Do I need a recipe to. Do I need a prescription for aphrodisiacs Viagra, Levitra, Cialis

On September 22, new rules for selling drugs in pharmacies entered into force. Now it can be difficult or impossible to buy the right drug. Pharmacies require prescriptions and even take them for storage. And relatives may not be able to sell the medicine at all: they will ask for a power of attorney.

We learned the new rules and explain how they work. The order of the Ministry of Health is complicated and incomprehensible even for pharmacists, therefore explanations have already been issued for it. We also studied them.

As it was before?

According to the rules, prescription drugs always had to be sold according to recipes. For each category - its own rules of sale and accounting. Such drugs are sold subject to strict federal requirements, but pharmacies have not always complied with them.

Previously, you could take one prescription and buy medicine on it as much as you like. Doctors did not indicate the time, and pharmacists did not pay attention to it. And they could take recipes only in rare cases and for dangerous drugs.

No one followed the dosages of conventional sedatives and did not note on the recipe how much and when they had already bought it. And often the recipe was not asked at all.

Even if you used to buy an antibiotic, sedative, or medicine for your grandmother without a prescription, this does not mean that the drug is really on sale. Even common medicines are on the prescription list, and there may now be problems buying them.

As it is now? Where can I buy medicine?

It depends on whether you need a prescription and in what category the drug belongs. There are several such categories; it is pointless to study them all in advance, but you need to keep in mind.

Narcotic and psychotropic drugs can only be sold by pharmacies with special approvals. Its limitations for immunobiological preparations: for example, a vaccine for vaccinating a child can only be bought at a pharmacy and pharmacy, and only if there is a thermal container. There are still differences in the recipes.

If your doctor has prescribed a prescription, it’s best to check in advance where you can buy it. And do not be surprised if the drug is not sold in some pharmacies. This is not their whim, but the requirement of the law.

If a prescription is needed for a medicine, what should I do?

You need to get this recipe: otherwise the pharmacy will not sell the drug. Even if the medicine is urgently needed or is taken constantly, and there is no time to go to the doctor, it still will not sell. Maybe in some cities there are pharmacies that manage to circumvent the rules, but it’s better not to count on this: the law is the law.

If you need a prescription for the medicine, you will have to present it at the pharmacy. And the pharmacy has the right to pick up this prescription, if necessary under the new rules. That is, the second time you can’t buy this medicine according to the same prescription.

Recipes are also divided into several types. There are recipes at once, urgent, for a free vacation and various others. A recipe can take several days, months, or a year. You can buy a prescription medicine only while it is working. A pharmacy can pick it up permanently or return it with a note: how much and when it was sold, at what dosage and for how long it will be enough.

Can I buy in reserve? More antibiotic, pain medication and pressure pills.

No, now it’s impossible to buy in reserve. According to the rules of the prescription, they will sell as much medicine as the doctor prescribed.

This should be monitored by pharmacists. Even if you ask a doctor for a prescription with a margin, they will not sell as much in the pharmacy, and even report a violation.

How to find out how much a recipe works?

Not all recipes have expiration dates. Some doctors do not pay attention to it, and pharmacists generally did not care: the main thing is that the prescription is.

Pharmacists must keep track of deadlines and report violations if they are discovered.

It turns out, now they will take the recipe? And every time you have to go for a new one?

The pharmacy must collect and store prescriptions for some drugs. They are listed in paragraph 14 of the new rules. Read and check medication instructions. Suddenly this is your case.

If you or one of your relatives regularly takes these medicines, you will have to go for a new prescription for each batch. Even if these pills are needed all the time - for example, painkillers for a seriously ill person. Or sleeping pills and sedatives for regular use. The same situation with alcohol-containing drugs - the prescription will remain in the pharmacy.

Is it possible to write a prescription not once, but for a long period, the doctor decides and the pharmacies are checked.

If a prescription is issued for a year, will they also take it away? Will it be necessary to go to the same pharmacy all the time or to get a new prescription every time?

No, they won’t take such a recipe. Although there are rumors that they are taking. Do not believe the rumors - read the law. They can pick it up only if the prescription was issued before September 22, and then the rules of sale have changed for this drug.

About how to deal with recipes for a long time, it is written in paragraph 10 of the new rules.

When a pharmacy sells a prescription drug that is valid for a year, the pharmacist must note when and how much the drug is sold. And the recipe is returned. Next time, according to this recipe, the right amount of medicine will be sold again: they will take into account past sales and put a mark again.

When the prescription expires, you can’t buy medicine for it. If the prescription is to be stored, the pharmacy will pick it up. If you don’t need to store it, they will give it back, but you still cannot use it.

What are the rules for selling vaccines?

The vaccine for vaccination will be sold only if the buyer has a thermal container. It is impossible to deliver it to the clinic in an ordinary bag: the vaccine will deteriorate and the vaccination will be useless.

You can buy a container directly at the pharmacy. These are additional costs that you need to consider: you have to pay extra or go with your own. You cannot buy a vaccine in advance. Such preparations can be stored for a maximum of two days. If you intend to get your child vaccinated with a paid vaccine, consider these limitations.

By the way, you can’t buy a vaccine without a prescription either. First you have to take a prescription from a doctor, then buy a drug according to it and within 48 hours go back to the clinic - already for vaccination.

Sometimes it’s easier to sign up for a paid clinic: they will conduct an examination there, give directions and do all the procedures in one go. Or agree to a free vaccination with a cheap vaccine from the state.

Erythromycin is often used in medical practice antibiotic groups of macrolides of the first generation. This drug was the first open representative of this group of antibiotics. It was first synthesized in 1952 from the soil actinomycete Streptomyces erythreus. By its nature, erythromycin has a bacteriostatic effect ( slow growth of pathogenic bacteria) on representatives of pathogenic flora with moderate sensitivity to the drug. Erythromycin acts bactericidal on the highly sensitive flora ( complete destruction of pathogenic bacteria).

Erythromycin can be used orally, externally, rectally, intravenously and intramuscularly. When administered, it should be borne in mind that the drug is destroyed when it enters the acidic environment of gastric juice. For this reason, erythromycin is recommended to be taken one and a half or two hours before meals, when the concentration of hydrochloric acid in gastric juice is minimal. An alternative may be the administration of erythromycin in the enteric coating, which allows the active substance to remain during passage through the stomach and be absorbed without loss in the initial sections of the intestine.

Actively used in medicine, erythromycin for parenteral administration. This method of administration of the drug eliminates the passage through the digestive tract, and accordingly the associated loss of part of the active substance. In addition, the optimal therapeutic concentration of the drug with parenteral administration is achieved much faster than when taken orally. On average, with intramuscular administration, the required antibiotic concentration is reached in just 15 to 20 minutes, and with intravenous administration, it is even faster. The external use of this drug in the form of ointments and solutions has limited use in the field of dermatovenereology and ophthalmology. Suppositories with erythromycin are often prescribed for children, as well as for other age groups of patients, when oral medication is not possible.

