Lantus not approved for PBS in Australia

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Date Joined Oct 2005
Total Posts : 87
   Posted 3/30/2006 12:08 AM (GMT -7)   
What is the situation in other countries?  In order to be cheap enough for most Australians, drugs have to be approved and placed on the Phamacutrical Benefit Scheme (where the government assists with the costs).  Lantus has just been refused for the fifth time.  Seems silly to me, given the benefits of Lantus in keeping people heathier for longer and ultimately reducing the burden on the health system.  This is not an advert for Lantus.  As a potential future user, I am just amazed at the decision.
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Regular Member

Date Joined Mar 2006
Total Posts : 59
   Posted 3/30/2006 4:33 PM (GMT -7)   
Interesting, N17. I've taken insulin for over 40 years, and Lantus is truly unique, although more expensive than the other long-acting insulins.

What makes Lantus unique is that it doesn't peak. Since starting on Lantus, for the first time in my life I'm not experiencing insulin reactions that require glucogon. It's really a life-changing insulin for long-term diabetics who can end up with hypoglycemic unawareness. For years I didn't have any symptoms of insulin shock until I past the stage where I could treat it myself.

That said, it isn't perfect. My A1c's have been higher and IMO it's more difficult to acheive tight control that it was with Humalin L. I'm not sure why. I think one has to be more aggressive with the Humalog when using Lantus. It's easier to get a bit lazier with Lantus.

I still think it should be covered anywhere that Humalin L or NPH is covered. The patient should be able to choose. Lantus again -- is absolutely unique and many patients with various problems with insulin shock absolutely need it IMO. I hope Australians have a diabetes association or similar group waging an organized battle to get the policy reversed.
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