From March 1, the release of medicines. And now you can’t just buy a prescription drug? What medications are given free of charge?

On June 21, 2016, the State Duma adopted in the first reading government bill No. 1093620-6 “On Amendments to the Code Russian Federation about administrative offenses in terms of improving administrative responsibility in the healthcare sector.” And in September, at a meeting with Roszdravnadzor of the Russian Federation, it was announced that from January 1, 2017, prescription drugs will be on special control departments.

“Actually, the order of the Ministry of Health and social development RF No. 785 “On the procedure for vacation medicines» valid from December 14, 2005. It is he who regulates the procedure for dispensing medicines from pharmacies, regardless of the form of ownership. That’s why we still fine pharmacies for selling medicines without a prescription,” explained Lyudmila Ilyukhina, deputy head of the department of licensing, supervision and control in the field of medical and social activities of the regional Office of Roszdravnadzor.

Let us remind you that 70% of those registered in the Russian Federation medicines is released strictly according to prescriptions, and only 30% - without it. But what then will change in the new year? Nothing but tougher legislation regarding control and supervision of pharmacies. Now Roszdravnadzor has been hobbled current legislation and cannot effectively influence pharmacies for violations of the quality and safety of medical and pharmaceutical activities. It’s just that pharmacists did not always pay attention to these requirements, and the population did not see the problem and did not understand it.

How will they be punished?

The current version of the Code of Administrative Offenses is not established administrative responsibility for a number of violations in the field of laboratory rules and clinical practice when conducting clinical and preclinical studies of medicines for medical use, procedures for providing medical care in terms of non-compliance with the mandatory requirements established by them, procedures for conducting medical examinations, examinations and examinations, as well as the procedure for prescribing and prescribing medications. Therefore, changes have been made to the Code of Administrative Offenses of the Russian Federation (CAO).

The new law proposes completely different fines and other types of punishment for violating drug trade regulations, including dispensing prescription drugs without a prescription.

So, from January 1, 2017, if it is discovered that a drug is being sold without a prescription, Roszdravnadzor may fine the pharmacist who violated the law in the amount of 5 to 10 thousand rubles (now - from 1,500 to 3 thousand rubles); the official will have to pay from 20 to 30 thousand rubles (now - from 5 to 10 thousand rubles); legal - from 100 to 150 thousand rubles (now - from 20 to 30 thousand rubles). The apogee may be the closure of the pharmacy for 3 months (90 days).

Therefore, you understand, most pharmacies, if not all, will not want to take risks and will work strictly according to the letter of the law.

Self-medication is to blame

The impetus for the changes was the level of self-medication of the population, which in Lately goes off scale, and sometimes turns into very tragic consequences. Here it is already worth dealing with another problem - the shortage of doctors and queues in hospitals, which force people to go to the pharmacy and consult with a pharmacist about what medications should be taken for a particular disease.

“But the pharmacy must follow the doctor’s recommendation, draw the buyer’s attention to storage conditions and frequency of administration, nothing more. And the prescription itself is the doctor’s request to the pharmacist about what exactly he should give to the patient,” notes Ilyukhina. - And now it also happens that a person actually visited a doctor, but came to the pharmacy not with a prescription written on an official form, but with a piece of paper on which the doctor indicated the name of the drug. And pharmacists dispense medications based on these scraps. This whole situation must change."

The level of self-medication may be off the charts, but there is a logical explanation for this trend - how long will a person have to wait in line at a hospital for a prescription? Especially considering that the majority prefer not to go on sick leave with every cold, but to endure it on their feet, since the authorities do not favor sick leave, and many of us do not consider a sluggish ARVI real illness, supporting your immunity with medications (not even antibiotics) from the nearest pharmacy. But now, before going to the pharmacy, you will have to go on a “crusade” to the hospital and sit in line there, most likely not for an hour or two.

Shortages and queues

It is impossible to say right now exactly which medications will be dispensed only by prescription: in fact, there is no clear list; it was abolished in 2011 because it was too long and cumbersome. So you will have to focus on the packaging of the drug, which should indicate the name, dose, release form, manufacturers, expiration date, storage conditions and dispensing rules - with or without a prescription.

