Russian analogues of imported drugs: an adequate replacement? Cheap Russian Analogues of Medicines - Expensive and Imported Where is the analogue

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, purchased at a pharmacy common remedy for a cold, you have to spend quite a lot of money. 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.

So, as part of cheap raw materials used for production inexpensive drugs locally produced (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 medicines 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).

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 expensive medicines.

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.

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!

The price of a drug does not always determine its quality; it is not always possible to understand why the consumer should overpay a large sum when the active component of a medicine prescribed by a doctor can be found under a less well-known name. Almost every expensive drug has a generic: its analogue in terms of action and chemical composition. You should always have a list of such tools 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 medications may turn out to be safer due to certain softening ingredients side effects, while the budget generic does not have any. In particular, this applies to antibiotics that have a negative effect on 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, unless it has been discussed with the attending physician.

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

Main drug

Budget generic

Indications for use

Ambroxegal (110 rub.)

Ambroxol (50 rub.)

A drug that promotes the removal of sputum. Used to treat wet cough, bronchitis in any form, pneumonia.

Aspirin-cardio (RUB 125)

CardiASK (35 rub.)

Analgesic that relieves fever and stops inflammatory process. Used for angina pectoris, for the prevention of stroke and heart attack, circulatory disorders in the brain, thromboembolism.

Bepanten (280 rub.)

Dexpanthenol (140 rub.)

An ointment that triggers regenerative processes. It is used to restore the skin due to burns and wounds, to treat boils, dermatitis, and trophic ulcers.

Voltaren (400 rub.)

Bystrumgel, Fastum-gel (200 rub.)

Ketoprofen (60 rub.)

NSAIDs, analgesic, anti-inflammatory agent. Relieves fever. Used externally as an ointment for injuries and joint damage.

Diflucan (800 rub.)

Fluconazole (40 rub.)

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

For nose (100 rub.)

Rinostop (30 rub.)

Zyrtec (350 rub.)

Ranitidine (50 rub.)

Antiulcer agent.

Zovirax (240 rub.)

Acyclovir (40 rub.)

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

Immunal (200 rub.)

Echinacea extract (50 rub.)

Immunostimulating agent used for prevention viral infections, V complex therapy with antibiotics to support the body.

Kapoten (120 rub.)

Captopril (15 rub.)

Antihypertensive drug, ACE inhibitor. Used in the combined treatment of heart failure, hypertension of any etiology, after suffered a heart attack myocardium and diabetes mellitus with kidney damage.

Mezim (300 rub.)

Pancreatin (30 rub.)

Replenishes enzyme deficiency, helping the pancreas digest heavy foods more easily.

Maxidex (120 rub.)

Dixamethasone (40 rub.)

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

Midriacil (360 rub.)

Tropicamide (120 rub.)

It is used for inflammatory processes of an ophthalmological nature, for examining the fundus of the eye, and in therapy after operations.

Movalis (410 rub.)

Meloxicam (80 rub.)

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

Normodipine (620 rub.)

Amlodipine (40 rub.)

Reduces blood pressure, used for vasospastic angina.

No-Shpa (150 rub.)

Drotaverine (30 rub.)

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

Nurofen (120 rub.)

Ibuprofen (20 rub.)

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

Omez (180 rub.)

Omeprazole (50 rub.)

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

Panangin (170 rub.)

Perineva (310 rub.)

Perindopril (RUB 120)

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

Sanorin (140 rub.)

Naphthyzin (15 rub.)

Nasal drops that have a vasoconstrictor effect. Used to treat sinusitis, rhinitis, and during operations of the nasal cavity.

Sumamed (450 rub.)

Azithromycin (90 rub.)

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

Troxevasin (220 rub.)

Troxerutin (100 rub.)

Flucostat (200 rub.)

Fluconazole (30 rub.)

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

Finalgon (320 rub.)

Capsicam (140 rub.)

An ointment with a local irritant effect, used for pain in muscles and joints caused by injuries or rheumatism.

Enap (110 rub.)

Enalapril (55 rub.)