Like any other drug, erythromycin has a number of contraindications and side effects. The most common side effects of the drug include a feeling of bitterness in the mouth, which appears literally on the second or third day of taking the drug. Erythromycin is able to develop an allergic reaction, the severity of which depends on the individual characteristics of the body. Therefore, for patients who have had signs of allergy in the past, taking the drug is strictly contraindicated, since each subsequent ingestion of the drug causes more pronounced manifestations of allergy.

Taking this antibiotic is undesirable during pregnancy and breastfeeding, however, in cases where the expected benefit exceeds the potential harm, erythromycin can be used.

When using this antibiotic, it is important to realize that its neutralization occurs mainly in the liver, so the parallel use of other drugs metabolized in the liver causes a slowdown in the release of both erythromycin itself and the concomitant substance. This is fraught with the accumulation of both drugs, accompanied by an increase in their toxic effects on the body and the development of signs of overdose. In connection with the foregoing, along with erythromycin, antihistamines, benzodiazepines, ergot derivatives, indirect anticoagulants, some drugs for anesthesia, and others should be used with caution

Types of medication, commercial names of analogues, release forms

Erythromycin is available in the following dosage forms:

• enteric coated tablets;
• suspension for oral administration;
• syrup;
• powder for the preparation of a solution for intravenous and intramuscular administration;
• eye ointment;
• ointment for external use;
• solution for external use;
• rectal suppositories ( candles).

Enteric coated tablets are the most common and frequently used treatment form of erythromycin. They can be used for a wide range of diseases in both adults and children.

Suspensions for oral administration and syrups are prescribed more often for children, due to the fact that they have low and medium concentrations. In addition to this suspension is easier to dispense with a measuring cup or ordinary sterile syringe.

Powder for the preparation of a solution for intravenous and intramuscular administration is often used in stationary conditions, and its use is associated with certain features. It is important to carry out a scarification test for the absence of allergic reactivity of the body to this substance. In addition, it is important to choose the right dose and method of administration of the drug, as well as adjust the dose of drugs that are used in parallel with erythromycin and processed by the liver.

Erythromycin for external use is available in the form of ointments and solutions of various concentrations. In the form of monotherapy ( treatment with just one medicine) is used in ophthalmology for the treatment of bacterial keratoconjunctivitis. In the treatment of skin diseases, it is often necessary to combine local treatment with erythromycin with a systemic administration of another antibiotic.

Rectal suppositories are quite successful from the point of view of physiology, the method of introducing erythromycin into the body, since the absorption of the drug from the rectum is equal to that with intramuscular administration. However, there were some shortcomings, the most serious of which is the earlier development of colonic dysbiosis ( destruction of beneficial intestinal microflora with the development of diarrhea).

Due to the fact that today there are many pharmaceutical companies that produce erythromycin, each of them gives its product a unique name in order to distinguish it from the products of competing companies. For this reason, dozens of different types of erythromycin can be found in pharmacies, which differ from each other in the composition of excipients and, of course, in price. Preparations containing the same active substance, but differing in name are called generics or analogues.

The following erythromycin analogues are distinguished:

• grunamycin;
• ilozone;
• erythromycin-AKOS;
• erythromycin-LECT;
• erythromycin-ferein;
• erifluid;
• ermicid;
• altrocin-S, etc.

Erythromycin Manufacturers

Firm manufacturer		Commercial name the drug	Manufacturer country	Release form	Dosage
Eli lilly and company		Ilozon	USA	Suspension for oral administration 125mg / 5ml; 200 mg / 5 ml; 250 mg / 5ml.	Enteric-coated tablets can be used by both adults and children over 6 years old. Younger children may have difficulty swallowing the pill, and crushing it reduces the effect of the drug. Therefore, for the treatment of young children, syrups and suspensions are preferred. Adults and children over 12 years old the drug is prescribed 250 to 500 mg 4 times a day. Children from 8 to 12 years old - 250 mg 4 times a day. Children 6 - 8 years old the drug is prescribed at 150 - 175 mg 4 times a day. Children from 3 to 6 years old the drug is prescribed 100-125 mg 4 times a day. Children from 1 to 3 years old the medicine is prescribed no more than 100 mg 4 times a day. Children up to 1 year old the drug is prescribed exclusively as a last resort, when other types of treatment are contraindicated and unavailable. The optimal dose for children of this age is 20 - 40 mg / kg / day, divided into 4 doses. The duration of treatment depends on the severity of the disease and varies from 7 to 14 days.
Grunenthal		Grunamycin	Germany
Remedica		Ermicid	Greece	Syrup 125 mg / 5 ml; 250 mg / 5ml.
Tyumen Chemical-Pharmaceutical Plant		Erythromycin-LECT	Russia	Enteric-coated tablets 100 mg; 250 mg; 500 mg
Synthesis of OJSC		Erythromycin	Russia
Biosynthesis OJSC		Erythromycin	Russia
Tathimpharmaceuticals		Erythromycin	Russia
Synthesis of OJSC		Erythromycin-AKOS	Russia	Ointment ointment 10,000 units / g.	Eye ointment is applied to the inner surface of the lower eyelid in the form of a strip 1 to 2 cm 2 - 4 times a day. After applying the ointment, it is recommended to close the eyes for uniform distribution along the surface of the cornea
NIZHFARM		Erythromycin	Russia	Ointment for external use 10000 IU / g.	The ointment is applied to the affected area of \u200b\u200bthe skin with a thin layer and gently rubbed, but not rubbed into the skin 3-4 times a day. The solution for external use must be applied to clean cotton or a cotton towel and applied to the affected area for 10 -15 minutes every 6 to 8 hours. Applying a compress for a longer time threatens the development of contact dermatitis. The duration of treatment depends on the specific disease.
Bryntsalov-A		Erythromycin-Ferein	Russia
Pierre Fabre Medicament		Erifluid	France	Solution for external use 4% - 30 ml; 100 ml
Synthesis of OJSC		Erythromycin	Russia	Lyophilisate ( powder) for the preparation of a solution for intravenous and intramuscular administration of 100 mg; 200 mg	The drug is mixed with the required amount of saline until completely dissolved and administered intramuscularly, intravenously bolus ( in one shot) or intravenous drip, depending on the prescription of the doctor. For both adults and children, the dose is calculated at the rate of 15 - 20 mg / kg / day, divided into 3-4 doses. In severe cases, the dose can be increased to 4 g / day, provided that there are no adverse reactions.
NIZHFARM		Suppositories with erythromycin	Russia	Rectal suppositories 50 mg; 100 mg	Rectal suppositories are used primarily for the treatment of children under 3 to 4 years old. Dosage is carried out at the rate of 15 - 20 mg / kg / day, divided into 3 - 4 doses.

The mechanism of the therapeutic effect of the drug

Erythromycin molecules can penetrate into microbial cells and bind to the 50S subunit of ribosomes ( specific cellular organelles, providing the construction of all its proteins) This, in turn, leads to an interruption of the recovery processes inside the bacterium and a significant decrease in the metabolic rate in it. Under such conditions, the bacterium loses its ability to reproduce and is destroyed after some time.