By the way, a similar “innovation” was introduced in Crimea in June. But this was more likely due to the widespread sale of near-narcotic drugs, which was widespread even when Crimea was part of Ukraine. Using the peninsula as an example, we can assume that from January 1, 2017, it will not be possible to buy blood pressure lowering medications, stimulants, such as caffeine, or drugs with a narcotic effect (any codeine-containing painkiller) in a pharmacy without a prescription. hormonal drugs, antihistamines, causing drowsiness. By the way, prescriptions for most drugs have long term- three months.

Of course, there is no point in panicking and stocking up on medications on an industrial scale, but it is worth reconsidering your home first aid kit and replenish it with some drugs of paramount importance. After all, the New Year holidays are coming, during which it will be possible to see a doctor only by calling an ambulance. And judging by the fact that the Office of Rospotrebnadzor in the Kursk Region predicted the peak incidence of ARVI during the New Year holidays, the number of people wishing to see a doctor and receive the coveted prescription from him will increase sharply.

Since September 22, antibiotics have not been sold without a prescription in Russia. This is what the order of the Ministry of Health says. But in reality, the sale of such drugs looks different.

Russians are increasingly faced with the fact that some drugs are not sold to them if there is no prescription or it is filled out incorrectly. Pharmacies refer to new order Ministry of Health, which clarifies the procedure for the sale of such medicines.

True, the Business FM experiment showed that it is still possible to buy medicines without a prescription, even if you should have one. Autumn, rain, colds. Nothing new: this is repeated year after year. Only today it has become difficult to buy drugs to treat this very cold. Since the beginning of October, there have been reports on social networks that pharmacies are requiring prescriptions for antibiotics.
Business FM columnist Ivan Medvedev also encountered this.

Ivan Medvedev Business FM columnist“My wife is sick. She called a doctor to the house. The doctor prescribed antibiotics, in particular the drug Amoxiclav. But the doctor prescribed it simply on hospital letterhead, that is, it is not a full-fledged prescription, which, as I accidentally found out, is now of fundamental importance. I went to the pharmacy, where they told me that from September 22, pharmacies do not have the right to dispense antibiotics without a doctor’s prescription, that is, they can dispense antibiotics only by exchanging them for a prescription.”

Another Business FM columnist had better luck. In another pharmacy they were ready to sell him the same drug just like that, without any prescription.

Mikhail Safonov Business FM columnist“Are you for yourself?” I say yes". She assessed my build and said: “You need 500 milligrams.” I say: “Okay, do you need a recipe?” She looked at me sternly and said: “Actually, I need a recipe!” I say: “But I don’t.” She says: “How do you buy it? What did your doctor tell you?” And I say: “But the doctor didn’t tell me anything, because the doctor is my friend.” She says, “Well, if your friend takes responsibility, then please buy.”

At the pharmacy point in the supermarket, next to the Business FM editorial office, there were also no problems with purchasing antibiotics. No one could explain why pharmacies don’t require a prescription when they should. Perhaps they are not afraid of fines, although such violations can even result in a license suspension for three months. However, the fact remains.

In fact, pharmacies previously were not allowed to sell prescription drugs without an official prescription. And the order of the Ministry of Health, which came into force on September 22, simply clarifies the rules for their leave. In particular, the pharmacy now keeps the so-called one-time prescription after it has sold the medicine. Why this is done explains Executive Director Russian Association pharmacy chains Nelly Ignatieva.

Nelly Ignatieva Executive Director of the Russian Association of Pharmacy Chains“If, according to all the documents, the pharmacy received ten medications, but it has five left, we record this, these are separate accounting documents- therefore, there must be five prescriptions, and correctly written prescriptions. If something is written incorrectly in the prescriptions, again this is a violation. In this system, a doctor, a patient, a pharmacy are involved, and for some reason, responsibility for all violations at the moment is only assigned to the pharmacy. But in fact, the problem is completely different. Our doctors have stopped writing prescriptions and, accordingly, have confused all patients, and for some reason patients do not demand their rights to write a prescription.”

An official prescription must be issued on a standard form, stamped, indicating the international generic name drug in Latin. Using specific trade names acceptable if the drug has no analogues. David Melik-Guseinov, head of the State Budgetary Institution of the Moscow Healthcare Organization Research Institute, told Business FM why doctors violate these rules.

