There has been a rush in pharmacies since mid-February. Having learned that starting this March, prescription drugs will be sold only with a doctor's prescription (), people rushed to buy everything they might need in the foreseeable future. And no wonder. After all, 70% of the drugs sold have a special note stating that this is a prescription drug. These include antidepressants, all ampoule substances, antibiotics, some antivirals and the entire group of gastric drugs.
The list of prescription drugs is published on the website of the Ministry of Health.
Although the department had a good idea: to wean Russians from self-medication, the idea of completely limiting the sale of drugs without a prescription was not received with enthusiasm by the population. After all, people do not self-medicate because they have a good life. There are not enough doctors (according to the same Ministry of Health, the shortage of therapists in the country is 27%), and there are huge queues in hospitals.
In addition, chronic patients already know what to take, and not “chronicles”, having watched enough advertising, also “know” how and how to treat all ailments. Well, the mighty Internet will always tell you. In this sense, statistics put professional medicine on both shoulders: about 40% of Russians are treated on the advice of family and friends.
Roszdravnadzor believes that electronic prescriptions and freeing therapists from writing can change the situation. But experts doubt that this will make the work of doctors that much easier. After all, it doesn’t make much difference in what form the prescription is written: whether by hand or on the computer – time will still have to be wasted.
Channel 1 Antibiotics only by prescription (youtube video).
Pharmacists are now prohibited from hiding information about the availability of cheaper analogues of drugs. We are talking about medications with the same international nonproprietary name.
In addition, pharmacists and pharmacists cannot refuse customers to familiarize themselves with the accompanying documentation for drugs and medical products(certificates and declarations of conformity).
Pharmacies that are open to visitors 24 hours a day must have a lighted sign with information about night hours.
Patient's opinion
I got sick not long ago. Fever, cough and all that stuff. I called the doctor. If I may say so, the inspection lasted no more than a couple of minutes. I listened as I walked, waving my hand at the thermometer, did not check its readings, did not wait for me to get my medical certificate, and hastily scribbled down the prescription. “What about the seal?” Already at the door I caught up with the doctor with my question. Having stamped the seal, she rushed off to other patients. It was not possible to leave sick leave on the appointed day. My doctor was not there. “In Belgorod, at a meeting with family doctors,” explained the receptionist. - all the management, the therapists have been called in for the second Friday already. So come and cover your sick leave another day.”
I came on another day (by the way, it’s not financially profitable to stay on sick leave now). I stood in line for 2.5 hours. And finally I got to my doctor. Well, how about yours? Actually, our area is run by another doctor, but she is not there, so this sweet woman was assigned as many as three areas. Almost crying, she admitted that she no longer had the strength. And I feel ashamed in front of my patients. Because we are not talking about any quality help. There is no time to examine the patient6 all at a gallop across Europe. And it is unknown when the situation will improve. Graduates of medical universities do not go into medicine: the workload is terrible, the salaries are pitiful. There are no fools to work under such conditions. At the Stary Oskol Medical College they were thinking of finding a nurse, but where would they go? The graduate said that the girls are going into cosmetology. This is not so difficult morally, and private owners pay more money than the state.
So it’s impossible to be angry with doctors. They are only the last chain in the vicious link of domestic free medicine.
TO THE POINT
The Ministry of Health supported the continuation of the sale of medicines via the Internet. Now, according to Federal law, only pre-orders can be made on pharmacy websites. But in order to pay for and get the medicine, you still have to go to the pharmacy yourself. Which is extremely inconvenient for patients who actually take the drugs, for the elderly and disabled.
Taking these and other factors into account, the Ministry of Health has prepared rules for the online sale of medicines. Online pharmacies will even be allowed to dispense prescription drugs.
But will the government approve this project? For now it is up for public discussion.
From January 1, 2017, laws and regulations regarding the issuance of sick leave electronically, increasing the retirement age for government employees, sales tax on multimedia content, purchasing parking spaces, etc. will come into force.
Read more about legislative initiatives see infographics AiF.ru.
