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Published: 06/14/2018
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Cheap Russian analogues of Lozap
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The drug Lozap is produced on the basis of the active substance – losartan. Doctors use the drug to treat arterial hypertension, chronic heart failure, and poor tolerance to angiotensin-converting enzyme inhibitors. In some cases, the drug Lozap is used as part of complex treatment with hydrochlorothiazide to enhance the effect.
But what cheap analogues of Lozap exist? Sometimes it is not suitable for the patient due to the presence of certain components or high price. In this case, the doctor will always recommend cheaper domestic or foreign substitutes.
Lisinopril
Lisinopril belongs to the pharmacological group of ACE inhibitors, ATC code – C09AA03. Medicines in this group perfectly reduce blood pressure and also prevent the process of myocardial hypertrophy. Thanks to the action of Lisinopril, the concentration of mediators that cause narrowing of blood vessels is not only reduced, but also blood flow in the heart muscle is stimulated. Due to this, for those who suffer from cardiovascular diseases, the threat of thrombus formation in the vessels of the heart, which can become the root cause of a heart attack, becomes significantly less.
The medicine is presented on pharmacy counters in tablet form; these tablets must be taken in the morning strictly at the prescribed time. The pill should be taken once every 24 hours, regardless of the time of the meal, the minimum daily dose is 5 mg, but if urgently necessary, it can be increased. The limit is 40 mg/day.
There are the following contraindications:
- High sensitivity to any ACE inhibitory agents.
- Quincke's edema is hereditary.
- History of angioedema.
Treatment with Lisinopril is prohibited during gestation, during the production of breast milk, if the child is breastfed.
Use with great caution when:
- Cerebrovascular diseases.
- Aortic stenosis.
- Diabetes mellitus.
- Severe autoimmune systemic connective tissue diseases.
- Arterial hypotension.
- Hyperkalemia.
- Renal artery stenosis (if the patient has only one kidney).
Also, only under strict medical supervision can the medication be used after kidney transplant surgery, in patients on a diet with limited salt intake, and in elderly people.
You should be aware that the use of the drug may cause adverse reactions in the body. This may include depression of consciousness, intestinal upset, increased fatigue, as well as pain in the throat and dry cough.
Other analogues
Telmisartan is included in the group of analogues of these drugs.
Many other drugs have a similar effect to Losartan and Valsartan. And usually the following antihypertensive medications fall under comparison:
- "Candesartan";
- "Azilsartan";
- "Irbesartan";
- "Telmisartan";
- "Olmesartan."
It is not recommended to take any of these medications without the knowledge of your doctor. Each of them has its own characteristics of therapy, so it is better that the selection of medication is carried out by a specialized doctor - a cardiologist. For example, the highly effective drug Telmisartan should be taken with caution in patients with renal artery stenosis due to the risk of developing renal failure.
Losartan
Losartan is a drug that, like Lisinopril, is aimed at lowering blood pressure. However, it has a completely different ATC code - C09CA01, and also belongs to another pharmacological group - angiotensin receptor antagonists. In other words, this medicine acts as a blocker on receptors in the blood vessels and heart muscle, as well as in the adrenal glands, brain, liver and kidneys, which are susceptible to the action of the mediator.
Losartan is prescribed to patients for the following pathological conditions:
- Prolonged heart failure, in cases where therapy with ACE inhibitors was ineffective, or the patient has an individual intolerance to them.
- hypertensive crisis.
- arterial hypertension, which is accompanied by left ventricular hypertrophy - as a preventive measure to reduce the threat of stroke.
Unlike Lisinopril, this medication is indicated to be taken to protect renal function in patients suffering from type 2 diabetes with proteinuria.
Oral administration of the medication is indicated once a day at the same time, regardless of food intake. For arterial hypertension, drink 50 mg per dose. For CHF, the initial dose is 12.5 mg, after a week it should be increased to 25 mg, and then after seven days - doubled.
You should not take Losartan during pregnancy and while breastfeeding; treatment for hypersensitivity to any of the components of the drug is prohibited, as well as until the patient reaches 18 years of age.
Side effects include increased sweating, dizziness, sleep and memory disorders, diarrhea, a feeling of dry tongue, dry skin.
