We are all accustomed to the fact that every drug has its own analogues or generics. You can often find a replacement for an expensive imported drug among the many domestic medicines or medicines manufactured in “third world countries”. Interchangeable drugs (table attached) are, in fact, drugs that are based on one active substance.
Why are originals so expensive?
Often, when purchasing a regular cold remedy at a pharmacy, you have to spend quite a considerable amount. So the question arises: “Are there interchangeable drugs? What do we pay a lot of money for?”
But it's not that simple. There is a fairly convincing justification for the prices set for many drugs. Of course, not all of them are completely effective, but compared to their analogues they deserve preference.
What's the matter? There is a phrase: “Do you want those that exist, or those that cure?” Of course, analogue drugs are not placebos. Many of them improve the quality of life and help improve the health of people who cannot spend a fortune on it. However, it happens that drugs made from cheap raw materials do not bring the expected effect. It all depends on the manufacturer and his integrity.
The principle of pricing of expensive and cheap drugs
If we go into detail, explaining the difference in the action of drugs with the same active substance, then it is worth noting the essence of the analogy. Not every flour can be used to make a loaf! It seems to be wheat flour, but one of them produces only pancakes, and the other produces any kind of baked goods.
Thus, in the composition of cheap raw materials used for the production of inexpensive drugs manufactured locally (or in third world countries), in addition to the main active substance, there are some impurities. Poorly purified chemical raw materials can ultimately give a slight negative result, which most often manifests itself as a side effect or an allergic reaction.
Expensive purified raw materials are used for the production of medicines with a higher pricing policy.
Import substitution
Nowadays the question of import substitution often arises. However, not every original medicine can be replaced with an analogue one. Alas, a number of drugs have no equal in treatment. For example, drugs for the treatment of cancer, hereditary diseases and joint diseases have no equal among analogues, for example Alflutop.
There is a so-called Wyshkowski index, which determines the degree of benefit of drugs and its popularity. Guided by this index, you can determine for yourself the choice of the necessary drug from the entire mass of analogues. It sometimes happens that an analogue is more popular and more effective than its original “brother”.
What is an analog drug?
Analogues or generics are drugs that do not have a patent and do not differ in composition from the patented development. However, all these drugs differ from the original drugs in the qualitative and quantitative composition of additional substances.
An analogue is a kind of copy, but not a fake! After the license for original medicines expires, manufacturing companies quickly copy the composition of the drug, replacing some of the ingredients with cheaper ones. As a result, pharmacies offer their clients plenty of cheaper drugs. And the companies that developed the original, and did a lot of work on testing and research, end up losing. Large turnovers from sales of analogues bring fabulous income, but at the same time help people with low incomes survive in cruel market conditions.
It is this fact that forced manufacturers of original medicines to begin producing analogues themselves in countries with low prices. At the same time, companies monitor the quality of all products. Conflict situations from the use of analogues should not negatively affect the reputation of the original. Therefore, analogues produced at renowned pharmaceutical factories are preferable.
Copies and fakes
In addition to analogues, there are also copies of drugs that are truly So, in Belarus they tried to launch an analogue of Tamiflu into production, while raw materials of dubious quality were purchased in China. The result was that the produced drug did not have any therapeutic effect.
The most dangerous drugs for health are counterfeits (these are not interchangeable drugs, the table of which is in the article)! These drugs are produced at local pharmaceutical factories, outside normal hours, but more often this is done in unsanitary conditions and without observing basic hygiene rules and standards, in basements and barns. “Medicines” arrive in pharmacies through roundabout routes, reach sick people and cause irreparable harm to health. It is these drugs that threaten a doctor’s reputation and cause enormous damage to the industry.
Below is a table of foreign medicines of original production, taking into account the Vyshkovsky index, in conjunction with their analogue, cheaper “brothers”. These are more than 48 pairs of interchangeable drugs that are frequently prescribed.
Interchangeable drugs
Here are interchangeable medications (table).
Purpose, quantity | Original | Cost in rubles | Index | Analogue | Cost in rubles | Index |
anti-flu, | "TeraFlu" | 330 | 0,0331 | "Flucomp" | 195 | 0,0077 |
cold, tablets, 10 | "Nurofen" | 109 | 1,0231 | "Ibuprofen" | 38 | 0,9 |
antibiotic tablets, 6 | "Sumamed" | 500 | 3,1332 | "Z-Factor" | 228 | 0,1906 |
anti-flu, tablets, 10 | "Coldrex" | 150 | 0,6943 | "Influnet" | 100 | 0,0065 |
antispasmodic, tablets, 10 | "No-shpa" | 140 | 2,355 | "Drotaverine" | 40 | 0,0323 |
antifungal, liquid, 15 milliliters | "Exoderil" | 616 | 0,625 | "Naftifine hydrochloride" | 330 | 0,0816 |
antipyretic, rectal suppositories, | "Panadol" | 75 | 0,3476 | "Cefekon D" | 51 | 0,3897 |
antispasmodic, pills | "Spazmalgon" | 150 | 0,6777 | "Renalgan" | 88 | 0,005 |
antispasmodic, injections | "Spazmalgon" | 285 | 0,6777 | "Geomag" | 122 | 0,044 |
antihistamines, tablets, 10 | "Erius" | 1000 | 0,8003 | "Desloratadine" | 330 | 0,0273 |
antifungal anticandidal, tablets, 1 | "Diflucan" | 500 | 1,0307 | "Fluconazole" | 130 | 0,8797 |
antipyretic tablets, 10 | "Aspirin" | 139 | 0,5482 | "Acetylsalicylic acid" | 8 | 0,0592 |
antifungal, | "Clotrimazole" | 72 | 0,8676 | "Kanizon" | 57 | 0,391 |
antifungal, vaginal tablets | "Candide" | 85 | 0,8676 | "Clotrimazole" | 55 | 0,3489 |
from diarrhea, tablets, 6 | "Imodium" | 240 | 0,3179 | "Loperamide" | 58 | 0,0102 |
antirheumatic painkiller tablets, 10 | "Movalis" | 550 | 1,6515 | "Meloxicam" | 45 | 0,7007 |
bone metabolism corrector, 10 | "DONA" | 1350 | 0,9476 | "Glucosamine Maximum" | 470 | 0,391 |
enzyme tablets, 20 | "Mezim forte" | 270 | 1,5264 | "Pancreatin" | 28 | 0,6564 |
enzyme agent, 10 | "Festal" | 107 | 1,5732 | "Normoenzyme" | 40 | 0,044 |
antidiabetic tablets, 30 | "Diabeton MV" | 280 | 0,6647 | "Gliclazide MV" | 128 | 0,0527 |
for the treatment of erectile dysfunction, tablets, 3 | "Viagra" | 1500 | 0,7319 | "Dynamiko" | 395 | 0,3941 |
immunostimulating, | "Immunal" | 285 | 0,6658 | "Echinacea Vilar" | 178 | 0,0109 |
venoprotective | "Detralex" | 1460 | 1,7879 | "Venarus" | 650 | 1,0866 |
antihistamine tablets, 10 | "Claritin" | 188 | 0,7079 | "Loratadine" | 12 | 0,1017 |
antidepressant | "Heptral" | 1800 | 2,1899 | "Heptor" | 950 | 0,643 |
antiviral pills | "Zovirax" | 850 | 0,7329 | "Ciclovir" | 72 | 0,1117 |
antibacterial, tablets, 10 | "Trichopolus" | 65 | 0,7738 | "Metronidazole" | 19 | 0,7432 |
tablets, 10 | "Kapoten" | 155 | 1,5296 | "Captopril" | 9 | 0,5245 |
PN inhibitor tablets, 30 | "Omez" | 200 | 2,5697 | "Omeprozole" | 55 | 0,7745 |
antihistamine, tablets | "Zyrtec" | 236 | 1,5075 | "Cetirizine" | 80 | 0,0503 |
secretolytic, syrup | "Lazolvan" | 230 | 1,864 | "Ambroxol" | 132 | 0,0141 |
anti-inflammatory tablets, 20 | "Voltaren" | 320 | 0,4561 | "Ortofen" | 11 | 0,0726 |
contraceptive pills, 21 | "Janine" | 870 | 0,307 | "Silhouette" | 650 | 0,1476 |
antiseptic, liquid | "Miramistin" | 330 | 1,6511 | "Hexicon" | 116 | 0,9029 |
B vitamins, injections | "Milgamma" | 1100 | 2,808 | "Trigamma" | 99 | 0,0334 |
antacid, tablets | "Zantac" | 300 | 0,2345 | "Gistak" | 41 | 0,0293 |
antifungal, cream | "Lamisil" | 700 | 0,7227 | "Terbinox" | 63 | 0,012 |
improves blood microcirculation, tablets | "Trental" | 300 | 1,55 | "Pentilin" | 136 | 0,0366 |
hepatoprotector capsules, 30 | "Essentiale Forte N" | 555 | 2,2309 | "Fosfontiale" | 435 | 0,0943 |
diuretic tablets, 30 | "Lasix" | 50 | 0,6781 | "Furasemide" | 28 | 0,0148 |
antiemetic solution for injection | "Tserukal" | 250 | 1,1001 | "Metocopramide" | 71 | 0,2674 |
antimicrobial antibiotic, ointment | "Levomekol" | 97 | 0,8167 | "Levomitil" | 45 | 0,0268 |
anti-inflammatory pain reliever, gel | "Fastum-gel" | 460 | 0,2459 | "Ketoprofen" | 97 | 0,0221 |
anticoagulant, gel | "Lyoton 1000" | 800 | 0,2965 | "Heparin-Acrigel" | 210 | 0,0657 |
nasal drops | "Otrivin" | 178 | 0,2831 | "Tizin Xylo" | 111 | 0,0751 |
immunomodulators tablets, 20 | "Groprinosin" | 1400 | 0,5692 | "Inoprinosine" | 1200 | 2,917 |
tissue regeneration stimulator | "Bepanten" | 370 | 0,7003 | "Pantoderm" | 240 | 0,1216 |
sedative drops | "Valocordin" | 281 | 0,3382 | "Corvaldin" | 144 | 0,0318 |
antibiotic tablets, 16 | "Flemoxin Salutab" | 490 | 3,4917 | "Ospamox" | 200 | 0,107 |
This is the so-called list of interchangeable drugs. It is not complete, of course, since new analogues are constantly appearing, and old drugs that have become irrelevant disappear. In principle, every major pharmacy has its own table - analogues of expensive drugs.
