What are drug analogues called? Cheap domestic analogues of expensive drugs

Featured Articles
2015

They say there are no easy times. But how little it consoles when faced with a total rise in price of everything and everyone! Savings has become the basis of today's home economy. We constantly have to look for "something similar, but cheaper." Are such replacements correct and how not to earn oxygen deficiency when trying to tighten the belts?

Internet disservice

The most popular and almost bottomless storehouse of information is, of course, the Internet. We fearlessly plunge into the World Wide Web, naively believing that the mind will help distinguish lies from truth. But, alas and ah, this is not always the case.

Millions of Russian citizens, in an effort to save money, are studying lists of domestic analogues of expensive imported drugs that have flooded the Web. Tomorrow they will go to the pharmacy and with unconcealed pleasure they will buy a penny domestic “substitute” instead of the original drug. And then the story can have a different continuation, and it depends on the anonymous person with an unknown education who posted the information, and on His Majesty Chance.

Behind this careless trust lies an invisible tragedy. When I, a pharmacist with many years of experience, open such a “list of substitutes”, I can hardly contain my emotions. Unnamed authors strongly advise replacing the Mercedes with a VAZ, arguing that domestic cars also have four wheels. And sometimes they offer a scooter under the sauce of a car!

My pharmaceutical consciousness boils, noticing several pairs of completely different drugs in the list of “analogues”. For example, miramistin is not chlorhexidine, and ersefuril has only one relation to furazolidone: both drugs belong to the group of nitrofurans. And this is just a drop in the ocean. Moreover, even quite correct at first glance, replacements can be far from harmless.

Original drug and analogue

The original drug is a drug that was first synthesized by the manufacturer. When buying an original, or, as pharmacists often say, a brand drug, we pay for many years of drug substance development, for, for registration, and so on. The manufacturer includes all these huge costs in the price, so original drugs are a priori much more expensive than generics (from the English generic), or analogues.

Manufacturers of analogues only synthesize a substance according to a well-known algorithm, prepare a dosage form from it and pack it. Their costs are minimal, and this most favorably affects the price of the final product. Ideally, analogues should correspond to the brand drug in all respects, including effectiveness. But in fact?

The drug substance is the basis of the drug, its "core". The effectiveness of the future drug depends on how well it is synthesized, how well all technological requirements are met. In addition, the composition of the drug includes many excipients, which also affect bioavailability, absorption and other indicators, and hence the final result.

In order to "comb" all manufacturers under one quality comb, in 1968, with the participation of WHO, uniform standards for the production of medicines and dietary supplements GMP (Good manufacturing practice) were adopted. The GMP system regulates all aspects of the production of medicines: from raw materials, the condition of premises and equipment, to personal hygiene and staff training. By the way, far from all Russian enterprises have switched to GMP, and this gives one more reason for reflection.

But even if all the requirements and standards are met, the generic may differ from the original. In 2000, American scientists published data from an independent study. After comparing the properties of the original clacid drug and forty of its generics produced in 13 countries around the world, scientists came to a disappointing conclusion. No analogue has been recognized as equivalent to the original! And this despite the fact that all drugs were produced in accordance with GMP requirements.

We save correctly

And yet, experience shows that it is possible to cook a good fish soup from a cheap fish if you follow all the cooking rules. First you need to decisively click the mouse to remove from your bookmarks sites with ill-fated lists. Well, fluconazole of unknown production cannot work in the same way as the famous Diflucan, purified, standardized and verified to thousandths of a milligram!

Do not expect the same effect that the unique Creon enzyme gives from domestic pancreatin. Yes, they have the same active ingredients - the Internet did not deceive in this. But to make an enzyme that does not break down in the stomach and intestines, but is absorbed and, most importantly, begins to act like one's own, is a whole art. And while it is not available to domestic enterprises.

Of course, an engineer or a teacher cannot and should not know pharmaceutical subtleties. Moreover, even a pharmacist has no right to interfere with prescriptions and change one drug for another. But the doctor who leads hundreds of patients sees perfectly how the original and the generic work, and knows exactly the difference between voltaren and diclofenac. Therefore, the decision to replace should be made only by the doctor.

Let go of false embarrassment and let your doctor know if you can't afford an expensive brand name drug. The choice on the modern drug market allows you to replace the original drug with a high-quality and more economical analogue that is not inferior to the progenitor in efficiency. And sites that offer to change the awl for soap, be sure to close it so that you never open it again.

Marina Pozdeeva

Photo by Alina Trout

Far from always the price of a drug determines its quality, it is not always possible to understand why the consumer should overpay a large amount when the active component of a medication prescribed by a doctor can be found under a less popular name. Almost every expensive drug has a generic: its analogue in terms of the principle of action and chemical composition. A list of such funds should always be at hand.

It should be noted that a 100% guarantee of the correctness of such a replacement cannot be given. The same active and auxiliary components may be present in different proportions, have different degrees of purification, etc. A number of expensive medicines may turn out to be safer due to certain ingredients that mitigate side effects, while the budget generic does not have them. In particular, this applies to antibiotics that adversely affect the body. Therefore, experts warn that any replacement, even with a generic, and not an analogue, is carried out at the patient's own risk and peril, unless it has been discussed with the attending physician.

We bring to your attention a table of cheap analogues of expensive drugs with prices relevant for 2016. It should be noted that only budget drugs are included here, the cost of which does not exceed 150 rubles, i.e. when the price difference really matters. Figures may vary depending on the point of sale.

Main drug

Budget Generic

Indications for use

Ambroxegal (110 rubles)

Ambroxol (50 rubles)

A drug that helps to expel mucus. It is used to treat wet cough, bronchitis in any form, pneumonia.

Aspirin-cardio (125 rubles)

Cardiask (35 rubles)

An analgesic that relieves fever and stops the inflammatory process. It is used for angina pectoris, for the prevention of stroke and heart attack, circulatory disorders in the brain, thromboembolism.