Increasing the retirement age for municipal and state employees
From January 1, 2017 retirement age for civil servants, as well as employees of municipal organizations, will gradually increase. Its increase will stop in 2026 and 2032, that is, when women retire at 63 and men at 65.
The changes will also affect the length of service in the civil service, which is required to receive a long-service pension. According to the new rules - at least 20 years of experience. Now this period is five years less.
Presentation of information on taxable objects
On January 1, 2017, a law comes into force that introduces liability for failure to report an individual about objects of taxation. The message must be sent before December 31 of the year following the expired tax period. Otherwise, you will have to pay a fine of 20% of the unpaid taxes.
Documents can be submitted for registration of rights and cadastral registration of real estate at any document acceptance office. It doesn't matter where the object is located.
"Tax on Google"
On January 1, the law on the “Google tax” comes into force, which obliges foreign companies to pay VAT on the sale of multimedia content in Russia from 2017: e-books, images, music, audio recordings, games and computer programs. In this regard, Google increases the cost paid services for its services - Google Drive and Google Play- by 18%.
Buying a parking space with a mortgage
From January 1, 2017, it will be possible to purchase parking spaces in parking lots on a mortgage and mark them with paint, stickers or other means. If the owner wants to sell a parking space to an outsider, he will have to notify the other participants in the shared ownership in writing, indicating the price and terms of the transaction.
Filing an application to court online
From January 1, anyone will be able to submit an application, complaint, presentation and other documents to the court in electronic form. All that is required of the citizen is to fill out a form that will be located on the official website of the court on the Internet and secure the document with an electronic signature.
Electronic sick leave certificates
Since January, a system of electronic “sick leave” has been introduced, which will not only reduce the number of paper documents and the cost of producing forms, but will also completely eliminate fake sick leave from circulation.
It is assumed that electronic leaflet disability will be filled in medical institution, then the information will be stored in a single FSS database, which can be used by both employees and employers. And patients themselves will be able to avoid endless trips to the hospital and standing in queues.
GLONASS system for new cars
All new cars in Russia from January 1, 2017 will have to be equipped satellite system"ERA-GLONASS" for automatic notification of road accidents.
The import by citizens of foreign cars into the territory of Russia that are not equipped with the ERA-GLONASS system will be prohibited from January 1, 2017.
Electronic OSAGO policy
From January 1, 2017 all Insurance companies will be required to issue electronic MTPL policies. If the company does not provide the opportunity to issue an MTPL policy online, it will face a fine of 300 thousand rubles.
If for some reason the car owner indicated incorrect data when registering for e-MTPL, which reduced the amount of insurance, then the company can recover from the client the entire amount paid to the victim.
Fee for obtaining a document on assessment of knowledge of the Russian language
From January 1, a state fee will be introduced for obtaining a document assessing knowledge of the Russian language and history. Russian state. This rule will apply to foreigners who arrived in the Russian Federation to look for work.
The amount of the state duty is set at 1,000 rubles, with 80% of the funds going to the subject’s budget, 20% to the state budget.
Transporting children by bus no older than 10 years
Since January, Resolution No. 652 of June 30, 2015 “On amendments to certain acts of the Government” comes into force Russian Federation in terms of improving the rules for the organized transportation of groups of children by bus.”
It will be possible to transport children only on a bus, the year of manufacture of which has passed no more than 10 years, and which corresponds in purpose and design technical requirements for the carriage of passengers and is equipped with a tachograph, GLONASS or GLONASS/GPS satellite navigation system.
Transporting children over 10 years of age on buses will be prohibited.
There are 2 types of medicines - those that can be bought without doctor's prescription and those that only a doctor can prescribe. Antibiotics belong to the second type, but this rule was violated everywhere. On March 1, 2017, the rules for the sale of medicines were tightened, as the World Health Organization is concerned about the uncontrolled use of antibiotics by people in all countries. The adopted tightening is intended to solve the problem of developing resistance to antimicrobial drugs (antibiotics).
For sale various medications regulated by many laws and standards. One of the main ones is Order of the Ministry of Health No. 785 “On the procedure for vacation medicines" You can download the document in the latest valid edition at.