List of medications containing these substances
The combination of these substances underlies several drugs that have a similar mechanism of action on the body and help normalize blood pressure. They may differ from each other in the list of additional components and cost.
Both substances can be seen in the following medications: Amosartan, Lortenza, Lozap AM, Amzaar. The listed drugs are prescribed to patients with the development of cardiovascular disorders.
Experts consider Lortenza, Amzaar and Lozap AM to be the most effective of the existing combination drugs. Medicines normalize blood pressure and prevent the development of complications.
They are prescribed to patients whose treatment requires the use of combination therapies. Combination medications are much more effective than monotherapy. Despite the fact that drugs are analogues, they are characterized by a number of features and have minor differences.
Lortenza
The combination drug is marketed in the form of tablets with different dosages.
The color of the tablets depends on the dosage:
5 mg + 50 mg. One tablet contains 6.94 mg of amlodipine besylate and 163.55 mg of losartan (light brown);- 10 mg + 50 mg. The ratio of the main components in 1 tablet is 13.88 mg of amlodipine and 163.55 mg of losartan (brown-red);
- 5 mg + 100 mg (6.94 mg/327.1 mg; pink tablets);
- 10 mg + 100 mg: 13.88 mg/327.1 mg (white with a slight yellow tint).
Penetrating into the body, the active components of the tablets begin to act. One dilates blood vessels, and the second affects the RAAS. As a result, a decrease in blood pressure is observed. The average cost is 300 rubles.
Amzaar
The drug is also available in the form of tablets for oral use, the color of which depends on the composition. One white tablet contains 50 mg of losartan and 5 mg of amlodipine. The pink tablet consists of 5 mg amlodipine and 100 mg losartan. The drug also contains auxiliary components: sodium carboxymethyl starch, microcrystalline cellulose, titanium dioxide, magnesium stearate, hypromellose, talc. The tablets are film-coated.
Algorithm for prescribing Amzaar
The drug has a pronounced hypotensive effect. Prescribed to patients with symptoms of arterial hypertension. The cost of the drug is 590 rubles.
Lozap AM
In Russian pharmacies it is sold in the form of tablets. This product is also available in different dosages:
- 5 mg and 50 mg;
- 5 mg and 100 mg.
The list of additional components includes: microcrystalline cellulose, titanium dioxide, mannitol, crospovidone, magnesium stearate.
The combined drug belongs to the group of drugs that block calcium channels and act as angiotensin receptor antagonists. Penetrating into the body, the components of the drug help reduce the vasoconstrictor effects and prevent the entry of calcium into the cells.
The decrease in pressure does not affect the heart rate. The average price is 350-600 rubles, depending on the dosage.
Advantages and disadvantages of Lisinopril and Losartan
So, which is better - ACE inhibitors or angiotensin receptor blockers?
Lisinopril has a number of advantages:
- High bioavailability.
- Prolonged effect.
- Relatively low cost.
- Possibility of use by young patients.
- Available in a variety of dosages, you can choose the one that suits your needs.
However, there are indicators that indicate the shortcomings of this medication. The disadvantages include:
- Negative effect on the liver.
- Reduced therapeutic effect with prolonged use.
- The occurrence of a dry barking cough, especially in elderly patients.
During clinical studies and experiments, it was found that Losartan has more positive reviews from patients with high blood pressure than Lisinopril. However, patients who choose a drug for the prevention of left ventricular myocardial hypertrophy should choose Lisinopril, as it is more effective in this area and is also good in preventing nephropathy.
For all kinds of cognitive function disorders, you should opt for Losartan.
Both drugs cope well with the problem of high blood pressure, but only your doctor can tell you which one to choose, based on laboratory tests.
Lisinopril is an antihypertensive and vasodilating drug. Instructions for use recommend taking tablets of 2.5 mg, 5 mg, 10 mg, 20 mg for various forms of arterial hypertension, diabetic nephropathy, as well as as part of combination therapy for the early treatment of acute myocardial infarction and chronic heart failure. Reviews from patients and doctors explain what pressure this medicine helps with.
Lozap
Lozap is an antihypertensive drug based on losartan potassium . Has a tablet form. The medication is prescribed for hypertension, acute myocardial dysfunction, increased blood glucose levels and damage to the nervous system (diabetes).