It is important to note that erythromycin does not do any harm to the cells of the human body, since ribosomes in the human body are composed of 40S and 60S subunits.

The maximum concentration of the drug in the blood is reached relatively quickly - 2 to 3 hours when taken orally; up to 30 minutes with intramuscular and rectal administration and 15 - 20 minutes with intramuscular administration. Erythromycin penetrates almost all tissues of the body, with the exception of brain tissue, provided that the integrity of the blood-brain barrier is not broken. The concentration of the drug in muscle tissue is equated to plasma. In the pleural, peritoneal and articular fluid, the concentration of the antibiotic reaches 15 - 30%, and therefore the drug is an effective tool in the treatment of purulent pleurisy, bacterial ascites-peritonitis and purulent arthritis.

One of the features of the drug is the ability to freely penetrate the hematoplacental barrier. In this regard, erythromycin is prescribed to pregnant women with extreme caution in order to avoid possible side effects on the fetus. Reliable data on the teratogenicity and mutagenicity of this drug does not exist today, however, it is still considered a second and third line drug and is prescribed only when its benefit exceeds the potential harm.

Along with the foregoing, the drug freely penetrates into breast milk. In this regard, his appointment as breastfeeding mothers should be dictated only by vital indications. In adults, erythromycin may cause temporary hearing loss. In children under 1 year of age, these disorders may be more pronounced due to the higher sensitivity of developing nervous tissue. In addition, the dose that the child receives is several times higher than the allowable one for his age due to the fact that he eats milk, in which the antibiotic is in the concentration necessary for an adult. In connection with the foregoing, at the time of treatment with erythromycin, it is recommended to transfer the child to artificial feeding.

The removal of erythromycin from the body is carried out mainly by the liver in the form of bile. Moreover, about a third of the drug is excreted unchanged, while maintaining a bacteriostatic effect. For this reason, erythromycin can be successfully used to treat exacerbations of chronic cholecystitis ( gallbladder inflammation) and for the medical treatment of acute cholecystitis in combination with another antibiotic with a bactericidal effect.

With the intravenous administration of erythromycin, the concentration of the antibiotic in the bile increases, which favorably affects the treatment of cholecystitis. In addition, its concentration in urine increases to 15%, which allows the use of erythromycin for the treatment of infections of the genitourinary system.

What pathologies are prescribed?

Erythromycin is a first-generation macrolide that has a bacteriostatic effect on many gram-positive and gram-negative bacteria. In addition, this drug is able to inhibit the growth and development of some non-bacterial pathogenic agents. In connection with the foregoing, this antibiotic can be actively used to treat a wide range of diseases of various organs and systems.

Erythromycin exhibits a bacteriostatic effect in relation to the following pathogens:

• Staphylococcus aureus;
• Streptococcus pyogenes ( group A beta-hemolytic streptococcus, a frequent causative agent of tonsillitis and subsequently rheumatism);
• Streptococcus pneumoniae;
• Corynebacterium diphtheriae;
• Corynebacterium minutissimum;
• Neisseria gonorrhoeae;
• Legionella pneumophila;
• Bordetella pertussis;
• Mycoplasma pneumoniae;
• Ureaplasma urealyticum;
• Chlamydia trachomatis;
• Entamoeba histolytica;
• Treponema pallidum;
• Listeria monocytogenes et al.

Erythromycin can be used to treat the following diseases:

Disease name	The mechanism of therapeutic action	Drug dosage
Bacterial respiratory infections	The drug reversibly binds to the 50S subunit of ribosomes of sensitive bacteria and stops protein synthesis in them. After some time, defects associated with protein deficiency appear in the bacteria and they are destroyed.	In each individual case, the dosage of the drug and the method of its introduction into the body is determined individually. With parenteral administration to adults and children the drug is prescribed in an average dose of 15 to 20 mg / kg / day, divided into 3 to 4 doses. When prescribing the drug inside, the dose is selected based on the age of the patient. Children up to 3 months the drug is prescribed in a dose of 20-40 mg / kg per day, divided into 3 to 4 doses. Children from 4 months to 18 years and adults - 30 - 50 mg / kg / day in 3 to 4 doses. The maximum daily dose is 4 g, provided that there are no adverse reactions. The duration of treatment also depends on the severity of the pathological process, however, it should be at least 5 to 7 days in order to avoid chronic infection.
Pneumonia
Diphtheria
Gonorrhea
Erythrasma
Legionellosis
Whooping cough
Urogenital Chlamydia
Syphilis
Listeriosis
Furunculosis
Acne

How to apply the medication?

Since erythromycin is available in various dosage forms, it is necessary to clarify the features of each specific form.

Tablets, syrups and oral suspensions should be taken 1.5 to 2 hours before meals or 2 hours after meals. During this time period, the food received the day before has already left the stomach and does not cause an increase in the acidity of the gastric juice, and there is still some time before a new meal. Thus, a time interval is selected in which the loss of erythromycin from destruction in the gastric juice would be minimal.

For adults erythromycin is prescribed at 250 - 500 mg 4 times a day. The maximum dose for an adult should not exceed 4 g.

Children 8 to 12 years old this antibiotic is prescribed orally at 250 mg per day.

Children 6 - 8 years old - 150 - 175 mg 4 times a day.

Children 3 to 6 years old - 100 - 125 mg 4 times a day.

Children 1 to 3 years old - 100 mg 4 times a day.

Breasts up to a year erythromycin is rarely prescribed due to the risk of hearing loss. However, in the absence of the possibility of treatment with other drugs, the drug is prescribed at 50-100 mg 3-4 times a day. Another dosage scheme, oriented to the patient’s weight, states that up to 4 months erythromycin is given orally at 20–40 mg / kg / day in 3–4 doses.

Patients older than 4 months the drug is indicated at 30-40 mg / kg / day in 3 to 4 doses. The duration of administration depends on the severity of the disease and the rate of cure.

Before applying eye ointments, be sure to wash your hands thoroughly to avoid introducing additional pathogenic microflora into the tissue of the conjunctiva and cornea. For convenience, you need to stand in front of the mirror, pull the lower eyelid as far as possible, but so that it does not cause pain. Then you need to bring a thin tip of the tube with ointment over the formed pocket between the eye and eyelid and squeeze 1 - 2 cm strip of ointment. Next, the eyelid needs to be released, and the eye should be closed for a while to spread the medicine over all adjacent surfaces.

Skin ointments are easy to use and are often used in combination with other drugs to enhance the effect of treatment. A thin layer of ointment is applied to the affected area of \u200b\u200bthe skin and gently distribute it, avoiding rubbing.

Solutions for external use, it is advisable to use in the form of lotions and compresses, since in this way it is possible to prolong the contact of the antibiotic with the affected skin. As a material for lotions, cotton wool or a clean piece of cloth is perfect. The existing material is moistened with an antibiotic and applied to the skin for a short time from 5 to 15 minutes. Longer use of such a compress increases the risk of skin irritation.