Bepanten (280 rubles)

Dexpanthenol (140 rubles)

Ointment that triggers regenerative processes. It is used to restore the skin due to burns and wounds, the treatment of boils, dermatitis, trophic ulcers.

Voltaren (400 rubles)

Bystrumgel, Fastum-gel (200 rubles)

Ketoprofen (60 rubles)

NSAIDs, analgesic, anti-inflammatory agent. Takes away the heat. It is used externally as an ointment for injuries and joint damage.

Diflucan (800 rubles)

Fluconazole (40 rubles)

An antifungal drug used in therapy against thrush, mycosis, histoplasmosis, cryptococcosis.

For the nose (100 rubles)

Rinostop (30 rubles)

Zirtek (350 rubles)

Ranitidine (50 rubles)

Antiulcer agent.

Zovirax (240 rubles)

Acyclovir (40 rubles)

An antiviral drug that helps eliminate herpes, smallpox and lichen.

Immunal (200 rubles)

Echinacea extract (50 rubles)

An immunostimulating agent used to prevent viral infections, in combination therapy with antibiotics to support the body.

Kapoten (120 rubles)

Captopril (15 rubles)

Antihypertensive drug, ACE inhibitor. It is used in the combined treatment of heart failure, with hypertension of any etiology, after myocardial infarction and diabetes mellitus with kidney damage.

Mezim (300 rubles)

Pancreatin (30 rubles)

Compensates for enzyme deficiency, helping the pancreas to more easily absorb heavy foods.

Maxidex (120 rubles)

Dixamethasone (40 rubles)

Glucocorticosteroid is used for endocrine diseases, cerebral edema, bronchial spasms, blood diseases, anaphylactic shock, rheumatism.

Midriacil (360 rubles)

Tropicamide (120 rubles)

It is used in inflammatory processes of an ophthalmic nature, for the study of the fundus, in therapy after operations.

Movalis (410 rubles)

Meloxicam (80 rubles)

NSAIDs, which relieve inflammation, fever and pain, can also be used in the treatment of the musculoskeletal system.

Normodipin (620 rubles)

Amlodipine (40 rubles)

Reduces blood pressure, used in vasospastic angina.

No-Shpa (150 rubles)

Drotaverine (30 rubles)

Antispasmodic, indicated for spasms of the digestive tract, brain, uterus, headaches, urolithiasis.

Nurofen (120 rubles)

Ibuprofen (20 rubles)

NSAIDs that relieve fever and pain. It is on the list of essential drugs.

Omez (180 rubles)

Omeprazole (50 rubles)

It is used in antiulcer therapy, as well as in Zollinger-Ellison syndrome.

Panangin (170 rubles)

Perineva (310 rubles)

Perindopril (120 rubles)

ACE inhibitor used for ischemia, hypertension, heart failure, after a stroke.

Sanorin (140 rubles)

Naphthyzin (15 rubles)

Drops in the nose, which have a vasoconstrictive effect. Used for the treatment of sinusitis, rhinitis, and during operations of the nasal cavity.

Sumamed (450 rubles)

Azithromycin (90 rubles)

Antibiotic of semi-synthetic origin, used for infections of the respiratory tract, skin, soft tissues, digestive tract.

Troxevasin (220 rubles)

Troxerutin (100 rubles)

Flucostat (200 rubles)

Fluconazole (30 rubles)

An antifungal drug used in the fight against candidiasis of any type, mycosis of the skin, cryptococcosis.

Finalgon (320 rubles)

Kapsikam (140 rubles)

Ointment with a local irritating effect, used for muscle and joint pain caused by injuries or rheumatism.

Enap (110 rubles)

Enalapril (55 rubles)

Necessary for the treatment of hypertension of any ethnology and heart failure.

Even if you do not know the exact name of the generic of the expensive medicine prescribed for you, you can look at its active ingredient - it is highly likely that the budget analogue will have exactly the same name. For example, such a scheme shows its performance with acyclovir, potassium iodide, panthenol, fluconazole, etc.

The modern pharmaceutical industry is based on the competitiveness of hundreds of manufacturers. There are thousands of different types of drugs on the market, which are often difficult to sort out: dozens of drugs consist of one similar active ingredient. And if the components are similar, then regarding the pricing policy, each company does what it wants, putting up on price tags often absolutely not real numbers!

In view of this, we decided to pick up analogues of expensive drugs that are available to everyone! Do not overpay for packaging design and tempting slogans!

Prices are given in Russian rubles and Ukrainian hryvnias, are as of December 2015, and may change depending on inflation and dollar exchange rate fluctuations.

Analgesics and anti-inflammatory gels

1. Nurofen (120 rubles, 40 UAH) = Ibuprofen (10 rubles, 3-4 UAH).
2. Panadol (50 rubles, 17 UAH) = Paracetamol (5 rubles, 2 UAH).
3. Belosalik (380 rubles, 127 UAH) = Akriderm SK (40 rubles, 13 UAH).
4. Voltaren (300 rubles, 100 UAH) = Diclofenac (40 rubles, 13 UAH).
5. Movalis (410 rubles, 130 UAH) = Meloxicam (80 rubles, 26 UAH).
6. Fastum-gel (250 rubles, 83 UAH) = Ketoprofen (70 rubles, 23 UAH).
7. Quickgel (180 rubles, 60 UAH) = Ketoprofen (60 rubles, 20 UAH).

These tablets and gels are actively used for pain relief and anti-inflammatory action, and the affordable price of analogues will always allow you to have the necessary drugs at hand. When buying another “revolutionary development”, be sure to pay attention to its composition: it often contains good old paracetamol and a couple of additives.

