Dramatic drug price increase leaves patients scrambling
Sodium cromoglycate is a safe, effective, no longer commonly used medication that's been around for more than 50 years. Suddenly it's become very costly for those who use it.
For patients like Robyn Fernandez, it's been a lifesaver -- literally.
"Basically, it gave me my quality of life back," the 24-year-old told CTV News Toronto. Fernandez lives with Mast Cell Activation Syndrome, an immunological condition which causes symptoms including anaphylaxis.
"It's basically your immune system is on hyper drive and overreacts to everything. And so it's sort of like when you have a superhero movie: my immune system is the superhero and whatever it decides is the super villain is the super villain and I'm the city being destroyed in the meantime."
Her explanation of the condition is lighthearted, but the effects of it are not.
"Anything can be a threat," Fernandez said, "it can just be a fabric you're wearing, it can be a scent in the air, it can be a food you're eating that used to be safe and now your body suddenly decides it's a threat. And then you can go into anaphylaxis and the next thing you know you're doing an EpiPen and you're in the hospital."
Since being diagnosed with the syndrome, Fernandez has been using sodium cromoglycate. The drug comes in nebules, which are inhaled into the lungs. In Canada, the drug is manufactured by Montreal-based Pharmascience Inc.
Earlier this year, the medication was removed from the Ontario Drug Benefit Formulary, meaning the cost is no longer covered by the province. Shortly after, those who use it found the price had gone up more than 400 per cent.
"No one's going to believe that the operating costs to make this drug suddenly soared 400 per cent," argued Dr. Matthew Stanbrook, a respirologist with the University Health Network.
"This is just an attempt to make money. It is not necessary, it is just the company trying to generate more revenue and, from a healthcare point of view, we should not have sympathy for that," Stanbrook said.
Stanbrook says the drug, which has been around since the late 1960s, was commonly used to treat conditions from asthma to allergies. But advances in medicine have led to other drugs taking its place for most patients. Still, he says, there is a small number of patients who require it.
"It holds the patients who require this hostage in a way, because they're dependant on the drug. The costs are ramped up beyond the point any individual could afford and it puts insurance companies and the third-party payers like governments in a really difficult situation."
Use of the drug has dropped more than 95 per cent in the last 15 years, according to its manufacturer. In a press release on Wednesday, Pharmascience Inc. says "the case of sodium cromoglycate illustrates well the extreme difficulty for generic pharmaceutical companies to maintain the commercialization of old generic drug products with very low utilization rates.”
The company said it is reducing the cost of the nebulizer solution to what it calls the "lowest price available in Canada".
However, even that won't help Fernandez who says the price increase makes it impossible to afford the drug. “I won't be able to take my medication anymore," she said.
The company said the cost reduction will remain in place until current inventory is depleted, providing time for physicians to find alternative therapeutics for their patients. But that may not be possible for everyone. Dr. Stanbrook calls it a "bad trade-off" that may lead to further complications for patients.
"For these few patients who depend on this, it might be trading this medication that has relatively few side-effects and is very well tolerated, for a medication that could have a lot of side-effects."
And for Fernandez, it might not be an option. She says, “There is no alternative. I talked to my pharmacy, there is no alternative. My allergist was saying we don't know what we're going to do after this because there's nothing left."
Fernandez hopes the drug will be re-added to the Ontario Drug Benefit Formulary, so she can continue to take it.
"I need it to be covered so that I can breathe and eat without going in to debt or being in a hospital all of the time."
CTVNews.ca Top Stories
'Oh my God, you're my brother': Man in his 70s discovers 6 unknown siblings
After receiving a DNA kit one Christmas from his son-in-law, Hugh McCormick soon discovered that he had six unknown siblings, with whom he shared the same birth parents.
No refund for travellers who cancelled flight already scrapped by airline: regulator
Four years on, the controversy over whether airlines owed refunds to passengers after cancelling hundreds of thousands of flights during the pandemic continues to simmer, aggravated by a sluggish, opaque complaints process.
Just how bad are ultraprocessed foods? Here are 5 things to know
Many foods fall under the category of ultraprocessed foods, depending on their exact ingredients. This type of food has been studied a lot lately, and the results aren’t great.
'My family doctor just fired me': Ontario patients frustrated with de-rostering
Dozens of Ontarians are expressing frustration in the province’s health-care system after their family doctors either dropped them as patients or threatened to after they sought urgent care elsewhere.
Rates of cancer declining in Canada, but more work needed to save lives: projections
A new study projecting declining rates of cancer cases and deaths in Canada demonstrates the success of prevention and early detection programs, but also highlights areas where more work is needed to save and prolong lives, researchers say.
DEVELOPING Trump trial arrives at a pivotal moment: Star witness Michael Cohen is poised to take the stand
The star prosecution witness in Donald Trump's hush money trial is set to take the stand Monday with testimony that could help shape the outcome of the first criminal case against an American president.
India's mammoth election is more than halfway done as millions begin voting in fourth round
Millions of Indians across 96 constituencies began casting their ballots on Monday as the country's gigantic, six-week-long election edges past its halfway mark. Prime Minister Narendra Modi is seeking a third straight term with an eye on winning a supermajority in Parliament.
Ottawa pizzeria places among top 20 deep-dish pizzas in the world at international competition
An Ottawa pizzeria is being recognized as one of the top 20 deep-dish pizzas in the world.
Man fatally 'slashed in the neck' in downtown Toronto, suspect outstanding
Police are searching for a male suspect after a man was “slashed in neck” on Sunday morning in downtown Toronto and died.