Contraindications for use:
- High percentage of potassium in the blood.
- Allergy to losartan potassium.
- Low blood pressure readings.
- Pregnancy.
- Dehydration of the body.
The recommended dose of the drug is 50 mg . If symptoms persist, the daily dosage is increased to 100 mg. When taking auxiliary diuretics, it is recommended not to exceed a 25 mg dose of losartan. In case of overdose, tachycardia or bradycardia may occur. In this case, it is necessary to consult a doctor who will select the correct therapy to remove excess medication.
During treatment, the patient often does not complain of side effects. Only 1% of hypertensive patients experience problems such as migraine pain, general weakness, indigestion, and joint pain.
Lozap should be used with caution in patients prescribed diuretics and adrenergic blockers. Medicines react, increasing their effects on the body.
pharmachologic effect
Lisinopril increases peripheral vascular tone and promotes the secretion of aldosterone by the adrenal glands. Thanks to the use of tablets, the vasoconstrictor effect of the hormone angiotensin is significantly reduced, while a decrease in aldosterone is noted in the blood plasma.
Taking the drug helps lower blood pressure, regardless of body position (standing, lying down). Lisinopril avoids the occurrence of reflex tachycardia (increased heart rate).
A decrease in blood pressure while taking the medication occurs even with a very low level of renin in the blood plasma (a hormone produced in the kidneys).
Properties of the drug
The effect of this drug becomes noticeable within an hour after taking it orally. The maximum effect of Lisinopril is observed 6 hours after administration, and this effect continues to persist throughout the day.
Abruptly stopping this drug does not cause a rapid increase in blood pressure; the increase may be small compared to the level before starting therapy.
If Lisinopril is used by patients suffering from heart failure in parallel with digitalis and diuretic therapy, it has the following effects: reduces peripheral vascular resistance; increases stroke and minute blood volume (without increasing heart rate); reduces the load on the heart; increases the body's tolerance to physical activity.
The drug significantly improves intrarenal dynamics. Absorption of this drug occurs from the gastrointestinal tract, with its maximum concentration in the blood observed between 6 and 8 hours after administration.
What does Lisinopril help with?
Indications for use of the drug include:
- diabetic nephropathy (reduction of albuminuria in insulin-dependent patients with normal blood pressure and non-insulin-dependent patients with arterial hypertension);
- chronic heart failure (as part of combination therapy for the treatment of patients taking digitalis and/or diuretics);
- arterial hypertension (in monotherapy or in combination with other antihypertensive drugs);
- early treatment of acute myocardial infarction (in the first 24 hours with stable hemodynamic parameters to maintain these parameters and prevent left ventricular dysfunction and heart failure).
At what pressure should I take it?
Lisinopril is prescribed for blood pressure above 140/90.
Instructions for use
Lisinopril (indications involve taking various doses of the drug) is available in tablets containing 2.5 mg, 5 mg, 10 mg and 20 mg of the active substance. The instructions recommend taking Lisinopril once a day, preferably at the same time.
You should start using the medication for essential hypertension with 10 mg per day, followed by a transition to a maintenance dose of 20 mg per day, while, in extreme cases, a maximum daily dose of 40 mg is allowed.
Reviews about Lisinopril indicate that the full therapeutic effect of the drug can develop 2-4 weeks after the start of treatment. If after using the maximum doses of the drug the expected results are not achieved, additional use of other antihypertensive drugs is recommended.
Patients taking diuretics should stop taking them 2-3 days before starting Lisinopril. If for some reason it is not possible to discontinue diuretics, the daily dose of Lisinopril should be reduced to 5 mg.
In conditions with increased activity of the renin-angiotensin-aldosterone system, which regulates blood volume and blood pressure, the instructions recommend using Lisinopril in a daily dose of 2.5-5 mg. The maintenance dose of the drug for such diseases is set individually depending on the value of blood pressure.
How to take for illnesses
In case of renal failure, the daily dose of lisinopril depends on creatinine clearance and can vary from 2.5 to 10 mg per day.
Persistent arterial hypertension requires taking 10-15 mg per day for a long time.
Taking the drug for chronic heart failure starts with 2.5 mg per day, and after 3-5 days increases to 5 mg. The maintenance dose for this disease is 5-20 mg per day.