Preparations for the central nervous system and PNS

To combat degenerative and functional diseases (disorders) of the central and peripheral nervous system, often multi-component expensive drugs are used. The doctor prescribed them for a “tidy” sum? Look for a cheap analogue and save more than 100% of the markup that is put on expensive products:

1. Betaserc (600 rubles, 200 UAH) = Betahistine (250 rubles, 83 UAH).
2. Claritin (180 rubles, 60 UAH) = Lorahexal (60 rubles, 20 UAH).
3. Lomilan (150 rubles, 50 UAH) = Lorahexal (50 rubles, 17 UAH).
4. Finlepsin (280 rubles, 93 UAH) = Carbamazepine (50 rubles, 17 UAH).

Cardiovascular group

1. Normodipin (620 rubles, 206 UAH) = Amlodipine (40 rubles, 13 UAH).
2. Trental (200 rubles, 67 UAH) = Pentoxifylline (50 rubles, 17 UAH).
3. Troxevasin (220 rubles, 73 UAH) = Troxerutin (110 rubles, 38 UAH).
4. Enap (150 rubles, 50 UAH) = Enalapril (70 rubles, 23 UAH).

These are the four most common drugs that are unnecessarily overpriced due to good demand. After all, it is known that you cannot live without good “heart” medicines. However, "good" does not always mean "expensive"!

Analogues of drugs for the gastrointestinal tract

The human gastrointestinal tract consists of many departments, and often they require the use of high-quality and effective pharmaceuticals. The main drugs that differ in direction, but are in constant demand:

1. Gastrozole (120 rubles, 40 UAH) = Omeprazole (50 rubles, 17 UAH).
2. Detralex (580 rubles, 193 UAH) = Venarus (300 rubles, 100 UAH).
3. Ersefuril (400 rubles, 133 UAH) = Furazolidone (40 rubles, 13 UAH).
4. Ultop (270 rubles, 90 UAH) = Omeprazole (50 rubles, 17 UAH).
5. Mezim (300 rubles, 100 UAH) = Pancreatin (30 rubles, 10 UAH).
6. Imodium (300 rubles, 100 UAH) = Loperamide (20 rubles, 7 UAH).
7. Omez (180 rubles, 60 UAH) = Omeprazole (50 rubles, 17 UAH).
8. Zantak (280 rubles, 93 UAH) = Ranitidine (30 rubles, 10 UAH).

Analogues of drugs from other drug groups

It is also worth noting funds with a similar composition from the antifungal category:

1. Diflucan (400 rubles, 133 UAH) = Fluconazole (30 rubles, 10 UAH).
2. Lamisil (400 rubles, 133 UAH) = Terbinafine (100 rubles, 33 UAH).
3. Flucostat (200 rubles, 66 UAH) = Fluconazole (20 rubles, 7 UAH).

Immunal (200 rubles) is often used to strengthen immunity. Its analogue is the natural tincture of Echinacea (50 rubles), much more useful and created without chemical impurities.

For the bronchi and lungs, unjustified expensive drugs and their analogues are represented by such drugs:

1. For the nose (100 rubles, 33 UAH) = Rinostop (30 rubles, 10 UAH).
2. Rinonorm (50 rubles, 17 UAH) = Rinostop (30 rubles, 10 UAH).
3. Lazolvan (320 rubles, 107 UAH) = Ambroxol (20 rubles, 7 UAH).

Drugs that primarily affect tissue metabolism include a variety of stimulants, metabolites, vitamins, and other compounds involved in the normal development and functioning of the body. Among them:

1. Panangin (140 rubles, 47 UAH) = Asparkam (10 rubles, 3 UAH).
2. Bepanthen (250 rubles, 83 UAH) = Dexpanthenol (100 rubles, 33 UAH).
3. Iodomarin (220 rubles, 73 UAH) = Potassium iodide (100 rubles, 33 UAH).
4. Lioton-1000 (350 rubles, 117 UAH) = Heparin-acrigel 1000 (120 rubles, 40 UAH).
5. Neuromultivit (250 rubles, 83 UAH) = Pentovit (50 rubles, 17 UAH).

1. Trichopolum (90 rubles, 30 UAH) = Metronidazole (10 rubles, 3 UAH).
2. Furamag (380 rubles, 127 UAH) = Furagin (40 rubles, 13 UAH).

As well as antibiotics:

1. Klacid (600 rubles, 200 UAH) = Clarithromycin (180 rubles, 60 UAH)
2. Sumamed (450 rubles, 150 UAH) = Azithromycin (90 rubles, 30 UAH)
3. Hemomycin (300 rubles, 100 UAH) = Azithromycin (100 rubles, 33 UAH)

And funds from other groups:

1. Hormones and analogues: Maxidex (120 rubles, 40 UAH) = Dexamethasone (40 rubles, 13 UAH).
2. Ophthalmology: Midriacil (360 rubles, 120 UAH) = Tropicamide (120 rubles, 40 UAH).
3. Antiseptics: Miramistin (200 rubles, 66 UAH) = Chlorhexidine (10 rubles, 3 UAH).
4. Antispasmodics: No-shpa (150 rubles, 50 UAH) = Drotaverine hydrochloride (30 rubles, 10 UAH).
5. Against allergies: Zirtek (220 rubles, 73 UAH) = Cetirinax (80 rubles, 26 UAH).
6. Antiviral: Zovirax (240 rubles, 80 UAH) = Acyclovir (40 rubles, 13 UAH).
7. To improve blood circulation: Cavinton (580 rubles, 193 UAH) = Vinpocetine (200 rubles, 66 UAH).

You can also see a comparison of these and other drugs in terms of cost in this YouTube video.

Contrary to popular belief, when choosing cheap analogues of drugs, you stop not at low quality, but at the rational use of your own funds. A budget drug is no less effective and often even more useful (due to the absence of pretty dyes, flavors, and the like). Do you know other more affordable analogues of the advertised funds? Write in the comments! Leave your ratings, put likes and spread this useful information among your friends! You can read everything in our special section.

Substitutes for expensive drugs are cheap analogues. Learning to save money!