The use of erythromycin for parenteral administration provides some important points. First of all, you need to make sure that the expiration date of the drug has not expired. Secondly, it is important to properly prepare a solution for intravenous or intramuscular administration. To do this, open the ampoule with the powder and add the necessary amount of physiological saline or lidocaine, indicated on the package. Saline is a universal solvent and can be used for both intramuscular and intravenous administration of erythromycin. However, with intramuscular administration, severe pain may occur due to irritation of pain receptors with erythromycin. To reduce pain, a local anesthetic, lidocaine or novocaine, can be used as a solvent. However, it is important to note that diluting erythromycin with lidocaine or novocaine for subsequent intravenous administration is strictly prohibited, since these painkillers can cause acute heart rhythm disturbances. The third most important condition for parenteral administration of the drug is to check the body's reactivity to erythromycin and the anesthetic used by means of a cutaneous scarification test. If there is a pronounced inflammatory reaction at the site of the test, it is concluded that the patient is allergic to erythromycin or the solvent used. The dose for all ages is calculated from a ratio of 15 to 20 mg / kg / day, divided into 3 to 4 doses.

Rectally, erythromycin is prescribed for children under 3 to 4 years of age if it is not possible to administer due to vomiting, narrowing of the esophagus, pain during injections or categorical refusal for other reasons. Absorption of the drug from the rectum is equal to that with intravenous administration. In order for the candles to retain their shape, they must be stored in a cool place and opened immediately before use. After pushing the suppository into the rectum of the child’s buttocks, it is recommended to flatten and squeeze for a while to avoid the return of the candle. Calculation of the dose is carried out, as with parenteral administration - 15 - 20 mg per 1 kg of patient body weight per day, divided into 3-4 doses.

Feasible side effects

Erythromycin is a highly effective drug, but in some cases it can cause side effects.

Side effects of erythromycin are divided into the following groups:

• disorders of the gastrointestinal tract;
• disorders of the central nervous system;
• disorders of the cardiovascular system;
• allergic reactions.

Gastrointestinal Disorders
Most often, on the 2nd - 3rd day of using erythromycin, patients complain of a feeling of strong bitterness in the mouth, sometimes associated with nausea, vomiting and pain in the umbilical region and the right hypochondrium. With prolonged use, candidiasis can develop - fungal lesions of the oral cavity and other mucous membranes of the body.

Disorders from the central nervous system
Erythromycin is one of the medicines that practically does not penetrate the blood-brain barrier. In other words, the drug should not affect the functioning of the brain for the reason that it is not able to interact with it. However, in the case when the above-mentioned barrier between the blood and the brain is destroyed for various reasons, erythromycin begins to interact with brain neurons, often causing headaches, dizziness, hearing loss, hallucinations and even seizures.

Disorders of the cardiovascular system
These side effects of erythromycin are relatively rare and are predominantly secondary. These include paroxysmal ventricular tachycardia and prolongation of the QT interval on the ECG.

Allergic reactions
Allergies to antibacterial drugs are quite common, and erythromycin in this regard is no exception. In most cases, an allergic reaction manifests itself in the form of urticaria and stops after taking a short course of antihistamines ( suprastin, clemastine, loratadine, etc.) However, there are more severe cases associated with Quincke's edema and anaphylactic shock, the treatment of which is much more complicated and requires stationary conditions.

The approximate cost of the drug

The cost of erythromycin can vary significantly depending on the drug company and the form of release. The table below shows erythromycin prices in some regions of the Russian Federation.

Town
	Suspension for oral administration	Syrup	Enteric-coated tablets	Eye ointment	Ointment for external use	Solution for external use	Powder for solution for intravenous and intramuscular administration	Rectal suppositories
Moscow	67 rubles	96 rubles	92 ruble	31 ruble	34 ruble	38 rubles	20 rubles	84 ruble
Yekaterinburg	57 rubles	80 rubles	83 ruble	25 rubles	39 rubles	35 rubles	18 rubles	68 rubles
Krasnoyarsk	59 rubles	83 ruble	89 rubles	19 rubles	30 rubles	37 rubles	22 ruble	76 rubles
Chelyabinsk	63 ruble	88 rubles	85 rubles	24 ruble	31 ruble	32 ruble	19 rubles	71 ruble
Rostov-on-Don	59 rubles	79 rubles	86 rubles	22 ruble	38 rubles	38 rubles	24 ruble	69 rubles

Can erythromycin be used to treat acne?

Erythromycin is an excellent treatment for acne. For this reason, it is part of most combined drugs to combat this ailment. To this end, erythromycin is used in the form of ointments or solutions for external use.

Most erythromycin-based ointments are available in metal tubes up to 15 g. The concentration of the active substance in them is 10,000 U / g. Before applying the ointment, the acne-affected area of \u200b\u200bthe skin must be washed and wiped dry. After that, a strip of ointment is applied 2 to 3 centimeters long and spreads evenly over the skin. When spreading the ointment, it is recommended to avoid rubbing it. To achieve a good effect, erythromycin ointment should be used 2 to 4 times a day for one to two weeks.

The solution for external use is sold under the commercial name Erifluid in the form of a 4% solution of erythromycin in a dark glass vial with a volume of 30 and 100 ml. To achieve maximum effect, compresses or lotions with this drug should be done. To do this, an erythromycin solution is applied to sanitary cotton or a clean tissue flap and applied to the acne-affected skin area for 5-15 minutes. Longer use of the compress may cause skin irritation. Compresses should be done 2 to 3 times a day for 10 to 14 days.

In the absence of positive dynamics of treatment, you should re-contact a dermatologist to correct treatment.

Can erythromycin be used during pregnancy?

Erythromycin is allowed for use by pregnant women, but only in cases where the expected effect exceeds the potential harm to the fetus. As a rule, he is prescribed to this category of patients only for health reasons.

This antibiotic has the ability to freely penetrate the blood circulation of the fetus. The dose of the drug, which is therapeutic for the mother, for the fetus, whose weight is ten times less than the weight of the mother, is excessive and causes a toxic effect on his body. Moreover, the incompletely formed organs of the fetus are not capable of qualitatively neutralizing the antibiotic. Instead, they form intermediate metabolites, which also lead to intoxication of the small organism.

However, it should be noted that the external use of erythromycin in the form of an eye and skin ointment, as well as in the form of solutions for external use, is not able to provide a high concentration of this antibiotic in the blood, therefore it is considered safe for both the mother and the fetus.

Can erythromycin be given to children?

Erythromycin can be prescribed for children of all ages, however, there are some important features.

Skin and eye ointments, as well as solutions for external use can be used to treat children of all ages absolutely without fear. Since the antibiotic in this case acts exclusively superficially, it cannot create a high concentration in the blood, and, accordingly, cannot cause disturbances on the part of organs and systems of the human body. An exception is an allergy to this substance, when even skin contact with it can cause a rash, itching, burning, and in some cases even anaphylactic shock ( a sharp drop in blood pressure after exposure to an allergen).

