Vitamins are expensive analogues. What are the analogs of vitamins "alphabet"
If you have noticed, most drugs of the same group cost differently in pharmacies. You will be surprised, but "No-shpa" and "Mezim" have much cheaper analogues: "Drotaverin" and "Pancreatin", respectively.
Moreover, the only active ingredient in No-shpa was and is drotaverin, and in Mezima - pancreatin. It turns out that people just pay extra for beautiful packaging and advertising.
The most serious adverse effect of acitretin is teratogenicity, which leads to contraindication of the drug to pregnant and lactating women. In the case of administration of the drug to women of working age, it is always necessary to provide regular contraception and pregnancy testing and monitoring. menstrual cycle, one month before taking the medicine and within 2 years after treatment. Blood donation is prohibited during treatment and 2 years after its termination. For long-term use, it is recommended to periodically take X-rays to detect possible disorders of ossification of the spine, long bones and the bones of the arms and legs about once a year.
When registering such drugs in the countries of China and Europe, for some reason, not their usefulness is taken into account, but, first of all, harmlessness. But harmlessness in case of illness is not synonymous with the word "efficiency". So, it is better not to buy such drugs in pharmacies.
Now about pharmacies. Using the knowledge gained from this post, try to conduct a very simple experiment. Go to the pharmacy and ask for something cheap from the list.
Reported serious drug interactions - intracranial hypertension with the simultaneous administration of antibiotics tetracyclines with acitretin. It belongs to the group of calcineurin inhibitors. The effect of cyclosporine is rapid, and maximum levels are reached within 2 hours after oral administration of the microemulsion form.
In the previously used form, absorption was slow, incomplete, and dependent on the level of bile acids in the intestine. The activity of these proteins may vary in individual patients. This affects several factors. Therefore, it should be carefully considered, the patient should be instructed to evaluate possible drug interactions, since the above drugs and substances significantly increase the level of the drug. Cyclosporine is suitable for short-term interventional therapy for both unstable and generalized psoriasis.
They will look at you like a Pithecanthropus and reach for an expensive analogue - they say, it is more effective. Just smile at the pharmacist and say that you are a doctor and are well aware of the active ingredients in a cheap and expensive drug. Then watch the face of the pharmacist flood the paint of shame.
Naturally, pharmacies are interested in selling the product at a higher price. If you still hope that they take care of the client's health - in vain. Sooner or later you will be upset.
The dose should not exceed 300 mg per day. The clinical effect of therapy usually appears after 4 weeks, the maximum can be expected after 8-16 weeks. If the patient does not improve after 4-6 weeks, we will increase the dose to the maximum. If it does not improve within 4 weeks, the drug is discontinued. In the case of a satisfactory clinical response, the dose of the drug is gradually reduced, preferably by 50 mg over 1 month until complete withdrawal. The recommended duration of the use of cyclosporine for psoriasis until a gradual dose reduction is 2-4 months.
I propose to be upset early in order to see the light and not lay out crazy money for air and loud names. So, we offer six dozen cheap analogs of expensive drugs.
In our list (in alphabetical order) First, expensive drugs are listed, and after the abberviature "VS" (which in English means "against" (English Vrestor) - a completely similar, but much cheaper drug.
If the disease worsens, the introduction can be repeated. Long-term administration of cyclosporine to psoriasis should be exceptional. The effectiveness of cyclosporine has been confirmed by numerous clinical trials. The main adverse effects of cyclosporine treatment are hypertension, nephrotoxicity, and the risk of developing non-metanoma cancer. If it rises blood pressure, antihypertensive drugs are recommended or cyclosporine dose reduction by 25-50%. If blood pressure does not change, the drug is discontinued.
Cyclosporine nephrotoxicity is controlled by creatinine, or creatinine clearance. If serum creatinine increases by more than 30% from the pretreatment value, we reduce the dose by 25% and take control samples after 1 month. This exam in the Czech Republic is carried out by some laboratories and is recommended in emergency situations such as the occurrence of side effects in a patient, in case of ineffective treatment or when the patient uses other medicines known to interact with cyclosporine.
Cheap analogues of expensive drugs. LIST
Actovegin VS Placebo
Actovegin: 1700 p., 200 mg
Placebo: 0 rub.
Yes, Actovegin, supposedly extracted from the blood of calves, is not effective at all! Ascribed for severe cerebral dysfunction in severe TBI, edema and disease vascular system, "Actovegin" is nothing more than a dummy. Don't believe me? Then try it and see. He certainly won't do any harm. 
