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Stirling then spent several days worrying about how she was going to adjust her spending to be able to afford her usual inhaler. It turns out that the New Brunswick Drug Plan that she's on eliminated her particular puffer in February from the list of drugs that it covers — but only her particular strength, micrograms. That means there should be other options available to her, said David Edwards, a professor in the school of pharmacy at the University of Waterloo. He said there could be a reasonable alternative available to Stirling and her pharmacist — that could include a lower strength taken more often, since the drug company still makes and mcg strengths. Edwards — whose specialty is pharmacokinetics, which deals with the movement of drugs within the body — said Stirling's experience illustrates how important it is for pharmacists to speak to customers when issues like these arise. In most situations, taking two five-milligram pills have the same effect as one mg pill, he explained.

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