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Buy penicillin in Belarus without a prescription. Antibiotics without prescriptions: list

Antibiotics, antipyretics, anti-inflammatory and antiviral drugs. But not all, but only some names. Regarding certain medications, the Ministry of Health is categorical: they will be sold only by prescription, and doctors should prescribe them only as a last resort.

Medicines (all dosage forms), containing single drug ibuprofen and paracetamol included in the list of drugs that can be dispensed over the counter(Resolution of the Ministry of Health of the Republic of Belarus dated June 5, 2012 No. 55). The same applies to oral suspensions for children: “Ibufen”, “Ibufen D”, “Nurofen”, etc.

But medications containing combination of paracetamol + ibuprofen(trade names “Ibuklin”, “Ibuzam”) will be sold in pharmacies Requires a doctor's prescription. This combination is very toxic to liver and kidney functions. Some countries, including Kazakhstan, India and the UK, have already abandoned such drugs.

According to the Ministry of Health, 6 cases of acute renal failure, the cause of which was the use of the combination “paracetamol + ibuprofen”. These medications should be prescribed only after examination and examination by a doctor.

Also strictly according to the recipe medications should be dispensed based on combinations of sulfamethoxozole + trimethoprim(trade names “Biseptol”, “Biseptin”, “Cotrimoxazole”). This is due to the fact that as a result of their wide application resistance of most pathogens to these drugs has developed. As the Ministry of Health notes, “the use of these drugs for respiratory and urinary tract is irrational and unsafe».

As an alternative, penicillin and macrolide antibiotics are currently used (some of them are included in the list of over-the-counter drugs).

Available without a prescription

Antiviral:"Arpetol" ("Arbidol"), "Rimantadine", "Interferon", oxolinic ointment, "AngriMax", "Anaferon", "Kagocel", "Virogel", "Panavir".

Analgesic, antipyretic and anti-inflammatory: acetylsalicylic acid, Ibuprofen, paracetamol, Nimesulide; combined medicines: “Negrinpin”, “Fapirin S”, etc.

Antibiotics: amoxicillin, amoxicillin/clavulanic acid, ampicillin.

Medicines that affect immunity:“Ekhingin”, “Trimunal”, “Groprinosin”, cycloferon.

P.S. Despite the free sale of many medications, doctors strongly recommend not to self-medicate, risking your health, but to turn to specialists for help.

Olga Artishevskaya

In the forties of the last century, humanity received powerful weapon lethal against many dangerous infections. Antibiotics were sold without prescriptions and made it possible to treat diseases that previously inevitably led to fatal outcome revolutionizing medicine. As a result, mortality has decreased significantly, life expectancy has increased, and its quality itself has improved.

Antimicrobial drugs began to be used everywhere, and many scientists predicted the complete disappearance infectious diseases. But it turned out completely differently, and today about 700,000 people die every year from pathogen resistance to drugs.

Antibiotics have a detrimental effect on pathogens due to specific mechanisms (it is different for each class of ALD), penetrating into the cell. At dawn new era all pathogens were susceptible to the simplest of them - penicillins. But over time, the laws of evolution forced microbes to adapt to new conditions and form defense systems.

Infectious agents “learned” to produce enzymes that destroy the antibiotic, and the skill was reinforced in subsequent generations at the genetic level.

Experts did not give up, discovering new classes of antimicrobial drugs, as well as improving existing ones. Semi-synthetic and synthetic drugs with a complex structure and a wide spectrum of action. However, all of them lose their effectiveness over time, because the pathogens’ defense mechanisms also develop. Mortality from bacterial infections, especially such as pneumonia, is increasing because there is simply nothing to treat them. This problem was raised by the World Health Organization at the beginning of the 21st century and proposed a number of measures to solve it. One of them is prescription drug dispensing in pharmacies.

Antibiotics without prescriptions

For a long time, this is how they were sold, which led to widespread uncontrolled self-medication. Patients independently, without medical consultation, “prescribed” medication for themselves at the first sign of illness. But the fact is that ABPs help cope only with diseases caused by bacteria, protozoa or fungi, and against viruses, which are the most common cause colds, they are powerless. In addition, each drug is effective against a certain range of pathogens, and the wrong drug therapeutic effect does not provide.

As a result of such “treatment,” the disease worsens, a secondary, more severe infection occurs, and pathogenic strains become resistant to the drug.
The sale of antibiotics without prescriptions has created a threatening situation in medicine, where ordinary pneumonia cannot be cured by any modern medicines.

In addition, serious complications of diseases caused by viruses have become more common. Doctors all over the world began to declare the need government regulation sales of ABP to consumers.

Why are antibiotics sold only by prescription?

For a long time, no attention was paid to the problem, since science did not stand still and antimicrobial drugs were constantly being improved. The range of pharmacies expanded, and doctors had the opportunity to prescribe alternative antibiotic therapy if the main one did not produce results. However, it soon became obvious that pathogenic microorganisms began to adapt to new conditions more and more quickly, and the growth of resistance reached very high rates.