Arbidol VS Placebo
Before the administration of the drug, it is recommended to conduct an examination to exclude infectious hepatitis and pulmonary examination to exclude tuberculosis infection. Biology is new form psoriasis. In the Czech Republic, biology psoriasis treatment has been approved as their prescription is associated with so-called biological treatment centers.
Biology is administered subcutaneously or intravenously at varying intervals depending on the drug. For others, the onset of clinical effect is slower. With a slower onset of biological therapy, it is important to consider transferring the patient from another product, especially from cyclosporine, where the psoriasis condition may be temporarily worsened.
Arbidol: 125 r., 50 mg
Placebo: 0 rub.
The effectiveness of Arbidol, prescribed as a prophylaxis against influenza and ARVI, has not been proven. This is also a dummy. 
Belosalik VS Akriderm SK
Belosalik: 350 rub., 30g
Akriderm SK: 180 rubles, 30 g
Medicines help with dermatitis, lichen and other skin troubles equally effectively. It cannot be otherwise, because their composition is exactly the same: salicylic acid and betamethasone. 
Bepanten VS Dexpanthenol
In case of lower efficiency, it is recommended to transfer the patient to another drug. Combined biology therapy with another systemic therapy not as common compared to other non-eradication diagnoses. For psoriasis, infliximab is used in combination with methotrexate to reduce the risk of neutralizing anti-chimeric antibodies. Their presence reduces the effectiveness of therapy and leads to a higher frequency of infusion reactions. Other biologies can be combined with methotrexate for psoriasis accompanied by psoriatic arthritis to improve joint performance.
Bepanten: 230 rubles, 5% 30 g
Dexpanthenol: 83 p., 5% 30 g
Medicines are intended for the care of the skin and mammary glands of nursing mothers. Active ingredient: dexpanthenol. 
Betaserc VS Betagistin
Betaserc: 520 p., 24 mg
Betahistine: 220 r., 24 mg
Betagistin, as you understand, is active ingredient both in an expensive medicine and in more than twice the cheap one of the same name. The medicine is prescribed for dizziness and ear diseases. 
Bystrumgel VS Ketoprofen
The most common adverse effects of biological treatments include infectious diseases, sometimes with a more severe course, especially at the beginning of treatment. Another side effect may be a localized reaction, where borderline erythema and edema appear 1-2 days after injection. It usually recedes spontaneously within a few days. This response can be seen during the first few biological treatments.
The patient may experience flu symptoms within 24 hours after drug administration. They last for a short time, usually 1 day, and the use of common antipyretics is a great relief. In collaboration with pneumologists, patients are examined both before therapy and monitored during therapy, usually once a year, unless the pneumologist decides otherwise. Biological treatment contraindicated in pregnancy and breastfeeding... Biologically treated patients are monitored both clinically and clinically for the first 3 months, once a month, then once every 3 months.
Bystrumgel: 150 rubles, 2.5% 50 g
Ketoprofen: 60 rubles, 2.5% 50 g
Ketoprofen helps with various inflammations. 
Viagra VS Dynamo
Viagra: 850 r., 100 mg
Dynamic: 270 r., 100 mg
I will not even comment, you yourself understand everything. 
Voltaren VS Diclofenac
Patients who have received treatment for more than one year can be prolonged for a maximum of 6 months. Biochemical therapy is contraindicated in live vaccines. It is advisable to discontinue therapy if the patient is suffering from a serious infectious disease or infection requiring antibiotics, and when planning an operation. We resume treatment after treating an infection, after stopping antibiotic treatment, and after surgical wound healing.
Phototherapy is a method of treating psoriasis at the border of local and general therapy. Dermatology is used in fungal mycoses. We use whole body radiators for generalized disease manifestations or local radiators with localized projections that reduce the exposure area. Treatment is governed by internationally recognized protocols. The initial dose is determined by the phototype and the minimum dose of erythema. In the absence of erythema, the dose is increased by 30%.
Voltaren: 284 p., 50 mg
Diclofenac: 28 p., 50 mg
Diclofenac helps with joint pain, arthritis and rheumatism. 
Gastrozole VS Omeprazole
Gastrozole: 100 rubles, 20 mg
Omeprazole: 44 p., 20 mg
Prescribed for peptic ulcer disease. 
Heptral VS Heptor
If mild asymptomatic erythema develops, the dose is not increased. If there is a burning sensation at the site of erythema, you must stop treatment. If we resume treatment after the symptoms have disappeared, we will go back to half the dose versus the last dose and only increase by 10%. Treatment usually takes 3 times a week. A clinical response usually occurs in 2 weeks. If there is no clinical effect of therapy after 1 month of treatment, it is recommended not to continue. Successful phototherapy usually ends in 2 months, with a maximum recommended time of 3 months.
