Fiasp

[Roisin]

Learnt today that my local CCG has decided not to prescribe Fiasp insulin. Disappointed as thought this sounded quite promising. Does anyone know what the rational might be behind this decision?

 

[everydayupsanddowns]

Sounds very odd to me. It's the same cost as NovoRapid, and some people get on well with it.

I wonder what their reason is?!

 

[Pumper_Sue]

Learnt today that my local CCG has decided not to prescribe Fiasp insulin. Disappointed as thought this sounded quite promising. Does anyone know what the rational might be behind this decision?

Simple solution is to write to them and ask why, point out the cost is the same while you are at it.

 

[mikeyB]

I suspect a bit of sophistry going on at the CCG. Some cleverclogs has discovered that Fiasp is just Novorapid - which is of course, prescribable - combined with Vitamin B3, which isn’t, unless there is some very unlikely evidence of a deficiency, whether or not it’s the same price.

It’s the same reason you never get prescribed pain relievers containing caffeine, which you can buy in any supermarket as Anadin Extra and such like.

The only difference, which the CCG is ignoring, is that the B3 has a demonstrable clinical benefit.

 

[mikeyB]

I should add, once other CCGs hear of this, it will spread like wildfire.

 

[SB2015]

I am surprised by this prohition. As others have said FIASP is just Novorapid with a bit extra to make it absorb more quickly. I used it for 6months but found that my cannula sites became so skanky, and the delivery stung so much that I gave upon it. I was disappointed as it had definitely improved my levels, and made eating out, when I could not pre-bolus, a lot less spikey. As @everydayupsanddowns said some people have got on with it fine. Sounds like it would be worth a letter to the CCG to ask their reasons.

 

[Pumper_Sue]

Found this for Cornwall CCG



Name Tariff BNF Sub Paragraph
Insulin aspart (Fiasp)
100 units/ml solution for injection 10ml vials Pack of 1 £14.08

Short-Acting Insulins
Fiasp (fast acting insulin aspart) is accepted onto the formulary for a small number of pregnant patients or those on insulin pumps who have significant problems with hypoglycaemic episodes associated with NovoRapid. Fiasp is to be initiated by secondary care.

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Oddly enough my GP prescribed it for me at my request and no one has said a thing about it. DSN @the hospital was very pleased I was trialling it and I wrote a summery for her so other knew what to expect.