Imudon is a drug from the group of immunostimulants produced in Russia. The tablets are of bacterial origin and can be used in the treatment of dental diseases and dysfunction of the ENT organs.
Also, the drug is used to prevent secondary infection after implantation of an artificial tooth root, during the preparation period, and also after tonsillectomy.
In general, the medicine is well tolerated by patients of all age groups. However, due to the high cost, or in the presence of autoimmune diseases, it is necessary to replace Imudon with cheaper analogues, and their effectiveness should be no lower than the original product.
pharmachologic effect
The drug helps provide an immunostimulating effect similar to a vaccine. The effect of Imudon is due to its ability to stimulate the process of capture and digestion of solid particles that are part of pathogenic microorganisms.
Under the influence of the drug, the quantitative content of lysozyme, interferon, and immunoglobulins— the main immune cells of the body—increases.
The tablets consist of a polyvalent antigenic complex - a mixture of bacteria and products of their breakdown into individual enzymes, which include elements of the cell walls and intracellular contents of the microorganism.
The medicine has a composition similar to the causative agents of those pathological processes that are most often observed in the mouth and pharynx, due to which the body begins to intensify the production of its own protective bodies against specific types of bacteria.
Release forms and indications
The vast majority of drugs for sore throat are available in the form of lozenges or lozenges. With the exception of three drugs.
A drug | Release form |
Gramicidin S | Cheek tablets |
Ismigen | Sublingual tablets |
Falimint* | Dragee |
All local medications for sore throat are used for infectious and inflammatory diseases of the oral cavity and pharynx. Bacterial lysates are also indicated for the prevention of exacerbations of recurrent infections (Imudon - for the prevention of diseases of the oral cavity and pharynx, and Ismigen is also used for the prevention of lower respiratory tract infections). And “Falimint” has another “non-standard” indication for drugs for sore throat: the drug is prescribed to relieve a reflex non-productive cough (for example, a smoker’s cough).
Indications for use
According to the instructions for use, Imudon is used during treatment and prevention:
- Superficial and deep periodontal disease, glossitis, aphthous stomatitis.
- Dysbacteriosis of the oral cavity.
- Catarrhal and ulcerative gingivitis.
- Periodontitis in acute and chronic course.
- Pharyngitis.
- Chronic form of tonsillitis.
- Acute and chronic infectious or aphthous stomatitis.
- Traumatic or decubital lesions of the mucous membranes of the oral cavity.
- To prevent secondary infection before and after surgery in the oral cavity.
The drug is widely used by maxillofacial surgeons. The medicine can also be used for ulcers caused by dentures.
A sore throat
Causes: Most often, a sore throat appears as one of the symptoms of an infectious disease. It is most often caused by two groups of pathogens:
- viruses - sore throat with influenza, ARVI, etc.;
- bacteria - pain with tonsillitis, pharyngitis, etc.
At the same time, a sore throat can have a non-infectious origin, for example, due to chemical irritation of the mucous membranes of the oral cavity, overload of the vocal cords.
Symptoms: with all the variety of manifestations, one can identify the main signs that distinguish a bacterial infection from infections caused by other pathogens (Table 1).
Rx-zone
Prescription drugs that can be prescribed by doctors for severe infectious and inflammatory diseases of the throat include various systemic antimicrobial agents.
Systemic antibiotics
Purpose of use: etiological treatment of acute and chronic infectious and inflammatory diseases of the throat of bacterial origin.
Principle of action: suppression of the growth or reproduction of bacterial flora or its destruction.
Group representatives:
- penicillins - amoxicillin + clavulanic acid (originators - Augmentin, Augmentin SR, generics - Amoxiclav, Arlet Panclave, etc.), amoxicillin (originator - Flemoxin Solutab, generics - Amoxicillin, etc.);
- cephalosporins - cefixime (originators - Suprax, Suprax Solutab; generics - Pancef, etc.), cefuroxime (originator - Zinnat), etc.;
- macrolides - josamycin (originators - Vilprafen, Vilprafen Solutab), clarithromycin (originators - Klacid, Klacid SR, generics - Klabaks, Fromilid, etc.), azithromycin (originator - Sumamed, generics - Hemomycin, AzitRus, Zitrolide forte, Ecomed, etc. ) and etc.