Otherwise, the situation is with those dosage forms of erythromycin, which penetrate the body and have a systemic effect. These dosage forms include tablets, syrup, suspension for oral administration, rectal suppositories, and powder for preparing a solution for intravenous or intramuscular administration. The fact is that erythromycin has some side effects, such as a feeling of bitterness in the mouth, abdominal pain, nausea, vomiting, in some cases hallucinations, hearing loss, and even cramping. Due to the fact that the children's body has a higher metabolic rate, its tissues are more sensitive to various kinds of interventions, including medication. Therefore, the risk of developing side effects is an order of magnitude higher. This risk is especially high in infants up to four months of life.

In connection with the foregoing, erythromycin is prescribed for children from 4 months to 18 years of age inward at 30 - 50 mg / kg / day, divided into 4 doses or parenterally ( intravenously or intramuscularly) 15 to 20 mg / kg / day in 3 to 4 doses. For children younger than 4 months, erythromycin is administered orally at 20–40 mg / kg / day in 4 divided doses or parenterally at 12–15 mg / kg / day in 3 divided doses.

Each dosage form is preferred for a specific age. Tablets can be prescribed from 4 to 6 years, when the child can swallow it without problems and not choke. Suspensions are recommended for infants ( up to 1 year), since they can be successfully mixed with breast or artificial milk. The syrup is excessively sweet, so babies often do not like it. But it is successfully used to treat children from 3 to 10 years. Up to 3 years, it is convenient to use rectal suppositories ( candles) with erythromycin. By the rate of increase in concentration in the blood, they are equal to intramuscular injections. Direct injections can be prescribed at all ages, however, they are difficult to tolerate by both children and their parents and therefore are used mainly in hospital settings.

Will erythromycin help with angina?

Erythromycin is an excellent treatment for bacterial tonsillitis. However, it is not suitable for the treatment of viral, for example, herpetic sore throat. It saves that bacterial tonsillitis accounts for about 98% of all tonsillitis, and therefore erythromycin remains an urgent drug for their treatment. It can be used both alone and in combination with other antibiotics. However, it should be noted that starting treatment of angina is not with erythromycin, but with simpler antibiotics.

The fact is that the recommendations of the World Health Organization on the treatment of tonsillitis say that in order to avoid the emergence of antibiotic-resistant types of bacteria, it is recommended to prescribe antibiotics in a certain order. Thus, first-line drugs are penicillins ( ampicillin, amoxicillin, augmentin, etc.), the second line - macrolides and azalides ( erythromycin, azithromycin, roxithromycin, kanamycin, etc.) and the third line - cephalosporins ( cefuroxime, cefepime, ceftriaxone, cefpirome, etc.) It does not make sense to return to first-line drugs after treatment with second or third-line drugs, since the first line, alas, will be useless. In other words, starting treatment immediately with second or third line drugs, the patient will certainly cure a sore throat for the first time, a second time for the third, and for the tenth time, the bacteria that cause inflammation will become resistant to it. As a result, the antibiotic will not be able to stop the development of inflammation and it will progress, smoothly flowing into more and more complex forms, until it causes sepsis and kills the patient.

Thus, after the doctor has diagnosed a sore throat, he first prescribes penicillins. If on the third day of taking penicillins, the signs of the disease increase, that is, sore throat increases, the maximum daily body temperature increases, the total area of \u200b\u200bpustules on the tonsils increases, then you should go to macrolides and azalides - second-line drugs, and then to the third if necessary. Erythromycin, in particular, is one of the macrolides characterized by high antibacterial activity against most microbes that cause the appearance of angina. Therefore, it can be successfully used to treat protracted tonsillitis.

Do I need a prescription to buy erythromycin?

According to the legislation of most countries of the former Soviet Union, the sale of antibiotics should be carried out only upon presentation of the prescription, which contains the seal of the doctor and the medical institution in which he works. Since erythromycin is an antibiotic, a prescription is also required to purchase it.

However, unfortunately, to purchase any antibiotic in a pharmacy is often not difficult. With uncontrolled intake of antibiotics, bacterial strains resistant to them appear in the population. Moreover, on their own, patients often acquire antibiotics of the latest generations, wanting to be cured for sure and not thinking about the consequences. With the development of resistance ( habituation) to them, all the other previous generations of antibiotics are useless for the treatment of the mutated strain. Due to the fact that new groups of antibiotics no longer open, and the resistance of bacteria surrounding a person is growing steadily, one day there will come a moment when even simple sore throats will have nothing to treat.

In order to delay such a moment, it is necessary to use antibiotics rationally, starting with the simplest and moving to more advanced ones as necessary. It is the doctor who knows under which infections which antibiotics are preferable to use and whether they should be used in principle in a particular situation. Thus, a prescription with a medical seal is considered a kind of guarantee that the treatment prescribed to the patient is well-reasoned and useful for him.

Without a clear understanding of the need to use an antibiotic and still buying it, the patient in most cases harms, first of all, to himself. In order to avoid this, you should seek qualified medical help.

Which of the erythromycin analogues is better?

Any of the erythromycin analogues exhibits an antibacterial effect equally well. In other words, all erythromycin analogues are equally good at treating.

Among patients and some doctors there is an opinion that imported medicines are many times superior in quality to domestic ones. In part, this opinion is justified, but only in part. The fact is that most modern medicines were first synthesized in laboratories outside the post-Soviet space. Thus, domestic pharmaceutical concerns often produce generic drugs, that is, copies of the original drug, often inferior to it in quality. Copies are worse than the originals, because the pharmacological companies that conducted the development reserve the right to classify the formula and method of creating a medicine for a period of 5 to 10 years. After this time, the pharmaceutical company must disclose the formula and method of manufacturing the drug. However, in practice, not all production secrets are disclosed to competitors, and the company that invented the medicine still holds the lead in the quality of the drug, and accordingly in its effectiveness. Competing companies need another 5-10 years to bring the manufacturing process of generics to the level of the original drug. Thus, tentatively, the company that invented the original medicine produces the best product for 10 to 20 years from the first release of the medicine to the market. Then this leadership is lost.

Returning to the topic of the question, it should be noted that more than 40 years have passed since the discovery of erythromycin. Therefore, to date, none of the long-standing pharmaceutical companies on the market that protect their reputation does not produce low-quality erythromycin, since all the secrets of its manufacture have long been known. Moreover, for the reason that domestic erythromycin is much cheaper than its Western counterparts and is not inferior to them in quality, it is much more profitable to buy it and not overpay for a foreign brand.

Is it normal to feel bitterness in the mouth from erythromycin?

The feeling of bitterness in the mouth, which occurs on the 2nd - 3rd day of treatment with erythromycin, is a frequent side effect of this medication, but you should not panic, because this does not mean any organic pathology.

Erythromycin is able to freely penetrate into all body tissues, with the exception of brain tissue, provided there are no serious head injuries. Carrying a blood stream throughout the body, this antibiotic also enters the salivary glands, from where it is actively excreted into the oral cavity. Once in the oral cavity, the molecules of the drug act on the taste buds of the root of the tongue, causing a feeling of bitterness in the mouth.