In America and European countries, they treated the situation with full responsibility and have not sold antibiotics without prescriptions for a long time. There, to purchase medicine, you will have to go to the doctor, even if you need the most safe drug with a minimum of contraindications. In the post-Soviet space, in particular in Russia, it was only in 2005 that the state listened to doctors and tried to regulate the issue legislatively. A list has been compiled antimicrobial agents, which can be purchased freely, but pharmacy chains continued to operate as before.

Finally, in 2016, it came out new law, regulating the rules for dispensing antibiotics from pharmacies, where penalties for non-compliance have become significantly tougher. A very limited number of antibiotics can now be purchased without a prescription, mainly for external use. And organizations that sell antibacterial drugs in violation of the law are subject to significant fines or are closed for up to 3 months. What drugs are not banned?

List of antibiotics without prescriptions

Detailed information about all legal documents regulating the healthcare sector is available on the website of the relevant ministry. There is also a list of drugs that are sold freely in pharmacy chains. Antimicrobial drugs include:

Gramicidin S ®
Nitrofural ®
Nifuroxazide ®
Sulfadiazine ®
Sulfanilamide ®
Sulfacetamide ®
Ciclopirox ®
Econazole ®
Erythromycin+zinc acetate ®

All of these antibiotics, with the exception of Furazolidone ® , Fluconazole ® and Gramicidin S ® , are sold in the form of dosage forms for external and local application– ointments (including eye ones), solutions, creams, suppositories, etc. Any other antibiotics are sold according to a prescription written by a doctor on a special form.

What should the recipe look like?

Previously, a therapist or pediatrician would hastily write down prescriptions on a regular piece of paper, and it was enough to dictate the list to the pharmacist at the pharmacy to get what he wanted. Only potent and narcotic drugs. But now you can buy an antibiotic only if you have a correctly written antibiotic prescription in Latin. A special form is filled out indicating the required items:

Name and age of the patient;
drug name;
dosage;
quantity;
mode of application.

All this is certified by the signature and personal seal of the attending physician. If there is insufficient information or the document is not certified, the pharmacist has no right to sell the medicine.

To understand what the prescription should look like, you can look at this sample prescription in Latin, where Azithromycin ® 500 mg tablets are prescribed:

Rp.: Tab. Azitliromycini 0.5

D. t. d. No. 3

S. Take 1 tablet every 24 hours daily.

Results and conclusions

This spring Russian society reacted quite violently when the new law came into force. In many regions of the country, people were unable to freely buy antibiotics because pharmacists and pharmacists required prescriptions. However, despite the tightening of legislative standards, not all pharmacy chains have begun to comply with them.

If one institution refused, then you could easily buy the medicine in a neighboring one, because the sale of ABPs for the treatment of respiratory infections is one of the most profitable items of any pharmacy. Therefore, although the law exists, it is not always implemented, as evidenced by the results of numerous inspections and test purchases.

Doctors' opinion on the new law

Doctors have been sounding the alarm for a very long time about uncontrolled treatment with such potent drugs as antimicrobials. Therefore, the recent strict ban on the sale of antibiotics without a prescription was received positively among specialists.

Measures of persuasion and education regarding the dangers of self-medication do not bring much results. The result of this work was mainly the fear of ALD, which forced some patients to abandon them completely, endangering their health and life. The rest continued to “treat” themselves, despite the warnings.

Now doctors speak favorably of the new legislative initiative and are more optimistic about the future, hoping for reduced pathogen resistance and reduced morbidity. However, there is another point of view on the innovations: Russian clinics were already barely coping with the influx of visitors, and now you will have to wait weeks for an appointment with a therapist. During this time, the disease, if not treated with antibiotics, will lead to very severe consequences. Time will tell how right the skeptics are.

Patients' opinions

Consumers, accustomed to taking antibiotics without a doctor's prescription, are naturally unhappy with the ban on their free sale. They motivate this by their reluctance to go to the clinic, because the queues there are huge, and in general “you can do without a doctor” and “this is how I always get treatment.” Such statements only confirm the correctness of the introduced restriction, since there is no hope for the consciousness of this category of patients.

Only legislation can protect their health and life from their own irresponsible actions. An adequate part of society perceived the ban positively, since these people are already responsible for taking any medications and buy them at the pharmacy only after a preliminary visit to the doctor.

During the cold season, pharmacies will sell antibiotics, antipyretics, anti-inflammatory and antiviral drugs without a doctor's prescription. But not all, but only some names. Regarding certain medications, the Ministry of Health is categorical: they will be sold only by prescription, and doctors should prescribe them only as a last resort.

Medicines (in all dosage forms) containing single drug ibuprofen and paracetamol included in the list of drugs that can be dispensed over the counter(Resolution of the Ministry of Health of the Republic of Belarus dated June 5, 2012 No. 55). The same applies to oral suspensions for children: “Ibufen”, “Ibufen D”, “Nurofen”, etc.