Prescribing medications
When prescribing medications for treatment, the doctor must, first of all, take into account the patient’s social status and income. Rich people are used to paying for the speed of results, for the quality of treatment, for the brand. The rest combine the quality of drugs with their cost. You can’t drive the patient into a corner by prescribing an expensive original - he won’t buy it anyway.
Treatment is carried out with “grandmother’s advice” or is not carried out at all. If such a patient is prescribed an inexpensive analogue, there is a possibility that the prescription will be fulfilled. This will happen because the cost of the drugs will not frighten the patient to the same extent as the price of an expensive original will frighten him. That is why the table “Analogs of expensive drugs” will be very useful.
I would like to add to all of the above: never buy medicines from your own hands. In this case, there is no guarantee that this is a medicine and not a poison or a “dummy”. In a pharmacy, to confirm the quality of medications, you can ask the pharmacist to provide accompanying documents if there is doubt about their production, as well as familiarize yourself with available analogues or substitutes. “Interchangeable drugs: table” will come in very handy here.
Roszdravnadzor blacklist
Roszdravnadzor has determined a black list. That is, it is better not to use their interchangeable drugs (table), which are analogues of well-known world brands, in treatment. It has been established through testing that the medical products produced at these factories are of dubious quality. Among them: “Belmedpreparaty”, “Tatfarmkhimpreparaty”, “Biokhimik”, “Herbion Pakistan”, “Farmak”, “Sagmel Inc”, “Dalkhimpharm”, “Biosintez” and others.
In conclusion, I would like to add that before purchasing a medicine, you should read the accompanying instructions, which indicate all its advantages in treatment and a number of side effects. There is a table of foreign medicines for this purpose. When choosing an analogue, you should consult your doctor.
The choice of medication is the patient's choice. Be healthy!
Dear subscribers, today we will talk about analogues of medicines and their prices - or more precisely, about cheap Russian analogues of expensive imported medicines. As the famous satirist and humorist Raikin would say: “They are fooling our brother!” But this is true, and doctors often prescribe a more expensive drug, knowing that there is a cheaper option.
And all because they are interested in it. They will also tell you where to buy the pharmacy. There is a conspiracy. I certainly don’t want to slander anyone. In addition, sometimes taking analogues does not give a sustainable result. After all, expensive and cheap medicine is like eating in a restaurant or eatery. The ingredients are the same, but the quality is different...
Table of cheap analogues of expensive drugs with prices
However, if you do not want to overpay for packaging and for the name, then look at the tables in which you can find all the main equivalents of expensive drugs. There are also for colds and other problems.
Prices in rubles change upward due to inflation, so the amounts in the tables may be slightly out of date. But you can get a general idea, and the name of the drug does not change depending on the price. So the information is up to date!
![](https://i2.wp.com/zoj.org.ru/wp-content/uploads/2012/05/1-1.gif)
Drug analogues - Antipyretics, antispasmodics, blood pressure, for the brain
![](https://i0.wp.com/zoj.org.ru/wp-content/uploads/2012/05/1.gif)
Drug analogues - Antibiotics, antivirals
![](https://i0.wp.com/zoj.org.ru/wp-content/uploads/2012/05/2.gif)
The difference in price can be seen without much stress. What you buy in the end is of course up to you. In the end, it may not be difficult for someone to pay 1000 rubles for a box of medicine.
But we must also remember that the price in no way determines the authenticity of the product. And there is a great temptation to counterfeit expensive pills. And no one will bother with cheap ones. There is no benefit.
Drug analogues - Clipping from Russian Newspaper
![](https://i0.wp.com/zoj.org.ru/wp-content/uploads/2012/05/111.jpg)
![](https://i2.wp.com/zoj.org.ru/wp-content/uploads/2012/05/121.jpg)
List of expensive and cheap similar drugs
![](https://i2.wp.com/zoj.org.ru/wp-content/uploads/2012/05/131.jpg)
Interchangeable drugs
![](https://i0.wp.com/zoj.org.ru/wp-content/uploads/2012/05/141.jpg)
![](https://i2.wp.com/zoj.org.ru/wp-content/uploads/2012/05/151.jpg)
Affordable analogues of expensive drugs
![](https://i2.wp.com/zoj.org.ru/wp-content/uploads/2012/05/11.gif)
Some expensive drugs and their alternatives
![](https://i1.wp.com/zoj.org.ru/wp-content/uploads/2012/05/114.jpg)
Cost of original drugs and generics
![](https://i0.wp.com/zoj.org.ru/wp-content/uploads/2012/05/22.jpg)
Generic - what is it: English transliteration of the word generic. In essence, this is precisely an Analogue, a drug containing the same active ingredient as the branded medicine. The very word we use most often. And the generic is said by those who want to get smart. Large companies patent the names of their drugs, so smaller companies are forced to produce analogues.
Interchangeable foreign and domestic drugs
![](https://i1.wp.com/zoj.org.ru/wp-content/uploads/2012/05/3.jpg)
It would be useful to learn how to recognize counterfeit medicines
![](https://i2.wp.com/zoj.org.ru/wp-content/uploads/2012/05/42.jpg)
Doctors' opinions - synonyms for expensive drugs - should you trust online tables?
A complete list of expensive drugs and their cheap analogues - from A to Z
If you didn’t find something in the tables, you can still go through this list below. If the list does not contain the analogue you need, then ask questions in the comments. I’ll ask our pharmacist, she has 30 years of pharmacy experience and she is aware of everything related to the interchangeability of drugs.
B
Expensive Belosalik - cheap Akriderm SK
Expensive Bepanthen - cheap Dexpanthenol
Expensive Betaserc - cheap Betahistine
Expensive Bystrumgel - cheap Ketoprofen
IN
Expensive Voltaren - cheap Diclofenac
G
Expensive Gastrozole - cheap Omeprazole
D
Expensive Detralex - cheap Venarus
Expensive Diprosalik - cheap Akriderm SK
Expensive Diflucan - cheap Fluconazole
Expensive Dlynos - cheap Rhinostop
Z
Expensive Zantac - cheap Ranitidine
Expensive Zyrtec - cheap Cetirinax
Expensive Zovirax - cheap Acyclovir
AND
Expensive Immunal - cheap Echinacea
Expensive Imodium - cheap Loperamide
Y
Expensive Iodomarin - cheap Potassium iodide
TO
Expensive Cavinton - cheap Vinpocetine
Expensive Claritin - cheap Loragexal
Expensive Klacid - cheap Clarithromycin
L
Expensive Lazolvan - cheap Ambroxol
Expensive Lamisil - cheap Terbinafine
Expensive Lyoton-1000 - cheap Heparin-acri gel 1000
Expensive Lomilan - cheap Loragexal
M
Expensive Maxidex - cheap Dexamethasone
Expensive Mezim - cheap Pancreatin
Expensive Midriacil - cheap Tropicamide.