For diabetic nephropathy, Lisinopril instructions recommend taking 10 mg-20 mg per day.
Use for acute myocardial infarction involves complex therapy and is carried out according to the following scheme: on the first day - 5 mg, then the same dose - once a day, after which the amount of the drug is doubled and taken once every two days, the final stage - 10 mg once a day. Lisinopril, indications determine the duration of treatment; for acute myocardial infarction, it is taken for at least 6 weeks.
Indapamide for blood pressure
Indapamide has become a popular high blood pressure medication because it has significant benefits. This drug lowers blood pressure well and is very safe. It is suitable for almost all patients, including diabetics, as well as gout patients and the elderly. Does not have a harmful effect on metabolism - does not increase the level of sugar (glucose) and uric acid in the blood. The benefits listed above have made indapamide one of the first choice drugs for hypertension. This does not mean that it can be used for self-medication. Take any blood pressure pills only as directed by your doctor.
Indapamide is not suitable for cases where you need to quickly provide help in a hypertensive crisis. It begins to act no earlier than after 1-2 weeks of daily use, and lowers blood pressure gradually. There are faster and stronger medications for high blood pressure than this drug. But potent drugs cause many times more side effects. As a rule, indapamide does not help enough with hypertension if prescribed alone, without other medications. The goal of treatment is to keep blood pressure stable below 135-140/90 mm Hg. Art. To achieve this, you usually need to take indapamide along with other non-diuretic drugs.
Dozens of studies since the 1980s have shown that indapmid reduces the risk of heart attack, stroke and other complications of hypertension. It is convenient for patients to take only one blood pressure tablet per day, rather than several different medications. Therefore, medications containing two or three active ingredients in one tablet have become popular. For example, Noliprel and Co-Perineva are medications containing indapamide + perindopril. The drug Ko-Dalneva simultaneously contains 3 active ingredients: indapamide, amlodipine and perindopril. Talk to your doctor about using combination medications if your blood pressure is 160/100 mmHg. Art. and higher.
Side effects
- alopecia;
- angioedema (face, lips, tongue, larynx or epiglottis, upper and lower extremities);
- anorexia;
- anuria;
- asthenic syndrome;
- stomach ache;
- chest pain;
- pronounced decrease in blood pressure;
- headache;
- dizziness;
- diarrhea;
- dyspepsia;
- taste changes;
- myocardial infarction;
- skin rash;
- skin itching;
- hives;
- mood lability;
- leukopenia, neutropenia, agranulocytosis, thrombocytopenia;
- fever;
- myalgia;
- fetal development disorder;
- renal dysfunction;
- renal dysfunction;
- heart rhythm disturbances;
- oliguria;
- orthostatic hypotension;
- acute renal failure;
- increased fatigue;
- increased sweating;
- heartbeat;
- weakness;
- decreased potency;
- drowsiness;
- confusion;
- convulsive twitching of the muscles of the limbs and lips;
- dry cough;
- dry mouth;
- tachycardia;
- nausea, vomiting;
- cardiopalmus;
- cerebrovascular stroke in patients with an increased risk of the disease due to a pronounced decrease in blood pressure.
Vacation conditions and price
The average price of Lisinopril (10 mg tablets No. 30) in Moscow is 44 rubles. In Kyiv you can buy medicine for 45 hryvnia, in Kazakhstan - for 1498 tenge. In Minsk, pharmacies offer medicine for 2-3 bel. ruble Dispensed from pharmacies with a prescription.
The official medical instructions for use of the manufacturer of Lisinopril are presented in the photo (click to enlarge):
Lisinopril photo 1
Hypertension is so common these days that some patients no longer take it seriously. This is especially true in cases where the body gradually adapts to this condition after prolonged hypertension and the patient, even with high blood pressure numbers, feels quite well. But the problem is that even against the background of complete well-being, without adequate treatment, high blood pressure will gradually destroy not only the cardiovascular system, but also the so-called target organs (retina, brain, myocardium and others). That is why such a serious disease cannot be left to chance and you need to take care of your health, even if this means constantly taking pills. Now there are many antihypertensive drugs, one of the most common is Lisinopril.