You have visited a doctor. And he gave you medicine. You come to the pharmacy, and... leave a serious amount of money there. Unexpected and annoying...

There is such a thing as an ANALOGUE of expensive drugs - GENERICS.

These are medicines with the same properties, but much cheaper. Generic is an analogue of the original medicine, its price is cheaper than the original. Several drugs appear on the market, similar in composition, but different in price and name. In some countries, generics that do not quite match the original are given a certain qualification to inform patients and doctors about the lower quality of the drug.

3:9

The difference between expensive drugs and their cheap counterparts

• Analogues (generics) differ in the degree of purification and side effects. In preparations of the second and third generation, the degree of purification is much higher. The therapeutic effect is the same, but such a drug has fewer side effects. For example, the long-known allergy drugs suprastin and tavegil cause drowsiness, reduce efficiency, but they are cheap, many doctors still prescribe them. More advanced allergy medicines Erius and Telfast already cost more than 400 rubles for 10 tablets, but they do not have such side effects!

• There are more medicinal components in original medicines. Such a cold medicine, like Theraflu, includes, in addition to the antipyretic and anti-allergic agent, vitamin C, while cheap paracetamol simply lowers the temperature.

Expensive drugs make it more convenient to use. They last longer, are taken less often, and generics have to be taken several times a day. They are enclosed in gelatin capsules so as not to irritate the gastric mucosa. As an example, we can cite a remedy for herpes - low-cost acyclovir - acri. It must be taken 5 times a day, every 4 hours, which is not very convenient if you are at work. And the more expensive Valtrex is several times more expensive, but it needs to be taken only 2 times a day - you can in the morning BEFORE work, and in the evening AFTER ...

3:9

Pros and cons of inexpensive drugs.

• Generics are usually much cheaper.
• Cheap medicines are almost never counterfeited, because it is economically unprofitable.
• The therapeutic effect is the same, because they contain identical ingredients.
• The disadvantages include the fact that inexpensive analogues, as a rule, are produced with the content of cheap auxiliary components, on outdated equipment.

So is it possible to save money on buying pills without compromising your health? Unlike expensive medicines, cheap analogues contain one active ingredient, but are already 2-3 times cheaper. If you do not want to overpay, you can buy a replacement at affordable prices. They have the same effect and difference in these medicines in supplements. The duration of action of the drug and the presence of side effects depend on them.

Conclusion: Of course, a doctor should choose medicines, but everyone should know that there are more budgetary medicines!

Ultimately, only the patient himself has the right to choose
By the way, when you visit a doctor, do not be lazy and ask if this medicine is expensive and is there a cheaper analogue?

4:9

LIST OF GENERICS - ANALOGUES OF EXPENSIVE DRUGS.

But I still want to remind everyone once again - before taking any medicine - CONSULT YOUR DOCTOR!

Actovegin and analogue Dummy / Placebo

price:
Actovegin: 1700 rub. 200mg N50
Dummy/Placebo: 0 rub. N0 Active ingredient: deproteinized calf blood hemoderivat.
Indications: metabolic and vascular disorders of the brain (including ischemic stroke, TBI); wound healing (ulcers of various etiologies, burns, trophic disorders (pressure sores), impaired wound healing processes); peripheral (arterial and venous) vascular disorders and their consequences (angiopathy, trophic ulcers); diabetic polyneuropathy. One of the best-selling drugs in Russia has no proven therapeutic efficacy. Large-scale clinical trials have not been conducted, since this is not legally necessary for Russia. 70% of the sales volume of this Austrian drug produced by Nycomed is in the CIS. This medicine is not used in the US and other developed countries. But one thing is for sure - Actovegin is effective in terms of emptying our wallets. There is information that the use of actovegin during pregnancy contributes to the birth of allergic children.

Belosalik and Akriderm SK
price:
Belosalik: 350 rub. 30g.
Akriderm SK: 180 rub. 30g.

Bepanthen and Dexpanthenol
price:
Bepanten: 230 rub. 5% 30g.
Dexpanthenol: 83 rub. 5% 30g.
Active ingredient: dexpanthenol.
Indications: Inflammatory diseases of the oral cavity, nose, larynx, respiratory tract, gastric mucosa; paresthesia in neurological diseases, "dry" rhinitis (after treatment of secondary acute rhinitis with vasoconstrictor drugs, after staying in a room with an artificial climate or in areas with a dry climate); postoperative treatment (after surgery on the nasal septum and after tonsillectomy), preeclampsia, erosion of the urogenital tract.

Betaserc and Betahistine
price:
Betaserc: 520 rub. 24mg N20
Betahistine: 220 rub. 24mg N20
Active ingredient: betahistine.
Indications: dropsy of the labyrinth of the inner ear, vestibular and labyrinth disorders: dizziness, noise and pain in the ears, headache, nausea, vomiting, hearing loss; vestibular neuronitis, labyrinthitis, benign positional vertigo (including after neurosurgical operations), Meniere's disease. As part of complex therapy - vertebrobasilar insufficiency, post-traumatic encephalopathy, cerebral atherosclerosis.

Bystrumgel and Ketoprofen
price:
Quickgel: 150 rub. 2.5% 50g
Ketoprofen: 60 rub. 2.5% 50g

Voltaren and Diclofenac
price:
Voltaren: 284 rub. 50mg N20
Diclofenac: 28 rub. 50mg N20
Active ingredient: diclofenac.
Indications: Inflammatory and inflammation-activated degenerative forms of rheumatism: - chronic polyarthritis; - ankylosing spondylitis (Bekhterev's disease); - arthrosis; - spondylarthrosis; - neuritis and neuralgia, such as cervical syndrome, lumbago (backache), sciatica; - Acute attacks of gout. Rheumatic lesions of soft tissues. Painful swelling or inflammation after injury or surgery.

