Pranam Mr S had shown a finshot. Throughout the earth, medical help is costlier , costlier as even wiping out the wealth. Diabetic care taking every day is a must. Cost of medicine is high ,not only because of the cost of manufacture plus profit ratio but duties levied by the importing countries. Cost of medicines are reduced by 20 to 80% in India , only because of the avoidance of the duties and labor cost variations. The cost of manufacture is similar since instead of the drugs, the components are imported. Even Ayurvedic drugs are costlier than the allopathic medicines. It is locally manufactured only. Why? Medicine is business. Who fixes the trade ? The Manufacturer and the doctors as revealed by the Bangalore concern raid in the last week. The chart below would show how even that drug manufactured locally increased between 2015 and 2022 as per med statistics: "
*TENLIPTIN 20 * Tablet Carise Pharmaceuticals Pvt Ltd <https://www.medindia.net/drugs/manufacturers/carise-pharmaceuticals-pvt-ltd.htm> *Generic :* Teneligliptin ₹ *110.00* *20mg + 500mg* *10* *TENLIPTIN 20 TABLET* *Gastrointestinal:* Abdominal bloating, discomfort or pain, intestinal obstruction, nausea, flatulence, stomatitis, gastric and colon polyps, duodenal ulcer, reflux esophagitis, loss of appetite and diarrhea. Zydus in 2015 gave this at a cost per day Rs 7 but today it Rs 11. 2022 and Glen Marg Rs 20 per day. Dr Anoop Misra,(2016 TOI) chairman Fortis-C-DOC Hospital for Diabetes says, “Low cost medications are surely needed in India, however, all of us look at safety data before prescribing any medication. For teneligliptin, safety data is not long term, and confined to patients from far eastern countries, hence confidence to prescribe this medication viz-a-viz other gliptins is lower.” With the entry of the new molecule, the cost of therapy has dropped to approximatelyRs 3,285 a year (at Rs 270 a month), translating into national savings of roughly Rs 1,300 crore for patients. *Teneligliptin 20 Mg Metformin 500 Mg, Tablet, Packaging Size: 10X10* *₹ 1,050/ *Box 2022 Form Tablet Brand Teneligliptin 20 Mg Metformin 500 Mg Packaging Size 10X10 Composition Teneligliptin 20 Mg Metformin 500 Mg Manufactured By MITS INDIA BRAND NAME:-TENLIBET-M Metformin + Teneligliptin is a combination of two antidiabetic medicines: Metformin and Teneligliptin. Metformin is an antidiabetic medication (biguanide). It works by lowering glucose production in the liver, delaying glucose absorption Around Rs 11 per day if one tab is consumed Med India Xxxxxxxxxxxxxxx *Genericart Metformin Hydrochloride+Teneligliptin 500mg/20mg Tablet ER* Prescription Required *MANUFACTURER* Swast Aushadhi Seva Generic Medicine Store <https://www.1mg.com/manufacturer/swast-aushadhi-seva-generic-medicine-store-81567> *SALT COMPOSITION* Metformin (500mg) + Teneligliptin (20mg) <https://www.1mg.com/generics/metformin-teneligliptin-404166> *STORAGE* Store below 30°C *Click here to view all substitutes* ------------------------------ *PRODUCT INTRODUCTION* Genericart Metformin Hydrochloride+Teneligliptin 500mg/20mg Tablet ER is a combination of two medicines that control high blood sugar levels in people with type 2 diabetes mellitus. This helps prevent serious complications of diabetes such as kidney damage and blindness and may also reduce your chances of having a heart attack or stroke. Genericart Metformin Hydrochloride+Teneligliptin 500mg/20mg Tablet ER can be prescribed alone or together with other diabetes medications. All diabetes medicines work best when used along with a healthy diet and regular exercise. The dose you are given will depend on your condition, blood sugar levels, and what other medicines you are taking. Taking it with meals helps to reduce the chances of developing an upset stomach. You should take it regularly, at the same time each day, to get the most benefit and you should not stop unless your doctor recommends it. It is controlling your blood sugar levels and helping to prevent serious complications in the future. It is important to stay on the diet and exercise program recommended by your doctor while taking this medicine. Your lifestyle plays a big part in controlling diabetes. The most common side effects of taking this medicine include diarrhea, nausea, vomiting, upset stomach, headache, and sore throat. Low blood sugar level (hypoglycemia) is a possible side effect if you are also taking other diabetes medicines like insulin or sulfonylurea, so you need to know how to recognize and deal with it. This medicine is not suitable for everyone. Before taking it, you should let your doctor know if you have ever had kidney, liver, or heart disease, problems with your pancreas, or if you drink a lot of alcohol. Pregnant or breastfeeding women should also consult their doctor before taking this medicine. Some other medicines can affect this one so tell your doctor about all the medicines you are taking to make sure you are safe. You should try to avoid drinking alcohol as it lowers blood glucose. Your doctor will check your kidney function and blood sugar levels before and during treatment. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx The cost of medicine is a factor for all; the doctors prescribe in multiples of intake in a day , many medicines; if so, one day's cost can be even Rs 500 to 600 per person in a household even if it is medicines locally manufactured. Insurance does not cover that because again Insurance is also a business. Where the cost of medicines locally manufactured did vary between 2015 to 2022, from Rs 7 per day one tab to Rs 11 ,which that common man cannot afford at all ; paying insurance is a waste. Both the Pharma and Insurance pay the politicians rather than paying the govt dues, whether In India or USA. Hence if health were concerned, Govt shall control the fast generating commercial revenues and block the suitcases to politics. This is inevitable. So 90% of the common man 90% are only on the road where one resides. Medicine is validly raised in the territorial blocks in the Ayurvedam; even under allopathy no doctor shoots the right medicine which can only be one or two; but under allopathy, doctors do HIT AND RUN. Diagnosis is poor. So on guess work few medicines are prescribed; and doctors can know only when it is done (cured?) as the patient does not turn up. Symptoms are too many and diseases are manyfold. All diabetics are not the same. Also individualistic diabetic characters are known only to the patient and 90% of the patients lack the self-appraisals. 80% of the allopathic drugs cause harm only long after ,which cannot be fixed on either the Pharma or the Doctors. Body cures by its own structure. Medicine is only an aid; and the guess work of medicines prescribed may land the patients" troubles in some other directions also later. Is there any doctor prescribing exercises and remedies to children when the parents take them to doctors?. So 1 Preventive medicines and measures alone must be prescribed and every doctor will be qualified only when the prescriptions he writes show the right diagnostics without the paraphernalia of accessory prescriptions for everything-viz ECG XRAY SCAN etc. Hence Doctors certificates must be renewed every year without political tags with open judgement analysis available in all libraries and the open NETS. . { who will agree?} { who will implement?} 2 It is not the drug and the generic that cures; but the substance which is the Ayurvedic; west is using clandestinely ayurveda leaves and roots as a base but adds so many other particles of no use making it a formula. Stop that first. Unqualified according to the present world as doctors were only sushruta and charaka; Local unqualified vaidyas had produced remarkable cures and we are making fun of them. When the locally available object can cure a disease, why would one go to GlenMorgan?. Herds' instinct is unavoidable. So test the local; cure and a patti vaidyam and raise the real curer as a qualified; while certify to practice every year the degree holders, so that ALL DOCTORS WILL NOT BUILD MULTI SPECIALITY HOTELS AS HOSPITALS. If wounded soldiers are cured in a tent, where is the necessity for tall structures?. Cost will slide down. 3 Pharma formulas must be discussed openly and the papers are available in the open as an Ayurvedic paper, so that corruption through Pharma in the world will come down especially in India and USA. 4 Insurance companies shall not know the profit ahead as they run a business of risks. But they do. That means there is no risk business against the risks. Hence Insurance of all kinds must be that of the health ministry winding up all the companies, so that medicines and minimum base hospitals are free one to all. Health tax can be increased and other taxes varied; even otherwise the deficits can be made up from the public tax system as this field is for all and hence the taxes shall be for all the 120 crores. 