It is used by a very large number of cardiac patients, but there are isolated cases when there is an individual intolerance to the drug. Remember, if the drug is not suitable, analogues to replace it should be selected by the attending physician. Under no circumstances should you change the treatment regimen yourself, as this can cause irreparable harm to your health.
At what pressure should I take it?
Pressure indicators during the development of arterial hypertension for each person are monitored by a doctor. Only he makes the decision on appointment and cancellation. It is forbidden to carry out treatment with Lozap on your own. The instructions for use do not say at what pressure the use is recommended, so treatment should be entrusted to a specialist.
Regardless of blood pressure measurements, self-medication, even according to instructions, can cause irreparable harm to health. First, you need to visit a doctor, diagnose the degree of hypertension, and then carry out treatment if the doctor prescribed it.
Types of hypertension
In what cases may it be necessary to prescribe analogs?
Prescription of a replacement drug is required in all cases where the patient has signs of intolerance to this drug. If complications arise, you should immediately stop using it and consult your doctor to develop subsequent treatment tactics.
The most common side effect that occurs due to therapeutic treatment with the drug is the appearance of a dry, persistent cough. In some cases, the cough is so severe that it significantly impairs the patient's quality of life.
There are also a number of socio-economic factors for replacing the drug if the patient does not have the financial ability to buy the prescribed medication.
What analogues exist
The modern pharmaceutical market can offer a huge variety of antihypertensive drugs that can become a worthy alternative to this medicine. You can also select an analogue from medications that belong to the same pharmacological category as Lisinopril. But this option will not be suitable in cases of discontinuation of treatment due to the development of a drug-induced cough in the patient due to the fact that all representatives of the group of angiotensin-converting enzyme inhibitors have the same side effects.
When prescribing drugs from other groups, it must be taken into account that they have completely different points of application of the therapeutic effect, so the severity of the hypotensive effect may differ significantly.
Diroton or Lisinopril: which is better?
The effectiveness of the compared drugs can be equated, since they are based on the same active chemical compound - lisinopril dihydrate.
The only difference is that the drugs are produced by different pharmaceutical companies in different countries. Diroton is produced in Germany and has a higher quality composition of additional components. Therefore, it has proven itself well among cardiac patients, even despite the rather high cost of the drug. Lisinopril has a lower price and is quite effective in reducing blood pressure, but it somewhat more often leads to the development of complications and side effects.
Perindopril or Lisinopril: what to choose
Perindopril, like Lisinopril, belongs to the pharmacological group of angiotensin-converting enzyme antagonists. Therefore, it also affects the tone of the vascular bed and reduces total peripheral resistance. Perindopril has a fairly weak hypotensive effect, so it cannot be used to relieve crises, but it helps well in chronic cardiovascular pathologies that require long-term systemic treatment. Perindopril should be dosed with special care, since prescribing an excessive amount of this drug can cause severe hypertension with attacks of syncope.
Losartan substitute
Losartan is an excellent alternative when a patient develops a cough in response to angiotensin-converting enzyme inhibitors. This is due to the fact that the active substance losartan potassium belongs to the group of angiotensin type II receptor blockers, and its representatives are not characterized by the development of such complications as a dry cough.
Both medications work well against high blood pressure and are suitable for long-term, systematic use. In order to decide which analogues to choose so that the replacement of the treatment regimen goes smoothly, you need to seek advice from a qualified doctor.
Is Enalapril a good substitute?
As you can guess from the name, Enalapril belongs to the same pharmacological group. And it is precisely this fact that limits the range of clinical situations in which these drugs can be interchanged. This is due to the fact that there is a high probability that the patient will experience the same adverse reactions and complications while taking Enalapril. This phenomenon is explained by the relative similarity of the molecules of the active substances.
After absorption by the villous epithelium of the gastrointestinal tract, Enalapril does not immediately reach the target cells, but is first converted in the liver to its biologically active form. Lisinopril, on the contrary, enters the human body completely ready to interact with the necessary cellular and molecular substrates. Therefore, in patients who need to reduce the functional load on the liver parenchyma, this particular medication is suitable.
Lozan or Lisinopril: which is better?
Lozan is a combination medication that includes two active components, and it is worth noting that both of them contribute to the development of antihypertensive effects in the patient’s body. Lozan contains losartan potassium (angiotensin receptor blocker of peripheral vessels) and hypochlorothiazide (a mild diuretic that helps lower blood pressure by reducing the volume of circulating blood). This combination provides excellent antihypertensive effect.
