Are alternative canagliflozin suppliers [eg Prominad, Sulisent, elders] legit?

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Don’t know - but one easy way to test if it at least has some SGLT2 in it is to get a urine dip strip that has glucose on it. You’ll have through the roof glucose on the dipstick.

Fascinating incidental issue with SGLT2’s is that individuals being monitored for alcohol abuse, who periodically get called in to give a specimen (usually court ordered and a urine specimen) were having results come back positive. The investigation, was that it was in patients with SGLT2’s and when the specimen wasn’t continually refrigerated. Some type of fermentation seemed to occur and there were a few people who had legal trouble as a result before this was figured out.

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I don’t know - but I would stick with the recognized and major Pharma Generally Good Indian Pharma Companies

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What urine dip strips do you recommend?

Wow I really regret getting the vivoo [not that it matters]

This one will work, has a bunch of other parameters, but the glucose will be the interesting one.

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Sugar in the urine is a problem for our daughter who has Chronic bladder ischemia.

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after a couple of days of break from my normal empagliflozin/canagliflozin [unlikely to be fully washed out], 200mg elder project canagliflozin earlier today does not turn the teal on the urine strip red (so far)

[or… it’s lighter red a minute later, but definitely didn’t turn red nearly as instantly as before]. still have to do further testing esp with my empagliflozin since i’m not going to get the easy supply of canagliflozin I once did (for a while)

The reading IS supposed to take 30 seconds

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updating more towards it being useless.

or wait, the urine strip DOES turn red if I do 3 doses. [though it also loses some of its red more over time, doesn’t turn red AS quickly as the previous] thing

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A single dose within hours should cause a high amount of glucose to be in the urine, in general.

Your other sglt2 I imagine does this, but if this other one that you’ve procured doesn’t, it probably is not what it says it is.

finally tested with my urine test strips (after 4-5 days of a break from SGLT2=>testing) - yes it does darken BOTH of my urine glucose test strips relative to control

What about Canasmart canagliflozin? (healingpharma…)

between prevego, Sulisent ($110/100 canagliflozin), prominad canagliflozin, is any as reliable/trustworthy as motivyst? I know motivyst is most reliable they dont have

Ah, Elder’s canagliflozin. That is a separate option, not Sulisent. My previous reply blurred those because several pharmacy databases are spectacularly inconsistent about manufacturers. :roll_eyes:

For the brands you actually listed, I would rank:

Motivyst ≈ Prominad > Sulisent > Elder’s ≳ Prevego

More specifically:

Brand Confidence Why
Motivyst 9.5–10/10 Janssen originator-associated brand
Prominad ~9/10 Cipla, originally launched through a Janssen partnership
Sulisent ~8.5–9/10 USV, a substantial established Indian pharmaceutical company; some current listings even identify Janssen-Cilag in Italy as the source/manufacturing origin
Elder’s canagliflozin ~6.5–7.5/10 Probably legitimate Indian generic, but much murkier corporate and manufacturing provenance
Prevego ~6–7/10 Smaller marketer relying on contract manufacturing, with little public product-specific evidence

The reason I would hesitate more with Elder’s is not that I found evidence the pills are fake. It is that the corporate identity is confusing. The historical Elder Pharmaceuticals Ltd. entered liquidation, and official/legal records still describe it as under liquidation. Yet current pharmacy listings continue selling canagliflozin under Elder-related company names, including “Elder Pharmaceuticals” and “Elder Projects.” That makes it harder to establish who currently manufactures the tablets, where, and under what quality system.

So for your actual choice:

Prominad would be my first choice. Sulisent would be a very close second. I would pay a modest premium for either over Elder’s.

At $110 per 100 Sulisent tablets, I would choose Sulisent over Elder’s unless Elder’s were dramatically cheaper. The difference between Prominad and Sulisent is probably mostly confidence in corporate provenance rather than a likely clinically meaningful difference in canagliflozin exposure. The difference between Sulisent and Elder’s is more substantial because Elder’s supply chain is less transparent.

Also, if your Elder’s package says the actual manufacturing company and plant address, send the photo or exact wording. The manufacturer printed after “Mfd. by” matters more than the large “Elder” logo, because Indian pharma branding sometimes resembles corporate genealogy after an inheritance dispute.

  • Prominad = Cipla. Prominad Tablet, Canagliflozin 100mg, is manufactured by Cipla Ltd — one of the two or three most reputable generics houses on earth, US-FDA-inspected plants, decades exporting into regulated Western markets. For practical purposes I’d put this in the same trust tier as Motivyst. If Motivyst’s out of stock, it’s the closest swap. Cipla Ltd
  • Sulisent = USV Ltd. Sulisent 100 mg is manufactured by USV Ltd, also a large, serious, established company. Solidly trustworthy — half a notch below Cipla on name recognition, not on any evidence of worse quality. One wrinkle: I saw Sulisent listed under a different marketer (Johnlee Pharmaceuticals) on one site too, and the same brand name showing up under different repackagers is a mild flag that you want the genuine USV pack, not whatever a reseller relabeled. medizamed
  • Prevego = Prevego Healthcare & Research, a third-party/contract manufacturer focused on outsourced production, WHO-GMP/ISO certified. Probably fine on paper, but it’s a small shop without the regulated-market pedigree of the others — and I actually couldn’t confirm a specific canagliflozin product from them in a quick look, so I’m least sure this one even exists the way you’re picturing it. Weakest of the four on pedigree, and I’d verify the actual SKU before trusting it.

Rough pedigree ranking: Motivyst ≈ Prominad > Sulisent > Prevego. Moderate confidence — that’s a judgment call about manufacturer reputation, not a lab assay.

You’re right. The Iverheal under-potency finding should materially downgrade Canasmart, not merely add a footnote and then leave the ranking basically unchanged. That would be reputation laundering by table formatting. :expressionless:

The TGA repeatedly found imported Iverheal-12 tablets with less ivermectin than the stated 12 mg, including retesting where the quality problem persisted. Healing Pharma officially markets Canasmart, but I could not find public Canasmart-specific bioequivalence, assay, dissolution, or independent batch-testing data.

So my revised canagliflozin ranking is:

Brand Revised confidence
Motivyst, Janssen 9.5–10/10
Prominad, Cipla/Janssen-associated launch 9–9.5/10
Sulisent, USV 8–9/10
Canasmart, Healing Pharma 5.5–7/10
Elder-associated or poorly documented generic 5.5–7/10
Prevego / obscure contract-marketed product 5–6.5/10

I would now put Canasmart roughly in the same broad tier as other lesser-documented Indian brands, not comfortably above them.

The uncertainty cuts both ways:

  • The TGA result does not prove genuine Canasmart is under-strength. The tested ivermectin may have involved counterfeiting, export-channel substitution, or a product-specific manufacturing failure.
  • But repeated under-strength tablets carrying Healing Pharma’s Iverheal branding are still a meaningful company/supply-chain warning. Either manufacturing quality failed, brand control failed, or both. From the buyer’s viewpoint, none is delightful.

For your purchase, I would choose:

Prominad first → Sulisent second → Canasmart only with a meaningful price advantage and strong provenance.

At the prices you mentioned, I would take Sulisent at $110/100 over Canasmart, unless the Canasmart is dramatically cheaper and comes with unusually good documentation, such as original sealed packaging, exact manufacturer, matching batch COA, and a traceable licensed supplier.

So yes: my earlier 7.5–8.5/10 rating for Canasmart was too high. A fair updated estimate is about 6–6.5/10, with substantial uncertainty.