5 Health is through prevention. Hence all fields of education and services and Homes must be trained conditionally everyday by deploying Govt preventive units per panchayat. Non participants must pay health tax thrice the normal; and if some one is paying regularly the source shall be investigated. Where the Govt thinks the health ministry is important LIKE AUSTRALIA there cost of medicine is irrelevant. KR IRS 21722 On Wed, 20 Jul 2022 at 19:04, 'N Sekar' via iyer123 < [email protected]> wrote: > I am forwarding this as many may find it useful: > > N Sekar > > [image: Finshots] > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Ffinshots.in%3Futm_source=emailHeader%26utm_medium=mailshots/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/FSw29wUbkDjFVGTm5VCZApuhAbk=279> > The > remarkable way diabetes treatments get affordable [image: The remarkable > way diabetes treatments get affordable | Finshots Daily Newsletter] > > *In today’s Finshots, we talk about the costs of dealing with Type-2 > diabetes in India and how a single event can make treatment more affordable* > ------------------------------ > The Story > > “I have sugar.” > > It’s a catchphrase. And it sounds so familiar because 1 in 10 Indians > suffer from diabetes. So every time you offer someone sweet chai, they’ll > go — “I have sugar.” > > It’s their way of conveying that they have diabetes and they should be > mindful of what they eat and drink. And here’s the thing — Diabetes is a > silent epidemic in this country. India alone hosts nearly 17% > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.thehindu.com%2Fsci-tech%2Fhealth%2Findia-has-second-largest-number-of-people-with-diabetes%2Farticle29975027.ece/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/LtI1PSvh42BYff6SkHFvuJrWf6o=279> > of the world’s diabetic population. And while we could sit here and argue > how India came to be the diabetic capital of the world, there is a larger > crisis brewing here — “This disease imposes a massive cost on the Indian > population.” > > Depending on who you ask, the costs can range anywhere between ₹11,000 > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.business-standard.com%2Farticle%2Feconomy-policy%2Findia-s-diabetes-care-market-to-reach-60-bn-in-next-10-yrs-report-122011300250_1.html/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/jqzUQwFvlxD9GrH6oesNSo4N22w=279> > to ₹25,000 > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F0972753121998496/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/EA4uVUSlidotaMXmXgs3o8pcYnk=279> > a year. This cost typically includes total medications, insulin, frequent > blood checkups, and visits to the doctors. And if you tack on the indirect > cost, then the number can look extremely prohibitive. Diabetes affects > other bodily functions too. It can affect your kidney. It can affect your > liver and it can increase your risk of suffering a stroke. And it mostly > affects those who already struggling to make a living. Over a third > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.business-standard.com%2Farticle%2Feconomy-policy%2Findia-s-diabetes-care-market-to-reach-60-bn-in-next-10-yrs-report-122011300250_1.html/2/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/lyn9A8C-XKWtjaRriXJUBtxy4fQ=279> > of reported diabetics in India earn less than ₹20,000 per month and a > low-income family with 1 adult diabetic can spend up to 20% of their > income > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Ftimesofindia.indiatimes.com%2Flife-style%2Fhealth-fitness%2Fhealth-news%2Fwhat-is-the-cost-of-diabetes-care%2Farticleshow%2F49843288.cms/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/YxLjxlB8KE_QmWVDT32ELc4aN8M=279> > on treatments alone. > > It’s ridiculous. > > So what’s the government doing about this? Well, they’ve been trying to > alleviate some of the burden. But... it isn’t enough. > > Sure, you could pick up anti-diabetes drugs > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.livemint.com%2FScience%2FxW0GXk6ivjq9eYrXJncliI%2FCost-of-diabetes-treatment-spiralling-study.html/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/dmNnywV3ix9OgSiZS6hZL7xvojA=279> > at government hospitals, but you can’t always rely on them. Oftentimes you > won’t find them at the dispensary or even worse you may be asked to pay a > bribe. There are reports of free insulin > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.deccanchronicle.com%2Fnation%2Fcurrent-affairs%2F230618%2Fchennai-plea-seeks-free-drugs-for-diabetics.html/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/IjKZH_V-TXvE5eqJSETAFH3MM0Y=279> > being sold with a price tag. And substandard medicine > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.thehindu.com%2Fnews%2Fnational%2Fkerala%2Fsubstandard-medicines-for-bp-diabetes%2Farticle21544823.ece/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/W0xnnLt1Qn13QniN428pkmFZrZM=279> > being sold to people with no recourse. > > Inevitably, over 70% > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fthewire.in%2Fhealth%2Fwho-is-paying-for-indias-healthcare/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/8K8tE0N8mwxazGYmuMkxlx6hJF4=279> > of a person’s healthcare expenses are met out of their own pockets. For > context, the world average is below 20% > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.livemint.com%2Fpolitics%2Fpolicy%2Findia-s-drug-price-fix-is-hurting-healthcare-11572334594083.html/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/bF2ftP1yHznfktUNoSnYsjOrc64=279> > . > > So, how do we reduce the burden? > > Well, there’s nothing we can do about it per se. But occasionally the cost > of treatment can take a tumble when patents expire. > > Yes, patents. > > Take for instance the highly popular diabetic drug Sitagliptin > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.tribuneindia.com%2Fnews%2Fhealth%2Fzydus-launches-top-anti-diabetic-drug-after-it-goes-off-patent-prices-to-fall-by-60-per-cent-410635/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/6Lc4cJ9VHIJAdftXB396nv2dhuY=279>, > marketed under the brand name Januvia. It’s a miracle drug of sorts and > Merck — the company that manufactures the drug has sold nearly $5.3 billion > to $6.1 billion worth of Januvia (and Janumet, its counterpart) each year > since 2012. > > In India, the market for Sitagliptin and its combinations makes up about > 10% > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Feconomictimes.indiatimes.com%2Findustry%2Fhealthcare%2Fbiotech%2Fpharmaceuticals%2Fgenerics-of-msd-diabetes-pill-set-to-flood-market-as-patent-expires%2Farticleshow%2F92709431.cms%3Ffrom=mdr/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/lq7YsZ_CBlvOCOUFg99nn0bHxlE=279> > of the oral anti-diabetes drug market. However, Merck has a patent on the > molecule. Which means you can’t market the drug under your own brand name > unless you strike a bargain with Merck. > > This explains why Sitagliptin is on the expensive side. > > Now, most people will argue that Merck should be sympathetic to people’s > cause. That they should reduce the price on their own accord. But there is > a problem with this assessment. > > Pharma companies tread on perilous waters. It takes anywhere between 10–15 > years to develop a product. Close to 95% of all projects fail. Some > molecules turn out toxic. Even others fail to establish efficacy. A > successful project can cost $1 billion in investments. And if you fail to > push out at least 2–3 products each year, you may go under. > > So pharma companies will argue that they have every right to extract > decent value from their products. But there is another caveat. They can > only continue extracting this sum when they can enforce their patent. But > once the patent expires, then other manufacturers can churn out the same > molecule. They can optimize on many accounts and sell it at a steep > discount. > > In fact, this is what’s happening with Januvia right now. At the end of > July, the patent will expire and close to 50 Indian drug makers > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Feconomictimes.indiatimes.com%2Findustry%2Fhealthcare%2Fbiotech%2Fpharmaceuticals%2Fgenerics-of-msd-diabetes-pill-set-to-flood-market-as-patent-expires%2Farticleshow%2F92709431.cms%3Ffrom=mdr/2/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/aSpvWbH02v75zWgtOvnuhWsIjR0=279> > will be gearing up to launch their own generic versions of this popular > drug. And according to some reports, this alone could make the drug more > accessible. While the original drug would have cost you around ₹450 a day, > the generic versions could be priced as low as ₹18 a day. Think about that > for a moment. > > Almost magically, millions of Indians will now have better health outcomes > thanks to this patent expiry. And no, we aren’t just shooting in the dark > here. > > In 2015, another popular diabetic compound — Teneligliptin lost its patent > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.business-standard.com%2Farticle%2Fhealth%2Fprices-of-oral-diabetes-drugs-set-to-fall-as-patents-near-expiry-date-121072200597_1.html%23:~:text=Teneligliptin%2520lost%2520its%2520patent%2520around,55%2520per%2520cent%2520lower%2520price./1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/hwG_GxiMV8-MWNGCK-cRnL4qHcE=279>. > Naturally, many