Director of the State Budgetary Institution Research Institute of Healthcare Organization and Medical Management“Only 10% come with some kind of recommendations and about half of these 10%, that is, only 5% of the population, come with correctly filled out prescriptions. Doctors, of course, tried not to write prescriptions, because any prescription with a stamp and signature is official document. A document that can be presented to court, a document that can be presented executive power so that they carry out the appropriate checks. That's why medical workers, doctors very often shied away from the obligation to write an official prescription.”

Pharmacies, by the way, are also unauthorized. They are required to return to customers so-called reusable prescriptions valid for up to a year, which prescribe drugs for treatment chronic diseases. In this case, the pharmacy must make a note in such a prescription about the sale of the medicine. But sometimes they also try to confiscate such recipes. The Ministry of Health wanted to put things in order with the sale of prescription drugs. We wanted the best, but it turned out as always.

Lyudmila Lapa therapist “This can’t lead to anything good, because now I prescribed antibiotics, for example, today, but the girl says she doesn’t need a prescription. She didn't even ask because she was told that she would buy it, no problem. That is, she has some kind of pharmacy nearby that dispenses everything. And who is right and who is wrong is very difficult to determine. Confusion actually exists. This is an indisputable fact."

To the question of what to do if you were not sold the medicine, there are currently two answers. Either go to your doctor and ask him to write you an official prescription, or find a pharmacy that doesn't require prescriptions. As our experiment showed, they can still be found.

In the last century, when antimicrobial drugs were just invented, it seemed that a panacea had been found. They gave for the discovery Nobel Prize and began treating everyone with penicillin. However, why only in the last century? Until recently, you could easily buy antibiotics without a prescription. The list of prescription drugs was very narrow. But medical statistics and research recent years significantly changed the situation. Everything turned out to be not as rosy as many had hoped.

Let's start with the most important thing

A photo of the names of antibiotics without a prescription is shown below.

Only these drugs can be purchased freely at pharmacies today. All others are subject to restrictions, failure to comply with which is punishable by a hefty fine. And persuasion in the style of “just recently they sold me everything” does not work - in May of this year, in our country they adopted new law, which strictly limited the possibility of implementing medications. However, often ordinary people do not even understand that this was done for their own good. We rarely think about the ability different forms life adapt to aggressive conditions, but the smaller this very life, the higher such qualities it has. This is especially true for viruses and microbes - penicillin, which killed them several decades ago, today does not frighten harmful microflora, since resistance has been developed. To understand the essence of this phenomenon, it is worth looking not for the list of approved antibiotics without prescriptions, but for the principle of operation of the drugs.

What was it like before?

In fact, the list of over-the-counter antibiotics has always been quite narrow: most drugs were legally allowed to be purchased only with an official doctor's certificate. The exception concerned only a few items included in the special list of essential drugs. Only the law did not contain serious punishments for offenses, so it was observed very conditionally. And yet there was no officially free sale before. Compliance problem has been a concern for the government for a long time, on the basis of which a new regulatory act was adopted this year, designed to make the situation more stable.

Many are rightly indignant: it is very difficult to get to the clinic to get a prescription for the necessary medication. Huge queues, crowds, infections - you can get even sicker than before going to the doctor. So ordinary people are interested in the names of antibiotics without a prescription, hoping to bypass the unpleasant need to visit a specialist. The government does not deny: hospitals are indeed overloaded, and the impossibility of freely purchasing antimicrobial drugs only increases this volume.

Why is this necessary?

At the global level, doctors are sounding the alarm: microscopic life forms have developed a stable immunity to antibiotics. Lists that are sold without a prescription, of course, attract attention, but by doing so the person himself includes himself in the group increased risk: microscopic life forms in his body learn to survive even under the influence of substances so unfavorable to them, so in the future the disease will be more and more difficult to eliminate. There is a possibility fatal outcome from simple flu and its complications, and all because of the resistance of microbes to the drugs designed to fight them. And it was developed precisely because of the uncontrolled use of medicines by the broad masses. Doctors voice their predictions: millions of people are in danger due to current medical practices.

So what should I do?