Notes to the pharmacist
- Currently, throat diseases caused by group A beta-hemolytic streptococcus are considered as practically the only indication for systemic antibiotic therapy.
Microbial immunomodulators
Purpose of use: treatment and prevention of recurrent throat infections, incl. in frequently ill children.
Principle of action: stimulation of nonspecific and specific immunity (increased production of IgA antibodies) in response to the introduction of lysates or structural fragments of bacteria that most often cause ENT infections.
Representatives of the group: bacterial lysates (Ismigen), ribosomal proteoglycan fragments of bacteria (Ribomunil).
Notes to the pharmacist
- Other microbial immunomodulators are approved for sale without a prescription (see section “OTC zone”).
OTC zone
The over-the-counter segment of medications used in the complex treatment of infectious and inflammatory diseases of the throat includes numerous topical agents. They are the ones who can be recommended by the chief of staff if the client directly complains of a sore throat.
Local antiseptic/antibiotic based products
Rationale for the recommendation: suppress the growth and reproduction of pathogenic microbes in the mucous membranes of the throat and larynx, help relieve inflammation and pain due to the content of additional components.
Offer options:
- products without antiseptics - lozenges Lizobakt, Strepsils, Faringosept, Falimint, etc., sprays Bioparox, Ingalipt, Kameton, Stopangin, etc., solutions Yox, Miramistin, Stopangin, etc.;
- products with antiseptics - lozenges and sprays Anti-angin formula, Strepsils Plus, TeraFlu LAR, etc., TeraFlu LAR solution.
Notes to the pharmacist
- Despite the local type of action, most drugs in this group are either contraindicated in pregnant and lactating women or used with caution (only after consulting a doctor). There are no contraindications or restrictions for use in these groups of patients: Lizobakt, Miramistin, Sangviritrin solution.
- Many drugs in the group differ significantly in terms of age restrictions (Table 2).
- All drugs in this group have an antibacterial effect. If the type of pathogen causing the throat infection is unknown, it may be advisable to choose a local antiseptic that acts on a wide range of pathogenic microbes - not only bacteria, but also viruses and fungi. Such universal antiseptics include drugs containing cetylpyridinium chloride (Grammidin line, Novosept forte, Septolete-Neo, Septolete plus), povidone-iodine (Yox), miramistin (Miramistin), benzoxonium chloride (TeraFlu LAR), lysozyme (Hexaliz, Lizobact) .
- Antiseptics with anesthetics help to quickly relieve severe sore throat due to a local decrease in the sensitivity of the mucous membranes. Their use may be relevant for bacterial tonsillitis, a typical symptom of which is intense sore throat, incl. when swallowing.
- It is not advisable to combine several drugs containing anesthetics due to the increased likelihood of side effects.
Local NSAIDs
Rationale for recommendation: due to the pronounced local anti-inflammatory effect, they help quickly relieve sore throat of any origin.
Offer options: benzydamine - Oralcept spray, Tantum Verde spray/solution/lozenges; ketoprofen - OKI solution; flurbiprofen - Strepsils Intensive lozenges.
Notes to the pharmacist
- Benzydamine preparations (Oralsept, Tantum Verde, etc.), unlike other NSAIDs for the throat, have antibacterial and antifungal activity.
- At the end of 2015, benzydamine in Russia took first place among local NSAIDs in terms of volume of prescriptions by otolaryngologists for acute tonsillopharyngitis**.
- OCI and Strepsils Intensive are contraindicated for pregnant and lactating women; Oralcept can be used after consultation with a doctor. It is possible to use drugs from the Tantum Verde line in these patients.
- The lowest age threshold for use - from 3 years - is Oralcept spray, spray and Tantum Verde lozenges. OKI is approved for use from 6 years of age, Strepsils Intensive, as well as Tantum Verde solution - from 12. Tantum Verde Forte spray is contraindicated in children.
- The advantages of drugs in the form of sprays (Oralsept, etc.) include ease of use, dosing accuracy (1 press = 1 dose), uniform irrigation of various areas of the sore throat.