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 an expensive medicine prescribed to you, you can look at its active ingredient - there is a high probability that the budget analogue will have exactly the same name. For example, this scheme shows its effectiveness with acyclovir, potassium iodide, panthenol, fluconazole, etc.

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!

Drug analogues - Antipyretics, antispasmodics, blood pressure, for the brain

Drug analogues - Antibiotics, antivirals

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

List of expensive and cheap similar drugs

Interchangeable drugs

Affordable analogues of expensive drugs

Some expensive drugs and their alternatives

Cost of original drugs and generics

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

It would be useful to learn how to recognize counterfeit medicines

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

Active substance:
Indications:

Bepanthen and analogue Dexpanthenol

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

Active substance: betahistine.
Indications: dropsy of the labyrinth inner ear, vestibular and labyrinthine disorders: dizziness, noise and ear pain, 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

Active substance: ketoprofen.
Indications:

Voltaren and analogue Diclofenac

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

Active substance: omeprazole
Indications:

Heptral and analog Heptor

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

Active substance: Bismuth tripotassium dicitrate
Indications: peptic ulcer 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 diseases Gastrointestinal tract; treatment and prevention of gastropathy caused by taking NSAIDs.

Detralex and analogue Venarus

Active substance: diosmin and hesperidin
Indications: venous insufficiency lower limbs(functional, organic): feeling of heaviness in the legs, pain, cramps, trophic disorders; acute hemorrhoidal attack.

Diprosalik and analog Akriderm SK

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

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 immunosuppression. Generalized candidiasis: candidemia, disseminated candidiasis. Genital candidiasis: vaginal (acute and recurrent), balanitis. Prevention of fungal infections in patients malignant tumors against the background of chemotherapy or radiation therapy. Mycoses of the skin: 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

Active substance: xylometazoline.
Indications:

Zantac and analogue Ranitidine

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 relapses stomach bleeding V postoperative period; aspiration pneumonitis, rheumatoid arthritis.

Zyrtec and analogue Cetirinax

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, itchy skin, angioedema, atopic bronchial asthma(as part of complex therapy).

Zovirax and analog Acyclovir

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

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 diseases inflammatory diseases 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 analogue Loperamide

Active substance: loperamide
Indications: diarrhea (acute and chronic of various origins: allergic, emotional, medicinal, radiation; when changing the diet and quality of food, when metabolism and absorption are impaired). Regulation of bowel movements in patients with ileostomy. As an auxiliary drug - diarrhea of ​​infectious origin.

Iodomarin and analog Potassium iodide

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

Active substance: Vinpocetine.
Indications: spicy and chronic disorder cerebral circulation(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

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), otitis media; peptic ulcer of the stomach and duodenum, mycobacteriosis, chlamydia.

Claritin and analogue Loragexal

Active substance: Loratadine.
Indications:

Xenical and analogue Orsoten

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

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 motor activity ciliated epithelium, increases mucociliary transport.

Lamisil and analogue Terbinafine

Active substance: terbinafine
Indications: Fungal diseases skin and nails (do not use for onychomycosis dosage forms For local application), 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

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

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

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, neuritis optic nerve, retrobulbar neuritis, superficial injuries of the cornea 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

Active substance: Pancreatin.
Indications: Replacement therapy with exocrine pancreatic insufficiency: chronic pancreatitis, pancreatectomy, condition after irradiation, dyspepsia, cystic fibrosis; flatulence, diarrhea of ​​non-infectious origin. Impaired digestion of food (condition after gastric resection and small intestine); to improve food digestion in persons with normal gastrointestinal function in case of dietary errors (consumption of fatty foods, large quantity food, irregular nutrition) 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

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

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

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

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

Active substance: drotaverine
Indications: Prevention and treatment: smooth muscle spasm 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. Algodismenorrhea, threatened miscarriage, threatening premature birth; spasm of the uterine pharynx during childbirth, prolonged opening of the pharynx, postpartum contractions. While carrying out some instrumental studies, cholecystography.

Normodipine and analogue Amlodipine

Active substance: amlodipine.
Indications: arterial hypertension, exertional angina, vasospastic angina, silent myocardial ischemia, decompensated CHF (as an auxiliary therapy).