As activists say, a ban on the sale of antimicrobial agents can only bring real benefit in the conditions of a well-established system for providing medical services to the population, because in the current situation a person either has to wait literally a week to get to the doctor, or independently search for names from the list of approved ones antibiotics without prescriptions, and also persuade pharmacists to break the law in order to sell him useful drug. By the way, not only antimicrobials, but also many other medications that are now freely sold in pharmacies, by law must be distributed only if the patient has a correctly completed prescription with all stamps and signatures.

How to get a prescription?

If antibiotics from the list without prescriptions do not help or a person does not want to harm himself by using the drugs uncontrollably, the easiest way is to get an appointment at a paid clinic. True, this is not cheap: even in the periphery, private clinics charge up to a thousand rubles per appointment, and in the capital region this figure is two to three times more. But if there is no way to pay, and the wait for an appointment at the clinic is too long, the person continues to be treated independently - in otherwise severe illness, numerous complications, even death.

Is everything so clear?

Many people say that the list of antibiotics without prescriptions in Russia is information of little significance, since a real permission from a doctor has a relatively low percentage of those wishing to purchase medications. If you refuse all those who do not have a piece of paper, pharmacies will lose a significant percentage of their profits. Not everyone is ready to do this, especially in a competitive and crisis market situation. Experts predict that drugs will continue to be sold in violation of established laws - this is to protect enterprises from ruin.

Is this beneficial for the client? On the one hand, you don’t need to limit yourself to a list of antibiotics without a prescription; you can hope that you will be able to buy everything you need. On the other hand, we should not forget about the immunity accumulated by microscopic life forms. In addition, when self-medicating, many stop taking medications not after the course duration has expired, but when the situation initially improves, and this is the most effective way development of resistance for microbes.

WHO: forecasts are disappointing

Researchers speaking on behalf of World Organization healthcare, informed that by 2050 every year the mortality of about 10,000,000 people will be caused by the immunity of microscopic life forms to antimicrobial drugs. Against this background, dispensing rules have been tightened in all countries, and the list of over-the-counter antibiotics has been significantly reduced.

Drug resistance is a natural process that is stimulated by the misuse of medications. However, not only medicine plays a role, but also Agriculture, where such connections are widespread. Nowadays, some diseases can no longer be cured, although decades ago they were effectively eliminated with the help of antibiotics. Good example- new subtypes of tuberculosis, drug-resistant gonorrhea. And it's not full list dangerous infections. The consequences, especially when analyzing the near future, seem large-scale, if not catastrophic.

What about today?

Extensive medical practice and the uncontrolled use of antibiotics from the list without a prescription (and with prescriptions too, if the average person manages to buy such a drug just like that) has led to the fact that about 700,000 people die from infection during the year. This forces us to look for new approaches to regulating the market. The economy is good, the profits of pharmaceutical companies are also good, but the health of future generations is more important.

So what should I do?

Instead of expanding the list of over-the-counter antibiotics, authorities decided to take a different route: limiting the sale of the drugs as severely as possible to force people to visit a doctor before starting treatment. It is currently expected that state-owned enterprises will gradually begin to take over the private medical clinic sector. A mechanism for cooperation between authorities and non-budgetary institutions is being developed.

This is possible, since in many state clinics not all space is used, while maintenance costs are calculated from everything that is available. That is, the conclusion of contracts will allow you to recoup expenses on housing and communal services, security, give sick people the opportunity to choose, lower cost of private services and a chance to get to the doctor on time without a long line.

Antibiotics: which ones are sold without a prescription?

At the beginning of the material, a list of drugs that can be freely purchased at present is already listed. Most of what is mentioned are medications intended for external use, that is, gels and ointments, suppositories. Among them there are those developed for ophthalmic use. The exceptions are:

  • "Furazolidone".
  • "Gramicidin S".
  • "Fluconazole".

To buy any other items, you will have to provide the pharmacist with a prescription drawn up in a special form.

Against the law: what will happen?

If it is possible to identify a violation of established regulations, the pharmacist will be issued a fine of 5,000 rubles or more. The enterprise itself may be closed for a period of three months.