This side effect is characteristic not only for erythromycin, but also for other representatives of the antibiotics of the macrolide group. Although it should be recognized that the bitterness in the mouth from erythromycin is an order of magnitude stronger than from macrolides synthesized later.

Will erythromycin help with barley?

Erythromycin in most cases helps with barley, since the spectrum of antibacterial activity of this drug includes the main infectious agents that cause this disease.

Barley refers to inflammation of the sebaceous gland or hair follicle of the eyelid margin. It develops due to the ingress of a microbe into the cavity of the gland or follicle, causing damage to surrounding tissues. A few hours after the onset of inflammation, itching appears in the corresponding eyelid, gradually turning into soreness as the swelling increases. On the 2nd - 3rd day of the disease, an abscess head is shown above the site of inflammation. This stage of the disease is compared with the most unpleasant sensations. After, the abscess independently breaks through or decreases in size until it disappears completely. Usually from the appearance of barley to its cure takes from 4 to 7 days. In order to shorten the recovery period to 1 to 3 days, you can successfully use an antibiotic such as erythromycin.

For the treatment of barley, erythromycin is used in the form of an eye ointment, produced in a tin tube of 3, 5 and 10 grams. Ointment must be applied 3 times a day. For its application, it is recommended to stand in front of the mirror, with clean hands, pull the lower eyelid of the corresponding eye and squeeze a strip of ointment 1 - 2 cm long into the resulting pocket. Then, the eyelid is released and the eye is closed for several minutes so that the ointment evenly spreads over the entire surface of the cornea. In most cases, 2 to 3 days of such treatment is enough to cure barley.

Can erythromycin be combined with alcohol?

Reception of erythromycin is highly not recommended to combine with the use of alcohol.

Erythromycin, like alcohol, is neutralized in the liver. In simple terms, the throughput of the liver is limited. It is on this conditional value that doctors are guided, calculating the rate of elimination of a particular drug, and, as a consequence, the dosage regimen. Thus, in the presence of two substances in the blood that are neutralized by one organ, their excretion will be slowed down. Slowing down the removal of alcohol at first glance may seem like a tempting idea, but in practice, everything is not so rosy. Until alcohol decomposes into water and carbon dioxide, it goes through the stage of intermediate metabolites. These metabolites are ten times more toxic than ethyl alcohol itself. The severity of a hangover syndrome depends on the concentration of these metabolites. Thus, using erythromycin on the background of ethyl alcohol, the patient exacerbates his condition in the coming morning.

The second negative effect is the retention of erythromycin in the body, leading to its gradual accumulation and overdose. With the most favorable outcome, the patient escapes with vomiting, diarrhea, severe weakness, hearing loss and headaches. In more severe cases, acute renal failure and liver failure, convulsions or paroxysmal ventricular tachycardia occur. Any of the following conditions in itself can lead to death, and in combination, even more so. Therefore, before drinking alcohol while taking erythromycin, it is recommended to think several times about the possible consequences of such a step.

However, it should also be noted that the use of erythromycin in the form of ointments and solutions for application to the skin does not create high concentrations of the drug in the blood, and therefore does not affect the rate of alcohol removal from the body and is not contraindicated.

The list of prescription drugs in Russia is increasing annually. Recently, it has included funds to increase potency in men who were previously on sale. The confusion in this matter is caused by the abundance of pharmacy chains, including online stores selling pharmaceutical goods, where you can often find promotions and calls to buy prescription drugs without a form certified by a doctor. Nevertheless, in specialized forums one often encounters the question of whether a prescription for the aphrodisiacs Viagra, Levitra, Cialis is needed and how to get around the sales system in official pharmacies.

The rationale for the recipe

First of all, you need to understand what it is and why many medicines, including Cialis and other drugs of this group, cannot be bought legally without it.

Our regular reader got rid of problems with potency with an effective method. He tested it on himself - the result is 100% - complete elimination of problems. This is a natural remedy based on herbs. We checked the method and decided to advise it to you. The result is quick. EFFECTIVE METHOD.

Initially, all medical supplies were produced in a pharmacy. For this, the pharmacist needed a composition, by analogy with a culinary recipe for dishes, according to which he could prepare the right medicine. It was impossible to do this without a doctor’s instructions. Moreover, all responsibility for the patient’s health was left to the physician. In case of side effects or death, in case of poisoning with the prepared mixture, the pharmacist presented a form with the prescription of the product.

In modern times, drugs are produced industrially, and the responsibility for the risks associated with taking is still the responsibility of the doctor. At the same time, manufacturers submit an application for ranking the medicinal product as a prescription group or decide to leave them on the free sale list. Manufacturers of drugs Viagra, Cialis and Levitra several years ago filed an application with the committee making decisions in this area that the drugs should be included in the list of drugs sold on special conditions.

The next step in the need for a medical prescription form was the presence of narcotic and potent active components in many preparations, which can be isolated in pure form by chemical reactions. Although this requires certain knowledge in the field of chemistry and special equipment, the authorities decided to take maximum measures. To prevent the growth of cases of drug addiction and in order to avoid mass poisoning, many drugs were removed from free sale and included in the list of prescription drugs.

The active substances that are contained in the preparations of Levitra, Cialis and Viagra, are possibly dangerous to humans, since they affect the circulatory system. That is why funds to stimulate potency, including Cialis, Levitra and Viagra, are sold by prescription. To a greater extent, this applies to vardenafil, since its activity against the heart muscle is shown to be maximum.

An important principle of prescription drugs from the pharmacy is the preliminary passage of medical consultation and diagnosis, to obtain the coveted form. This approach eliminates the possible contraindications that are found in all drugs, including drugs used to stimulate potency. It is the doctor who decides on the prescription of medicines and for each specific case determines whether a prescription is needed or if methods safer for health can be dispensed with.

Purchase without a prescription

The peculiarities of the national mentality are such that there are always those who want to circumvent the system. In some pharmacies, funds from this list are found in free sale. The difficulties in regulating the trade in pharmaceutical products are associated with numerous online pharmacies, where you can easily buy Viagra or Levitra without a prescription. In this case, the decision is left to the consumer, who chooses for himself the quick effect of taking, despite the possible consequences, or decides to take a longer and safer way, with a preliminary assessment of his condition by the doctor. Carefully enough, you need to study the instructions for drugs from the presented group in order to assess possible health risks.

The peculiarities of the sale of goods to stimulate potency also include the fact that in some cases the decision on whether to sell Viagra with a prescription or not is connected with the trade name of the drug. The fact is that the list of prescription drugs contains many active substances and trade names. Therefore, the appearance of a similar product with a different name can confuse even the inspecting authorities.

In the case of potency stimulants, we are talking about generics - drugs with a similar composition, but produced under various names, by companies that are not related to the official representative. Generics are not always bad. If all the rules and production technology are followed, then under milder conditions, you can get high-quality goods that are not available in a regular pharmacy. The problem is that it is not possible to control the production process and the final composition of the drug. In most cases, online pharmacies sell generics, so it’s impossible to buy real Cialis, Levitra or Viagra from them.

