If youâre using B vitamins to help prevent hot flashes, be sure to use the form of niacin called niacinamide. Other forms of niacin dilate the blood vessels, which can cause flushing and worsen hot flashes, rather than relieve them. Folic acid helps the body manufacture and use estrogen.
And the title of âMost Expensive Drug in the Entire Worldâ goes to Glybera, a drug so far not approved in the U.S. but recently approved in the European Union. Glybera is a gene therapy used to treat a condition called familial lipoprotein lipase deficiency, a disease affecting only about one in 1 million people.
The yearly cost per patient of as much as $700,000 is even more than the manufacturer, Alexion Pharmaceutical, charges in the United States, which typically has the steepest prices globally, says the Patented Medicines Price Review Board (PMPRB).