Heptral: 1700 RUB, 400 mg
Heptor: 800 p., 400 mg
Absolutely identical drugs that help with cholangitis and liver diseases. The only difference is in the price and the country of origin. 
De-nol VS Gastro-norms
De-nol: 950 p., 120 mg
Gastro-norms: 220 rubles, 120 mg
From the name "Gastro-Norm" you understand that the medicine is not for heart problems, but for stomach ...
Diprosalik VS Akriderm SK
Re-treatment is advisable at least 6 months after the end of the previous therapy. Phototherapy should be indicated with caution, ideal for controlling the total dose in patients receiving phototherapy, and it is important not to exceed the cumulative dose corresponding to approximately 300 sessions. Care should be taken to avoid photosensitivity or photoallergic illness, the patient should not take photosensitive medications. Combining phototherapy with acitretin is beneficial and increases the effectiveness of the treatment.
Diprosalik: 280 rub., 30 g
Akriderm SK: 180 rub., 30 g
The drug is prescribed by dermatologists for scabies and other similar diseases. How the doctor takes care of the condition of the patient's wallet can be seen from what kind of medicine he prescribes - a cheap one, or an expensive analogue. 
Diflucan VS Fluconazole
Diflucan: 400 rubles, 150 mg
Fluconazole: 25 p., 150 mg
Flucanazole and its 16 times (!) More expensive analogue are prescribed for terrible diseases - from meningitis to HIV infection. You yourself understand what it is like for terminally ill people to buy an expensive drug that allows them to cling to life at least a little.
Producers of "Diflucan", apparently, do not pay much attention moral side question. The main thing is to make money. 
Fornos VS Rinostop
For nose: 80 rubles, 0.1% 10 ml
Rinostop: 20 rubles, 0.1% 10 ml
Do not rush to buy advertised products. The composition of "Rinostop" is the same substance as in the more expensive "Dlyanos" 
Zantac VS Ranitidine
Zantac: 250 rubles, 150 mg
Ranitidine: 22 p., 150 mg
How not to call ranitidine, and chronic ulcers certainly know that it costs a penny, but relieves of problems. True, the new generation of ventricles chooses Zantac. And it seems that pharmacists have learned to make money on this category of patients. 
Zyrtec VS Cetirinax
Zyrtec: 240 rubles, 10 mg
Cetirinax: 70 p., 10 mg
Active ingredient: cetirizine. 
Zovirax VS Acyclovir
Zovirax: 250 RUB, 5% 2 g
Acyclovir: 30 rubles, 5% 5 g
Even as a child, my mother smeared our lips with acyclovir ointment, relieving herpes. Today “Zovirax” has become fashionable. True, the substance acting in it is still called acyclovir. 
Immunal VS Echinacea
Immunal: 210 rub., 50 ml
Echinacea: 50 rubles, 50 ml
You can also save on increasing immunity. Don't overpay! 
Imodium VS Loperamide
Imodium: 300 rubles, 2 mg
Loperamide: 15 r., 2 mg
Reliability of "Loperamide", stopping almost any diarrhea, has been confirmed for years. Imodium, similar in composition, is actively advertised, therefore it costs more. 
Iodomarin VS Potassium iodide
Iodomarin: 200 r., 200 mcg
Potassium iodide: 90 r., 200 mcg
Take care of your thyroid gland without overpaying. 
Cavinton VS Vinpocetine
Cavinton: 600 rubles, 10 mg
Vinpocetine: 225 p., 10 mg
Bring the Stroke "Vinpocetine". Money in a similar situation will be needed for a long rehabilitation. 
CLACID VS Clarithromycin
CLACID: 615 p., 250 mg
Clarithromycin: 175 rubles, 250 mg
Wounds, otitis media and infectious diseases are treated with these antibiotics. 
Claritin VS Lorahexal
Claritin: 160 rubles, 10 mg
Lorahexal: 50 r., 10 mg
It is worth looking, in addition to "Lorahexal" and "Loratadin". It is he who is the active ingredient in all these drugs. 
Xenical VS Orsoten
Xenical: 2000 RUB, 120 mg
Orsoten: 1000 rubles, 120 mg
Medication helps with obesity by breaking down lipase in the body. 
