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Vietnam: Difference between revisions

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'''Important Note:''' Avoid self-diagnosing or seeking treatment (before diagnosis) at a pharmacy. According to one study: "Even though 74% (51 of 69) of pharmacists and drug sellers know that they should not treat STD patients, in fact 84% (250 of 297) did treat. When they did treat, no one gave the correct combination of drugs for treatment by the syndromic approach, as only 12% (36 of 297) gave tetracycline or doxycycline, and of those who sold them no one gave them for a sufficient number of days. Quinolones were by far the most common drug given but are not recommended by the Vietnam Institute of Venereology..."<ref>[http://sti.bmj.com/content/76/4/299.full STD management by private pharmacies in Hanoi: practice and knowledge of drug sellers]</ref>
'''Important Note:''' Avoid self-diagnosing or seeking treatment (before diagnosis) at a pharmacy. Drug resistance patterns vary wildly between countries and sometimes between regions. what works in one country may not work in another. According to one study: "Even though 74% (51 of 69) of pharmacists and drug sellers know that they should not treat STD patients, in fact 84% (250 of 297) did treat. When they did treat, no one gave the correct combination of drugs for treatment by the syndromic approach, as only 12% (36 of 297) gave tetracycline or doxycycline, and of those who sold them no one gave them for a sufficient number of days. Quinolones were by far the most common drug given but are not recommended by the Vietnam Institute of Venereology..."<ref>[http://sti.bmj.com/content/76/4/299.full STD management by private pharmacies in Hanoi: practice and knowledge of drug sellers]</ref>


===Costs=== <!--T:47-->
===Costs=== <!--T:47-->
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For a long time, Vietnam (along with many other Southeast Asian countries) was known as place where you could buy virtually any medication or antibiotic over the counter. In Vietnam, this is no longer the case. Antibiotics and stronger medications are more strictly regulated at pharmacies. However, you will still find some pharmacies that are more lenient in their sales. Remember that some pharmacies focus on "herbal" or traditional medicine, meaning that they do not carry modern pharmaceutical products. Other pharmacies do carry modern products, but they may sell medications that are inauthentic (i.e. incorrect or sugar-pill like medicine) or expired. Try to visit pharmacies that you know or trust, or that someone who has experience in a Vietnamese city recommends. Overall, Vietnamese pharmacists speak very little English. So it is recommended to know that name of the medication you need in advance or to bring a translation device.
For a long time, Vietnam (along with many other Southeast Asian countries) was known as place where you could buy virtually any medication or antibiotic over the counter. In Vietnam, this is no longer the case. Antibiotics and stronger medications are more strictly regulated at pharmacies. However, you will still find many pharmacies that are more lenient in their sales. Remember that some pharmacies focus on "herbal" or traditional medicine, meaning that they do not carry modern pharmaceutical products. Other pharmacies do carry western medicine products, but they may sell medications that are inauthentic (i.e. incorrect or sugar-pill like medicine) or expired. Try to visit pharmacies that you know or trust, or that someone who has experience in a Vietnamese city recommends. Overall, Vietnamese pharmacists speak very little English. So it is recommended to know that name of the medication you need in advance or to bring a translation device.


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Note: While this is an unverified, a Hanoi pharmacist has told us that yeast infections in Vietnam are fairly common due to the low-quality tap water. When women wash or douche themselves with the water, they may develop yeast infections. While this cannot be entirely avoided, it's something to remember.
Note: While this is an unverified, a Hanoi pharmacist has told us that yeast infections in Vietnam are fairly common due to the low-quality tap water. When women wash or douche themselves with the water, they may develop yeast infections. This is a good example of misinformation by a pharmacist. Yeast infections most occur due to antibiotics use, changing the normal flora of the vagina.


===What to Get & Where to Get It=== <!--T:52-->
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* For details on PrEP and PEP, visit the "Sexually Transmitted Infections (STIs/STDs)" section of this page
* For details on PrEP and PEP, visit the "Sexually Transmitted Infections (STIs/STDs)" section of this page
* If you have a yeast infection, try to say "Nhiễm nấm âm đạo" (can someone confirm if this is correct?). If you go to a pharmacy, you can ask for "Canesten." This is basically the Asian version of Monistat. Note that you may receive a pill version, which means you have to insert pills into your vagina through an insertion device. The pills need to actually dissolve inside of you and, if they're clumpy at all, the pills may not work. So the pharmacists may also recommend that you buy some sort of vaginal lubricant/cleaner that will help dissolve and clean out the pills.
* If you have a yeast infection, try to say "Nhiễm nấm âm đạo" (can someone confirm if this is correct?). If you go to a pharmacy, you can ask for "Canesten." This is basically the Asian version of Monistat. Note that you may receive a pill version, which means you have to insert pills into your vagina through an insertion device. The pills need to actually dissolve inside of you and, if they're clumpy at all, the pills may not work. So the pharmacists may also recommend that you buy some sort of vaginal lubricant/cleaner that will help dissolve and clean out the pills.
* If you think you have a urinary tract infection (UTI), self treatment is not a good idea. See a doctor for a correct diagnosis and treatment.
* If you have a urinary tract infection (UTI), you can try to say "nhiễm trùng đường tiết niệu," though we're not sure if this is accurate (can someone confirm?). If you go to a pharmacy, you may be given Midasol. But first confirm that you have a UTI before you proceed with medication.


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