Lozan can be an excellent substitute when the patient has indications for the simultaneous administration of antihypertensive and diuretic medications. This will make the patient’s life much easier, because instead of several tablets, you can take only one.
Lorista or Lisinopril: what to choose
Lorista and Lisinopril are drugs belonging to different groups and having different points of application of biochemical action. But most doctors agree that they have approximately the same effectiveness and may well become substitutes for each other. The similarity of these drugs is due to the fact that both of these substances fight hypertension by reducing vascular tone and reducing total peripheral resistance.
There are still discussions in medical circles about which group of drugs is more effective, but so far there is no consensus on this issue. Therefore, now when choosing an antihypertensive drug, they mainly focus on the individual susceptibility of the body.
Prestarium as an analogue: is it worth replacing
The active component of Prestarium is Perindopril, a substance that has a similar chemical structure to Lisinopril. That is why the differences between these drugs are small. If a patient has complications due to taking Lisinopril, then it is not recommended to switch to Prestarium, since very often patients have an individual intolerance to all drugs of the angiotensin-converting enzyme antagonists.
Ramipril and Lisinopril: which is better?
Ramipril also belongs to the ACEI group and reduces blood pressure due to its effect on the smooth muscle fibers of the vascular walls. Most patients do not feel any difference when switching to Ramipril, since these drugs are very similar.
What to choose: Captopril or Lisinopril
Captopril cannot be a full-fledged replacement, since the effects of these medications vary significantly, even despite their belonging to the same pharmacological group. Captopril is not taken on a regular basis, but is taken only in cases where you need to quickly stop a sharp attack of hypertension. It is not suitable for constant maintenance of normal pressure.
Comparison of drugs Enap and Lisinopril
The action of Enap is similar to Lisinopril, so many doctors claim that these drugs are equally effective and can be used with equal success to treat patients with hypertension.
Amlodipine or Lisinopril: which is better?
Amlodipine also helps to relax the muscle walls of peripheral vessels. But it realizes its therapeutic effects through selective blocking of calcium channels. Amlodipine may help patients who suffer from a cough that develops while taking ACE inhibitors.
Berlipril as an analogue
The active ingredient of Berlipril is Enalapril, which in its medicinal properties is very similar to Lisinopril. Therefore, if necessary, these drugs can be interchangeable.
Fosinopril or Lisinopril: how to choose the right drug:
Both drugs compared are long-acting ACE inhibitors, so both Fosinopril and Lisinopril can be taken only once a day. In other respects, these tablets are also almost identical.
In any case, the final decision on the choice of drug should be made by a qualified cardiologist; this cannot be done independently.
Table comparing drug analogues by cost. Data was last updated on 06/23/2020 00:05.
| Name | Price | Details | ||
| lisinopril | from 26.80 rub. up to 93.00 rub. | hide see prices in detail | ||
| 26.80 | ORGANIC | | |||
| Pharmacy Dialogue | Lisinopril (tab. 10 mg No. 30) | 32.00 | Ozone LLC | RUSSIA | |
| ZdravCity | Lisinopril tablets 10 mg 30pcs | 93.00 | JLLC "Lekpharm" | Belarus | |
| 377.00 | Izvarino Pharma LLC | Russia | ||
| Pharmacy Dialogue | Fosinopril (20 mg tablet No. 30) | 393.00 | Izvarino Pharma LLC | RUSSIA |
| 122.00 | Berlin-Chemie | Germany | ||