According to the Ministry of Health, 6 cases of acute renal failure were recorded in Belarus, the cause of which was the use of the combination “paracetamol + ibuprofen”. These medications should be prescribed only after examination and examination by a doctor.

Also strictly according to the recipe medications should be dispensed based on combinations of sulfamethoxozole + trimethoprim(trade names “Biseptol”, “Biseptin”, “Cotrimoxazole”). This is due to the fact that as a result of their widespread use, resistance of most pathogens to these drugs has developed. As the Ministry of Health notes, “the use of these drugs for diseases of the respiratory and urinary tract is irrational and unsafe».

As an alternative, penicillin and macrolide antibiotics are currently used (some of them are included in the list of over-the-counter drugs).

Available without a prescription

Antiviral:"Arpetol" ("Arbidol"), "Rimantadine", "Interferon", oxolinic ointment, "AngriMax", "Anaferon", "Kagocel", "Virogel", "Panavir".

Analgesic, antipyretic and anti-inflammatory: acetylsalicylic acid, Ibuprofen, paracetamol, Nimesulide; combination drugs: “Negrinpin”, “Fapirin S”, etc.

Antibiotics: amoxicillin, amoxicillin/clavulanic acid, ampicillin.

Medicines that affect immunity:“Ekhingin”, “Trimunal”, “Groprinosin”, cycloferon.

P.S. Despite the free sale of many medications, doctors strongly recommend not to self-medicate, risking your health, but to turn to specialists for help.

Olga Artishevskaya

A standard acute respiratory infection, acute respiratory viral infection, develops as a result of the penetration of viruses into the body, but often against the background of a weakened immune system, a bacterial infection occurs; in such cases, antibiotics are prescribed for colds. If you choose the wrong drugs, you can only aggravate the situation - problems will arise. severe complications, allergies. Be careful.

Antibiotics are used to fight infection

When are antibiotics prescribed for a cold?

For a common cold, there is no point in taking antibiotics, since the disease has viral origin, but often respiratory infections are complicated by bacterial pathologies - here you cannot do without antibiotics.

When to take antibiotics for a cold:

2–3 days after the onset of the disease, the patient’s condition does not improve, but only worsens;
the runny nose gets worse, it is difficult to breathe through the nose, the discharge becomes yellow or green in color;
after 4–5 days of acute respiratory infection, a deep cough with a large amount of sputum appears;
the temperature rises sharply to 38 degrees or more.

At sharp increase fever, antibiotics are prescribed

Complicated cold - an exception to the rule, immunity healthy person able to cope with viruses in 7–10 days. The risk of developing pneumonia, sore throat, otitis media, sinusitis, and bronchitis is high in people whose defenses are weakened. Who is at risk? Young children, elderly people, people who have undergone organ transplantation, for a long time Patients with HIV and cancer take immunosuppressants and corticosteroids.

For a healthy adult, colds up to 6 times a year - normal phenomenon, in children this figure can reach 10 cases annually. If you take antiviral drugs in a timely manner, recovery occurs within 7–10 days.

List of the best antibiotics for colds

If signs of a bacterial infection appear, the therapist or pediatrician prescribes antibacterial drugs wide range actions. After receiving the results of tests for the sensitivity of microorganisms to active component medications are prescribed that will act directly on the causative agents of the disease.

To eliminate bacterial complications of colds, antibacterial agents from the group of penicillins, cephalosporins, macrolides, and lincosamides are used. Most medications can be purchased at a pharmacy without a prescription, but it is better to take potent medications as prescribed by a specialist.

Effective antibacterial drug, contains amoxicillin and clavulanic acid, belongs to penicillin group. Available in tablets, powder for suspensions and injections. Price – 270–370 rub.

The drug is prescribed if ENT complications, pneumonia, or bronchitis occur as a result of a cold.

Amoxiclav - an antibacterial drug

Contraindications:

mononucleosis;
a history of liver disease, cholestatic jaundice;
lymphocytic leukemia

During pregnancy, the medicine is prescribed only if the expected therapeutic effect from treatment exceeds possible risks for woman and fetus. The medicine may cause the development of congenital necrotizing colitis in a newborn.

Duration of therapy is 5–14 days.

Due to the presence of clavulanic acid, Amoxiclav destroys even those strains of bacteria that are immune to amoxicillin.

A cheap antibacterial agent of the penicillin series, produced in capsules, tablets, and in the form of a suspension. Price – 80–120 rub. The medicine helps with otolaryngological bacterial diseases, bronchitis, pneumonia.

Affordable antibacterial drug Amoxicillin

Contraindications:

bronchial asthma, diathesis of allergic origin;
liver dysfunction;
dysbacteriosis;
lactation, pregnancy;
some forms of leukemia;
mononucleosis.

The standard dosage is 500 mg every 8 hours. Duration of therapy is 6–10 days.