Lazolvan VS Ambroxol
Lazolvan: 320 r., 30 mg
Ambroxol: 15 p., 30 mg
With tracheitis, bronchitis and other coughs. 
Lamisil VS Terbinafine
Lamisil: 380 rub., Gel 1% 15 g
Terbinafine: 100 rub., Gel 1% 15 g
Treat fungal diseases skin. 
Linex: 476 p.
Placebo: 0 rub.
As a rule, when prescribing antibiotics, therapists prescribe "Linex", which supposedly will prevent the appearance of dysbiosis caused by the drug. Meanwhile, such a disease of the gastrointestinal tract does not exist at all.
Diarrhea is common by-effect when taking antibiotics, not requiring complementary treatment some mythical bifidobacteria. 
Lioton-1000 VS Heparin-acri gel 1000
Lioton-1000: 320 rubles, 50 g
Heparin-acri gel 1000: 90 rubles, 30 g
Varicose veins and hemorrhoids have long been cured with heparin ointment. New-fashioned lyoton - the same thing, only much more expensive. 
Lomilan VS Loragexal
Lomilan: 140 rubles, 10 mg
Lorahexal: 48 p., 10 mg
For allergies and runny nose, doctors prescribe both of these medicines. Which one to choose - judge for yourself. 
Maxidex VS Dexamethasone
Maxidex: 110 rubles, 0.1% 5 ml
Dexamethasone: 40 p., 0.1% 10 ml
Eye drops. The price difference is almost six times (note the volume of the medicine). The composition is identical. 
Mezim VS Pancreatin
Mezim: 275 p. 4200 units
Pancreatin: 27 p. 3500 units
I paid attention to these drugs above. 
Midriacil VS Tropicamide
Midriacil: 350 RUB 1% 15 ml
Tropicamide: 100 rub. 1% 10 ml
Prescribed by ophthalmologists. 
Miramistin VS Chlorhexidine
Miramistin: 225 p. 0.01% 150ml
Chlorhexidine: 12 p. 0.05% 100ml
Antiseptic. As a rule, the form of release is a syringe tube. Men inject the contents into the urethra in order to prevent sexually transmitted infections. 
Movalis VS Meloxicam
Movalis: 400 p. 15 mg
Meloxicam: 120 rubles 15 mg
For joint diseases, both drugs work in exactly the same way. 
Neuromultivit VS Pentovit
Neuromultivitis: 100 rub.
Pentovit: 40 p.
Vitamins for neurological patients. 
No-shpa VS Drotaverin
No-shpa: 180 p. 40 mg
Drotaverin: 30 r. 40 mg
I have already spoken above about the complete identity of the drugs. 
Normodipine and analogue Amlodipine
Normodipin: 650 p. 10 mg
Amlodipine: 40 p. 10 mg
Prescribed for heart disease. 
Nurofen VS Ibuprofen
Nurofen: 100 rub. 200 mg
Ibuprofen: 12 rub. 200 mg
Nurofen is very popular as an antipyretic for children. But why overpay? 
Omez VS Omeprazole
Omez: 165 RUB 20 mg
Omeprazole: 44 rub. 20 mg
Stomach diseases are treated with these drugs. 
Oscillococcinum VS Placebo
Oscillococcinum: 240 rub. 6 doses
Placebo: 0 rub. 0 doses
Another dummy in disguise prophylactic against colds and flu. 
Panangin VS Asparkam
Panangin: 120 rub.
Asparkam: 10 p.
Roughly speaking, these are vitamins for the heart. Having learned about the difference in cost by 12 times, the heart begins to ache in healthy people! 
Pantogam VS Pantocalcin
Pantogam: 320 RUB 250 mg
Pantocalcin: 250 RUB 250 mg
The difference is not very big, but still tangible. 
Panadol VS Paracetamol
Panadol: 40 p.
Paracetamol: 4 r.
Pharmacists wanted to make money and launched an advertisement for Panadol. Gullible consumers have allowed them to make money. 
Preductal MV VS Trimetazidine MV
Preduct MV: 850 r. 35 mg
Deprenorm MV: 300 r. 35mg
Trimetazidine MV: 120 rub. 35mg
The cores here are probably already completely ill. That's how it is to prevent angina pectoris! 
Rinonorm VS Rinostop
Rinonorm: 45 p. 0.1% 10 ml
Rinostop: 20 p. 0.1% 10 ml
Money down the drain - or against a cold? 
Sumamed VS Azithromycin
Sumamed: 430 rub. 250 mg
Azithromycin: 100 rub. 250 mg
The cost of antibiotics is so different ... 