Immunomodulators
Rationale for the recommendation: they strengthen specific and non-specific anti-infectious immunity to pathogens of ENT infections, and are used for the prevention and complex treatment of frequently recurring infectious diseases of the throat.
Offer options:
- local forms - Imudon lozenges, IRS 19 nasal spray (microbial immunomodulators);
- forms for oral administration - sublingual tablets Galavit, microbial immunomodulators (capsules Broncho-Vaxom, Broncho-munal, Broncho-munal P).
Notes to the pharmacist
- This group of drugs is contraindicated in pregnant and lactating patients.
- IRS 19 is approved for use from 3 months of age, Imudon, Likopid (1 mg), children's forms of Broncho-vaxoma and Broncho-munal - from 3 years, Galavit - from 6 years. Broncho-vaxom adult and Broncho-munal are used from 12 years of age.
- During the use of microbial immunomodulators, body temperature may rise to febrile levels.
- You cannot take several microbial immunostimulants at the same time.
Systemic NSAIDs
Rationale for recommendation: they have a pronounced analgesic and anti-inflammatory effect. They can be used if a sore throat is not relieved by local remedies or is accompanied by a pronounced rise in temperature (sore throat, flu, etc.).
Offer options:
- tablets Aspirin, Voltaren-akti, Nalgesin, Nurofen Express and other preparations of acetylsalicylic acid, ibuprofen;
- Nurofen suspension or suppositories for children.
Notes to the pharmacist
- This group of drugs is contraindicated in pregnant and lactating patients or used with caution.
- Tablet forms of over-the-counter NSAIDs are used only in adult patients (from 12 years of age, Aspirin - strictly from 15 years of age). Nurofen suspension and suppositories for children are approved for use from 6 months of age.
- Without a doctor's prescription, over-the-counter NSAIDs can be used for no more than three days as antipyretics and no more than five days as pain relievers.
Non-medicinal range
Rapid test for diagnosing streptococcal sore throat
Rationale for recommendation: used for home self-diagnosis of diseases caused by group A β-hemolytic streptococcus.
Suggestion options: Streptatest.
Notes to the pharmacist
The device may be useful for a patient with a sore throat before visiting the clinic. Doctors for infectious and inflammatory diseases of the throat often prescribe antibiotics empirically - without prior examination of the pathogenic flora. Negative test results for streptococcus may free the patient from unnecessary and potentially dangerous antibiotic use.
Topical throat remedies with sea salt
Rationale for the recommendation: cleanse the mucous membranes of the throat and larynx from microbes, maintain their normal physiological state, and help reduce inflammation. Used as an addition to local medications.
Offer options: AquaLOR throat sprays with aloe and Roman chamomile, Aqua Maris for the throat, etc.
Notes to the pharmacist
These products may also be useful to the buyer for preventing new episodes of throat infections.
Non-medicinal throat lozenges
Rationale for recommendation: have a softening effect on the mucous membrane of the throat, help reduce inflammation. Can be used throughout the day in addition to medications.
Offer options: lollipops and lozenges Dr. Theiss Swiss herbs with honey and vitamin C, Carmolis with honey, Weeding, Terra-plant sage, etc.
–––––––––––––––––––––––––––––– * Synovate Comcon (Pharma-Q, HealthIndex, pharmacist opinion - Spring 2015). ** Synovate Comcon, according to the spring waves of the PrIndex study in 5 cities: Moscow, St. Petersburg, Yekaterinburg, Novosibirsk and N. Novgorod.
Dosage for adults and children
For patients over 14 years of age, the total dosage is 8 tablets per day, and Imudon must be taken at regular intervals (every 1-2 hours.)
The duration of the course for the treatment of acute forms or exacerbations of chronic pathologies is 10 days. To prevent immunodeficiency, the dosage is reduced to 6 tablets per day, and the total duration of administration is increased to 20 days.
Children of younger age groups from 3 to 14 years are prescribed 6 tablets per day, at least two hours should pass between doses. The course of treatment for acute forms and exacerbations is 10 days, prophylaxis lasts 20 days. In both cases, the number of tablets remains the same - 6 per day.
The total number of treatment and preventive courses is no more than four per year.