| Europharm | berlipril 10 mg 30 tablets | 133.30 | Berlin-Chemie AG-Menarini Group | |
| Pharmacy Dialogue | Berlipril plus (tab. 25mg+10mg No. 30) | 276.00 | Berlin-Chemie AG/Menarini | Germany |
| 32.00 | Biocom | RUSSIA | ||
| Europharm | amlodipine-vero 10 mg 30 tablets | 68.20 | Veropharm LLC | |
| ZdravCity | Amlodipine-vertex tablets 5mg 60pcs | 106.00 | Vertex JSC | Russia |
| 282.00 | KRKA, d.d., Novo Mesto, JSC | | ||
| ZdravCity | Enap R solution for intravenous injection. 1.25 mg/ml 1ml 5 pcs. | 512.00 | JSC KRKA, d.d., Novo mesto | Slovenia |
| Pharmacy Dialogue | Enap NL tablets 12.5 mg/10 mg No. 60 | 535.00 | KPKA | Slovenia |
| 37.00 | JSC Sintez | Russia | ||
| Pharmacy Dialogue | Captopril (50 mg tablet No. 40) | 47.00 | Pranafarm LLC | RUSSIA |
| Europharm | captopril 50 mg 40 pcs | 51.00 | PRANAFARM LLC | |
| 115.00 | Vertex JSC | Russia | ||
| Pharmacy Dialogue | Ramipril-Akrikhin tablets 5 mg No. 30 | 154.00 | Akrikhin JSC | RUSSIA |
| 379.00 | Servier | France | ||
| Europharm | prestarium a 5 mg 30 dispersible tablets | 400.50 | Servier Rus LLC | |
| ZdravCity | Prestarium A dispersant tablets 10 mg 30 pcs. | 527.00 | Servier Rus LLC | Russia |
| Pharmacy Medic | Bi-Prestarium 10 mg/10 mg tablets No. 30 | 2480.00 | Servier Industry Laboratory | |
| 337.30 | LLC KRKA-RUS | | ||
| ZdravCity | Lorista ND tablets p.p.o. 100mg+25mg 30 pcs. | 474.00 | Krka-Rus LLC | Russia |
| Pharmacy Dialogue | Lorista N (tab.p.pl/vol. 100 mg + 12.5 mg No. 90) | 914.00 | KPKA | Slovenia |
| 128.00 | VIS LLC | Russia | ||
| Pharmacy Dialogue | Diclosan Forte cream (tube 75ml) | 168.00 | VIS Cosmetics | RUSSIA |
| Europharm | diclosan-forte, warming gel 75 g | 169.00 | VIS Cosmetics LLC | |
| 34.00 | Obolenskoye pharmaceutical representative. | RUSSIA | ||
| Europharm | enalapril-fpo 10 mg 20 tablets | 41.00 | Obolenskoe pharmaceutical enterprise | |
| ZdravCity | Enalapril tablets 20 mg 20 pcs. | 62.00 | JSC Obolenskoe farm. enterprise | Russia |
| 134.00 | Pranafarm LLC | Russia | ||
| Europharm | losartan-n canon 50 mg plus 12.5 mg 30 tablets | 229.00 | Plant named after Academician V.P.Filatova LLC/Canon | |
| Pharmacy Dialogue | Losartan (tablet p/o 50 mg No. 90) | 286.00 | Vertex | RUSSIA |
| 182.00 | Vertex | RUSSIA | ||
| ZdravCity | Perindopril tab. 4mg n30 | 216.00 | Vertex JSC | Russia |
| Europharm | indapamide plus perindopril Teva 0.625 mg plus 2.5 mg 30 tablets | 346.90 | Teva Pharmaceutical Works Private Limited | |
What's better?
The medicine has many analogues or similar drugs with the same effect, including cheap analogues of Lozap. But their instructions have their differences, and only a doctor can determine what to replace Lozap with.
Losartan
When comparing the drugs Losartan and Lozap, which is better is a frequently asked question. According to the instructions for use, both medications are indicated for the correction of hypertension. They are angiotensin receptor antagonists.
Lozap and Losartan are one and the same, since the active substance of both drugs is the same. Both drugs are equally effective for arterial hypertension, but this is not a reason to thoughtlessly replace taking one with the other. Only a doctor should give appropriate recommendations.
Lorista
If we talk about medications Lozap or Lorista, which one is better, there is no significant difference. They differ only in manufacturers and cost. Lozap is more affordable, but otherwise the instructions for use are similar.
Valsartan
Before determining Valsartan or Lozap which is better, you should understand their advantages. The advantage of Valsartan is its active dosage form; it is mainly excreted unchanged through the intestines - 83%, and 13% by the kidneys. In this regard, it is often prescribed for diseases of the liver and kidneys, since it does not additionally burden these organs.