Expensive Miramistin - cheap Chlorhexidine
Expensive Movalis - cheap Meloxicam
N
Expensive Neuromultivit - cheap Pentovit
Expensive No-shpa - cheap Drotaverine
Expensive Normodipine - cheap Amlodipine
Expensive Nurofen - cheap Ibuprofen
ABOUT
Expensive Omez - cheap Omeprazole
P
Expensive Panadol - cheap Paracetamol
Expensive Panangin - cheap Asparkam
Expensive Pantogam - cheap Pantocalcin
R
Expensive Rinonorm - cheap Rinostop
WITH
Expensive Sumamed - cheap Azithromycin
T
Expensive Trental - cheap Pentoxifylline
Expensive Trichopolum - cheap Metronidazole
Expensive Troxevasin - cheap Troxerutin
U
Expensive Ultop - cheap Omeprazole
Expensive Ursofalk - cheap Ursosan
F
Expensive Fastum-gel - cheap Ketoprofen
Expensive Finlepsin - cheap Carbamazepine
Expensive Flucostat - cheap Fluconazole
Dear Furamag - cheap Furagin
X
Expensive Hemomycin - cheap Azithromycin
E
Expensive Enap - cheap Enalapril
Expensive Ersefuril - cheap Furazolidone
Extended list of cheap analogues of expensive drugs with descriptions
Belosalik and analog Akriderm SK
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/59.jpg)
Active substance:
Indications:
Bepanthen and analogue Dexpanthenol
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/60.jpg)
Active substance: dexpanthenol.
Indications: Prevention and treatment of dry skin when the integrity of its integument is violated: care of the mammary glands during feeding (treatment of “dry” nipples and painful cracks); prevention and treatment of diaper rash in infants; minor injuries, burns, abrasions, bedsores, aseptic postoperative wounds; cervical erosion.
Betaserc and analogue Betagistin
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/61.jpg)
Active substance: betahistine.
Indications: dropsy of the labyrinth of the inner ear, vestibular and labyrinthine 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. Complex therapy includes vertebrobasilar insufficiency, post-traumatic encephalopathy, cerebral atherosclerosis.
Bystrumgel and analogue Ketoprofen
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/62.jpg)
Active substance: ketoprofen.
Indications:
Voltaren and analogue Diclofenac
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/63.jpg)
Active substance: diclofenac.
Indications: Inflammatory and inflammation-activated degenerative forms of rheumatism: - chronic polyarthritis; — ankylosing spondylitis (ankylosing spondylitis); - arthrosis; — spondyloarthrosis; - neuritis and neuralgia, such as cervical syndrome, lumbago (lumbago), sciatica; - acute attacks of gout. Rheumatic lesions of soft tissues. Painful swelling or inflammation after injury or surgery.
Gastrozole and analogue Omeprazole
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/64.jpg)
Active substance: omeprazole
Indications:
Heptral and analog Heptor
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/665.jpg)
Active substance: Ademetionine.
Indications: Chronic cholecystitis, cholangitis, intrahepatic cholestasis, toxic liver damage, incl. alcoholic, viral and medicinal origin (antibiotics, antitumor, antituberculosis, antiviral drugs, tricyclic antidepressants, oral contraceptives), fatty liver, chronic hepatitis, liver cirrhosis, encephalopathy, incl. associated with liver failure (alcohol, etc.). Depression (including secondary), withdrawal syndrome.
De-nol and analogue of Gastro-norm
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/663.jpg)
Active substance: Bismuth tripotassium dicitrate
Indications: peptic ulcer of the stomach and duodenum in the acute phase, incl. associated with Helicobacter pylori; chronic gastritis and gastroduodenitis, incl. associated with Helicobacter pylori, in the acute phase; other gastrointestinal diseases associated with Helicobacter pylori; dyspepsia not associated with organic gastrointestinal diseases; treatment and prevention of gastropathy caused by taking NSAIDs.
Detralex and analogue Venarus
Active substance: diosmin and hesperidin
Indications: venous insufficiency of the lower extremities (functional, organic): feeling of heaviness in the legs, pain, cramps, trophic disorders; acute hemorrhoidal attack.
Diprosalik and analog Akriderm SK
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/66.jpg)
Active substance: betamethasone and salicylic acid.
Indications: psoriasis, eczema (especially chronic), ichthyosis, limited prurigo with severe lichenification, atopic dermatitis, diffuse neurodermatitis; simple and allergic dermatitis; urticaria, exudative erythema multiforme; simple chronic lichen (limited neurodermatitis). Dermatoses that cannot be treated with other corticosteroids (especially verrucous verrucous), lichen planus, skin dyshidrosis.
Diflucan and analogue Fluconazole
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/67.jpg)
Active substance: 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. Generalized candidiasis: candidemia, disseminated candidiasis. Genital candidiasis: vaginal (acute and recurrent), balanitis. Prevention of fungal infections in patients with malignant tumors during chemotherapy or radiation therapy. Skin mycoses: feet, body, groin area, onychomycosis, pityriasis versicolor, skin candidal infections. Deep endemic mycoses (coccidioidosis, sporotrichosis and histoplasmosis) in patients with normal immunity.
For nose and analogue Rinostop
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/68.jpg)
Active substance: xylometazoline.
Indications:
Zantac and analogue Ranitidine
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/69.jpg)
Active substance: Ranitidine.
Indications: Treatment and prevention - gastric and duodenal ulcers, 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 caused by 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 analogue Cetirinax
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/70.jpg)
Active substance: 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 (including complex therapy).
Zovirax and analog Acyclovir
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/72.jpg)
Active substance: 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 analogue Echinacea
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/73.jpg)
Active substance: Echinacea purpurea extract.
Indications: Immunodeficiency states (including against the background of mental and physical fatigue), manifested by acute infectious diseases: colds, flu, infectious and inflammatory diseases of the nasopharynx and oral cavity, recurrent respiratory and urinary tract infections). Secondary immunodeficiency states after antibiotic therapy, cytostatic, immunosuppressive and radiation therapy.
Imodium and analogue Loperamide
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/74.jpg)
Active substance: loperamide
Indications: diarrhea (acute and chronic of various origins: allergic, emotional, medicinal, radiation; with changes in diet and quality of food, with metabolic and absorption disorders). Regulation of bowel movements in patients with ileostomy. As an auxiliary drug - diarrhea of infectious origin.
Iodomarin and analog Potassium iodide
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/75.jpg)
Active substance: potassium iodide
Indications: Endemic goiter. Prevention of diseases caused by iodine deficiency (endemic goiter, diffuse euthyroid goiter, during pregnancy, condition after resection of goiter).
Cavinton and analog Vinpocetine
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/76.jpg)
Active substance: Vinpocetine.
Indications: acute and chronic cerebrovascular accident (transient ischemia, progressive stroke, completed stroke, post-stroke condition). Neurological and mental disorders in patients with cerebrovascular insufficiency (memory impairment; dizziness; aphasia, apraxia, movement disorders, headache).
Klacid and analogue Clarithromycin
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/78.jpg)
Active substance: clarithromycin.
Indications: Antibiotic. Bacterial infections caused by sensitive microorganisms: infections of the upper respiratory tract (laryngitis, pharyngitis, tonsillitis, sinusitis), lower respiratory tract (bronchitis, pneumonia, atypical pneumonia), skin and soft tissues (folliculitis, furunculosis, impetigo, wound infection), moderate otitis; peptic ulcer of the stomach and duodenum, mycobacteriosis, chlamydia.
Claritin and analogue Loragexal
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/77.jpg)
Active substance: Loratadine.
Indications:
Xenical and analogue Orsoten
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/666.jpg)
Active substance: orlistat.
Indications: Obesity (if only dietary measures led to a decrease in body weight of at least 2.5 kg in 4 weeks). The action of the drug is based on blocking the work of lipase enzymes, which break down fats to a level where the body can absorb them.
Lazolvan and analogue Ambroxol
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/79.jpg)
Active substance: ambroxol.
