A drug company can decide which countries it wants to
introduce its drugs into first. Here in the United States, we assume drug
companies will introduce them here first. Usually American drug companies
introduce drugs in the United States. But drug companies in Europe often apply
for approval there. The same holds true with Japan, Israel, and other counties
where there are quite a few drug-producing companies.
Glufast, or mitiglinide calcium hydrate, is a diabetes
medication from Japan, that has been in use there since 2004. It improves the
body's own ability to produce insulin, and has the tendency to lower post-meal
glucose levels in its users. However, it is not on the market in the United
States. It is not even yet being considered by the FDA for approval. The
company that owns the rights to market Glufast in North America, Elixir
Pharmaceuticals, Inc., plans to submit a new drug application with the FDA in
2008. This is the way it goes in the global health care system.
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