Gastrozole and Omeprazole
price:
Gastrozol: 100 rub. 20mg N28
Omeprazole: 44 rub. 20mg N30

Detralex and Venarus
price:
Detralex: 600 rub. 500mg N30
Venarus: 360 rub. 500mg N30
Active ingredient: diosmin and hesperidin
Indications: venous insufficiency of the lower extremities (functional, organic): feeling of heaviness in the legs, pain, convulsions, trophic disorders; acute hemorrhoidal attack.

Diprosalik and Akriderm SK
price:
Diprosalik: 280 rub. 30g.
Akriderm SK: 180 rub. 30g.
Active ingredient: betamethasone and salicylic acid.
Indications: psoriasis, eczema (especially chronic), ichthyosis, limited pruritus with severe lichenification, atopic dermatitis, diffuse neurodermatitis; simple and allergic dermatitis; urticaria, erythema multiforme exudative; simple chronic lichen (limited neurodermatitis). Dermatoses that are not amenable to treatment other GCS (especially lichen verrucosa), lichen planus, skin dyshidrosis.

diflucan and fluconazole
price:
Diflucan: 400 rub. 150mg N1
Fluconazole: 25 rub. 150mg N1

For nose and rinostop
price:
For the nose: 80 rub. 0.1% 10ml
Rinostop: 20 rub. 0.1% 10ml

Zantac and Ranitidine
price:
Zantac: 250 rub. 150mg N20
Ranitidine: 22 rub. 150mg N20
Active ingredient: ranitidine.
Indications: Treatment and prevention - peptic ulcer of the stomach and duodenum, NSAID gastropathy, heartburn (associated with hyperchlorhydria), hypersecretion of gastric juice, symptomatic ulcers, stress ulcers of the gastrointestinal tract, erosive esophagitis, reflux esophagitis, Zollinger-Ellison syndrome, systemic mastocytosis, polyendocrine adenomatosis; dyspepsia, characterized by epigastric or retrosternal pain associated with eating or disturbing sleep, but not due to the above conditions; treatment of bleeding from the upper gastrointestinal tract, prevention of recurrence of gastric bleeding in the postoperative period; aspiration pneumonitis, rheumatoid arthritis.

Zyrtec and Cetirinax
price:
Zyrtec: 240 rub. 10mg N7
Cetirinax: 70 rub. 10mg N7
Active ingredient: cetirizine.
Indications: seasonal and year-round allergic rhinitis and conjunctivitis (itching, sneezing, rhinorrhea, lacrimation, conjunctival hyperemia), urticaria (including chronic idiopathic urticaria), hay fever, allergic dermatitis, pruritus, angioedema, atopic bronchial asthma ( as part of complex therapy).

Zovirax and Acyclovir
price:
Zovirax: 250 rub. 5% 2y.
Acyclovir: 30 rub. 5% 5g.
Active ingredient: acyclovir.
Indications: Cream and ointment for external use - herpes simplex of the skin and mucous membranes, genital herpes (primary and recurrent); localized herpes zoster (auxiliary treatment). Eye ointment - herpetic keratitis.

Immunal and Echinacea
price:
Immunal: 210 rub. 50ml
Echinacea: 50 rub. 50ml
Active ingredient: Echinacea purpurea extract.
Indications: Immunodeficiency states (including against the background of mental and physical overwork), manifested by acute infectious diseases: "colds", influenza, infectious and inflammatory diseases of the nasopharynx and oral cavity, recurrent infections of the respiratory and urinary tract). Secondary immunodeficiency states after antibiotic therapy, cytostatic, immunosuppressive and radiation therapy.

Imodium and Loperamide
price:
Imodium: 300 rub. 2mg N10
Loperamide: 15 rub. 2mg N10
Active ingredient: loperamide.
Indications: diarrhea (acute and chronic of various origins: allergic, emotional, medicinal, radiation; with a change in diet and quality of food, with metabolic and absorption disorders). Stool regulation in patients with ileostomy. As an auxiliary drug - diarrhea of ​​​​infectious genesis.

Iodomarin and Potassium iodide
price:
Iodomarin: 200 rub. 200mcg N100
Potassium iodide: 90 rub. 200mcg N100
Active ingredient: potassium iodide.
Indications: Endemic goiter. Prevention of diseases caused by iodine deficiency (endemic goiter, diffuse euthyroid goiter, during pregnancy, condition after goiter resection).

Cavinton and Vinpocetine
price:
Cavinton: 600 rub. 10mg N90
Vinpocetine: 225 rub. 10mg N90
Active ingredient: vinpocetine.
Indications: acute and chronic cerebrovascular accident (transient ischemia, progressive stroke, completed stroke, condition after stroke). Neurological and mental disorders in patients with cerebrovascular insufficiency (memory impairment; dizziness; aphasia, apraxia, movement disorders, headache).

Claritin and Lorahexal
price:
Claritin: 160 rub. 10mg N7
Lorahexal: 50 rub. 10mg N10

CLACID and Clarithromycin
price:
KLATSID: 615 rub. 250mg N10
Clarithromycin: 175 rub. 250mg N14
Active ingredient: clarithromycin.
Indications: Antibiotic. Bacterial infections caused by susceptible microorganisms: infections of the upper respiratory tract (laryngitis, pharyngitis, tonsillitis, sinusitis), lower respiratory tract (bronchitis, pneumonia, SARS), skin and soft tissues (folliculitis, furunculosis, impetigo, wound infection), medium otitis; peptic ulcer of the stomach and duodenum, mycobacteriosis, chlamydia.

Lazolvan and Ambroxol
price:
Lazolvan: 320 rub. 30mg N50
Ambroxol: 15 rub. 30mg N20
Active ingredient: ambroxol.
Indications: Mucolytic agent, stimulates prenatal development of the lungs (increases the synthesis, secretion of surfactant and blocks its decay). It has a secretomotor, secretolytic and expectorant effect; stimulates the serous cells of the glands of the bronchial mucosa, increases the content of the mucous secretion and the release of a surfactant (surfactant) in the alveoli and bronchi; normalizes the disturbed ratio of serous and mucous components of sputum. By activating hydrolyzing enzymes and increasing the release of lysosomes from Clark cells, it reduces the viscosity of sputum. Increases the motor activity of the ciliated epithelium, increases mucociliary transport.