You will have to present a prescription for Viagra and other drugs with a similar effect if you are not indifferent to your health and there is a desire to purchase a high-quality, original drug. In this case, visiting a doctor is not only a necessity, but can be a very useful step to assess the state of potency and receive recommendations.

Methionine is a substance that is part of the drug of the same name.
The drug is available in the form of a powder, capsules, syrup, coated tablets (one tablet contains 250 mg of the active substance).

Synonyms for name

Atinon, Bantionine, Atinon, Acimetion, Amethionol, Thiomedon, Atinon, Meonin.

Healing properties

Methionine is one of the essential amino acids. It is not synthesized in our body, but enters into it from the outside. This amino acid is necessary for the production of various proteins.

Properties of this substance:

It accelerates the regeneration of damaged tissues. It activates enzymes and sex hormones. It normalizes liver function. Improves digestion. Improves lipid metabolism (that is, fats do not linger and are not deposited in the liver). It helps to secrete accumulated toxins from the body. It positively affects the body during allergies. It binds and removes molecules of heavy metals (lead, cadmium, mercury). Prevents the occurrence of ...

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Bodybuilding Methionine

Methionine is familiar to bodybuilders and bodybuilders like vitamin U or L methionine. It is an integral part of the protein, without which it is impossible to pump large muscles. Bodybuilding methionine: how to take it correctly? Almost all athletes working on the creation of beautiful muscles take this amino acid, acquiring it in pharmacies. This indispensable substance brings many benefits, but it can have bad consequences if used improperly.

In a nutshell

Unfortunately, nature has ordered that the human body cannot independently synthesize methionine, but at the same time must replenish its reserves on a daily basis. Vegetable and animal foods come to the rescue, containing the necessary amino acid, but for people who are intensely involved in sports, such doses are scanty. It is worth noting that animal products have the highest level of content of this substance and it is absorbed better, but this suggests ...

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Methionine is a drug with a hepatoprotective effect.

Composition and form of release

The main active ingredient of the drug is an aliphatic essential amino acid - L methionine, which takes part in the synthesis of choline, the lack of which leads to impaired production of fats and phospholipids and the accumulation of neutral fat in the liver.

Method of release of the drug: capsules, syrup and methionine tablets.

pharmachologic effect

The main active substance of the drug has a hepatoprotective effect, that is, it is able to protect the liver from viral, toxic, immune and radiation damaging factors.

L methionine is actively involved in the synthesis and metabolism of sulfur-containing amino acids, affects the production of epinephrine and creatinine, and also activates the action of certain vitamins (vitamin B12, folic and ascorbic acid), enzymes, proteins and hormones. This substance helps to remove mercury from the body, ...

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Dosage form

pink round biconvex tablets. Marbling is allowed. Two layers are visible on the cross section, the inside is white

Composition

methionine - 0.25 g.

Excipients of the kernel: potato starch - 0.0382 g, stearic acid - 0.003 g, methyl cellulose - 0.0034 g.

Coating aids: sucrose (sugar) - 0.0826683 g, wheat flour - 0.00371 g, magnesium hydroxycarbonate (basic magnesium carbonate) - 0.010684 g, talc - 0.001789 g, low molecular weight povidone - 0.001088 g, dye azorubine (acid red 2C for pharmaceutical purposes) - 0.0000087 g, liquid paraffin (liquid paraffin) - 0.000026 g, beeswax - 0.000026 g.

pharmachologic effect

Pharmachologic effect. It has a metabolic, hepatoprotective effect. An essential amino acid - a donor of mobile methyl groups, is necessary for the synthesis of choline, a deficiency of which is associated with a violation of the synthesis ...

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The active substance of this well-known drug is an essential amino acid, which has the same name - methionine. The drug methionine is an effective hepatoprotector. Also, the use of the drug improves digestion, increases the activity of hormones in the human genital area. The amino acid methionine is necessary for the exchange process of sulfur-containing amino acids. Participates in the synthesis of vital biologically active substances.

When a drug enters the body, hormones, vitamins, enzymes and proteins are activated. Methionine is essential for the successful detoxification process of xenobiotics. In patients with atherosclerosis, it reduces the level of bad cholesterol, while increasing the concentration of blood phospholipids.

The human body is not able to independently synthesize this amino acid. Therefore, it must be ingested with food and with the help of dietary supplements and drugs. It is about this drug that will be discussed today. Does it ...

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Description and instructions for methionine

Methionine is a drug that belongs to the group of hepatoprotectors. In essence, it is an amino acid that is obtained synthetically. This substance is an essential amino acid. Methionine provides normal metabolism, growth, fat metabolism (it is because of this property that it protects the liver from fatty degeneration), activates the action of biologically active substances such as vitamins, hormones, enzymes and so on. In addition, this compound has the ability to detoxify infections, reduce the concentration of cholesterol. Accordingly, the use of this medication is indicated for degenerative conditions, some metabolic disorders, liver diseases, such as cirrhosis or toxic hepatitis. During pregnancy, methionine can be prescribed for protein loss, inharmonious development and functioning of the placenta. But such recommendations can only be given by a doctor.

Launch Methionine ...

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Methionine (Engl. L-Methionine) is an essential amino acid that must regularly enter the human body. This substance is extremely important, because without it many processes in the body do not pass, but its main function is to protect the liver from harmful substances, toxins and fat.

Methionine: amino acid

Methionine belongs to the class of essential aliphatic acids. In the scientific literature you can still find the definition of “aliphatic sulfur-containing amino acid”, which means that it supplies sulfur to other substances in the body that are necessary for the regulation of metabolism and growth. In general, sulfur is also a vital substance, it participates in many metabolic processes and affects the normal absorption of other beneficial substances. One of the main functions of methionine is to participate in the biosynthesis of adrenaline and choline. The amino acid forms cystine, which is inherently considered one of the most powerful antioxidants.

Methionine is found in protein molecules and in ...

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Methionine is a drug designed to treat liver damage and has a hepatoprotective and metabolic effect, helps lower blood cholesterol and increase the concentration of phospholipids.

Release form and composition

Methionine is available in pink, round, biconvex tablets. The active ingredient - methionine, is contained in one tablet in a dosage of 250 mg, other components are:

0.003 g of stearic acid; 0.0382 g of potato starch; 0.0034 g of methyl cellulose.

The composition of the film membrane is represented by liquid paraffin, sucrose, magnesium hydroxycarbonate, low molecular weight povidone, wheat flour, talc, beeswax, dye azorubine. Methionine is sold in 10 tablets in cell packs, each in 5 pieces in packs of cardboard. The drug is also available in polymer jars containing 50 tablets.

Indications for use

According to ...

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Description and instruction of the drug Metionin

Methionine has a hepatoprotective effect, that is, it has a positive effect on liver function. The active substance - methionine is an essential amino acid obtained synthetically.

Methionine effectively activates the action of enzymes, hormones and vitamins, and also increases the content of phospholipids and lowers blood cholesterol. Provides normal fat metabolism and metabolism in the body, promotes the growth of the body. It has the ability to detoxify infections.