Indications: A mucolytic agent that stimulates the prenatal development of the lungs (increases the synthesis and secretion of surfactant and blocks its breakdown). Has secretomotor, secretolytic and expectorant effects; stimulates the serous cells of the glands of the bronchial mucosa, increases the content of mucous secretion and the release of surfactant in the alveoli and bronchi; normalizes the disturbed ratio of serous and mucous components of sputum. By activating hydrolyzing enzymes and enhancing 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 analogue Terbinafine
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/80.jpg)
Active substance: terbinafine
Indications: Fungal diseases of the skin and nails (for onychomycosis, topical dosage forms are not used) caused by sensitive pathogens (trichophytosis, microsporia, epidermophytosis, rubrophytosis, candidiasis of the skin and mucous membranes); lichen versicolor (only dosage forms for topical use).
Lyoton-1000 and analogue Heparin-acri gel 1000
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/81.jpg)
Active substance: heparin sodium.
Indications: Prevention and treatment of thrombophlebitis of the superficial veins, post-injection and post-infusion phlebitis, hemorrhoids (including postpartum), elephantiasis, superficial periphlebitis, lymphangitis, superficial mastitis, localized infiltrates and swelling, injuries and bruises (including muscle tissue, tendons , joints), subcutaneous hematoma.
Lomilan and analogue Loragexal
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/82.jpg)
Active substance: 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 analogue Dexamethasone
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/83.jpg)
Active substance: 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 epithelization of the cornea), prevention of inflammation after surgery, sympathetic ophthalmia. Allergic and inflammatory diseases (including microbial) of the ears: otitis media.
Mezim and analogue Pancreatin
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/84.jpg)
Active substance: Pancreatin.
Indications: Replacement therapy for exocrine pancreatic insufficiency: chronic pancreatitis, pancreatectomy, condition after irradiation, dyspepsia, cystic fibrosis; flatulence, diarrhea of non-infectious origin. Impaired digestion of food (condition after resection of the stomach and small intestine); to improve food digestion in people with normal gastrointestinal function in case of errors in nutrition (eating fatty foods, large amounts of food, irregular meals) and in cases of chewing dysfunction, sedentary lifestyle, prolonged immobilization.
My comment! As for this analogue, according to my observations and the reviews of people who underwent therapy with mezim, the results are excellent. But pancreatin, alas, does not provide such a clear improvement.
Midriacil and analogue Tropicamide
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/85.jpg)
Active substance: tropicamide
Indications: diagnostics in ophthalmology (examination of the fundus, determination of refraction by skiascopy), inflammatory processes and adhesions in the chambers of the eye. Drug addicts use it to enhance the effects of heroin and opiates.
Miramistin and analogue Chlorhexidine
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/86.jpg)
Active substance: 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 analogue
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/87.jpg)
Active substance: meloxicam.
Indications: rheumatoid arthritis; osteoarthritis; ankylosing spondylitis (Bechterew's disease) and other inflammatory and degenerative diseases of the joints, accompanied by pain.
Neuromultivit and analogue Pentovit
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/88.jpg)
Active substance: 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; facial nerve paresis.
No-spa and analogue Drotaverine
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/90.jpg)
Active substance: drotaverine
Indications: Prevention and treatment: spasm of smooth muscles of internal organs (renal colic, biliary colic, intestinal colic, dyskinesia of the biliary tract and gallbladder of the hyperkinetic type, cholecystitis, postcholecystectomy syndrome); pyelitis; spastic constipation, spastic colitis, proctitis, tenesmus; pylorospasm, gastroduodenitis, peptic ulcer of the stomach and duodenum. Endarteritis, spasm of peripheral, cerebral and coronary arteries. Algomenorrhea, threatened miscarriage, threatened premature birth; spasm of the uterine pharynx during childbirth, prolonged opening of the pharynx, postpartum contractions. When conducting some instrumental studies, cholecystography.
Normodipine and analogue Amlodipine
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/89.jpg)
Active substance: amlodipine.
Indications: arterial hypertension, exertional angina, vasospastic angina, silent myocardial ischemia, decompensated CHF (as an auxiliary therapy).
Nurofen and analogue Ibuprofen
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/91.jpg)
Active substance: ibuprofen.
Indications: Pain syndrome: myalgia, arthralgia, ossalgia, arthritis, sciatica, migraine, headache (including menstrual syndrome) and toothache, cancer, neuralgia, tendinitis, tendovaginitis, bursitis, neuralgic amyotrophy (Personage-Turner disease) , post-traumatic and postoperative pain syndrome, accompanied by inflammation.
Omez and analogue Omeprazole
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/92.jpg)
Active substance: omeprazole
Indications:– peptic ulcer of the stomach and duodenum (including those resistant to treatment with other antiulcer drugs); – reflux esophagitis; – erosive and ulcerative lesions of the stomach and duodenum associated with taking NSAIDs; – peptic ulcers caused by Helicobacter pylori (in combination with antibacterial drugs); – Zollinger-Ellison syndrome; – prevention of acid aspiration (Mendelssohn syndrome).
Panangin and analogue of Asparkam
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/94.jpg)
Active substance: potassium and magnesium aspartate.
Indications: hypokalemia and hypomagnesemia (including those arising from vomiting, diarrhea; therapy with saluretics, corticosteroids and laxatives), accompanied by arrhythmias (including paroxysmal supraventricular tachycardia, atrial and ventricular extrasystole) against the background of digitalis intoxication, heart failure or heart attack myocardium.
Pantogam and analogue Pantocalcin
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/95.jpg)
Active substance: hopantenic acid.
Indications: Cerebrovascular insufficiency caused by atherosclerotic changes in cerebral vessels, senile dementia (initial forms), residual organic brain damage in mature and elderly people, cerebral organic insufficiency in patients with schizophrenia, residual effects of neuroinfections, post-vaccination encephalitis, TBI (as part of complex therapy) .
Panadol and analogue Paracetamol
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/93.jpg)
Active substance: paracetamol.
Indications: Feverish syndrome due to infectious diseases; pain syndrome (mild and moderate severity): arthralgia, myalgia, neuralgia, migraine, toothache and headache, algodismenorrhea.
Preductal MV and analogue Trimetazidine MV
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/667.jpg)
Active substance: Trimetazidine. MV—trimetazidine modified-release tablets.
Indications: Coronary heart disease: prevention of angina attacks (in complex therapy); treatment of cochleo-vestibular disorders of ischemic nature (including dizziness, tinnitus, hearing impairment); Cochleo-vestibular disorders of ischemic nature (tinnitus, hearing impairment), chorioretinal vascular disorders with an ischemic component.
Rinonorm and analogue Rinostop
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/96.jpg)
Active substance: xylometazoline.
Indications: Acute allergic rhinitis, acute respiratory infections with symptoms of rhinitis, sinusitis, hay fever; otitis media (to reduce swelling of the nasopharyngeal mucosa). Preparing the patient for diagnostic manipulations in the nasal passages.
Sumamed and analogue Azithromycin
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/97.jpg)
Active substance: azithromycin.
Indications:
Taufon and analogue Taurine
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/669.jpg)
Active substance: Taurine.
Indications: Dystrophic lesions of the retina of the eye, incl. hereditary taperetinal abiotrophies; corneal dystrophy; senile, diabetic, traumatic and radiation cataracts; corneal injuries (as a stimulator of reparative processes).
Trental and analogue Pentoxifylline
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/98.jpg)
Active substance: pentoxifylline.
Indications: Peripheral circulation disorders, Raynaud's disease, tissue trophism disorders; cerebrovascular accidents: ischemic and post-apoplectic 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 pathology of the vessels of the inner ear with a gradual decrease in hearing; COPD, bronchial asthma; impotence of vascular origin.
Trichopolum and analogue Metronidazole
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/99.jpg)
Active substance: Metronidazole.
Indications: Antibiotic. Protozoal infections: extraintestinal amebiasis, including amoebic liver abscess, intestinal amebiasis, trichomoniasis, giardiasis, balantidiasis, giardiasis, cutaneous leishmaniasis, trichomonas vaginitis, trichomonas urethritis. Infections caused by Bacteroides: infections of bones and joints, infections of the central nervous system, incl. meningitis, brain abscess, bacterial endocarditis, pneumonia, empyema and lung abscess, sepsis. Infections caused by Clostridium spp., Peptococcus and Peptostreptococcus species: abdominal infections (peritonitis, liver abscess), pelvic infections (endometritis, fallopian tube and ovarian abscess, vaginal vault infections). Pseudomembranous colitis (associated with antibiotic use). Gastritis or duodenal ulcer associated with Helicobacter pylori.
Triderm and analog Akriderm GK
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/664.jpg)
Active substance: Gentamicin + Betamethasone + Clotrimazole.
Indications: Simple and allergic dermatitis (especially complicated by secondary infection), atopic dermatitis (including diffuse neurodermatitis), limited neurodermatitis, eczema, ringworm (dermatophytosis, candidiasis, lichen versicolor), especially when localized in the groin area and large folds of the skin; simple chronic lichen (limited neurodermatitis).