Powerful, but at the same time cheap antibiotic, the package contains only 3 tablets, which is enough for full recovery. The drug belongs to a separate group of azalides due to some structural features, effective against most strains of bacteria. Available in tablets, capsules, powder for suspension. Price – 120–220 rub.

Azithromycin is an effective antibiotic

Indications for use:

tonsillitis, inflammation of the mucous membranes of the larynx, paranasal sinuses;
bronchitis;
pneumonia;
otitis media of the middle ear.

Dosage – 500 mg once a day 2 hours after meals, you should drink the medicine throughout three days, for angina, the course can be extended to 5 days. Contraindications – violation heart rate, severe kidney and liver diseases, lactation period. Pregnant women are sometimes prescribed the drug in a standard dosage, but they should drink it only under constant medical supervision.

Azithromycin should not be taken together with Heparin.

A combined universal antibiotic containing amoxicillin and clavulanic acid, it is sold in tablets, in the form of a suspension and powder for injections. Price – 260–370 rub.

The standard dosage is 250 mg three times a day, for advanced forms of pathologies - 500 mg 3 times a day, or 875 mg in the morning and evening. Injections are given every 4–8 hours, 1000 mg, depending on the severity of the pathology. Duration of treatment is 7–14 days.

Augmentin - combination antibiotic

The drug is intended to eliminate the manifestations of diseases of the upper and lower respiratory tract, pathologies of the ENT organs of a bacterial nature. Contraindications – intolerance to the components of the drug, jaundice or a history of liver dysfunction. Pregnant and lactating women are prescribed the drug in a standard dosage; treatment should be carried out under the supervision of a specialist.

An inexpensive but good antibiotic from the lincosamide group, effective only against gram-positive bacteria, available in tablets, in the form of a solution for intravenous or intramuscular injection. Price – 110–180 rub.

The medicine is prescribed for inflammation of the lungs and middle ear, bronchitis, and sore throat. Contraindications – severe kidney and liver pathologies, the period of pregnancy and breastfeeding.

Lincomycin belongs to the group of lincosamides

Intravenously and intramuscularly, 0.6 g is prescribed three times a day, with difficult cases the dosage is increased to 2.4 g. The oral dose is 1.5 g per day, divided into 3 doses. Duration of treatment is 1–2 weeks.

Lincomycin should not be taken simultaneously with non-steroidal anti-inflammatory drugs, otherwise breathing may stop.

An effective and gentle antibacterial agent of the penicillin series, contains amoxicillin, produced in tablets with different dosage. Price – 230–480 rub.

Flemoxin Solutab is an effective and gentle antibiotic

The medicine helps eliminate bacterial infections in organs respiratory system, acute otitis media. Contraindications: lymphocytic leukemia, gastrointestinal and kidney diseases, pregnancy, breastfeeding.

The effect of the drug does not depend on food intake; the tablet can be swallowed whole, crushed, or dissolved in water.

At severe forms pathologies, the dosage of the drug is not increased, but it must be taken 3 times a day. The duration of treatment is no more than a week.

A strong antibiotic, belongs to group II cephalosporins, contains cefuroxime axetil, affects gram-positive and gram-negative bacteria, is available in tablets and granules for suspension. Price – 230–400 rub.

The treatment regimen is 250 mg of the drug in the morning and evening; in severe forms of the disease, the single dosage can be increased to 500 mg. Course duration is 5–10 days.

Zinnat is a strong bactericidal agent

The medicine helps with infectious diseases upper and lower respiratory tract, sinusitis, otitis media. The drug has no contraindications, except for individual intolerance; it is prescribed with caution to patients with pathologies digestive system, kidney. During pregnancy and breastfeeding The antibiotic can be taken in a standard dosage.

An expensive modern antibiotic, it belongs to the third generation cephalosporins, contains cefixime, is produced in capsules, granules for preparing a suspension, Suprax Solutab - tablets for resorption or dissolution in water. Price – 620–820 rub.

The medicine shows high effectiveness in the treatment of pneumonia, tonsillopharyngitis, bronchitis, sinusitis and otitis media. The drug is contraindicated in chronic renal failure, a decrease in creatinine clearance to 60 ml/min, the drug should be taken with caution by elderly people with a history of colitis.

Suprax is a modern effective antibiotic

Dosage – 400 mg once a day, or 200 mg in the morning and evening; you can take the medicine regardless of meals. Duration of treatment is 1–2 weeks.

Cephalosporins are considered the most safe antibiotics during pregnancy, you can take Suprax in a standard dosage. Active substances drugs penetrate into breast milk, therefore, drinking it is contraindicated during lactation.

Clarithromycin

Effective, one of the most effective antibiotics from the group of third generation macrolides, it destroys even those microbes that are in tissue cells and is produced in capsules and tablets. Price – 320–520 rub.

The average dose is 250 mg in the morning and evening for 6–14 days, in some cases the dosage can be increased to 1000 mg per day.