Another order regulating the sale of medicines, including antibiotics, is Order of the Ministry of Health No. 647n “On approval of the Rules of Good Pharmacy Practice medicines For medical use" This law came into force on March 1, 2017 and can be downloaded.
Previously, it was impossible to obtain psychotropic, narcotic, strict dosage or custom-made drugs without a prescription. Now, according to the new rules, from March 1, 2017, there is a regulation on the sale of drugs by pharmacies only by prescription, if they are not included in the corresponding list of drugs sold without a prescription. First of all, this included antibiotics, blood pressure medications and hormonal drugs.
Sale of antibiotics legally
The number of people self-medicating exceeds all acceptable standards. This leads to progression of the disease and, in the worst case, to fatal outcome. Not having the necessary knowledge in this area, they choose their own dosage and duration of administration. In this regard, the Ministry of Health decided to tighten control over the sale of antibiotics and make them available only with a doctor’s prescription. After all, uncontrolled and frequent use of antibiotics leads to addiction, and subsequently it stops working.
The law regulating the sale of antibiotics is Order of the Ministry of Health No. 785 “On the procedure for dispensing medicines.” It became operational on December 14, 2005. According to it, all drugs that are not included in the list of drugs that do not require a written prescription from a doctor are subject to sale and distribution to potential buyers only with a prescription. Last changes
were included in the document on April 22, 2014. In addition to the sale of antibiotics by prescription, it will also not be possible to buy syrups and tinctures containing more than 15%, and no more than 2 packages per person. And antipsychotic drugs, psychotropic, ampoule, hormonal, from blood pressure, some painkillers and others.
For violating the current regulations and selling an antibiotic without a prescription, the following fines are expected:
- for individuals- from 5,000 - 10,000 rubles;
- For official — 20,000 — 30,000 rubles;
- for a legal entity- 100,000 - 150,000 rubles.
More serious penalties for selling antibiotics without prescription form The pharmacy may be suspended for 3 months.
What antibiotics can be sold without a prescription?
The law on prescription drugs has been amended, according to which the sale of drugs, and most importantly antibiotics, will be carried out only as prescribed by a doctor. This rule has existed for a long time, but no one performed it until recently. Now, according to new rules, prescription drugs are prohibited from being displayed on display.
The prescription form contains the following information - the name of the drug, the recommended dosage and method of administration, full name, position and seal of the doctor. The prescription form is valid from 1 to 3 months, and when chronic course illness - up to 1 year.
The reason for the adoption of the law on the sale of prescription pills was the self-medication of the population. The problem lies in long queues at clinics and a shortage of doctors, which forces people to consult pharmacists at the pharmacy of their choice necessary antibiotic, and not with the doctor. In the future, the Ministry of Health will draw up a list of medicines, the sale of which will be carried out only if there is an appropriate form from a doctor. On this moment Medicines are dispensed without a prescription with a corresponding note in the instructions for use - “dispensed without a prescription.”
Without the appropriate prescription form, you can purchase medications for the treatment of fleeting diseases - antiviral and antipyretic. The percentage of over-the-counter drugs is 30%.
Dear residents and guests of Krasnoyarsk and the Krasnoyarsk Territory!
From March 1, 2017 pharmacies work in accordance with the order of the Ministry of Health of the Russian Federation dated August 31, 2016 N 647n "ON THE APPROVAL OF RULES OF GOOD PHARMACY PRACTICE FOR MEDICINES FOR MEDICAL USE" and the order of the Ministry of Health and Social Development of the Russian Federation No. 785 "On the procedure for dispensing medicines"
The law states that all medicines, with the exception of those included in List of medications available without a doctor's prescription must be available by prescription only.
Many patients have already encountered these innovations in their real life. Getting sick viral infection, were unable to buy antibiotics for treatment. Currently, a consultation with a general practitioner is required to prescribe proper treatment and prescribing antibiotics strictly according to the prescription.
This list is quite large and includes funds from almost all medicinal groups. Not all medications will be sold by prescription, but only those that are on a special list published on the website of the Ministry of Health. This list will be updated every year.