Troxevasin and analogue Troxerutin
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/100.jpg)
Active substance: troxerutin.
Indications: Varicose veins, chronic venous insufficiency with such manifestations 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 analogue Omeprazole
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/101.jpg)
Active substance: omeprazole
Indications:– peptic ulcer of the stomach and duodenum (including those resistant to treatment with other antiulcer drugs); – reflux esophagitis; – erosive and ulcerative lesions of the stomach and duodenum associated with taking NSAIDs; – peptic ulcers caused by Helicobacter pylori (in combination with antibacterial drugs); – Zollinger-Ellison syndrome; – prevention of acid aspiration (Mendelssohn syndrome).
Ursofalk and analog Ursosan
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/549.jpg)
Active substance: Ursodeoxycholic acid.
Indications: uncomplicated cholelithiasis (dissolution of cholesterol gallstones in the gallbladder, if it is impossible to remove them 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 (alcohol, drugs), 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 due to cystic fibrosis, congenital bile duct atresia, biliary dyspeptic syndrome (with cholecystopathy and biliary dyskinesia), cholestasis in 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 analog Ketoprofen
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/102.jpg)
Active substance: ketoprofen.
Indications: Gel, cream: acute and chronic inflammatory diseases of the musculoskeletal system (rheumatoid arthritis, spondyloarthritis, arthrosis, osteochondrosis); injuries of the musculoskeletal system (including sports), sprains, ruptures of ligaments and tendons, tendinitis, bruise of muscles and ligaments, edema, phlebitis, lymphangitis, inflammatory processes of the skin. Rinse solution: inflammatory diseases of the oral cavity and pharynx (angina, pharyngitis, stomatitis, glossitis, gingivitis, periodontitis, periodontal disease, etc.).
Finlepsin and analog Carbamazepine
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/103.jpg)
Active substance: carbamazepine.
Indications: Epilepsy (excluding absence seizures, myoclonic or flaccid seizures) - partial seizures with complex and simple symptoms, primary and secondary generalized forms of seizures with tonic-clonic seizures, mixed forms of seizures (monotherapy or in combination with other anticonvulsants). Idiopathic trigeminal neuralgia, trigeminal neuralgia in multiple sclerosis (typical and atypical), idiopathic glossopharyngeal neuralgia. Phasonic 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 analogue Fluknazol
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/104.jpg)
Active substance: fluconazole.
Indications: Systemic lesions caused by Cryptococcus fungi, including meningitis, sepsis, lung and skin infections. Generalized candidiasis: candidemia, disseminated candidiasis. Genital candidiasis: vaginal (acute and recurrent), balanitis. Prevention of fungal infections in patients with malignant tumors during chemotherapy or radiation therapy. Skin mycoses: feet, body, groin area, onychomycosis, pityriasis versicolor, skin candidal infections. Deep endemic mycoses (coccidioidosis, sporotrichosis and histoplasmosis) in patients with normal immunity.
Furamag and analogue Furagin
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/105.jpg)
Active substance: furazidin.
Indications: infectious and inflammatory diseases: purulent wounds, cystitis, urethritis, pyelonephritis, purulent arthritis; infections of female genital organs; conjunctivitis, keratitis; burns; prevention of infections during urological operations, cystoscopy, catheterization. For washing cavities: peritonitis, pleural empyema.
Chemomycin and analogue Azithromycin
![](https://i1.wp.com/krasgmu.net/pics_publ/leks/106.jpg)
Active substance: azithromycin.
Indications: Antibiotic. Infections of the upper respiratory tract and ENT organs caused by sensitive pathogens: pharyngitis, tonsillitis, laryngitis, sinusitis, otitis media; scarlet fever; lower respiratory tract infections: pneumonia, bronchitis; infections of the skin and soft tissues: erysipelas, impetigo, secondary infected dermatoses; urinary tract infections: gonorrheal and non-gonorrheal urethritis, cervicitis, gastric and duodenal ulcers associated with Helicobacter pylori.
Enap and analogue Enalapril
![](https://i0.wp.com/krasgmu.net/pics_publ/leks/107.jpg)
Active substance: knew adj.
Indications: arterial hypertension (symptomatic, renovascular, including with scleroderma, etc.), CHF I-III stages; prevention of coronary ischemia in patients with LV dysfunction, asymptomatic LV dysfunction.
Ersefuril and analogue Furazolidone
![](https://i2.wp.com/krasgmu.net/pics_publ/leks/108.jpg)
Active substance: nifuroxazide in the first case and furazolidone in the second.
Indications: Diarrhea of infectious origin, dysentery, paratyphoid fever, giardiasis, food toxic infections.
What are some tricks in pharmacies?
I myself go to pharmacies exclusively to familiarize myself with the assortment of herbs. So, I come specifically to write this note to the pharmacy. I talk with our pharmacist. For example, I say, what drops are there for a runny nose?
She gives me a list from 100 rubles to the top. Well, based on his acquaintance, he also gives out information that, they say, there are, of course, cheaper ones, for 20 rubles. These are Xylen and Rinostop. Moreover, the active substance in them is the same. This is Xylometazoline.
Why they sell expensive ones, but don’t sell cheap ones is clear and without comment. So it’s important to be able to understand this sea of medications if you already use them.
Very often, prescribed drugs from well-promoted imported pharmaceutical companies are expensive, so patients, in search of a more economical option, look for analogues of the drugs prescribed to them, quite often these are medicines for colds and flu, probiotics or vitamins and microelements. They also often look for analogues of medications widely advertised on TV, antihistamines, nootropics and what advertising calls “cure for VSD.”
In this case, it is better to select complete analogues or generics, that is, drugs that also contain the same amount of the active substance. For example, we are looking for analogues and find a product such as Aspartame, the price of which is an order of magnitude lower than Panangin. If such a remedy cannot be found, with the consent of the attending physician, you can pay attention to substances that are similar in their effect, but contain a different active substance.
Since they are usually looking for not just analogs of drugs - cheap analogues of expensive drugs, it is unlikely that it would be beneficial for pharmacy workers to recommend such a replacement. Therefore, those who need such a replacement should refer to our article, and also expand their knowledge by reading the Medical Directory of Medicines and their analogues. We will not be able to talk about all medications and their analogues within the framework of this article - the full list is a multi-volume work. Therefore, we will focus on those that today often appear in commercials and those that patients are most interested in.
Scene in a pharmacy (cheap analogues of expensive drugs)
Examples of analogues of drugs from different groups
Most often, when we receive a doctor’s prescription, we buy not the cheapest drug at the pharmacy. It is not the topic of the article to analyze the reasons for this situation; let’s just say that analogues of Russian medicines cost two times, and sometimes an order of magnitude less, than imported analogues. Most often, the effect is satisfactory, and the cost savings are obvious.
However, when buying a cheap analogue, it is not always possible to achieve the desired effect. That is, by buying a more expensive product, we get the result promised by the instructions. And when purchasing a cheap option, the effect is much weaker, although the active substance and its concentration are identical to the expensive product. At least this follows from patient reviews.
The reason for this phenomenon can only be explained by conducting appropriate research. Perhaps in some cases the situation can be explained by a psychological factor (trust in foreign pharmacological companies is higher), in others by counterfeit drugs. Perhaps there are other reasons.
Probiotics
Considering the frequency of use of antibiotics to treat certain bacterial infections in people, animals, and their treatment of plants, it can be argued that the intestinal microflora is exposed to substances that are harmful to it quite intensively. It’s not surprising that you have to take probiotics Linex, Symbiolact or eubiotics Enterol and Bioflor.
These are high-quality probiotics that contain not only bifidobacteria and lactobacilli, but also enterococci (Symbiolact). Eubiotics may contain either Saccharomycetes (Enterol), Escherichia coli (Bioflor) and other preparations that contain certain microorganisms needed by the intestines.
Accordingly, the price of these drugs is not the lowest. Linex costs from 250 rubles. It is not surprising that patients are looking for analogues for the drug Linex with a more reasonable price. Unfortunately, there are no cheap complete analogues for this product. The most acceptable analogues of tablets are:
- Lactobacterin - from 113 rubles;
- Gastrofarm from 75 rubles.
Other drugs are comparable in price to Linex or more expensive.
Antihistamines
They are usually called allergy medications. Today, there are first generation antihistamines (Diazodin, Diphenhydramine) and second and third generation (Claridon, Rupafin, Trexil, Telfast).
