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Prices for drugs in pharmacies in Moscow, St. Petersburg and other Russian cities. Search for cheap Russian analogues on RusAnalogi.Ru

Prices and analogues of medicines

According to recent polls, 70% of Russians save on the treatment of diseases. This is bad. Untimely cured acute illness turns into chronic, chronic can lead to disability and cause a serious loss of ability to work.


Saving on treatment is a consequence:

  1. full refusal of requests for medical help;
  2. appeals to herbalists, fortunetellers, healers, homeopaths;
  3. use of analogues or generics in the therapy of diseases.

 

As a professional, the first two points cause persistent rejection.

 

With the first paragraph, everything is clear. If a young organism is still able to cope with an acute disease, although this does not always happen even at a young age, then in patients with an untreated acute disease, the chronic course leads to chronicization and aggravation of the course of the disease.

 

The second point of saving on treatment also causes a negative reaction, because it is anti-scientific, and cheap because of the use of pacifiers and unverified techniques.All of them are based on the placebo effect, when recovery comes at the expense of the person's reserve capabilities and the proper psychological mood, rather than the medicinal effects of the drugs. In the same list hit and fashionable recently homeopathy, recognized by the Russian Academy of Sciences as pseudoscience.


Against the third point, which includes the use of analogues or generics of expensive brand drugs and due to this, the cost of treatment is cheaper, I have nothing against it and often I myself practice various substitutions of some drugs for others. True, the measure in the substitutes is also necessary to know, not all of them are equally useful.

 

Here and further I will give links to the pages of the site on the selection of domestic analogues of imported drugs - rusanalogi.ru. I myself use this service in my work to select one-component drugs (import generics are also convenient to look at this site), which this service shows flawlessly (with multicomponent drugs yet not very adequate service for the selection of analogues of drugs with several components in the composition I did not find) .Plus, many people ask me in consultations about prices in Moscow, St. Petersburg, other cities and regions of Russia, I also look at them on the pages of this resource. Competently structured site and understandable to me as a visitor.

Prices and analogues of medicines

And further. The prices for medicines in this article are given at the time of writing the article, and at the time of your reading they can already become obsolete and lose relevance. But it is unlikely that the price difference will change with time. During my work, I did not see any significant convergence of prices for original and analog drugs. In any case, on Rusanalog, you can see the actual prices at the moment for the original drugs and compare them with analogues.

 

Let's continue about the generics. There are analogues, the quality of which does not cause any questions. Usually these are time-tested simple single-component preparations, which many manufacturers have learned to repeat. Take drugs based on indomethacin. On sale there is an import gel Indowozin the cost of which starts from 250 rubles per packing. A good drug, no doubt, but there is an analogue - Indomethacin domestic production cost from 60 rubles per tube, true ointment, not gel,which can be less convenient to use (absorbed longer, leaves traces on clothing), but the savings are almost 5 times in favor of domestic medicine. And the therapeutic effects are the same.

 

Another example. Produced on the basis of acetylsalicylic acid preparations antiaggregants for the prevention of strokes, heart attacks. Import Aspirin Cardio cost 150 rubles per package and domestic CardiOSA worth 90 rubles. Also a good saving.

 

More illustrative example of price breakdown. Produced on the basis of active ingredient betagistin import drug Betaserc at a price of 400 rubles and domestic Betaver cost of 150 rubles. Almost 3 times more money will remain in your wallet when using a domestic analogue.

 

Of course, if the patient does not experience financial difficulties and the question of price to him is unprincipled, he is free to choose the price level of his treatment and the doctor, in his turn, must offer him the whole range of available drugs, both branded and generic. The most correct step will be the prescription of the active substance of the drug, and not some favorite brand of this specialist, who may have some kind of veiled corruption link.The patient already at the pharmacy will be able to choose a suitable drug for him, but pharmacists have also recently misused people's trust and offer what they need to sell to the pharmacy, and does not fit the parameters of the buyer. Apparently this results in a huge number of questions on pharmacology and the choice of medicines from our people, because at any stage of interaction with the system the consumer can be deceived or will face an incompetent specialist in a white coat.

 

Especially cause a lot of negativity cases when irresponsible specialists offer patients with below-average incomes an unreasonably expensive treatment that can easily be replaced by a cheaper option. The patient is not being treated, there is a choice before him to buy food or medicine. It is clear that he will choose food and thus fall into the first category of patients who are not treated, but is the patient's fault? Obviously not. For this, one must be expelled from the profession of doctors who can not adequately assess the existing reality and material wealth of other people. Like in one country we live ...