Contraindications and side effects
Imudon is not recommended for use in case of individual intolerance to active or auxiliary substances, as well as in case of:
- Treatment of patients under 3 years of age.
- Therapy for people with autoimmune diseases.
The drug is well tolerated. According to patient reviews, in a number of cases the development of:
- Allergic reactions: rash, urticaria, angioedema.
- Disorders of the gastrointestinal tract: nausea, vomiting, pain impulses in the abdominal area.
- Increased body temperature.
- Cough and exacerbations of bronchial asthma.
- In isolated cases, erythema nodosum, thrombocytopenia, and hemorrhagic vasculitis occurred.
If patients notice the occurrence of these or any other undesirable side effects, they should inform their doctor as soon as possible.
List of analogues is cheaper
As a prevention of ENT diseases during pregnancy, Lizobact is a safe and cheap replacement for the original immunostimulant.
The price of Imudon in January 2022 is from 470 rubles. for 24 pcs., from 610 rub. for 40 tablets. If we consider a 10-day treatment course for adults, then you will need two packages of 40 tablets, which will amount to an average of 1,220 rubles.
Prevention will cost from 1830 rubles and will require 120 tablets. Patients often ask whether there are analogues of Imudon that are cheaper, but no less effective?
Imudon does not have exact structural analogues (generics), so if necessary, the doctor can offer a list of drugs that are similar in their action, from a similar pharmacological group, but with a different composition.
- Anaferon - from 210 rub. A homeopathic remedy that has a similar immunomodulatory and anti-inflammatory effect. Treatment begins with the appearance of the first symptoms of the disease. After improvement occurs, it is recommended to use the tablets for 1 week - 10 days. The medication is well tolerated by patients; in rare cases, allergic reactions have been reported.
- Derinat - from 290 rub. An inexpensive immunostimulant that activates cellular and humoral immunity. The drug is intended for local use, preparing a solution for rinsing the mouth, applying applications, and performing irrigations. The medicine is well tolerated by patients.
- Ribomunil - from 260 rub. A cheap analogue of Imudon based on bacterial ribosomes: the most common pathogens of infectious diseases affecting the upper respiratory tract and ENT organs.
At the beginning of treatment, nausea, vomiting, excessive salivation, stool disorders, and allergies may develop. This is normal and there is no need to stop the medication.
The drug is recommended to be used in the morning, on an empty stomach.
During the first 3 weeks, the medication is taken on the first 4 days of the week. In the next 5 months - in the first 4 days of each month.
The selection of similar drugs and substitutes should be trusted to a qualified doctor. Self-medication is unacceptable, as it may not provide the desired therapeutic result.
Imudon analogues and prices
The following Imudon analogues have the same ATC codes. Analogues are selected according to the chemical structure of the drug and are the most suitable substitutes. Same composition, indications for use, doses of active ingredients may differ.
Compound:
combination of many active ingredients
Allokin-Alpha
37 offers priced from 1,846.00
up to
8,350.00
UAHWilosen
no offers found
Erbisol Ultrapharm
122 offers priced from 703.00
up to
1,142.00
UAHEstifan
1 offer priced from 200.00
up to
200.00
UAHEchinacin madaus liquid
no offers found
Echinacin madaus capsets
no offers found
Immuno-tone
138 offers priced from 36.00
up to
90.00
UAHLycopid
12 offers priced from 230.00
up to
2,280.00
UAHPyrogenal
8 offers starting from 630.00
up to
1,290.00
UAHPolyoxidonium