The first generation of antihistamines suffers from serious side effects, the main of which is increased drowsiness. This significantly reduces the performance of an allergy sufferer; it is especially difficult to take them for those whose work involves risk (drivers, construction equipment operators and others), and Diphenhydramine is also addictive.
Representatives of the next two generations are deprived of this disadvantage. But the cost leaves much to be desired. It is difficult to find complete analogues of cheap drugs for this group of drugs - analogues of expensive drugs, as a rule, are not complete and belong to the first generation drugs.
For those who are looking for cheap analogues of medicine, we can recommend looking at the price table for analogues of expensive medicines:
You can also find analogues at a cheaper price. For example, Chloropyramine tablets cost about 64 rubles. Second- and third-generation drugs cost from 200 rubles, for example Claritin costs about 204 rubles.
"Anti-cold" remedies
Most often, when a pharmacy asks for a medicine for flu and colds, they mean drugs that reduce the symptoms of a viral infection (cough, runny nose, sore throat, fever). That is, medications that contain antipyretic and non-steroidal anti-inflammatory components, and sometimes vitamin C and an antihistamine. But this category also includes antiviral agents, as well as immunomodulators and immunostimulants.
A striking and advertised example of such a “cold medicine” is Theraflu. This quick remedy for colds and flu costs about 338 rubles. Is it possible to find something cheaper? Of course, see analogues of medications, table of “anti-cold powders”:
You can replace this drug with such incomplete analogues of drugs as Antiflu at a price of 113 rubles or Coldrex at 116 rubles. They differ slightly in composition from Theraflu, but give approximately the same effect. When choosing cheap analogues of medicines in case of a cold, you should know that in most cases it is enough to take the common one at a price of 16 rubles and ascorbic acid at 15 rubles per pack.
If the disease is viral in nature, you cannot rely on antipyretic and anti-inflammatory drugs; they only eliminate the symptoms, but do not prevent the virus from developing. This role is played by antiviral drugs, for example Rimantadine, Kagocel and others. Kagocel costs about 220 rubles and has no analogues. One of the cheapest is Rimantadine. Rimantadine is an analogue for Kagocel and costs 50 rubles. But we classified it as analogues only conditionally.
Vitamin preparations and microelements
This is a large group of products that pharmaceutical companies package in beautiful boxes and give intriguing names, all at a fairly high price. Although there are products that have the same effect at a much lower price. Most often, for such drugs, patients look for cheap analogues of drugs:
- Neurobion;
- Aginovit and others.
The list of cheap analogues of expensive drugs will be as follows: for Multigamma there is a Russian analogue. An analogue of Iodomarin (124 rubles) is Potassium Iodide (94 rubles). Neurobion, which costs about 340 rubles, can be successfully replaced at a price of 230 rubles.
Antihypertensives and drugs that improve heart function
If in our young years we do not notice how our “engine” works. With age, the heart, an organ that does not know sleep and rest, begins to malfunction, tachycardia and arrhythmia appear, and blood pressure rises. There are many means to help this important organ. For example, we provide a table with prices for medications and their analogues:
Drug name | Price/rubles | Analog/Substitute | Price/rubles |
Panangin | 122 | Asparkam | 33 |
Eltacin | 170 | No | |
Nebilet | 500 | Nebivolol | 157 |
115 | (not analogue) | 5 |
Panangin is an original drug from the Gideon Richter company, produced in the form of dragees, the shell of which makes it easy to swallow. For Panagin, the analogue is . It is in tablet form and is less comfortable to swallow. In addition, the drugs differ only in manufacturer and price.
Advertising positions Eltacin as a remedy for VSD, almost the only and absolute one. This is not entirely true. This is a metabolite drug. It is designed to normalize metabolic processes in the heart muscle and reduce tissue hypoxia. This is an antioxidant. Its main purpose is to help the myocardium in chronic heart failure; to combat the syndrome of vegetative-vascular dysfunction, it is prescribed to children aged 12 to 18 years as part of complex therapy. It contains amino acids:
- Glycine;
- Cystine;
- Glutamic acid.
For Eltacin, many sites call the analogue of this medicine Glycine (46 rubles). As can be seen from the composition of the drug, Glycine is only its constituent component. Eltacin costs about 170 rubles. There is no complete analogue to this remedy.
Nibilet is a third-generation cardioselective beta-blocker with vasodilator properties. This means that the drug reduces the need for oxygen in the heart muscle, has an antiarrhythmic effect, and can be used to achieve a lasting hypotensive effect. It costs about 500 rubles. Replacing the medicine with cheaper analogues is possible.
For the drug Nebilet, analogs of this medicine are produced in Crovania (Binelol at 382 rubles for 14 tablets), and India (Nebivator for 370 rubles for 14 tablets), and Russia (Nevibol, Kanofarm for 286 rubles for 24 tablets).
Cheap analogues and generics of popular drugs
It is difficult to present cheap analogues of expensive drugs with a complete list for 2016, but we have nevertheless selected a fairly wide list.
It’s easier to look at cheap drug analogues in tables. They are recorded in tables using a variety of principles. Sometimes they are grouped according to the pathologies for which they are used. Sometimes by drug groups, in some cases by frequency of requests. In some cases, identifying a classification criterion is very difficult. We offer several table options that can be used when selecting drug analogues.
Video: Expensive drugs and their cheaper analogues
WHEN 10 rubles = 200 rubles? (Be sure to tell your friends).
When buying medications at a pharmacy, many turn to the seller asking “cheaper for me.” But the problem is that it is profitable for the seller to sell at a higher price. Even if he chooses a “cheaper” drug, we can say with confidence - this will not be the cheapest analogue of an expensive medicine.
Besides, when you buy an expensive drug, saying to yourself “oh well, you don’t mind spending money on your health,” don’t forget that with your rash choice you are killing a cheaper manufacturer. Your money will be received by the expensive manufacturer and its network of intermediaries, who will forward this medicine to you. There will be everyone here, from suppliers of expensive components and chemicals, to an expensive advertiser and the owner of a TV channel, driving the name of this drug into your head. Those who tried to compete fairly, sell raw chemicals at a small profit, do not bother you with advertising, do not deceive you with marketing promotions, they won't receive your money. And therefore in your future all medicines will become even more expensive- the place of cheap manufacturers will be taken by the current expensive ones, and their place will be replaced by super expensive ones. This is the truth of life. Plan your future yourself. Connect your friends and acquaintances. The list below will help you.
Lists of drug analogues given may be inaccurate. Therefore, before purchasing, check with a pharmacy specialist or attending physician whether it is possible to replace the drug with a cheaper one and what consequences this will entail.