pharma companies launched generic versions of the drug (122 > formulations at least) and sold it at a substantial discount. And guess > what happened? Over 1.85 million Indians switched to Teneligliptin — mostly > the generic variant. In fact, with the rise in demand, sales soared by > 250% > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Ftimesofindia.indiatimes.com%2Fbusiness%2Findia-business%2Fanti-diabetic-drug-sees-250-growth-in-1-year%2Farticleshow%2F61350140.cms/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/9N1Ne7YJxAEN3WDGM2eeBbkTnws=279> > in its first-year post-launch. And with at least 4 more such patents > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.business-standard.com%2Farticle%2Fhealth%2Fprices-of-oral-diabetes-drugs-set-to-fall-as-patents-near-expiry-date-121072200597_1.html%23:~:text=Teneligliptin%2520lost%2520its%2520patent%2520around,55%2520per%2520cent%2520lower%2520price./2/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/lp31cl5QFh9pypj8nlIBdaVBHqc=279> > on diabetic compounds set to expire by 2025, the looming entry of generics > could provide much-needed relief. > > It can single-handedly make diabetes therapy more affordable for millions > of Indians. > ------------------------------ > Ditto Insights > > Most people don’t account for this. But lifestyle diseases like Diabetes > and Hypertension can have a massive impact on your insurance premiums. When > we are talking about Type-2 diabetes, for instance, insurance companies may > ask you to shell out 20–30% more than healthy individuals. If it’s advanced > diabetes or Type-1 diabetes, the insurance company won’t even extend a > policy. And even when they do, they impose waiting periods that can last up > to 3 years, during which the company won’t cover diabetes and > diabetes-related complications. > > So what do you do in such an instance? > > Well, there isn’t a lot you can do. You can do away with the waiting > periods if you buy a diabetic-specific plan. However, considering these are > expensive, most people don’t go for them. So your best option, (and I know > this sounds ridiculous), is to buy a plan when you’re healthy. Buy it when > you’re healthy. Because once you have your policy in force, insurance > companies can’t renegotiate if you develop a lifestyle disease. They can’t > force you to pay more once you’re diagnosed with diabetes and they can’t > impose waiting periods either. > > But if you have a very specific query and want to know how to best > navigate these situations, just talk to us at Ditto > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fjoinditto.in%2F%3Futm_source=finshots%26utm_medium=newsletter/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/zRyL1Z1QNlY3oFE330JNHos3thM=279>. > We'll sort you out. > > Until then… > > *Don't forget to share this article on WhatsApp > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fapi.whatsapp.com%2Fsend%3Ftext=An%2520explainer%2520on%2520how%2520diabetes%2520therapy%2520actually%2520gets%2520affordable%2520in%2520India%2520https:%2F%2Fbit.ly%2F3B00Pls/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/vUp00YLVgaQmUPLRzXVuasVE-9Y=279>, > LinkedIn > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.linkedin.com%2FshareArticle%3Fmini=true%26url=https:%2F%2Ffinshots.in%2Farchive%2Fdiabetes-affordable/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/FKhjoX63a4B0vaB8bvF5p1PYFXY=279> > and Twitter > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Ftwitter.com%2Fintent%2Ftweet%3Furl=https:%2F%2Fbit.ly%2F3csdfbJ%26via=finshots%26text=An%2520explainer%2520on%2520how%2520diabetes%2520therapy%2520actually%2520gets%2520affordable%2520in%2520India/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/ZwSrRbRbYtfkuCWYae8ghD_9WuY=279>* > > > > ------------------------------ > > Have a good day ❤️ > > *Checkout Ditto > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fbit.ly%2F3hyMWR2/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/5Tz0F5U5I5kohTZSCdI2nTrlcAE=279>* > > You can change *your preferences* > <https://bn9wksbn.r.us-east-1.awstrack.me/L0/https:%2F%2Fsend.finshots.in%2Fapi%2Fpreferences%2F38ccfbee-be95-4f98-b159-3c154f5541b6%2F0021b6d6-111c-4987-9dbf-575f98fd62d4%2F/1/0100018219b5f19c-4584471a-5770-4653-a7ad-cb958c1353e1-000000/nQ9bw60hPdstt9RmiG4REJ78wJc=279> > here. > > No longer interested? 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