Clarithromycin - effective drug for the treatment of influenza and ARVI

Clarithromycin is considered one of the the best drugs to eliminate complications of influenza and ARVI, it is prescribed for bronchitis, pneumonia, sore throat, bronchitis. Contraindications – lactation, individual intolerance; pregnant women can take the medicine from the second trimester. Clarithromycin has been successfully used to treat chronic forms tuberculosis.

Antibiotics are often prescribed to children during an epidemic of influenza and colds, since complications can arise quickly in a child, literally in a few hours.

· tablets – 500 mg/day within three days.

Amoxiclav From birth in the form of a penicillin suspension until three months– 30 mg/kg, divided into 2 doses;

· over three months – 40 mg/kg;

· if you weigh more than 40 kg – 375 mg every 8 hours

Amoxicillin From birth in the form of a suspension, from 12 years - tablets and capsules Penicillin · up to two years - 30 mg/kg in 3 doses;

· 2–5 years – 125 mg three times a day;

· 5–12 years – 250 mg every 8 hours

Flemoxin Solutab From the first year of life Penicillins · up to one year – 30–60 mg/kg per day, divided into 3 doses;

· 1–3 years – 250 mg twice a day, or 125 mg once every 8 hours;

· 3–10 years – 2500 mg three times a day;

· over 10 years – 500–750 mg in the morning and evening.

Zinnat In the form of a suspension from three months, in tablets - from three years Cephalosporins · from three months – 125 mg suspension twice a day;

· up to three years – 250 mg suspension 2 times a day;

over three years - 125 mg twice a day in tablets, for otitis media single dose the doctor may increase to 250 mg

To reveal bacterial infection for a child, it’s enough to do clinical analysis blood, when affected by bacteria, the ESR and the number of leukocytes increase, active growth of band and segmented neutrophils is observed - the more severe the disease, the stronger leukocyte formula moves to the left.

Drinking or injecting an antibiotic – which is better?

When there is a bacterial infection, the question often arises: should I inject or take antibiotics? Each method has its own advantages and disadvantages.

The injections act faster, penetrate directly into the bloodstream, bypassing the digestive tract, which reduces the risk of developing dysbacteriosis. But injection of drugs is quite painful, especially for children, and there is a high probability of infection and abscesses.

Tablets are easy to take, most modern ones antibacterial agents It is enough to take once a day. But they act slowly, because they must first dissolve in the intestines, and only then are absorbed into the blood.

According to the canons of safety that are accepted in world medicine, the injection method of administering antibiotics against colds is prescribed only in very severe cases, in a hospital.

Antibiotics help eliminate complications of flu and colds bacterial origin. You should choose a drug carefully, taking into account age and the presence of chronic diseases.

Infections Medicines

» What antibiotics

Pharmacies are banned from selling antibiotics without a prescription

The Ministry of Health has finally banned self-medication with most antiviral, antimicrobial, heart medications and blood pressure pills.

— Yes, it’s true, antibiotics cannot be bought without a doctor’s prescription, like all other prescription drugs.. - they were unanimously assured in several pharmacies that Komsomolskaya Pravda called.

- This is not an innovation. — the press service of the Ministry of Health clarified, — p the stop on approval of the list of over-the-counter drugs (the rest, respectively, prescription drugs) came out back in 2010. It’s just that at the end of August, pharmacies were reminded of their responsibility for violations. The Ministry of Health has always opposed the practice of self-medication. Modern antibiotics throughout the civilized world, they are prescribed to patients only by doctors. Prescription drugs that is why they are prescribed by doctors because they have side effects, can cause allergic reactions, and may be incompatible with each other .

Banned free sale Not only antibiotics were included, but also biseptol and groseptol. Some antiviral drugs were also classified as prescription drugs. You won’t be able to buy effective (and quite expensive) anti-flu tablets without visiting a doctor, but rimantadine, amizon, and the immunostimulant arbidol are available.

Anti-pain medications like spasmalgon, no-shpa, citramone and aspirin will still be available without going to the doctor. Stronger ones - only with his permission. Hypertensive patients will also have to visit clinics more often - almost everything that lowers blood pressure is now available only by prescription.

As before, a prescription will not be required for most medications that help the gastrointestinal tract.

You can find out more accurately whether a drug is on the “over-the-counter” list or whether it’s time to make an appointment with a doctor by calling or stopping by any pharmacy.

“Viagra with a prescription so that the Russians don’t export it!”

We went to Minsk pharmacies to check if it was true that antibiotics were not sold just like that.

— Bring the recipe, then we’ll let you go.. - they told us sternly in all pharmacies.

And in one, closer to the station, they explained:

— Russians are buying up all the medicines. They buy for future use, several packs at a time. They took antibiotics, painkillers, and several packs of Viagra. It’s profitable for them to buy here because of the difference in exchange rates, and the salaries of foreigners are higher .

— So Viagra is also only by prescription?- we were surprised.

- Yes. And a maximum of two packs in one hand. Although I have a hard time imagining who would go to a clinic for such a prescription. When they made it according to the recipe, they began to buy noticeably less. Like everything prescription. People still need to get used to going to doctors for things they are used to buying for nothing. .