Methionine in pharmacies can be seen in the form of powders, syrup, capsules and tablets.

Methionine is used for:

toxic hepatitis; liver damage, including alcohol; cirrhosis of the liver; liver dystrophy; the prevention of toxic liver damage with toxic substances such as benzene, chloroform, arsenic; conducting combination therapy of protein deficiency of various etiologies, sugar ...

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The drug "Methionine" is a drug that affects tissue metabolism.

The therapeutic effect of the drug "Methionine"

Instructions for use show that the drug has hepatoprotective properties, protects the liver from destructive toxic, radiation, viral, and immune factors. The tool is an essential amino acid for the body, which is necessary for the reproduction of choline - a substance whose deficiency causes the deposition of neutral fats in the liver, disrupts the formation of phospholipids. Due to the fact that selenium is part of the preparation, Methionine is actively involved in the production of epinephrine, creatinine, amino acids with sulfur content, as well as other important compounds. The medication improves the effect of vitamins (B12, ascorbic acid, folic acid), enzymes, proteins, hormones. The medicine quickly removes mercury, cadmium, lead from the body, increases radiation resistance, human endurance under heavy loads ....

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On September 22, new rules for dispensing drugs came into force - Order of the Ministry of Health of the Russian Federation dated 11.07.2017 No. 403n “On approval of the rules for dispensing medicines,” which regulates the sale of medicines in pharmacies. The document caused a lot of noise and confusion both among patients and among pharmacy employees. Today we tried to answer the most important questions about the new order that a simple visitor to a pharmacy may have.

Does a new order make all drugs prescription?

Not. The new vacation rules only slightly change the sales order of some prescription drugs. He does not establish any restrictions on conventional over-the-counter drugs.

And now you just can’t buy a prescription drug?

In fact, selling prescription drugs over the counter has always been forbidden. For this, the pharmacy faces a rather big fine and a license deprivation. But, as everyone knows, the severity of the law is offset by the non-bindingness of its implementation. Therefore, a number of pharmacies neglect the rules. However, the emergence of new rules of leave means close attention to their implementation, and therefore, pharmacies are now more sensitive to prescription leave.

But how do you know if a prescription for a drug is needed?

Is the drug prescription or not - this is stated in the instructions for use. In addition, such information is always indicated on the packaging. Of all the drugs registered in Russia, approximately 70% are prescription drugs.

In an ideal world, a doctor knows by heart which drug needs a prescription, and which does not. But in the face of harsh reality, very often such information has to be checked independently. Therefore, when a doctor advises you on any medications, you can check them online at the reception and immediately ask for a prescription.

Recipes are written out only on special forms. The most common is blank No. 107-1 / y. It looks like this:

To check if the drug is a prescription, you can go to the site and enter the name of the drug. All prescription drugs on our website are marked “Prescription.” By the way, not so long ago we had a special label for drugs, the prescription for which remains in the pharmacy.

How is this “prescription remains in the pharmacy”?

The pharmacy has a list of drugs subject to strict accounting. As a rule, these are drugs containing narcotic or psychotropic substances that are on a special list. Prescriptions for such drugs always remain in the pharmacy to control their sale. The turnover of narcotic substances is checked not only by Roszdravnadzor, but also by the structures of the Ministry of Internal Affairs.

But now, according to the new vacation rules, the pharmacy must also store prescriptions for certain drugs (antidepressants, tranquilizers, antipsychotics, sleeping pills and sedatives, as well as alcohol-containing drugs with an alcohol content of more than 15%) *.

"Alcohol-containing medicines"? So now you need to get a prescription for Corvalol or Valerian?

Not. We repeat that the new order does not prescribe drugs. It is only about prescription drugs. Corvalol, tincture of valerian and many other popular tinctures and elixirs are over-the-counter. Accordingly, no one can demand a prescription for them unless this is stated in the instructions for use.

Well, let's say I have a prescription, but there are several drugs in it, and one of them has the mark “remains in the pharmacy”. And I want to buy only one. Will they take my recipe?

Yes. Exceptions are made only for annual recipes, provided that you do not buy the entire prescribed amount of the drug at a time (for this you also need the permission of the doctor who wrote the prescription).

For example, you are prescribed a course of antidepressants for a year, and you need to purchase only one package. In this case, the pharmacy does not have the right to take the prescription from you. The pharmacist only makes a note of how much drug you bought and returns the prescription.

And can I get medicine if the prescription is not written for me?

Yes. Almost all drugs are dispensed simply to the presenter. Both the patient himself and his friend, relative, or simply acquaintance can receive the drug at the pharmacy. The main thing is the availability of a recipe.

An exception is made only for narcotic or psychotropic drugs. Prescriptions for such drugs are written out on a special form No. 107 / u-NP. It is easy to distinguish from other recipes because it is pink. When receiving such drugs at the pharmacy, you must have a power of attorney for medicines and a passport confirming that you are the one to whom the power of attorney is written out.

At the same time, the Ministry of Health emphasizes that the power of attorney can even be handwritten. It can be written in it that "I trust such and such to receive such and such medicines according to such and such a prescription for such and such a person." And be sure to indicate the passport data of this person. In addition, it must necessarily indicate the date of its compilation. Notarization of such a power of attorney is not required.

What else has changed with the new dispensing order?

Now all recipes are stamped that "the drug is released." Thus, reusing them will not work. Therefore, if you suddenly need another standard of the drug, you will need to get a new recipe.

Also, the pharmacist is now obliged to inform the buyer about the rules for storing the medicine, its interaction with other drugs, as well as about its method and dosage. In addition, a pharmacy employee cannot hide information about the availability of drugs with the same active substance, but cheaper. Such a rule existed earlier in the Law “On the Basics of Protecting the Health of Citizens” and the Rules of Good Pharmacy Practice, but now it is duplicated on vacation.

* The following is a list of INN recipes for which, according to a new order, will now remain in the pharmacy. Please note that the active ingredients (INN) are listed here, not the specific brand names.

INN
agomelatine
asenapine
aminophenylbutyric acid
amisulpride
amitriptyline
aripiprazole
belladonna alkaloids + Phenobarbital + Ergotamine
bromod
buspirone
venlafaxine
vortioxetine
haloperidol
hydrazinocarbonylmethyl bromophenyl dihydrobenzodiazepine
hydroxyzine
dexmedetomidine
duloxetine
zaleplon
ziprasidone
zuclopentixol
imipramine
quetiapine
clomipramine
lithium carbonate
lurazidone
maprotiline
melatonin
mianserin
milnacipran
mirtazapine
olanzapine
paliperidone
paroxetine
pericyazin
perphenazine
pipofesin
pirlindole
podophyllotoxin
promazin
common thistle fruit extract
risperidone
sertindole
sertraline
sulpiride
tetra
tiaprid
thioridazine
tofisopam
trazodone
trifluoperazin
morpho
fluvoxamine
fluoxetine
flupentixol
fluphenazine
chlorpromazine
chlorprotixen
citalopram
escitalopram
ethifoxin

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