Nurofen and analogue Ibuprofen

Active substance: ibuprofen.
Indications: Pain syndrome: myalgia, arthralgia, ossalgia, arthritis, radiculitis, migraine, headache (including menstrual syndrome) and toothache, at oncological diseases, neuralgia, tendinitis, tendovaginitis, bursitis, neuralgic amyotrophy (Personage-Turner disease), post-traumatic and postoperative pain syndrome accompanied by inflammation.

Omez and analogue Omeprazole

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

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

Active substance: hopantenic acid.
Indications: Cerebrovascular insufficiency caused by atherosclerotic changes in cerebral vessels, senile dementia (initial forms), residual organic lesions brain in mature and elderly people, cerebral organic failure in patients with schizophrenia, residual effects past neuroinfections, post-vaccination encephalitis, TBI (as part of complex therapy).

Panadol and analogue Paracetamol

Active substance: paracetamol.
Indications: Feverish syndrome in the background infectious diseases; pain syndrome (mild and moderate severity): arthralgia, myalgia, neuralgia, migraine, toothache and headache, algodismenorrhea.

Preductal MV and analogue Trimetazidine MV

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

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

Active substance: azithromycin.
Indications:

Taufon and analogue Taurine

Active substance: Taurine.
Indications: Dystrophic lesions retina eyes, incl. hereditary taperetinal abiotrophies; corneal dystrophy; senile, diabetic, traumatic and radiation cataracts; corneal injuries (as a stimulator of reparative processes).

Trental and analogue Pentoxifylline

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 eyes; 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

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: infections abdominal cavity(peritonitis, liver abscess), pelvic infections (endometritis, abscess of the fallopian tubes and ovaries, infections of the vaginal vault). Pseudomembranous colitis (associated with antibiotic use). Gastritis or duodenal ulcer associated with Helicobacter pylori.

Triderm and analog Akriderm GK

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

Active substance: troxerutin.
Indications: Varicose veins 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

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

Active substance: Ursodeoxycholic acid.
Indications: uncomplicated cholelithiasis (dissolution of cholesterol gallstones in gallbladder, if it is impossible to remove them by surgical or endoscopic methods), chronic opisthorchiasis, primary biliary cirrhosis, primary sclerosing cholangitis, chronic active hepatitis, chronic autoimmune hepatitis ( atypical forms), non-alcoholic steatohepatitis, acute and chronic viral hepatitis, toxic liver damage (alcohol, drugs), intrahepatic atresia 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 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 analog Ketoprofen

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

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 convulsions, mixed forms seizures (monotherapy or in combination with other anticonvulsants). Idiopathic trigeminal neuralgia, trigeminal neuralgia with multiple sclerosis(typical and atypical), idiopathic neuralgia glossopharyngeal nerve. Phase leaking affective disorders(including bipolar) prevention of exacerbations, weakening clinical manifestations during exacerbation. Alcohol withdrawal syndrome (anxiety, convulsions, hyperexcitability, sleep disturbances). Diabetic neuropathy with pain syndrome. Diabetes insipidus central genesis.

Flucostat and analogue Fluknazol

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

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

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

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

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 active substance they are one and 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.

The domestic pharmaceutical market offers a wide variety of drugs, but at the same time, most of them are very expensive. As an affordable alternative, many people prefer to choose Russian analogues of imported drugs, the list and compliance of which can be obtained from the attending physician or pharmacist at the pharmacy.

Painkillers and antispasmodics

Painkillers (analgesics) are intended to relieve pain syndromes of various origins. In general, analgesics are divided into 2 groups:

• Non-narcotic drugs containing acetylsalicylic acid, analgin, paracetamol, mefinamic acid, piroxicam, ibuprofen, dimexide, etc.
• Narcotic drugs that are prescribed in the most extreme and serious cases, for example, morphine, promedol, fentanyl, etc.

Cardiac and hypotensive

Cardiac drugs combine several groups of drugs to improve ischemic and cerebral circulation, normalize heart rhythm, increase the content and transport of oxygen to the heart.

