Mexico and Central America Ride Planning and Road Wisdom

Discussion in 'Americas' started by Jeff Munn, May 30, 2006.

  1. MikeMike

    MikeMike Long timer

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    The US has been at the forefront of trying to push for responsible antibiotic usage so they might have been following policy of script only US purchased antibiotic for consumption. But who knows?
  2. acejones

    acejones Long timer

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    Cipro went off patent ten years ago.
  3. MikeMike

    MikeMike Long timer

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    Good news for it becoming more affordable/available. The big push started down here a couple of years ago to stop self-medication with powerful antibiotics to hopefully halt drug resistant strain developments. At least it brought the issue out of the shadows.
    That new strain of the clap looks scarey.:deal
  4. SkizzMan

    SkizzMan There, that's it

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    Pics or it didn't happen.

    Wait, what am I saying?!:eek1
  5. acejones

    acejones Long timer

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    The enemy is us !---Pogo

    The cause of antibiotic resistence is very simple. Drs. over prescribing and patients self medicating. Drs. have a tendancy to prescribe anti biotics for non bacterial conditions to make a patient happy and patients have a tendancy to not take the complete course of therapy and save some for the next time they think they need them. In the latter case you don't get a complete "kill" and some of the stronger individuals (bacteria) are able to mutate just enough to become more resistant. Remember; Darwin was right.
  6. MikeMike

    MikeMike Long timer

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    Don't pay.
    Call it in.
    Anytime.
    Courtesy of 400 magazine (a Mexican bike mag).

    [​IMG]
  7. PirateJohn

    PirateJohn Banned

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    Details, details ... :lol3

    So much for that conspiracy theory.
  8. PirateJohn

    PirateJohn Banned

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    That's an important one Mike. Thanks! I am going to put it in my notes for the future.

    The Tamaulipas tourism folks put out a great brochure a number of years ago with general rules, typical fines (so you know that you are being shook down when the cop asks for 10x the actual fine), and phone numbers. Wish that I could find my copy. :cry
  9. SR

    SR Long timer

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    Hi Ace, I know you know a lot about medicine. Is Cipro or whatever the generic equivalent is stable long term. I want to put something in my first aid kit for serious stomach problems, but there's a good possibility it will just sit there in my fender pack in hot and cold for months or years without being used. Will it be okay in those conditions over that time frame or should I do something different?
  10. SkizzMan

    SkizzMan There, that's it

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    While waiting for our resident pharma dude to reply, I've found it much more convenient (and affordable)
    to access antibiotics in Mexico than in Texas. As recently as this year. Cheap and easy to have a doctor
    come to the hotel and get the Rx filled. Unless you're in a remote area like SR often rides or you're out on
    the autopista somewhere. Then you're better off packing meds.
  11. AdventurePoser

    AdventurePoser Long timer

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    Thanks for the input....I appreciate it!

    Steve
  12. AdventurePoser

    AdventurePoser Long timer

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    Hey guys,

    Thanks for the thoughtful input about the drugs I will be taking South. Just to clarify, the meds are: Losartan for high blood pressure, Omeprazole for chronic heartburn, and to a lesser degree Ativan which will probably sit in my panniers for the duration...

    Based on what I'm reading here, I will have my pharmacist give me a six month supply and just carry it with me, along with the original Rx, and copies...

    Cheers,
    Steve
  13. PirateJohn

    PirateJohn Banned

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    According to Wiki Omeprazole is Prilosec and that's over the counter in the states and many other countries. Not sure how much you pay but I take Rantidine every so often (Prilosec is next to it on the counter) and it's pretty cheap at the WalMart.

    Losartan, once again according to Wiki, is prescribed to folks who, among other things, don't tolerate an ACE inhibitor well. I have a prescription for an ACE inhibitor and one quirk that I have discovered is that despite what a couple of nurse friends have told me the bp drug that I take (Lisinopril) is much more expensive in Mexico than at the local Walgreens if you have their drug card. Appearantly all of those ACE inhibitors are pricey Down South. Just a data point but not everything is cheaper south of the border.

    So yeah ... you are taking a wise course of action to pack them and document them.

    Good luck!
  14. AdventurePoser

    AdventurePoser Long timer

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    Thanks...oddly enough, it is cheaper to purchase Omeprazole via RX than it is to buy it over the counter here in So Cal. I did take Lisinopril, but it didn't lower my BP as the Losartan does...

    Kind of frustrating...I am not overweight, exercise regularly, don't smoke or drink and still, without meds, the BP is WAY high. Go figure.:huh
  15. acejones

    acejones Long timer

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    Regarding Ciprofloxacin stability. All I could tell you is whatever the manufacturer states in the package insert. The temperature range limitations are usually common indoor storage temps. If cipro were the drug I wanted to rely on I would just get a fresh supply for each trip. As it deteriorates it basically just becomes less effective. Not what you really want. However, in all honesty I 've taken stuff thats been poorly stored and expired for over five years with no negative effects (ymmv).Think about this also; one of the potential side effects of ciprofloxacin is tendon rupture. I doubt you want that. It easy enough to rupture tendons in a "get off".
    If you ask your doc about this side effect, he'll probably say he's never seen it and that may be true. But....do you want to be the first one he's seen ?
  16. SkizzMan

    SkizzMan There, that's it

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    My mom's Dr. also had never seen this side effect until he had to take Mom off it when tendon pain set it after less than two weeks. Best to stay away from this one if you ride, IMO.
  17. acejones

    acejones Long timer

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    My observation was most docs just didn't connect tendon problems with cipro and when I brought it up they blew me off. The ones that usually believed were ER docs or Orthopedic guys.
  18. eakins

    eakins Butler Maps

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  19. rockymountainoyster

    rockymountainoyster Been here awhile

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    Think about this also; one of the potential side effects of ciprofloxacin is tendon rupture. I doubt you want that. It easy enough to rupture tendons in a "get off".
    If you ask your doc about this side effect, he'll probably say he's never seen it and that may be true. But....do you want to be the first one he's seen ?[/QUOTE]

    This is very interesting about Cipro, the med of choice for severe turista.

    I can certainly vouch for tendon tearing as a result of a big GS tip over. Meniscus, ACL, sprained MCL. The recovery not hugely fun. 3800 miles in Mexico with an f'd up knee not a lot of fun either.

    I carried my BP meds with me, my stuff was never searched. The bottles are clearly marked with my name and an RX number. I was even carrying some Vicodin, which came in handy when I wasn't planning on riding.

    The BP thing is a bitch, the docs don't even know what causes it. Mine is fine with meds at sea level but hard to control at 9k feet.

    Steve, are you still planning to come to CO?
  20. rockymountainoyster

    rockymountainoyster Been here awhile

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    I found what MikeMike said about getting a scrip (not script) filled in mex to be true. I took the med in to the Doc and for 30 pesos he wrote a scrip that I could get filled at the farmacia. I take an injectable every month and got my injections at clinics for as little as free in Lerdo (no gringos) to 30 pesos in Zihua (more gringos).