­s from reputable pharmacies. The risk of counterfei­ts is too high.

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