Four tablets of Viagra (100 mg) in Belarus cost about 160 thousand rubles.

In Smolensk - about 3 thousand Russian rubles. (This is in Belarusian rubles at the National Bank rate - 531 thousand, at the black rate - more than 820 thousand.)

The difference is obvious: for a Russian, a drug to improve potency in Belarus would cost five times less.

After July 1, the Ministry of Health warned, it will be possible to buy antibiotics, hormonal drugs, blood pressure lowering agents, and many medications for heart disease only upon presentation of a prescription. Of course, people got worried, writes open.by. Concerned about the innovation, young ladies of childbearing age speculated on online forums about how much the number of unplanned pregnancies and even abortions would increase due to limited access to hormonal contraceptives. Pensioners clutched their hearts and doubted whether the doctors would cope - after all, queues at clinics would certainly grow after the innovation.

And recently the Ministry of Health announced that more than 60% of medicines will be sold without a prescription (by the way, in Europe this figure does not exceed 30%). The remaining 40% will be taken under strict control - these are some hormonal agents, psychotropic, narcotic, antitumor and other drugs.

Coincidentally, the Ministry of Health revised its positions on issues without prescription medicines shortly after President Alexander Lukashenko’s remarks as part of his message to the people and parliament. There were complaints from our citizens about new system dispensing medications only with a doctor’s prescription, which is expected to be administered in the near future. “I ask the Minister of Health and the Prime Minister to sort out these issues,” said Alexander Lukashenko. — Recently, one person came up to me at a training session and said: Is it true that the minister will sell contraceptives with a doctor’s prescription? How can we go to the clinic to buy this stuff? . The President asked not to mess things up and to revise the list, which was done very quickly.

The list of over-the-counter medications, according to representatives of the Ministry of Health, was revised due to complaints from patients.

Deputy head of the organization's department medical care Ministry of Health Lyudmila Zhilevich:

Lists of over-the-counter drugs and prescription drugs have always existed. But over time, some drugs that should be sold with a prescription began to be sold without a prescription. Therefore, the Ministry of Health decided to strengthen control so that everyone regulations were carried out within the framework of the law. An attempt to resolve these issues caused a stir in society (a large number of patients filed complaints against us), so we were forced to make a decision to expand the list of over-the-counter medications. And today a new draft OTC list has been prepared.

The list does not yet have legal force, since the Minister of Health has not yet signed the relevant documents.

What can you buy without a prescription?

People suffering from cardiovascular diseases had many questions, in particular, high blood pressure. Many of them have already long time take the same medications and know how to use them. Therefore, medications such as enalappril and captopril can be purchased without a prescription. But we will insist that patients seek advice from a doctor. If only because the dose that was prescribed by the doctor earlier may turn out to be ineffective today.

Antibiotics will also remain available over-the-counter. However, throughout the world, antibiotics are a prescription drug, and over time, obviously, this will happen here too. Alas, many mothers try to cure their children within 2 days by prescribing high-class antibiotics. And when these children grow up and enter adult practice, we often have nothing to save them. What do mothers complain about then? The fact that a child has been coughing for six months. Because the stage has passed from acute to chronic.

You can buy doxycycline antibiotics without a prescription, which are used for tick bites. (although this drug damages the rudiments permanent teeth in children - approx. Alexandra Barsukova).

Alexander Barsukov, chief freelance clinical pharmacologist of the Ministry of Health:

In all instructions hormonal drugs It is written that they must be dispensed with a doctor's prescription. Because these drugs have a number of side effects– starting from allergic reactions, toxic drug-induced hepatitis and ending with thrombosis and hemorrhages in the brain. Before prescribing a drug for contraception or regulation reproductive function women with disorders menstrual cycle, the doctor evaluates physical health and decides how to avoid side complications.

Of the total number of contraceptives, 20 drugs will be sold without a prescription - these are low-dose hormonal drugs.

It turns out that doctors do not recommend taking the above remedies without consulting a doctor, but nevertheless, what the doctor did not prescribe will still be sold. At a press conference on April 17, Lyudmila Zhilevich stated that the need to write a prescription for medications will increase the doctor’s responsibility for treatment. Now, according to the deputy head of the medical care organization department of the Ministry of Health, the patient himself determines how to be treated and is responsible for his treatment. But when he goes to the doctor and complains about his health, ultimately the attending physician is responsible for everything. Therefore, the list will be reviewed annually.

Since July 1, the Ministry of Health of Belarus has strengthened control over pharmacies’ compliance with the sale of prescription drugs. There are more than three thousand drugs on the list, for which you no longer need to go to the doctor. Less than two thousand pills will be dispensed strictly according to prescription. Their list can be found in every pharmacy, clinic, hospital and on the website of the Ministry of Health. In addition, there are also medications that were previously dispensed strictly according to a prescription, but now this is no longer required.