You can now buy only by prescription:
LIST OF MEDICINES DISCHARGED ACCORDING TO A DOCTOR'S (Paramedic) PRESCRIPTION IN THE PROVISION OF ADDITIONAL FREE MEDICAL CARE TO SPECIFIC CATEGORIES OF CITIZENS HAVING THE RIGHT TO RECEIVE STATE SOCIAL ASSISTANCE
I. Anticholinesterase drugs
II. Opioid analgesics and mixed action analgesic
III. Non-narcotic analgesics and non-steroidal anti-inflammatory drugs
IV. Medicines for the treatment of gout
V. Other anti-inflammatory drugs
VI. Means for the treatment of allergic reactions
VII. Anticonvulsants
VIII. Drugs for the treatment of parkinsonism
IX. Anxiolytics
X. Antipsychotics
XI. Antidepressants and mood stabilizers
XII. Medicines for the treatment of sleep disorders
XIII. Other drugs affecting the central nervous system
XIV. Drugs used in narcology
XV. Means for the prevention and treatment of infections
Antibiotic
Synthetic antibacterial agents
Antituberculosis drugs
XVI. Antiviral agents
XVII. Antifungal agents
XIX. Antineoplastic, immunosuppressive and related drugs
Cytostatic and immunosuppressive drugs
Hormones and antihormones for the treatment of tumors
Related drugs for the treatment of tumors
XX. Drugs for the treatment of osteoporosis
XXI. Drugs affecting hematopoiesis and coagulation system
XXII. Means affecting cardiovascular system
Antianginal agents
Antihypertensive drugs
Medicines for the treatment of heart failure
XXIII. Drugs affecting organ functions gastrointestinal tract
Drugs for the treatment of diseases accompanied by erosive and ulcerative processes in the esophagus, stomach, duodenum
Antispasmodics
Laxatives
Antidiarrheals
Pancreatic enzymes
Hepatoprotectors
Choleretic agents
XXIV. Hormones and agents affecting endocrine system
Non-sex hormones, synthetic substances and antihormones
Anabolic steroid
Medicines for the treatment of diabetes mellitus
Sex hormones
Gestagens
Androgens
Estrogens
XXV. Drugs for the treatment of prostate adenoma
XXVI. Drugs affecting the respiratory system
XXVII. Drugs used in ophthalmology
XXVIII. Drugs affecting the uterus
XXIX. Vitamins and minerals
XXX. Antiseptics and disinfectants
XXXI. Other means
The list of drugs that are freely available includes some antipyretics and antivirals, stomach sorbents, dietary supplements, iodine, brilliant green, and hydrogen peroxide.
New rules for dispensing prescription drugs should discourage people from self-medicating.
A prescription written by a doctor will be valid for two months - 60 days or 1 year.
If pharmacists do not follow orders for trading prescription drugs Without the appropriate documents, they face a fine of up to 50 thousand rubles. Severe penalties may be imposed for selling prescription drugs without a prescription, including suspension of business for up to 90 days.