In addition to antibiotics, similar strict restrictions are imposed on painkillers intended for blood vessels and the heart, affecting the psyche and some other special groups. As the responsible authorities explain, this practice was introduced based on the successful experience of foreign colleagues, where the normalization of the sale of medicines led to an increase in medical results: resistance at sources of pathology is developed much less frequently.

It is important

A ban on the sale of prescription drugs without presenting the appropriate permission from a doctor has been introduced on the territory of the state since 2005, however, it was observed rather conditionally. In addition to the Ministry of Health, Rospotrebnadzor has now taken charge of normalizing sales. Now it is not only prohibited to sell prescription medications without the appropriate paper, but even to place them on display. A pharmacy can be fined for a violation in the amount of 100,000 rubles or more.

The prescription must be on official letterhead, sealed by the doctor and the institution, and signed by the doctor. The name indicated in the recipe is non-proprietary. Be sure to prescribe the dose and frequency of administration. The prescription can be used for up to two months, but for chronic patients it is extended for a year, indicating how often the drugs can be purchased.

Buy something?

Currently, the ban is imposed on 70% of all pharmaceutical products. In addition to antibiotics, this includes hormonal drugs, medications in ampoules, diabetic medications, narcotic, psychotropic active substances. And here full list items approved for sale without a prescription were never released. They officially promised to publish it at the beginning of this year on the website of the Ministry of Health, but they never bothered with it. Officials require pharmacists to “follow the instructions.” If it states that a prescription is needed, it means that selling the drug without the official permission of a doctor is unacceptable.

What happens in practice?

Managers of pharmaceutical sales points have different attitudes to the new rules. Somewhere they require pharmacists to strictly adhere to established rules, and on the open market there are only nasal drops, ointments, herbs and a couple of types of medicines to stop the virus and lower the temperature. Other enterprises are ready to sell both antibiotics and painkillers, but only in the form of gels and ointments. You can buy pills somewhere, but you won’t be able to buy ampoules, and some people don’t pay attention to the prohibitions at all.

Before going to the pharmacy, as experts recommend, you should first read the instructions on the Internet. necessary medication. If it does not indicate sale strictly according to a prescription, you can safely purchase such a drug. If there is such a phrase, you should first read side effects and carefully weigh for yourself what is more important: immediate benefit and possible danger in the future or discomfort associated with visiting a doctor who will definitely choose suitable medicine and tell you how to use it.

Thanks to changes in the recommendations and orders of the Ministry of Health of the Russian Federation, many medications will be issued by prescription from March 1, 2017. The beginning of this year turned out to be stormy for many pharmacy chains, as well as the pharmaceutical industry in general. Some instructions have already entered into force, others will come into force soon. Some orders introduced a moratorium on the work of pharmacists, while others made dispensing prescription drugs significantly more difficult.

What prescription drugs are available as of March 1, 2017?

By order of the Ministry of Health, certain restrictions are introduced on the sale of drugs medicinal purposes. Implementation medical supplies in one hand is carried out in limited quantities. This refers to the trade in syrups and tinctures that contain ethanol in a concentration of at least 15%. Pharmacists can sell no more than two packages per person. The purpose for which they do this is clear to many. Today, not all drugs are bought by people to fight illnesses. This fact is confirmed by the mass poisoning with hawthorn tinctures in Irkutsk, where more than 70 people were injured.

In addition, pharmacists are prohibited from advising clients on more expensive medications if there are inexpensive analogue. Although, according to many representatives of the pharmaceutical industry, such standards were previously prescribed in the instructions for pharmacy workers.

Pharmacists are also required to provide their clients with information about the characteristics and contraindications of medications, as well as their shelf life, storage conditions and dosage. Previously, such things were not talked about at all.

Prescription drugs

According to the law of the Ministry of Health No. 785, medicines are available by prescription from March 1, 2017. An exception is the list of drugs that can be dispensed without a prescription.

The list of prescription drugs since March 1, 2017 is quite extensive. It includes drugs from literally all medicinal groups. Most of all on the list are antibiotics. According to the ministry's idea, they should all be prescription. Therefore, if we act strictly according to the law, more than 50% of all drugs in pharmacies must be sold only with a prescription from the attending physician.