Taufon VS Taurine
Taufon: 90 p. 4% 10 ml
Taurine: 15 p. 4% 10 ml
Eye drops. Almost 80% of pensioners use them. 
Trental VS Pentoxifylline
Trental: 220 p. 100 mg
Pentoxifylline: 50 rub. 100 mg
Medicines that improve blood circulation with damaged vessels. 
Trichopolum VS Metronidazole
Trichopolus: 80 p. 250 mg
Metronidazole: 10 r. 250 mg
Another antibiotic. 
Triderm VS Akriderm GK
Triderm: 650 RUB 15 g
Akriderm GK: 300 r. 15 g
The cheap counterpart is also not very cheap. But whatever you can buy with progressive dermatitis. 
Troxevasin VS Troxerutin
Troxevasin: 210 RUB 300 mg
Troxerutin: 120 p. 300 mg
Medicines help relieve the condition varicose veins veins. 
Ultop VS Omeprazole
Ultop: 250 p. 20 mg
Omeprazole: 44 rub. 20 mg
For ulcers, an analogue is prescribed, at a price that exceeds Omeprazole by 5 times. 
Ursofalk VS Ursosan
Ursofalk: 210 RUB caps. 250 mg
Ursosan: 165 RUB caps. 250 mg
Prescribed for hepatitis and gallstone disease. 
Fastum-gel VS Ketoprofen
Fastum gel: 240 rub. 2.5% 50 g
Ketoprofen: 60 rub. 2.5% 50 g
Finlepsin: 250 p. 400 mg
Carbamazepine: 40 rub. 200 mg
Pharmacies and manufacturers even make money on epileptics. 
Flucostat VS Fluknazole
Flucostat: 150 rub. 150 mg
Fluconazole: 25 rub. 150 mg 
Furamag VS Furagin
Furamag: 350 RUB 50 mg
Furagin: 40 p. 50 mg
Purulent wounds, genital infections and burns? An excellent reason to make money on an expensive analog! 
Enap VS Enalapril
Enap: 130 p. 20 mg
Enalapril: 80 rub. 20 mg
Preventive pills for cores. 
Ersefuril VS Furazolidone
Ersefuril: 390 RUB 200 mg
Furazolidone: 3 r. 50 mg
Nothing so much difference in price, right? But it equally effectively stops infectious diarrhea.
That's all for now. This does not mean that analogues of expensive drugs no longer exist. Every day, manufacturers announce new pharmacological "discoveries".
In fact, they just rename the well-known medications, increasing the cost of "new" at times.
Don't save on health! Save on medicines!
The Alphabet contains vitamin A, vitamins of group B, as well as vitamins C, E, D3, H and PP. The effect of this vitamin complex is to renew the structure of bones, skin and dentin, providing normal growth, normalization nervous system and activation of regenerative processes in body tissues. In addition, the vitamins in its composition are involved in the regulation of metabolic processes, the oxidation of fats, proteins and carbohydrates, the function cellular respiration and maintaining an adequate level of immunity.
The dosage in the "Alphabet" preparation is selected in such a way that it provides the maximum synergistic effect.
Also, with the help of this vitamin complex, an optimal balance of phosphorus and calcium is maintained with the regulation of their absorption in the gastrointestinal tract, timely bone mineralization, hemoglobin biosynthesis and the production of female sex hormones. In addition, "Alphabet" has natural antioxidant properties, neurotropic effects, the ability to regulate gastrointestinal tract and protein metabolism. With the interaction of vitamins and minerals in the composition, this drug has a complex fortifying and developing effect on the entire body.
Drug analogs
French can be a good substitute for "Alphabet" multivitamin complex"Supradin", which contains twelve vitamins, 8 minerals and trace elements in a balanced proportion. "Supradin" is valuable because all of its useful material are released in stages, without interfering with each other's action. Also an excellent analogue is "Triovit", which, in addition to vitamins A, C and E, includes the microelement selenium, which protects cells from peroxidation. This drug increases the general resistance of the body and reduces the likelihood of developing cardiovascular, oncological and eye diseases.
Vitamins are essential for the metabolism of lipids, carbohydrates, proteins, nucleic acids, as well as for the synthesis of amino acids, neurotransmitters, collagen, and so on.
And, finally, Undevit, which contains all vitamins A, B, C, E and P, which is involved in the normalization of tissue trophism, regulates metabolic processes, and forms enzymes and structural tissue components, has proven itself well as an analogue of Alphabet. In addition, "Undevit" has a tonic and adaptogenic effect, as well as antioxidant properties.