Belosalik (380 rubles) and Akriderm SK (40 rubles)
Bepanthen (250 rubles) and Dexpanthenol (100 rubles)
Betaserc (600 rubles) and Betagistin (250 rubles)
Bystrumgel (180 rubles) and Ketoprofen (60 rubles)
Voltaren (300 rubles) and Diclofenac (40 rubles)
Gastrozole (120 rubles) and Omeprazole (50 rubles)
Detralex (580 rubles) and Venarus (300 rubles)
Diflucan (400 rubles) and Fluconazole (30 rubles)
For nose (100 rubles) and Rhinostop (30 rubles)
Zantac (280 rubles) and Ranitidine (30 rubles)
Zyrtec (220 rubles) and Cetirinax (80 rubles)
Zovirax (240 rubles) and Acyclovir (40 rubles)
Immunal (200 rubles) and Echinacea extract (50 rubles)
Imodium (300 rubles) and Loperamide (20 rubles)
Iodomarin (220 rubles) and Potassium iodide (100 rubles)
Cavinton (580 rubles) and Vinpocetine (200 rubles)
Claritin (180 rubles) and Loragexal (60 rubles)
Klacid (600 rubles) and Clarithromycin (180 rubles)
Lazolvan (320 rubles) and Ambroxol (20 rubles)
Lamisil (400 rubles) and Terbinafine (100 rubles)
Lyoton-1000 (350 rubles) and Heparin-acrigel 1000 (120 rubles)
Lomilan (150 rubles) and Loragexal (50 rubles)
Maxidex (120 rubles) and Dexamethasone (40 rubles)
Mezim (300 rubles) and Pancreatin (30 rubles)
Midriacil (360 rubles) and Tropicamide (120 rubles)
Miramistin (200 rubles) and Chlorhexidine (10 rubles)
Movalis (410 rubles) and Meloxicam (80 rubles)
Neuromultivit (250 rubles) and Pentovit (50 rubles)
No-spa (150 rubles) and Drotaverine hydrochloride (30 rubles)
Normodipine (620 rubles) and Amlodipine (40 rubles)
Nurofen (120 rubles) and Ibuprofen (10 rubles)
Omez (180 rubles) and Omeprazole (50 rubles)
Panadol (50 rubles) and Paracetamol (5 rubles)
Panangin (140 rubles) and Asparkam (10 rubles)
Pantogam (350 rubles) and Pantocalcin (230 rubles)
Rinonorm (50 rubles) and Rinostop (20 rubles)
Sumamed (450 rubles) and Azithromycin (90 rubles)
Trental (200 rubles) and Pentoxifylline (50 rubles)
Trichopolum (90 rubles) and Metronidazole (10 rubles)
Troxevasin (220 rubles) and Troxerutin (110 rubles)
Ultop (270 rubles) and Omeprazole (50 rubles)
Fastum-gel (250 rubles) and Ketoprofen (70 rubles)
Finlepsin (280 rubles) and Carbamazepine (50 rubles)
Flucostat (200 rubles) and Fluconazole (20 rubles)
Furamag (380 rubles) and Furagin (40 rubles)
Chemomycin (300 rubles) and Azithromycin (100 rubles)
Enap (150 rubles) and Enalapril (70 rubles)
Ersefuril (400 rubles) and Furazolidone (40 rubles)
258 rubles Voltaren Diclofenac 33 rubles
480 rubles Diflucan Fluconazole 20 rubles
370 rubles Zovirax (cream) Acyclovir 19 rubles
202 rubles Immunal Echinacea (drops) 40 rubles
236 rubles Iodomarin Potassium iodide 69 rubles
222 rubles Lazolvan Ambroxol 16 rubles
390 rubles Lamisil Terbinafine 282 rubles
360 rubles Lyoton 1000 Heparin-acri gel 1000 95 rubles
106 rubles No-shpa Drotaverine 10 rubles
68 rubles Nurofen Ibuprofen 6 rubles
190 rubles Omez Omeprazole 26 rubles
156 rubles Panangin Asparkam 11 rubles
234 rubles Finlepsin Carbamazepine 40 rubles
185 rubles Flucostat Fluconazole 20 rubles
190 rubles Capoten Captopril 11 rubles
97 rubles Aspirin Upsa Acetylsalicylic acid 4 rubles
179 rubles Fastum-gel Ortofen 25 rubles
71 rubles Mezim-Forte Pancreatin 31 rubles
54 rubles Panadol Paracetomol 24 rubles
150 rubles Echinacea extract Dr. Theis Echinacea extract. Russian version 23 rubles
266 rubles TheraFlu Influnorm 145 rubles
691 rubles Movalis Meloxicam 145 rubles
2024 rubles Xenical Orsoten 1161 rubles
212 rubles Claritin Clarotadine 95 rubles
642 rubles Detralex Venarus 329 rubles
1500 rubles Viagra Sildenafil 540 rubles
1902 rubles Heptral Heptor 878 rubles
484 rubles Azimamed Azithromycin 96 rubles
230 rubles Bepanten Dexpanthenol 83 rubles
520 rubles Betaserc Betahistine 220 rubles
150 rubles Bystrumgel Ketoprofen 60 rubles
950 rubles De-nol Gastro-norm 220 rubles
280 rubles Diprosalik Akriderm 180 rubles
80 rubles For nose Rhinostop 20 rubles
600 rubles Cavinton Vinpacetine 225 rubles
615 rubles Klacid Clarithromycin 175 rubles
140 rubles Lomilan Loragexal 48 rubles
110 rubles Maxidex Dexamethasone 40 rubles
350 rubles Midriacil Tropicamide 100 rubles
225 rubles Miramistin Chlorhexidine 12 rubles
100 rubles Neuromultivit Pentovit 40 rubles
320 rubles Pantogam Pantocalcin 250 rubles
850 rubles Preductal MV Deprenorm MV 300 rubles
45 rubles Rinonorm Rinostop 20 rubles
220 rubles Trental Pentoxifylline 50 rubles
80 rubles Trichopolum Metronidazole 10 rubles
650 rubles Triderm Akriderm GK 300 rubles
210 rubles Troxevasin Troxerutin 120 rubles
210 rubles Ursofalk Ursosan 165 rubles
250 rubles Finlepsin Carbamazepine 40 rubles
350 rubles Furamag Furagin 40 rubles
270 rubles Chemomycin Azithromycin 100 rubles
130 rubles Enap Enalapril 80 rubles
390 rubles Ersefuril Furazolidone 12 rubles
240 rubles Fastum-gel Ketoprofen 60 rubles
95 rubles Flemaxin salutab Amoxicillin 11 rubles
347 rubles Tiberal Metronidazole 4 rubles
154 rubles Notta Novo-passit 65 rubles
135 rubles Aspirin-cardio Cardiask 35 rubles
280 rubles Zantac Ranitidine 50 rubles
1120 rubles Losek maps Omez 177 rubles
190 rubles Otrivin Rinostop 20 rubles
2770 rubles Plavix Zilt 900 rubles
100 rubles Sanorin Naphthyzin 7 rubles
270 rubles Ultop Omeprazole 50 rubles
46 rubles Imunotais Echinacea Extract 3 rubles
400 rubles Para-plus against lice Chemerichnaya water 25 rubles
350 rubles Belosalik Akriderm 180 rubles
850 rubles Viagra Dynamic 270 rubles
100 rubles Gastrozole Omeprazole 44 rubles
240 rubles Zyrtec Cetirinax 70 rubles
300 rubles Imodium Loperamide 15 rubles
370 rubles Sumamed Azithromycin 60 rubles
39 rubles Ketorol Ibuprofen 6 rubles
106 rubles No-shpa Spazmol 28 rubles
190 rubles Adalat SL Nifedipine 28 rubles
137 rubles Amlotop Amlodipine 40 rubles
337 rubles Arifon Indapamide 10 rubles
337 rubles Arifon Indap 98 rubles
137 rubles Betaloc Zok Metoprolol 14 rubles
68 rubles Vasocardin Metoprolol 14 rubles
85 rubles Valocordin Korvaldin 53 rubles
299 rubles Verogalid ER Verapamil 18 rubles
80 rubles Cordipin Cordaflex 72 rubles
650 rubles Normodipine Amlodipine 40 rubles
382 rubles EsCordi Cor Amlodipine 40 rubles
94 rubles Endit Enalapril 80 rubles
273 rubles Azivok Azithromycin 96 rubles
41 rubles Acyclovir-Acri Acyclovir 19 rubles
128 rubles 5-NOK Nitroxoline 12 rubles
242 rubles Zitrolide Azithromycin 96 rubles
268 rubles Ribamidil Ribavirin 169 rubles
790 rubles Rulid Roxygestal 246 rubles
84 rubles Allertek Cetirizine 64 rubles
152 rubles Ventolin Salbutamol 125 rubles
338 rubles Salamol Eco Salbutamol 125 rubles
108 rubles Chalixol Ambroxol 16 rubles
113 rubles Ambrosan Ambroxol 16 rubles
275 rubles Nootropil Piracetam 17 rubles
400 rubles Phenotropil Piracetam 17 rubles
58 rubles Virolex Acyclovir 19 rubles
112 rubles Diclak Diclofenac 33 rubles
282 rubles Terbinafine Fungoterbin 274 rubles
460 rubles Actrapid NM Humulin NPH 425 rubles
500 rubles Vinblastine-Teva Vinblastine-Lance 500 rubles
335 rubles Sermion Nitsergolin 174 rubles
107 rubles Oftan dexamethasone Dexamethasone 40 rubles
49 rubles Okumed Timolol 18 rubles
90 rubles Vermox Mebendazole 22 rubles
100 rubles Hypothiazide Hydrochlorodiazide 31 rubles
810 rubles Leponex Azaleptin 190 rubles
Generics, this wonderful English word (generic), is called analogue of medicine, which is sold under an off-patent name. Thus, a generic is an interchangeable medicine that differs only in name, but has the same composition, the same active substance and has the same therapeutic effect. Our task is not to delve into the legal terminology associated with generics, but to find out what cheap analogues of expensive drugs exist.
What is the easiest way to identify interchangeable drugs? The answer is simple: find, on the Internet, the main active ingredient of the medicine and its quantity (volume) in the drug and compare the analogues offered by pharmacists and doctors.
It has long been no secret that many doctors feed on the medications they prescribe to patients. Often doctor's share, which he receives from the pharmacy, is more than 30% of the cost of the drug. Thus, the catchphrase “saving drowning people is the work of the drowning people themselves” becomes more relevant than ever.