Opinion of representatives of the pharmacy business

According to representatives of the pharmaceutical industry, at present there are practically no recipes in the classical sense. Doctors write prescriptions on pieces of paper. At the same time, according to the director of one of the pharmacy chains, Kakhaber Bakuradze, today many pharmacy pharmacists are retraining in new way. He also reports that every day everything more people they come to the pharmacy with prescriptions, and pharmacists work exclusively according to instructions, that is, in accordance with current legislation.

Today, the sale of prescription drugs without availability necessary documents threatens with a fine of up to 50 thousand rubles. Authorities are considering making penalties for selling prescription drugs without a prescription more severe. It's about about potential cessation of activity for a period of up to 90 days.

Information about over-the-counter medications may be placed on shelves, in wobbler and poster formats, as well as on other media so that the buyer can fully familiarize themselves with the product. In a comfortable view it is necessary to place a price tag with the name, number of doses in the package, dosage, manufacturer.

Barcode on medical products

In addition, another important innovation comes into force - labeling on each medicine. In several Russian cities a trial project of the appropriate sample is launched. the main objective The measures are to combat counterfeit and counterfeit medical products.

According to preliminary data, this project will help track about six billion packs of medical supplies. At the initial stage in March, barcodes will be placed on 60 product items. Including 10 drugs for the treatment of rare ailments, as well as more than 30 names of drugs that are included in the list of vital necessary medications by prescription since March 2017. It is planned that by the end of this year, automation of the accounting system is considered voluntary. Next year it will be compulsory.

According to Rospotrebnadzor, each package of a medical product at production will be equipped with a two-dimensional barcode. It will be located next to information about the period until which the medicine may be valid. Similar system will allow you to determine the origin of the drug without leaving the pharmacy counter.

Difficulties in using the barcode

However, some problems were also discovered. On mobile device A program must be installed to read the code. There is another option. The buyer can use a pharmacy scanner, which must be installed in pharmacies participating in the project. The system will give the buyer comprehensive information about where, who and when the drug was manufactured.

Kakhaber Bakuradze claims that there should be no problems with the new barcodes. The IT department specialists produced all the required templates long ago. This will make it possible to forever forget about counterfeit and gray drugs, the origin of which is unknown. Honest pharmaceutical businessmen will only benefit from such changes.

Are medicines becoming more expensive?

Many are interested in the question of whether these changes will affect ordinary people in a financial sense? According to pharmaceutical market experts, the changes will not affect the cost of drugs in any way. As they report, the new requirements will be useful to buyers, as well as owners of honest pharmacies that do not use illegal schemes for selling drugs.

The cost of drugs should not increase. This is also evidenced by the prices of drugs in pharmacies in January. Prices have hardly changed.

List of free medicines for 2017

It is worth noting that there is a specific list of free medicines for 2017 for preferential categories population. However, information about free medicines provided by the attending physician. He himself is obliged to inform the patient. If the doctor ignores his duties, the patient has the right to clarify the information. Information about free medications is also provided by the insurance company.