By the way, almost all vitamins for both adults and children will be available without a doctor’s prescription; Some anti-allergic drugs (loratadine, cetirizine, ketotifen, promethazine, etc. - without a prescription) will not be affected by the innovations. The situation with antibiotics has changed somewhat. For example, 1st and 2nd generation antibiotics (for example, amoxicillin, doxycycline) can be purchased without a prescription, but only after presenting a prescription will you be given sumamed, cephalexin, etc. at the pharmacy. Without a prescription you will be given Carsil, omeprazole, essentialcaps, Holosas (medicines used for diseases of the stomach and liver), however, if you need an antimicrobial drug of the Biseptol type, without a doctor’s prescription you can in this case there's no way around it.

To the point Without a doubt, even the “lightest” drug can become poison for the human body and cause addiction. Quite often this happens if the medicine is not taken as prescribed by a doctor, but at your own discretion or the advice of friends, experts say. Therefore, before you buy any medicine that supposedly helped your neighbor, take the time to visit your doctor. A doctor must treat the patient.

By the way
WHO calls for the reasonable and informed use of antibiotics, which can cause dysbiosis and immunodeficiency. Where almost 15 percent of infertile marriages? This is illiterate treatment low-grade antibiotics inflammatory processes, uncontrolled reception hormonal contraceptives etc. Therefore, it is doctors who must write prescriptions for medications.

Remember!
The list of over-the-counter medicines includes atenolol, metaprolol, captopril, lisinopril and enalapril and others, which previously had to be sold only by prescription. As well as first and second generation antibiotics - ampicillin, doxycycline, amoxicillin and others. A group of anti-inflammatory drugs is widely represented - diclofenac, indomethacin, etc. Antimicrobial and hormonal ointments, as well as some hormonal drugs.

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Medicines containing Ibuprofen or Paracetamol are sold freely. Those medications that contain both of these components are issued strictly according to prescription.

The Ministry of Health draws attention to the procedure for dispensing medicines during the seasonal rise of respiratory, infectious diseases and influenza in the autumn-winter period.

Medications in all dosage forms containing a single drug Ibuprofen or Paracetamol, are included in the list of medicines available without a doctor’s prescription, writes tut.by. The document was approved by Decree of the Ministry of Health of the Republic of Belarus dated June 5, 2012 No. 55. The same list also includes oral suspensions for children: Ibufen, Ibufen D, Nurofen and others.

These medicines are intended for all children age groups and can be selected for use by a child in a form convenient for him, taking into account his age: suppositories and drops - for children under 3 years of age, syrups and powders for preparing solutions - after 3 years.

Antipyretics based on the combination of paracetamol + ibuprofen (trade names "Ibuklin", "Ibuzam") are sold only with a doctor's prescription. This is primarily due to the high toxicity of such drugs on liver and kidney function.

Since 2011, the use of these medications has been discontinued in a number of countries, including Kazakhstan, India, and the UK. In the Republic of Belarus, 6 cases of acute renal failure associated with their use were registered. Because of this, the Ministry of Health decided that it was necessary to prescribe these medications only after examining and examining the child by a doctor.

Similar prescription measures were established by the Ministry of Health for antimicrobial drugs based on the combination “sulfamethoxazole + trimethoprim” (trade names: "Biseptol", "Biseptin", "Co-trimoxazole"). This is due to the fact that as a result of their widespread use, resistance of most pathogens to these drugs has developed.

The use of this group of drugs for diseases of the respiratory and urinary tract is irrational and unsafe. Such medications should only be prescribed medical worker, which will determine whether their intake will be so effective.

The following medications are available without a doctor's prescription for the treatment of respiratory, infectious diseases and influenza:

antiviral drugs: Arpetol (arbidol), Rimantadine, Interferon, Oxolinic ointment, AngriMax, Anaferon, Kagocel, Virogel, Panavir;
analgesic, antipyretic and anti-inflammatory: Acetylsalicylic acid, Ibuprofen, Paracetamol, Nimesulide, combination drugs – Negrinpin, Fapirin S and others;
antibiotics: Amoxicillin, Amoxicillin/Clavulanic acid, Ampicillin;
medications that affect the immune system: Ekhingin, Trimunal Groprinosin, Cycloferon.

Medicines containing Ibuprofen or Paracetamol are sold freely. Those medications that contain both of these components are issued strictly according to prescription.

The Ministry of Health draws attention to the procedure for dispensing medicines during the seasonal rise of respiratory, infectious diseases and influenza in the autumn-winter period.

These medicines are intended for children of all age groups and can be selected for use by the child in a form convenient for him, taking into account his age: suppositories and drops - for children under 3 years of age, syrups and powders for preparing solutions - after 3 years.

What is sold only with a prescription?

The use of this group of drugs for diseases of the respiratory and urinary tract is irrational and unsafe. The prescription of such medications should only be made by a medical professional, who will determine whether their use will be effective.

What medications can be purchased freely?