Valsacor
According to the instructions for use, the drug is intended to dilate blood vessels and arteries. This way it normalizes and maintains blood pressure. To choose Valsacor or Lozap - which is better, you need to know the differences between these drugs: Valsacor is a direct analogue of Valsartan, which means it acts on the same principle, without affecting the liver and almost without affecting the kidneys. Also, its hypotensive effect is several units higher.
Valz
Due to the more expensive price of this remedy, patients are interested in which is better: Valz or Lozap. So, Valz is an antihypertensive drug, an angiotensin II AT1 receptor blocker. According to the instructions, it has no contraindications for interaction with other drugs, and its hypotensive effect has been studied in more detail; taking the drug has a positive effect on the prognosis of the disease.
Enalapril
Antihypertensive drug, ACE inhibitor. When answering the question of which is better, Lozap or Enalapril, you need to clarify that the second drug reduces blood pressure faster and more significantly. The price of Enalapril, on the contrary, is more affordable. But it should be borne in mind that, like all ACE inhibitors, it quite often causes side cough.
Enap
This is an antihypertensive drug that, according to the instructions, reduces high blood pressure without greatly increasing the heart rate. Despite the fairly high price of Enap, doctors, when answering the question of which is better, Enap or Lozap, recommend taking the first one.
Lisinopril
This is a drug from the group of ACE inhibitors. Which is better, Lozap or Lisinopril, is a frequently asked question among patients. Both drugs for hypertension act similarly, but according to the instructions, a cough is a side effect of Lisinopril. The cost is approximately the same.
Diroton
This is a potent drug, an ACE inhibitor; according to the instructions, the duration of the effect lasts for 24 hours. The main active ingredient of Diroton is lisinopril, and the effect of both drugs is the same. That is why, in order to understand Diroton or Lozap, which is better, you need to know that doctors replace Diroton with Lozap only when intolerance to lisinopril occurs.
Prestarium
To understand which is better - Lozap or Prestarium, you need to understand their differences. Prestarium is an ACE inhibitor; according to the instructions, it is used for severe forms of hypertension, for serious disorders of the blood vessels and heart, as it reduces blood pressure smoothly. Its price is lower. But Lozap does not have a common side effect characteristic of the ACE inhibitor group - dry cough.
Noliprel
Noliprel is a combination drug. It contains 2 active components, perindopril and indapamide, which affect the body simultaneously, which is why it works more effectively.
A persistent clinical effect is observed after a month of use and is not accompanied by an increase in heart rate. In this regard, the answer to the question of which is better is obvious: Lozap or Noliprel.
Concor
It’s impossible to say for sure whether Concor or Lozap is better. They are often prescribed to be drunk simultaneously in combination. Concor is a beta-blocker that not only reduces blood pressure, but also normalizes heart rate. According to the instructions, Lozap is taken in the morning, and Concor - in the evening. The doctor selects a specific combination in accordance with the condition and individual characteristics of the patient’s body.
Equator
Equator is a combined antihypertensive drug. To answer the question Equator or Lozap - which is better, the following should be noted: compared to Equator Lozap, it has fewer contraindications according to the instructions for use.
Lozap AM
The drug Lozap AM is characterized by a stronger effect, since it contains 2 active components: losartan potassium and amlodipine. This is a more effective remedy and its use according to the instructions is indicated in difficult cases when Lozap does not help or has already caused addiction in the body.
Lozap plus
This is a combination product with a wider spectrum of coverage than Lozap. The main difference is that there are 2 active substances in the composition. Lozap plus also costs about twice as much.
Reviews about the effectiveness of drugs
- Anatoly, 47 years old. I have been using Diroton to normalize my blood pressure for two years now. I feel excellent, my blood pressure does not rise above one hundred and thirty even after exercise or a long walk. The drug is expensive, but high quality. At first, the cardiologist prescribed Lisinopril, but I asked to change to Diroton because I trust German quality.
- Elena, 68 years old. I have been a hypertensive patient for more than twenty years. Over the last six months, my blood pressure has started to fluctuate even on pills (especially if I get nervous or stay in the heat for a long time). My doctor said that I needed to replace Lisinopril with a stronger drug and prescribed Lozan. While there, my health improved significantly and my blood pressure stabilized. It is very convenient that you do not need to drink a diuretic separately, since everything is already in this medicine.