List of free medicines
Group of analgesics:
  • Codeine
  • Morphine
  • Drug
  • Papaverine
  • Thebaine
  • Trimeperidine
  • Acetylsalicylic acid
  • Ibuprofen
  • Diclofenac
  • Ketoprofen
  • Ketorolac
  • Paracetamol and Panadol
Antiepileptics:
  • Benzobarbital
  • Valproic acid
  • Hydrochloroquine
  • Penicillamine
  • Carbamazepine
  • Clonazepam
  • Topiramate
  • Ethosuximide
  • Phenobarbital
  • Oxcarbazepine
Antiparkinsonian:
  • Trihexyphenidyl
  • Levodopa
  • Benserazide
  • Amantadine
  • Carbidol
Psycholeptics:
  • Zuclopenthixol
  • Haloperridol
  • Quetiapine
  • Olanzapine
  • Risperidone
  • Periciazine
  • Sulpiride
  • Trifluoperazine
  • Thioridazine
  • Flupenthixol
  • Fluphenazine
  • Chlorpromazine
  • Oxazepam
  • Diazepam
Psychoanaleptics:
  • Amitriptyline
  • Clomipramine
  • Imipramine
  • Paroxetine
  • Sertraline
  • Pipofezin
  • Fluoxetine
  • Betagistine
  • Aminophenylbutyric acid
  • Vinpocetine
  • Piracetam
  • Glycine
  • Tizanidine
  • Ethylmethylhydroxypyridine succinate
Anticholinesterase:
  • Pyridostigmine bromide
  • Neostigmine methyl sulfate
Treatment of infections:
  • Doxycycline
  • Tetracycline
  • Amoxicillin+Clavulanic acid
  • Cephalexin
  • Benzathine benzylpenicillin
  • Cefuroxime
  • Sulfasalazine
  • Clarithromycin
  • Azithromycin
  • Ciprofloxacin
  • Fluconazole
  • Clotrimazole
  • Tiloron
  • Acyclovir
  • Metronidazole
  • Benzyl benzoate
Antitumor:
  • Hydroxyurea
  • Busulfan
  • Mercaptopurine
  • Melphalan
  • Methotrexate
  • Chlorambucil
  • Mitomycin
  • Cyclophosphamide
  • Azathioprine
  • Tamoxifen
  • Medroxyprogesterone
  • Anastrozole
  • Flutamide
  • Interferon alpha-2a
  • Interferon alpha-2b
Strengthening bones:
  • Calcitonin
  • Colecalciferol
  • Alfacalcidol
  • Alendronic acid
Blood clotting:
  • Heparin sodium
  • Warfarin
  • Pentoxifylline
  • Clopidogrel
Medicines for the heart:
  • Lappaconitine hydrobromide
  • Digoxin
  • Amiodarone
  • Propaphenone
  • Sotalol
  • Isosorbide mononitrate
  • Isosorbide dinitrate
  • Nitroglycerine
  • Bisoprolol
  • Atenolol
  • Metoprolol
  • Carvedilol
  • Verapamil
  • Amlodipine
  • Nifedipine
  • Losartan
  • Captopril
  • Lisinopril
  • Enalapril
  • Perindopril
  • Methyldopa
  • Clonidine
  • Potassium and magnesium aspartate
  • Spironolactone
  • Furosemide
  • Indapamide
  • Hydrochlorothiazide
  • Acetazolamide
  • Ivabradin
  • Atorvastatin
  • Simvastatin
  • Moxonidine
Bowel preparations:
  • Metoclopramide
  • Omeprazole
  • Drotaverine
  • Bisacodyl
  • Sennosides A and B
  • Lactulose
  • Pancreatin
  • Dioctahedral smectite
Hormonal for the thyroid gland:
  • Dexamethasone
  • Betamethasone
  • Hydrocortisone
  • Methylprednisolone
  • Methylprednisolone aceponate
  • Prednisolone
  • Fludrocortisone
  • Desmopressin
  • Levothyroxine sodium
  • Bromocriptine
  • Thiamazole
  • Allopurinol
For diabetes:
  • Gliclazide
  • Glibenclamide
  • Glucagon
  • Insulin aspart
  • Insulin aspart biphasic
  • Insulin detemir
  • Insulin glargine
  • Insulin glulisine
  • Biphasic insulin
  • Insulin lispro
  • Insulin isophane
  • Insulin soluble
  • Insulin lispro biphasic
  • Repaglinide
  • Metformin
Drugs for the treatment of kidneys:
  • Finasteride
  • Doxazosin
  • Tamsulosin
  • Cyclosporine
Ophthalmic medications:
  • Timolol
  • Pilocarpine
Asthma medications:
  • Beclomethasone
  • Aminophylline
  • Budesonide
  • Beclomethasone+Formoterol
  • Ipratropium bromide + fenoterol
  • Salbutamol
  • Formoterol
  • Tiotropium bromide
  • Acetylcysteine
  • Ambroxol
Antihistamine type medications:
  • Loratadine
  • Cetirizine
  • Chloropyramine

By the way, in 2017 the film “A Cure for Health” was released, which colorfully illustrates the situation with medicines in our country.

    From January 1, 2017, you will only need to go to the pharmacy with a prescription in hand. But not all medications will be sold by prescription; as of January 1, 2017, you will not be able to buy the following medications at a pharmacy without a prescription.

    It is not yet known whether this list will be continued, but most likely yes.

    All new medications that contain narcotic drugs are psychotropic. And such funds are only increasing on the pharmaceutical market every year. Alas, people do not solve problems, but accept all sorts of things for years...