The following medications are available without a doctor's prescription for the treatment of respiratory, infectious diseases and influenza:

antiviral drugs: Arpetol (arbidol), Rimantadine, Interferon, Oxolinic ointment, AngriMax, Anaferon, Kagocel, Virogel, Panavir;
analgesic, antipyretic and anti-inflammatory: Acetylsalicylic acid, Ibuprofen, Paracetamol, Nimesulide, combination drugs - Negrinpin, Fapirin S and others;
antibiotics: Amoxicillin, Amoxicillin/Clavulanic acid, Ampicillin;
medications that affect the immune system: Ekhingin, Trimunal Groprinosin, Cycloferon.

advice from consultants in Vitebsk pharmacies

September 15, 1928 microbiologist Alexander Fleming isolated penicillin, the first antibiotic in the world. The invention of a talented Englishman revolutionized medicine. In those years, most infectious diseases, such as pneumonia, sepsis, tuberculosis, gangrene, typhoid fever were considered incurable.

Penicillin helped save millions of lives both in peacetime and during World War II, when it was established in the United States in 1943. industrial production the first antibiotic. By the way, in the USSR in 1942, penicillin was first isolated by professor Zinaida Ermolyeva. The material used was a colony of mold fungi taken from the wall of a Moscow bomb shelter. The antibiotic helped me heal a huge number seriously wounded soldiers who suffered from purulent lesions caused by staphylococci and streptococci.

Penicillin can be isolated from such a colony. Source: vistanews.ru

Today, they mainly sell drugs of the penicillin group, obtained synthetically. And to purchase them, you will need to see a doctor. But what if for some reason it is not possible to contact a specialist? Will they sell antibiotics without a prescription?

They will sell. The list, which are freely sold in the pharmacy chain of Belarus, includes amoxicillin, oxacillin, doxycycline, ampicillin. You can get them freely.

We go into the duty room of VITVAR LLC on Moskovsky Prospekt. You can come here at any time of the day, and this is a definite plus: if you have a cold by the throat late in the evening, when there is no way to see a doctor, then it is better to ask loved one go to the nearest duty room. Amoxicillin-500 produced in Belarus will cost 4 rubles 37 kopecks for ten capsules. Plus, they can also offer a ten percent discount on (domestic only) disabled people, pensioners, mothers of many children and those who have children under 3 years of age. If you don’t trust the Belarusian drug, take Ospamox of the same dosage from Sandoz. Higher price: 6 rubles 14 kopecks.

There is a smiling consultant at Itera-med Lyudmila suggests not to get carried away with antibiotics, but at the first manifestations of a cold, take powders with paracetamol or Grippomix containing remantadine.

Now many people are self-medicating, - the pharmacist sighs, - and I am sure that it should be taken only with the permission of a doctor. Especially things like antibiotics. Yes, amoxicillin (the drug costs 4 rubles 30 kopecks, and this is the most low price in the city!) I will sell. But if you have the means, it’s better to buy its analogue - Amoklav-1000 (14 tablets) from Pharmland for 14 rubles 26 kopecks. It is believed that when taking this drug, about 96% of the amoxicillin included in its composition is absorbed. And this will not affect the microflora of the gastrointestinal tract in any way.

I will also give some advice: please do not abuse various painkillers like citramon and analgin, do not mindlessly drink aspirin, trying to bring down the temperature when you have a cold. You'll only get a stomach ulcer.

There are many antibiotics available in the pharmacy chain. Photo by Evgeny Moskvin

Itera-med also has discounts - 5% for pensioners and those who buy medicines for children under 3 years of age.

In the Pharmacia network, domestically produced amoxicillin will cost more: 4 rubles 77 kopecks per pack of 10 capsules. Amoxicillin is a little more expensive in Planet Health: 4 rubles 79 kopecks. It is recommended to pay attention to its British analogue Clavomed, which, due to its composition (amoxicillin plus clavulanic acid), is better absorbed by the body. You'll have to pay for 10 tablets 19 rubles 95 kopecks.

Amoxicillin is available at the Energofarm pharmacy 4 rubles 72 kopecks. Pharmacist Olga explains that the cheapest antibiotic is ampicillin in a dosage of 250 mg. Give me 20 tablets 1 ruble 79 kopecks. It is necessary to take the medications for 5-7 days, two tablets 4 times a day.

I understand that there are times when it is not possible to call a doctor and get the prescription you want,- says Olga, - then amoxicillin will help out. Let’s say a person came to Belarus from another country and contracted a bacterial infection. And on weekends and holidays you don’t run into doctors. Although, on the other hand, it is impossible to do without making a correct diagnosis. What if you are caught by a disease caused by a virus, the same flu? Antibiotics will be useless against it. You'll just be wasting your money.

Let's take a look at the ADEL pharmacy. Here amoxicillin is the most expensive in the city: 4 rubles 86 kopecks. Pharmacist Lyudmila explains that the medicine must be taken in combination: it also requires probiotics and hepatoprotectors (drugs that protect the liver and gastrointestinal tract). So therapy will be expensive! Get ready to shell out some cash.