 

Yes, there are drugs that I will not change my patients to domestic or cheaper ones.For example, antibiotics are not used in treatment for a long time (economic benefits in the annual incidence are not obvious), mostly short-term courses, and the effect of expensive brand antibiotics is more noticeable than from inexpensive Russian, Chinese or Indian counterparts. Perhaps this is due to cheap substances or additional components of tablets and capsules used in the manufacture of such drugs. It is possible that the production schedule and the product at the output by composition do not change for decades and the antibiotics that helped to fight bacteria to our parents cease to act on the bacteria in children, because resistance to domestic antibiotics is developed because of their long use. Guesses can be built a lot, but this fact is confirmed by my colleagues and own experience.

 

Or in the tables of drug analogues published on various resources, one can often see a comparison of the domestic Pancreatin and expensive branded enzyme preparations Mezima or Creon. Here, too, one can see the philistine approach or the robotic approach, the poor study of the material and bad mathematics.Nobody takes into account the number of enzyme units in Pancreatin tablets and its expensive import analogues. If you bring these figures in line with the dosage and compare it turns out that you need to use 30 tablets of Pancreatin to get the effect of one tablet of the same Mezim (for Creon this difference is even greater). A fork in the price will be 10 times the size. As a result, the domestic generic is 3 times more expensive than the imported enzyme preparation for the same dose. Savings did not happen.

 

But we will continue further on good examples of substitutions. For example, drugs based on active ingredient captopril. Domestic Captopril with a price of 15 rubles per package wins almost 10 times compared with the import similar Kapoten worth 150 rubles. The therapeutic effect of the application of the same will be the same.

 

Everyone's favorite But the spine at a price of 150 rubles per pack, no better than the domestic counterpart Drotaverina cost is 5 times lower.

 

Used to treat epilepsy Tebantin the cost of 1200 rubles, loses its domestic counterpart Gabapentine at a price of 400 rubles for a similar number of capsules in a box.

 

And numerous analogues of the original drug Sofosbuvir for the treatment of viral hepatitis C, the price of the original is up to 50,000 dollars for the course of treatment. If it were not for Indian or Egyptian generics worth $ 2,000 per course (25 times less) that their producers do not shy away from delivering to Russia, even in roundabout ways, than we would treat our sick people. And this is also analogous ...

 

By the way, both Sofosbuvir and its analogs in Russia are still not licensed, although it was worth doing in the first place, but the state again saves the budget, which would have to be spent on purchases for patients who need this drug. Or it protects the incomes of local pharmaceutical oligarchs who are not profitable to fully cure patients, but profitably sell their own, albeit not quite effective drugs.

 

In fact, the debate about what is best for the patient can continue for a long time. The fact remains that analogues of expensive drugs in treatment can be used, but this replacement is not always economically justified and obvious. I want to believe, this point is available in the article, and the discussion can be continued in the comments.

Reviews (2):
Visitors
mypressure
I took tests for osteoarthrosis of the left shoulder for physiotherapy, and at the same time I was diagnosed with hypertension (I was diagnosed with a cardiogram, where I was able to disassemble only "left ventricular hypertrophy", because the therapist did not measure the pressure!). Have registered Depenorm MB in the morning and in the evening and pressure control. The pressure was on average 143/82, and the pulse was 49-53. After 10 days the pressure decreased to 130/80, the pulse 52-55. The therapist said that you need to correct the pulse and prescribed Amlodipine 2.5 g once in the evening and pressure control. After 5 days, the pressure is closer to 125/78, but the pulse has not changed much. I am 68 years old, the most interesting is that the pressure may have been, I did not measure and did not know what pulse, but I did not feel any inconvenience in this matter, actively to this day was engaged in manual work (just worked hard at rebuilding the dacha), except occasionally took corvalol and that's it. True, there has been enough stress recently. And now, unexpectedly right after these events, I began periodically to feel the heaviness of the heart and small headaches. My questions:
1. How dangerous is this pulse and what to do?
2.Already 10 days in parallel to tablets I use "Samozdravom". He believed, because the physical meaning of the apparatus is quite understandable. What do you think about it?
Administrators
admin
mypressureSuch a pulse is not dangerous, the main thing is that it does not fall below the values ​​given in the question, another question that caused hypertrophy of the left ventricle, but control over the state of the heart and pressure is necessary, I would have passed the biochemical analysis to heart markers and made an ultrasound of the heart to exclude any other possible pathology. As for 68 years of age, an adequate health condition is usually worse. About self-health I will not say anything, but as said above, the state of health is adequate to age, perhaps because of heredity, perhaps because of the use of the apparatus.

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