dispensed according to doctor's prescriptions free of charge or with a 50 percent discount from free prices
International generic
Name Release form
Anticholinesterase drugs
capsules Etamivan + etofilin + hexobendine
Drugs for the prevention and treatment of infections
Azithromycin capsules; film-coated tablets Amoxicillin film-coated tablets; pills
Amoxicillin + clavulanic acid powder for oral suspension<*>;
dispersible tablets;
film-coated tablets;
pills
Benzathine benzylbenicillin powder for injection
Hydroxychloroquine film-coated tablets
Clarithromycin capsules; film-coated tablets
Furazidine capsules
Ciprofloxacin tablets
Cefazolin<*>powder for the preparation of solution for intravenous and intramuscular injection
Antiviral drugs
Arbidol tablets; capsules Interferon alpha-2
human recombinant<*>rectal suppositories
Antineoplastic, immunosuppressive and related drugs
Azathioprine tablets Aprepitant capsules
Gemcitabine lyophilisate for the preparation of solution for infusion
Hydrazine sulfate enteric-coated tablets
Doxorubicin powder for solution for injection
Docetaxel concentrate for solution for infusion
Irinotecan concentrate for solution for infusion
Carboplatin concentrate for the preparation of solution for infusion
Clodronic acid film-coated tablets
Letrozole film-coated tablets
Medroxyprogesterone suspension for intramuscular administration
Methotrexate tablets
Oxaliplatin concentrate for the preparation of solution for infusion
Tamoxifen tablets
Mercaptopurine tablets
Melphalan tablets
Chlorambucil tablets
Filgrastim injection solution
Fulvestrant solution for intramuscular administration
Cyclosporine capsules; oral solution
Cyclophosphamide film-coated tablets
Epoetin alfa solution for injection
Drugs affecting hematopoiesis and the coagulation system
Acenocoumarol tablets Warfarin tablets
Dipyridamole tablets; film-coated tablets
Iron hydroxide
polymaltose<*>syrup
Ferrous sulfate +
ascorbic acid film-coated tablets
Iron sulfate+serine<*>drops for oral administration
Pentoxifylline film-coated tablets
Phenindione tablets
Drugs affecting the cardiovascular system
Amiodarone tablets Amlodipine<**>pills
Acetazolamide tablets
Bisoprolol<**>film-coated tablets
Hydrochlorothiazide tablets
Digoxin tablets
Diltiazem film-coated tablets; extended-release film-coated tablets
Isorbide mononitrate tablets; capsules; extended-release tablets;
extended release capsules
Isosorbide dinitrate aerosol dosed;
extended-release tablets
Indapamide capsules; film-coated tablets; modified release tablets
Captopril tablets
Carvedilol<**>pills
Lisinopril<**>pills
Metoprolol tartrate film-coated tablets; pills
Metoprolol succinate extended-release film-coated tablets; pills
Moxonidine<**>
Nifedipine extended-release film-coated tablets; modified release tablets; pills
Perindopril<**>film-coated tablets
Propaphenone<**>film-coated tablets
Propranolol tablets
Ramipril<**>pills
Spironolactone tablets
Furosemide tablets
Enalapril tablets
Enalapril+hydrochlorothiazide<**>pills
Drugs for the treatment of diseases of the gastrointestinal tract
Domperidone<*>film-coated tablets Metoclopramide tablets
Omeprazole capsules
Pancreatin capsules; film-coated tablets
Silibinin dragee
Ursodeoxycholic acid capsules
Famotidine film-coated tablets
Phosphogliv capsules
Diosmectite<*>powder for the preparation of suspension for oral administration
Lactulose<*>syrup
Hormones and agents affecting the endocrine system
Acarbose tablets Betamethasone cream; ointment
Glibenclamide tablets
Glibenclamide + metformin film-coated tablets
Gliquidone tablets
Gliclazide modified-release tablets; pills
Glimepiride tablets
Dexamethasone eye drops
Desmopressin tablets
Insulin aspart solution for intravenous and subcutaneous administration
Insulin aspart biphasic solution for intravenous and subcutaneous administration
Insulin glargine suspension for subcutaneous administration
Insulin glulisine solution for subcutaneous administration
Biphasic insulin
Insulin detemir solution for subcutaneous administration
Insulin lispro injection solution
Insulin soluble
(human genetically engineered) injection solution
Insulin isophane
(human genetically engineered) suspension for subcutaneous administration
Levothyroxine sodium tablets
Methylprednisolone tablets
Metformin film-coated tablets; pills
Prednisolone tablets; injection
Repaglinide tablets
Rosiglitazone film-coated tablets