Therefore, friends, don’t chase brands, visit at least 2 doctors with your problem, of course, without telling about the diagnosis and treatment regimen proposed by the previous doctor. Take the time to read the annotation for the drug, find the main active ingredient of the drug, and you will find at least 2-3 cheap analogues of the expensive drug. Below are tables of interchangeable drugs or domestic generics.
In the table comparing interchangeable drugs, the price of the drug was not specifically indicated, since prices are not stable and change depending on market conditions, exchange rates and other micro and macroeconomic factors. For this reason, instead of the price of a generic drug, the ratio of the price of an expensive drug and its domestic analogue is indicated.
Table of drug analogues:
What is the medicine used for? |
Expensive medicine |
An analogue of an expensive medicine |
Active ingredient of the drug |
How many times cheaper is the generic? |
Painkillers |
Ibuprofen |
Propionic acid derivatives |
The price of the drug is 7.5 times cheaper |
|
Dermatoses, eczema |
Belosalik |
Akriderm |
2 times cheaper |
|
Inflammation of the nasopharynx |
Bepanten |
Dexpanthenol |
Dexpanthenol |
|
Vestibular disorders, ear pain |
Betaserk |
Betagistine |
Betagistine |
The price of the medicine is 2.4 times lower |
Inflammation of the musculoskeletal system |
Bystrumgel |
Ketoprofen |
Ketoprofen |
2.5 times cheaper |
Rheumatism, arthritis |
Voltaren |
Diclofenac |
Diclofenac |
The price of the drug is 10.1 times lower |
Stomach ulcer |
Gastrozol |
Omeprazole |
Omeprazole |
2.3 times lower |
Venous insufficiency of the legs |
Detralex |
Diosmin and hesperdin |
Less than 1.7 |
|
Psoriasis, eczema, ichthyosis |
Diprosalik |
Akriderm |
Betamethasone and salicylic acid |
The price of the drug is 2.8 times cheaper |
Meningitis, sepsis, lung infections |
Diflucan |
Flucanozole |
Fluconazole |
Analogue medicine Cheaper at 16 once |
Rhinitis, Sinusitis |
Rhinostop |
Xylometazoline |
The price of the medicine is 4 times cheaper |
|
Stomach ulcer, heartburn |
Ranitidine |
Ranitidine |
The price of the drug is 11.4 times cheaper |
|
Allergic rhinitis and conjunctivitis |
Cetirinax |
Cetirizine |
The price of the medicine is 3.4 times lower |
|
Genital and simple skin herpes |
Zovirax |
Acyclovir |
Acyclovir |
Drug analogue 8.3 times cheaper |
To boost immunity |
Echinacea |
Echinacea purpurea plant extract |
4.2 times cheaper |
|
Diarrhea (diarrhea) |
Loperamide |
Loperamide |
Drug analogue 20 times cheaper |
|
Goiter treatment |
Iodomarin |
Potassium iodite |
Potassium iodite |
|
Cerebrovascular disorders |
Cavinton |
Vinpothecin |
Vinpothecin |
2.7 times cheaper |
Allergic diseases |
Clariton |
Loratadine |
Loratadine |
The price of the medicine is 3.2 times lower |
Upper respiratory tract infections. Antibiotic |
Clarithromycin |
Clarithromycin |
3.5 times cheaper |
|
Expectorant (mucolytic) agent |
Lazolvan |
Ambraxol |
Ambroxol |
Drug analogue 21.3 times cheaper |
Antifungal, skin diseases |
Terbinafine |
Terbinafine |
3.8 times cheaper |
|
Thrombophlebitis of superficial veins |
Lyoton-1000 |
Heparin-acri gel-1000 |
Heparin sodium |
The price of the drug is 3.5 times cheaper |
Allergic rhinitis |
Loragexal |
Loratidine |
The price of the medicine is 2.9 times lower |
|
Conjunctivitis, keratitis, blepharitis |
Maxidex |
Dexamethasone |
Dexamethasone |
2.75 times cheaper |
Help the pancreas, flatulence |
Pancreatin |
Pancreatin |
Drug analogue 10.2 times cheaper |
|
Antiseptics for disinfection |
Miramistin |
Chlorhexidine |
By name |
Drug analogue 18.8 times cheaper |
Rheumatoid and gouty arthritis |
Meloxicam |
Meloxicam |
3.3 times cheaper |
|
Vitamins: neuritis, neuralgia, radicular syndrome, sciatica |
Neuromultivitis, neurovitan |
Pentovit |
The price of the medicine is 2.2 times cheaper |
|
Smooth muscle spasm (renal colic, colitis) |
Drotaverine |
Drotaverine |
6 times cheaper |
|
High blood pressure, angina pectoris |
Normodipine |
Amlodipine |
amlodipine |
Drug analogue 16.3 times cheaper |
Stomach ulcer |
Omeprazole |
Omeprazole |
3.8 times cheaper |
|
Antipyretic, fever, muscle aches, chills |
Paracetamol |
Paraetamol |
Drug analogue 10 times cheaper |
|
Hypokalemia, hypomgnemia |
Panangin |
Asparkam |
Potassium, magnesium aspartate |
Analogue of the drug 12 times cheaper |
Organic brain lesions |
Pantogam |
Pantocalcin |
Hopantenic acid |
2.2 times cheaper |
Allergic rhinitis |
Rhinonorm |
Rhinostop |
Xylometazoline |
The price of the drug is 3.3 times cheaper |
Antibiotic. Infections of the upper respiratory tract and ENT organs |
Azithromycin |
Azithromycin |
4.3 times cheaper |
|
Violation of peripheral circulation, cerebral circulation |
Pentoxephylline |
Pentoxifylline |
Less than 4.4 times |
|
Broad spectrum antibiotic. Sexually transmitted infections. Intestinal amebiasis, central nervous system infections |
Trichopolum |
Metronidazole |
Metronidazole |
8 times cheaper |
Hematomas, varicose veins. |
Troxevasin |
Troxerutin |
Troxerutin |
1.8 times cheaper |
Gastric ulcers and exacerbations caused by taking NSAIDs |
Omeprazole |
Omeprazole |
The price of the drug is 5.7 times less |
|
Arthritis, arthrosis, inflammation of the musculoskeletal system |
Fastum-gel |
Ketoprofen |
Ketoprofen |
4 times less |
Epilepsy |
Finlepsin |
Carbamazepine |
Carbamazepine |
The price of the medicine is 6.3 times cheaper |
Meningitis, sepsis, other systemic lesions caused by Cryptococcus fungi |
Flucostat |
Fluconazole |
Fluconazole |
6 times cheaper |
Cestitis, purulent wounds, urethritis, pyelonephritis, purulent arthritis, keratitis, burns, prevention of infections before urological manipulations |
Furazidin |
Antibiotic analogue 8.8 times cheaper |
||
Antibiotic, ENT and upper respiratory tract infections |
Hemomycin |
Azithromycin |
Azithromycin |
2.7 times cheaper |
High blood pressure |
Enalapril |
Enalapril |
The price of the medicine is 1.6 times cheaper |
|
Diarrhea (diarrhea) |
Ersefuril |
Furazolidone |
nifuroxazide |
An analogue drug is 130 times cheaper |
Mucolytic (expectorant) |
Lazolvan |
Ambrocol |
Ambroxol |
The cost of the generic is 2.2 times less |
Antipyretic |
Aspirin UPSA |
Acetylsalicylic acid |
Acetylsalicylic acid |
The price of an analogue drug is 3.2 times less |
Calming, sedative |
Valocordin |
Corvalol |
Phenobarbital, peppermint |
The price of the analogue is 3.5 times less |
Vascular obstruction |
Trombless |
Heparin sodium |
The price of the drug is 1.5 times cheaper |
|
Antiulcer, heartburn, stomach bleeding |
Ranintidine |
Bismuth citrate |
The price of the drug analogue is 5.6 times cheaper |
|
Vasoconstrictor nose drops |
Naphthyzin |
Naphazoline |
The price of the drug analogue is 14.3 times cheaper |
|
Cough remedy |
Acetine, Acetylcysteine |
acetylcysteine |
3.4 times cheaper |
|
Remedy for intoxication (enterosorbent) |
Activated carbon |
Medical charcoal |
The price of a drug analogue is 3.7 times lower |
|
Hepatoprotective agent |
Essentiale |
Enerliv, essliver |
Soybean phospholipids |
4.2 times cheaper |
In conclusion, I would like to note that do not self-medicate, be sure to consult a doctor, preferably several, about taking this or that medication.