    The third group is combination drugs: drugs, psychotropic substances and their precursors. They decided to designate this group separately: antibiotics. We are used to prescribing them to ourselves, but sometimes there is no other way, especially if you get sick on the weekend... Many people send their relatives to the pharmacy for antibiotics...

    We'll see how it turns out in practice.

    Definitely, new tranquilizers and antidepressants will also join the ranks of prescription drugs.

    Here are some drugs that will be sold by prescription.

    What is sometimes surprising is that the drug remains the same, the same active substance, but the packaging is different 3D, and the price is already higher and they may ask for the recipe.

    Many live without medication at all! Well done!

  • Previously, it was very easy to buy some drugs at a pharmacy without a doctor’s prescription. Now, or rather at the beginning of this year, everything has changed, now previously approved drugs will have to be purchased according to the list.

    By the way, here is a list of medications that will now be dispensed with a doctor’s prescription and nothing else.

    I wonder why they are on the list antihypertensive drugs, drugs HES, NSAIDs. After all, there is much more dangerous drugs, which must be sold according to the list.

    In 2017, changes occurred in the pharmaceutical field that are now being actively discussed.

    The list of drugs that cannot be purchased without a prescription from a doctor has become longer. It contained medications with psychotropic effects and good old antibiotics. Some indignation was caused by the fact that cardiac remedy Valocordin. Curantil, so often prescribed to pregnant women, was also there, as well as Nimesil, a well-known painkiller.

    Most likely, the list will be replenished with new titles.

    Currently, work is underway to compile similar list. The Ministry of Health of the Russian Federation was allocated enough time for such work, up to January thirty-first, 2017.

    It is already known that the list will definitely include drugs on the prescription form with the following line:

    Presumably, only thirty percent of the medicines offered for sale in pharmacies will be available without a prescription.

    Also walks next list medicines

    The list included psychotropic and narcotic drugs, as well as antibiotics. The well-known Valocardin was also included in the list of prescription drugs.

    Here is a list of drugs that can no longer be purchased without a prescription:

    Already at the beginning of 2017, a list was posted in which a list of medications appeared that were prohibited from being released without a prescription.

    People now really cannot live without medicines and pills, as they help us extend our lifespan when we are sick.

    This year, only those medications that contain Khlopinin will be dispensed by prescription:

    Also included in this list is the well-known Valocordin:

    Here is a complete list of medications that will not be given to everyone, but only to those who have a special paper prescription from a doctor:

    Since January 2017, the dispensing of medicines in pharmacies has become more strict. Many medications that previously could be bought without a doctor’s prescription are now simply not sold. Most of these drugs include antibiotics, but there are also regular painkillers.

    The instructions for these medications previously included a clause dispensed with a doctor's prescription. But pharmacies sold them without any prescriptions. Now it is planned to organize unscheduled inspections, which will entail the issuance of fines to those pharmacies where drugs are sold without a prescription.

    Another question arises - how should patients receive prescriptions? Everyone knows how long the queues are at the offices of local therapists. Therefore, they are now actively deciding this question so that the prescription-only drug system is fully operational.

    In-first, according to recipes in 2017 In 2016, all the drugs that were dispensed by prescription in 2016 will be dispensed in Russia. Unfortunately for buyers of medicines, no relaxations are planned in this list.

    In-secondly, Rospotrebnadzor (its head) made a rather unexpected statement-proposal that it is very desirable to sell all drugs that are in pharmacies exclusively by prescription. That is absolutely everything. Maybe with the exception of those medications that are necessary to complete all kinds of first aid kits. about it. The Ministry of Health proposes to soften this proposal, and we will see to what extent this softening will occur.

    In short, drug consumers can expect, if not a revolution in the dispensing system, then at least reformation of the list of prescription drugs in the direction of a clear increase. The list will be replenished with those medications that are not needed urgently, but have a negative effect on the body when self-medicated.

    It became known that in the early spring of 2017, presumably on March 1, pharmacies will not dispense medications without a prescription, and those that were dispensed freely before 2017, a list of them is already known

    but by March they promise to extend this list, the head of Rospotrebnadzor decided, she advocated the sale of all prescription drugs, which is described in this article.