This medicine is not on net.I wonder if it is some drug under trial or already marketed there in Canada
To be on safe side, consult some other cancer specialist already working in nicaragua also and if possible ,get in touch with some oncologist
in Canada and write to him to clear your doubts .
Here is a link Dr. Jean Maroun, FRCPC
Chair of COS Committee
Tel. 613 737-7700
Fax. 613 247-3511
This is a link to canadian oncologists societies ,you may write to its administrator whose -Email adress is above and enquire