• decreased tone of the sympathetic nervous system;
• suppression of renin production (a component of the blood pressure regulation system);
• vasodilation;
• increasing urine output (diuretics).

Antibacterial and antiviral

Antibacterial drugs (antibiotics) are drugs that inhibit the growth of harmful microorganisms or cause their death.

Anti-inflammatory and antipyretic

Nonsteroidal anti-inflammatory drugs (NSAIDs, NSAIDs) have an anti-inflammatory effect, to which antipyretic and analgesic effects are also added.

Antidiarrheal

Diarrhea (stomach upset) is a common symptom various diseases Gastrointestinal tract, other internal organs, intoxications. Antidiarrheal drugs reduce intestinal motility and increase sphincter tone. This group also includes eubiotics (enzymes and bacteria that regulate the microflora of the gastrointestinal tract) and adsorbents (cleaning the gastrointestinal tract from toxins and allergens).

Antiulcer

The action of antiulcer drugs is aimed at eliminating ulcerative manifestations on the mucous surface of the stomach and duodenum. They reduce the excessive secretion of gastric secretions, reduce the activity of pepsin (the main enzyme of gastric juice), destroy Helicobacter in the gastrointestinal tract, and normalize the motility of the upper digestive tract.

Antiallergic

Allergy medications (antihistamines) block histamine receptors in the body, a neurotransmitter that affects Airways, skin, gastrointestinal tract, blood vessels, smooth muscles and causes manifestations allergic reaction.

Inhalation drugs and cough suppressants

Inhalation is a method of introducing drugs into the body by inhaling steam, gas or smoke. To carry it out, nebulizer devices (inhalers, nebulizers) are used, which are filled with gaseous, liquid or volatile substances.

Calming

Sedatives (sedatives, psycholeptics) are a group of drugs that cause sedation or reduce emotional stress without a hypnotic effect, and at the same time facilitate the process of falling asleep and improve the quality of sleep.

Preparations for external use

The group of medicines for external (local) use combines a huge number of drugs in the form of ointments, gels, creams, solutions, powders, etc. Depending on the composition, they have antibacterial, disinfectant, analgesic, anti-inflammatory, antihistamine and other effects.

They cost several times, you need to understand the system for creating and selling medicines. Original drugs are the first to appear on the pharmaceutical market. The factory spends a huge amount of money on developing the drug and eventually receives a patent for production and distribution. As a rule, the validity period of a patent is 10 years. During this time, no one has the right to create medicines.

Upon expiration of the patent medicine becomes available to everyone. It is from this moment that the creation of analogues begins.

Thus it turns out that original drug it costs several times more because it has been tested by people for 10 years. In addition to the costs of developing the drug, huge amounts of money were also spent on refining and improving it.

What are the differences between cheap analogues of expensive drugs?

Firstly, it is worth noting that not all analogues have a completely identical composition to the original. Most often, only the active substance is identical. But besides it, the medicine also contains additional elements responsible for the delivery of the substance, its absorption into the body and activation. But it is thanks to additional substances that some drugs act as quickly as possible.

Typically large pharmaceutical companies care about the high quality of raw materials. It also takes a lot of money to process and clean it. Cheap analogues very often contain substances that do not best quality, brought from India and Eastern Europe.

You can also notice that using the original, the patient gets back on his feet in a matter of days, but there is no effect from taking generics. And although, at first glance, the compositions of these two drugs are the same, the effect is different. This is because research was carried out on the originals for 10 years under exclusive rights. There may simply be a tiny difference in composition that cannot be calculated or standardized, as a result of which the effectiveness of the original has become much higher.

What to take? Original or analogue

First of all, you need to look at the severity of the disease. If a person’s life depends on a medicine, then there is no point in experimenting. It is better to take a time-tested drug. If the disease is not critical, then you can try taking an analogue. There is a possibility that the generic will have a similar effect on the body as the original, and will cost an order of magnitude less.

It is important to remember which analogues did not work before. Most likely, if you purchase them again, they will also not give any effect.