Lamisil and Terbinafine
price:
Lamisil: 380 rub. gel 1% 15g.
Terbinafine: 100 rub. gel 1% 15g.
Active ingredient: terbinafine.
Indications: Fungal diseases of the skin and nails (in case of onychomycosis do not use dosage forms for topical application) caused by sensitive pathogens (trichophytosis, microsporia, epidermophytosis, rubrophytosis, candidiasis of the skin and mucous membranes); versicolor versicolor (topical dosage forms only).

Lyoton-1000 and Heparin-acry gel 1000
price:
Lyoton-1000: 320 rub. 50g
Heparin-acry gel 1000: 90 rub. 30g.
Active ingredient: heparin sodium.
Indications: Prevention and treatment of thrombophlebitis of superficial veins, post-injection and post-infusion phlebitis, hemorrhoids (including postpartum), elephantiasis, superficial periphlebitis, lymphangitis, superficial mastitis, localized infiltrates and edema, injuries and bruises (including muscle tissue , tendons, joints), subcutaneous hematoma.

Lomilan and Lorahexal
price:
Lomilan: 140 rub. 10mg N10
Lorahexal: 48 rub. 10mg N10
Active ingredient: loratadine.
Indications: Allergic rhinitis (seasonal and year-round), conjunctivitis, hay fever, urticaria (including chronic idiopathic), angioedema, pruritic dermatosis; pseudo-allergic reactions caused by the release of histamine; allergic reactions to insect bites.

Maxidex and Dexamethasone
price:
Maxidex: 110 rub. 0.1% 5ml
Dexamethasone: 40 rub. 0.1% 10ml
Active ingredient: dexamethasone.
Indications: Conjunctivitis (non-purulent and allergic), keratitis, keratoconjunctivitis (without damage to the epithelium), blepharitis, scleritis, episcleritis, retinitis, iritis, iridocyclitis and other uveitis of various origins, blepharoconjunctivitis, optic neuritis, retrobulbar neuritis, superficial corneal injuries of various etiologies (after complete epithelialization of the cornea), prevention of inflammation after surgery, sympathetic ophthalmia. Allergic and inflammatory diseases (including microbial) of the ears: otitis.

Mezim and Pancreatin
price:
Mezim: 275 rub. 4200ED N80
Pancreatin: 27 rub. 3500ED N60
Active ingredient: pancreatin.
Indications: Replacement therapy for exocrine pancreatic insufficiency: chronic pancreatitis, pancreatectomy, condition after irradiation, dyspepsia, cystic fibrosis; flatulence, diarrhea of ​​non-infectious genesis. Violation of the assimilation of food (condition after resection of the stomach and small intestine); to improve the digestion of food in persons with normal gastrointestinal function in case of nutritional errors (eating fatty foods, large amounts of food, irregular meals) and with violations of chewing function, sedentary lifestyle, prolonged immobilization.

Midriacil and Tropicamide
price:
Midriacil: 350 rub. 1% 15ml
Tropicamide: 100 rub. 1% 10ml
Active ingredient: tropicamide.
Indications: diagnostics in ophthalmology (examination of the fundus, determination of refraction by skiascopy), inflammatory processes and adhesions in the chambers of the eye.

Miramistin and Chlorhexidine
price:
Miramistin: 225 rub. 0.01% 150ml
Chlorhexidine: 12 rub. 0.05% 100ml
Active ingredient: in the first case - miramistin, in the second - chlorhexidine.
Indications: Antiseptics, as a therapeutic and prophylactic agent for various infections, for antiseptic treatment and disinfection, as well as for the prevention of sexually transmitted infections.

Movalis and Meloxicam
price:
Movalis: 400 rub. 15mg N10
Meloxicam: 120r.15mg N20
Active ingredient: meloxicam.
Indications: rheumatoid arthritis; osteoarthritis; ankylosing spondylitis (Bekhterev's disease) and other inflammatory and degenerative diseases of the joints, accompanied by pain.

Neuromultivit and Pentovit
price:
Neuromultivit: 100 rub. N20
Pentovit: 40 rub. N50
Active ingredient: thiamine chloride (B1), pyridoxine hydrochloride (B6), cyanocobalamin (B12).
Indications: Vitamins. Polyneuropathy; neuritis; neuralgia; trigeminal neuralgia; radicular syndrome caused by degenerative changes in the spine; sciatica; lumbago; plexitis; intercostal neuralgia; paresis of the facial nerve.

No-shpa and Drotaverine
price:
No-shpa: 180 rub. 40mg N60
Drotaverine: 30 rub. 40mg N50
Active ingredient: drotaverine.
Indications: Prevention and treatment: spasm of smooth muscles of internal organs (renal colic, biliary colic, intestinal colic, biliary tract and gallbladder dyskinesia of the hyperkinetic type, cholecystitis, postcholecystectomy syndrome); pyelitis; spastic constipation, spastic colitis, proctitis, tenesmus; pylorospasm, gastroduodenitis, gastric ulcer and duodenal ulcer. Endarteritis, spasm of peripheral, cerebral and coronary arteries. Algodysmenorrhea, threatening miscarriage, threatening premature birth; spasm of the pharynx of the uterus during childbirth, prolonged opening of the pharynx, postpartum contractions. When conducting some instrumental studies, cholecystography.

Normodipin and Amlodipine
price:
Normodipin: 650 rub. 10mg N30
Amlodipine: 40 rub. 10mg N30
Active ingredient: amlodipine.
Indications: arterial hypertension, exertional angina, vasospastic angina, painless myocardial ischemia, decompensated CHF (as adjuvant therapy).