Thiamazole tablets
Triamcinolone tablets
Mometasone<*>cream for external use
Drugs for the treatment of prostate adenoma
Doxazosin<***>pills Tamsulosin<***>modified release capsules; controlled release tablets,
coated
Drugs affecting the respiratory system
Aminophylline tablets Beclomethasone aerosol for inhalation
Bromhexine syrup<*>; film-coated tablets; pills
Budesonide powder for inhalation, dosed;
suspension for inhalation
Ipratropium bromide + fenoterol aerosol for inhalation, dosed;
solution for inhalation
Cromoglicic acid and its
sodium salt aerosol for inhalation
Salbutamol aerosol for inhalation; solution for inhalation; pills; extended-release film-coated tablets
Theophylline extended-release capsules;
retard tablets
Fenspiride<*>syrup
Drugs used in ophthalmology
Betaxolol <***>eye drops Dorzolamide eye drops
Pilocarpine eye drops
Taurine<***>eye drops
Timolol eye drops
Vitamins and minerals
Gendevit dragee Potassium and magnesium aspartate tablets
Potassium iodide tablets
Colecalciferol<*> water solution
Sulfacetamide <*>eye drops
Others
Bifidobacteria bifidum lyophilisate for the preparation of a solution for oral administration and local application Lactobacillus lyophilisate for the preparation of a solution for oral and topical use
Oxymetazoline hydrochloride<*>nasal drops
Hilak forte<*>drops for oral administration
Drugs for the treatment of phenylketonuria
Specialized Food
Drugs used according to the decision of the medical commission approved
chief physician of a medical institution
Ademethionine enteric-coated tablets Alfacalcidol capsules
Amisulpride tablets
Atorvastatin<**>film-coated tablets
Bevacizumab concentrate for solution for infusion
Bicalutamide tablets
Buserelin lyophilisate for preparing a suspension for
intramuscular injection of prolonged action
Venlafaxine modified release capsules; pills
Vinorelbine concentrate for the preparation of solution for infusion
Gefitinib tablets
Goserelin capsule for subcutaneous administration
Zoledronic acid concentrate for the preparation of solution for infusion
Zolpidem film-coated tablets
Hydroxyurea capsules
Tretinoin capsules
Interferon alpha-2 recombinant solution for injection;
leophilisate for the preparation of solution for injection
Zuclopenthixol solution for intramuscular administration (oil)
Imatinib capsules
Indapamide+perindopril<**>film-coated tablets
Infliximab lyophilisate for the preparation of solution for infusion
Calcitonin nasal spray
Candesartan<**>pills
Capecitabine film-coated tablets
Clopidogrel<**>film-coated tablets
Latanoprost<***>eye drops
Levetiracetam film-coated tablets
Losartan<**>film-coated tablets
Losartan+hydrochlorothiazide<**>film-coated tablets
Methotrexate solution for injection; concentrate for the preparation of solution for injection
Nebivolol<**>pills
Octreotide microspheres for the preparation of suspension for injection;
solution for intravenous and subcutaneous administration
Olanzapine film-coated tablets
Omega-3 - polyunsaturated fatty acids
acids<**>capsules
Paclitaxel concentrate for solution for infusion
Pramipexole tablets
Risperidone powder for solution
long-acting
Rituximab concentrate for solution for infusion
Rosuvastatin<**>film-coated tablets
Salmeterol + fluticasone aerosol for inhalation, dosed
Simvastatin<**>film-coated tablets
Temozolomide capsules
Thioctic acid film-coated tablets
Travoprost<***>eye drops
Trastuzumab lyophilisate for the preparation of solution for infusion
Trimetazidine<**>modified release tablets
coated
Triptorelin<****>lyophilisate for the preparation of a suspension for intramuscular administration of prolonged action
Topiramate capsules; film-coated tablets
Tropisetron capsules
Fenofibrate<**>film-coated tablets
Formoterol + budesonide powder for inhalation, dosed
Cerebrolysin injection solution
Cyclophosphamide powder for injection
Cyproterone solution for intramuscular administration
Exemestane film-coated tablets
Eprosartan+hydrochlorothiazide<**>film-coated tablets
<*>Children of the first three years of life, as well as children from large families under the age of six.
<**>For AIDS/HIV-infected patients, oncological diseases who have had myocardial infarction (first six months), diabetes, mental illness, schizophrenia and epilepsy.
<***>For patients with AIDS/HIV, cancer, diabetes, mental illness, schizophrenia and epilepsy.
<****>For patients with premature sexual development.
