Ribavirin 200 mg now available on GeneralSchedule (S85) and S100 (HSD)
In addition to the 400 mg and 600 mg strengths of ribavirin (Ibavyr) available on the PBS, ribavirin 200 mg was listed on 1 November 2016 for use in combination therapy with other oral agents for treatment of chronic hepatitis C infection.1,2
The availability of 200 mg tablets removes the need for the physical splitting of 400 mg ribavirin tablets to achieve lower doses in modified dosing regimens.2
This may be required in a small percentage (up to 10%) of patients, for example, when a lower restarting dose is required after treatment-emergent adverse events.2
PBS eligibility same as for existing strengths of ribavirin
Ribavirin 200 mg is listed on the PBS under the same restrictions and at an equivalent manufacturer price as existing strengths of ribavirin.1 To receive ribavirin 200 mg on the PBS:1
- the patient must meet the criteria set out in the General Statement for Drugs for the Treatment of Hepatitis C
- the patient must be taking this medicine as part of a regimen set out in the matrix in the General Statement for Drugs for the Treatment of Hepatitis C, based on the hepatitis C virus genotype, patient treatment history and cirrhotic status
- the treatment must be limited to a maximum duration of 12 weeks (2 repeats) or 24 weeks (5 repeats).
Ribavirin-containing treatment combinations for chronic hepatitis C
Treatment combinations currently available on the PBS for patients with chronic hepatitis C can be found in the General Statement for Drugs for the Treatment of Hepatitis C.
Treatment regimens depend on the hepatitis C genotype, the cirrhotic status of the patient, and whether they have received prior treatment for chronic hepatitis C.3
- Pharmaceutical Benefits Scheme. Ribavirin. 2016. (Accessed 2 November 2016.)
- Pharmaceutical Benefits Advisory Committee. Public Summary Document \u2013 July 2016 PBAC Meeting: Ribavirin 200 mg tablet (Ibavyr). 2016. (Accessed 2 November 2016.)
- Pharmaceutical Benefits Scheme. General statement for drugs for the treatment of hepatitis C. 2015. (Accessed 2 November 2016.)