Nurofen and Ibuprofen
price:
Nurofen: 100 rub. 200mg N24
Ibuprofen: 12 rub. 200mg N20
Active ingredient: ibuprofen.
Indications: Pain syndrome: myalgia, arthralgia, ossalgia, arthritis, sciatica, migraine, headache (including menstrual syndrome) and toothache, cancer, neuralgia, tendonitis, tendovaginitis, bursitis, neuralgic amyotrophy (Personage disease) Turner), post-traumatic and postoperative pain syndrome, accompanied by inflammation.

Omez and Omeprazole
price:
Omez: 165 rub. 20mg N30
Omeprazole: 44 rub. 20mg N30
Active ingredient: omeprazole.
Indications: - peptic ulcer of the stomach and duodenum (including resistant to treatment with other antiulcer drugs); - reflux esophagitis; - erosive and ulcerative lesions of the stomach and duodenum associated with the use of NSAIDs; - peptic ulcers caused by Helicobacter pylori (in combination with antibacterial drugs); - Zollinger-Ellison syndrome; - prevention of acid aspiration (Mendelsohn's syndrome).

Panadol and Paracetamol
price:
Panadol: 40 rub. N12
Paracetamol: 4r. N10
Active ingredient: paracetamol.
Indications: Feverish syndrome on the background of infectious diseases; pain syndrome (mild and moderate): arthralgia, myalgia, neuralgia, migraine, toothache and headache, algomenorrhea.

Panangin and Asparkam
price:
Panangin: 120 rub. N50
Asparkam: 10 rub. N50
Active ingredient: potassium and magnesium aspartate.
Indications: hypokalemia and hypomagnesemia (including those that arose against the background of vomiting, diarrhea; therapy with saluretics, corticosteroids and laxative drugs), accompanied by arrhythmias (including paroxysmal supraventricular tachycardia, atrial and ventricular extrasystoles) against the background of digitalis intoxication, heart failure or myocardial infarction.

Pantogam and Pantocalcin
price:
Pantogam: 320 rub. 250mg N50
Pantocalcin: 250 rub. 250mg N50
Active ingredient: hopantenic acid.
Indications: Cerebrovascular insufficiency caused by atherosclerotic changes in cerebral vessels, senile dementia (initial forms), residual organic brain lesions in mature and elderly people, cerebral organic insufficiency in patients with schizophrenia, residual effects of neuroinfections, post-vaccination encephalitis, TBI (as part of a complex therapy).

Rinonorm and Rinostop
price:
Rinonorm: 45 rub. 0.1% 10ml
Rinostop: 20 rub. 0.1% 10ml
Active ingredient: xylometazoline.
Indications: Acute allergic rhinitis, acute respiratory infections with rhinitis, sinusitis, hay fever; otitis media (to reduce swelling of the mucous membrane of the nasopharynx). Preparation of the patient for diagnostic manipulations in the nasal passages.

Sumamed and Azithromycin
price:
Sumamed: 430 rub. 250mg N6
Azithromycin: 100 rub. 250mg N6

Trental and Pentoxifylline
price:
Trental: 220 rub. 100mg N60
Pentoxifylline: 50 rub. 100mg N60
Active ingredient: pentoxifylline.
Indications: Peripheral circulatory disorders, Raynaud's disease, disorders of tissue trophism; disorders of cerebral circulation: ischemic and post-apoplexy conditions; cerebral atherosclerosis (dizziness, headache, memory impairment, sleep disturbances), dyscirculatory encephalopathy, viral neuroinfection; IHD, condition after myocardial infarction; acute circulatory disorders in the retina and choroid; otosclerosis, degenerative changes against the background of the pathology of the vessels of the inner ear with a gradual decrease in hearing; COPD, bronchial asthma; impotence of vascular origin.

Trichopolum and Metronidazole
price:
Trichopolum: 80 rub. 250mg N20
Metronidazole: 10 rub. 250mg N20
Active ingredient: metronidazole.
Indications: Antibiotic. Protozoal infections: extraintestinal amoebiasis, including amoebic liver abscess, intestinal amoebiasis, trichomoniasis, giardiasis, balantidiasis, giardiasis, cutaneous leishmaniasis, trichomonas vaginitis, trichomonas urethritis. Infections caused by Bacteroides: bone and joint infections, CNS infections, incl. meningitis, brain abscess, bacterial endocarditis, pneumonia, empyema and lung abscess, sepsis. Infections caused by Clostridium spp., Peptococcus and Peptostreptococcus species: infections of the abdominal cavity (peritonitis, liver abscess), infections of the pelvic organs (endometritis, abscess of the fallopian tubes and ovaries, infections of the vaginal fornix). Pseudomembranous colitis (associated with the use of antibiotics). Gastritis or duodenal ulcer associated with Helicobacter pylori.

Troxevasin and Troxerutin
price:
Troxevasin: 210 rub. 300mg N50
Troxerutin: 120 rub. 300mg N50
Active ingredient: troxerutin.
Indications: Varicose veins, chronic venous insufficiency with manifestations such as static heaviness in the legs, leg ulcers, trophic skin lesions, superficial thrombophlebitis, periphlebitis, phlebothrombosis, leg ulcers, dermatitis, hemorrhoids, post-thrombotic syndrome, diabetic microangiopathy, retinopathy, hemorrhagic diathesis .

Ultop and Omeprazole
price:
Ultop: 250 rub. 20mg N28
Omeprazole: 44 rub. 20mg N30
Active ingredient: omeprazole.
Indications: - peptic ulcer of the stomach and duodenum (including resistant to treatment with other antiulcer drugs); - reflux esophagitis; - erosive and ulcerative lesions of the stomach and duodenum associated with the use of NSAIDs; - peptic ulcers caused by Helicobacter pylori (in combination with antibacterial drugs); - Zollinger-Ellison syndrome; - prevention of acid aspiration (Mendelsohn's syndrome).

Ursofalk and Ursosan
price:
Ursofalk: 210 rub. caps. 250mg N10
Ursosan: 165 rub. caps. 250mg N10
Active ingredient: Ursodeoxycholic acid.
Indications: uncomplicated cholelithiasis (dissolution of cholesterol gallstones in the gallbladder, if they cannot be removed by surgical or endoscopic methods), chronic opisthorchiasis, primary biliary cirrhosis of the liver, primary sclerosing cholangitis, chronic active hepatitis, chronic autoimmune hepatitis (atypical forms), non-alcoholic steatohepatitis, acute and chronic viral hepatitis, toxic liver damage (alcoholic, drug), atresia of the intrahepatic biliary tract, cholestasis with parenteral nutrition, biliary reflux esophagitis, biliary reflux gastritis, biliary dyskinesia, alcoholic hepatosis, acute hepatitis, chronic active hepatitis with cholestatic syndrome, liver pathology against the background of cystic fibrosis, congenital atresia of the bile duct, biliary dyspeptic syndrome (with cholecystopathy and biliary dyskinesia), cholestasis of newborns associated with total parenteral nutrition. Prevention of liver damage when using hormonal contraceptives and cytostatics, prevention of the formation of gallstones in obese patients during rapid weight loss.

Fastum-gel and Ketoprofen
price:
Fastum-gel: 240 rub. 2.5% 50g
Ketoprofen: 60 rub. 2.5% 50g
Active ingredient: ketoprofen.
Indications: Gel, cream: acute and chronic inflammatory diseases of the musculoskeletal system (rheumatoid arthritis, spondylitis, arthrosis, osteochondrosis); injuries of the musculoskeletal system (including sports), sprains, ruptures of ligaments and tendons of muscles, tendinitis, contusion of muscles and ligaments, edema, phlebitis, lymphangitis, inflammation of the skin. Rinse solution: inflammatory diseases of the oral cavity and pharynx (tonsillitis, pharyngitis, stomatitis, glossitis, gingivitis, periodontitis, periodontal disease, etc.).

Finlepsin and Carbamazepine
price:
Finlepsin: 250 rub. 400mg N50
Carbamazepine: 40 rub. 200mg N50
Active ingredient: carbamazepine.
Indications: Epilepsy (excluding absences, myoclonic or flaccid seizures) - partial seizures with complex and simple symptoms, primary and secondary generalized forms of seizures with tonic-clonic convulsions, mixed forms of seizures (monotherapy or in combination with other anticonvulsant drugs). Idiopathic trigeminal neuralgia, trigeminal neuralgia in multiple sclerosis (typical and atypical), idiopathic glossopharyngeal neuralgia. Acute manic states. Phase-flowing affective disorders (including bipolar) prevention of exacerbations, weakening of clinical manifestations during exacerbation. Alcohol withdrawal syndrome (anxiety, convulsions, hyperexcitability, sleep disturbances). Diabetic neuropathy with pain syndrome. Diabetes insipidus of central origin.

flucostat and fluconazole
price:
Flucostat: 150 rub. 150mg N1
Fluknazol: 25 rub. 150mg N1
Active ingredient: fluconazole.
Indications: Systemic lesions caused by Cryptococcus fungi, including meningitis, sepsis, lung and skin infections, both in patients with a normal immune response and in patients with various forms of immunosuppression (including AIDS patients, organ transplants); prevention of cryptococcal infection in AIDS patients. Generalized candidiasis: candidemia, disseminated candidiasis. Genital candidiasis: vaginal (acute and recurrent), balanitis. Prevention of fungal infections in patients with malignant tumors on the background of chemotherapy or radiation therapy; prevention of recurrence of oropharyngeal candidiasis in patients with AIDS. Mycoses of the skin: feet, body, inguinal region, onychomycosis, pityriasis versicolor, skin candidal infections. Deep endemic mycoses (coccidioidosis, sporotrichosis and histoplasmosis) in patients with normal immunity.

Furamag and Furagin
price:
Furamag: 350 rub. 50mg N30
Furagin: 40 rub. 50mg N30
Active ingredient: furazidin.
Indications: infectious and inflammatory diseases: purulent wounds, cystitis, urethritis, pyelonephritis, purulent arthritis; infections of the female genital organs; conjunctivitis, keratitis; burns; prevention of infections during urological operations, cystoscopy, catheterization. For washing cavities: peritonitis, pleural empyema.

Hemomycin and Azithromycin
price:
Hemomycin: 270 rub. 250mg N6
Azithromycin: 100 rub. 250mg N6
Active ingredient: azithromycin.
Indications: Antibiotic. Infections of the upper respiratory tract and ENT organs caused by sensitive pathogens: pharyngitis, tonsillitis, laryngitis, sinusitis, otitis media; scarlet fever; infections of the lower respiratory tract: pneumonia, bronchitis; skin and soft tissue infections: erysipelas, impetigo, secondarily infected dermatoses; urinary tract infections: gonorrheal and non-gonorrheal urethritis, cervicitis, peptic ulcer of the stomach and duodenum associated with Helicobacter pylori.

Enap and Enalapril
price:
Enap: 130 rub. 20mg N20
Enalapril: 80 rub. 20mg N20
Active ingredient: knowapril.
Indications: arterial hypertension (symptomatic, renovascular, including scleroderma, etc.), CHF I-III st.; prevention of coronary ischemia in patients with LV dysfunction, asymptomatic LV dysfunction.

Ercefuril and Furazolidone
price:
Ersefuril: 390 rub. 200mg N28
Furazolidone: 3r. 50mg N10
Active ingredient: nifuroxazide in the first case and furazolidone in the second.
Indications: Diarrhea of ​​infectious origin, dysentery, paratyphoid fever, giardiasis, food poisoning.