17 offers priced from 287.00
up to
1,490.00
UAHProtfenoloside
13 offers priced from 397.00
up to
521.00
UAHTaktivin
4 offers starting from 570.00
up to
1,170.00
UAHGepon
1 offer priced from 760.00
up to
760.00
UAHArbimax
no offers found
Immunomax
19 offers priced from 96.00
up to
1,180.00
UAHTiloron
no offers found
Zadaxin
2 offers starting from 6,847.00
up to
9,500.00
UAHImmuno Theiss
28 offers priced from 28.00
up to
137.00
UAHImmuno Theiss Forte
25 offers priced from 106.00
up to
137.00
UAHImodin
no offers found
Cryocell
no offers found
Liasten
115 offers priced from 309.00
up to
2,290.00
UAHLynchy
no offers found
Pro-Symbioflor
no offers found
Nuclex
164 offers starting from 216.00
up to
414.00
UAHHeliscan
27 offers priced from 40.00
up to
109.00
UAHTsitovir-3
14 offers priced from 330.00
up to
1,000.00
UAHEchinacea
683 offers priced from 4.00
up to
8,000.00
UAHEchinacea-Lubnypharm
32 offers starting from 27.00
up to
66.00
UAHKipbioferon
no offers found
Arpetolide
no offers found
Immunal plus S
1 offer priced from 450.00
up to
450.00
UAHViusid
3 offers starting from 180.00
up to
822.00
UAHIsmigen
5 offers starting from 500.00
up to
1,600.00
UAHCat claw
36 offers priced from 52.00
up to
477.00
UAHPolymuramyl
no offers found
Molixan
1 offer priced from 2,500.00
up to
2,500.00
UAHOverin
206 offers priced from 471.00
up to
865.00
UAHTylaxin
no offers found
Onco BCG
no offers found
Uro-BCG
no offers found
Imunorix
27 offers priced from 441.00
up to
720.00
UAHCopaxone-Teva
4 offers starting from 5,495.00
up to
8,880.00
UAHEchinacea-Astrapharm
143 offers priced from 26.00
up to
85.00
UAHAxoglatiran FS
no offers found
Timekson
no offers found
Glatyrate
no offers found
Inflamafertin
27 offers priced from 3,851.00
up to
5,744.00
UAHMepact
no offers found
Ingalar
121 offers starting from 14.00
up to
66.00
UAHMozobail
no offers found
Amik
199 offers priced from 40.00
up to
372.00
UAHAmyx
198 offers priced from 40.00
up to
372.00
UAHAmiksin
1137 offers priced from 16.00
up to
454.00
UAHAmiksin IC
no offers found
Anaferon
778 offers priced from 60.00
up to
298.00
UAHAnaferon for children
213 offers priced from 64.00
up to
119.00
UAHGalavit
138 offers priced from 320.00
up to
1,250.00
UAHDerinat
16 offers priced from 110.00
up to
2,250.00
UAHErbisol
512 offers priced from 402.00
up to
1,142.00
UAHOscillococcinum
178 offers priced from 107.00
up to
259.00
UAHEchinacea Compositum
143 offers priced from 335.00
up to
8,000.00
UAHEchinacea-Ratiopharm
98 offers priced from 44.00
up to
179.00
UAHImmunal
386 offers priced from 52.00
up to
700.00
UAHImmunoplus
145 offers priced from 47.00
up to
101.00
UAHNeovir
no offers found
Cycloferon
240 offers priced from 163.00
up to
903.00
UAHGlutoxim
285 offers priced from 348.00
up to
1,770.00
UAHErbisol Extra
131 offers priced from 502.00
up to
816.00
UAHEsberitox
415 offers priced from 100.00
up to
270.00
UAHLavomax
206 offers priced from 80.00
up to
750.00
UAHTimalin
263 offers priced from 89.00
up to
200.00
UAH
Nucleospermate Sodium
no offers found
Timoptin
no offers found
Exthymia
no offers found
Neupogen
23 offers priced from 100.00
up to
7,980.00
UAHFilmsteam
128 offers priced from 542.00
up to
1,143.00
UAHGrastim
68 offers priced from 537.00
up to
1,130.00
UAHZarcio
62 offers starting from 867.00
up to
5,930.00
UAHGranogen
no offers found
Neutromax
4 offers starting from 663.00
up to
663.00
UAHTevagrastim
45 offers priced from 280.00
up to
2,340.00
UAHFilgrastim-Pharmex
no offers found
Leucostim
no offers found
Neupomax
2 offers starting from 3,200.00
up to
7,500.00
UAHLeucite
no offers found
Mielastra
no offers found
Neostim
no offers found
Altevir
4 offers starting from 880.00
up to
1,450.00
UAHGranocyte
24 offers priced from 7,466.00
up to
20,000.00
UAHNeulastim
5 offers starting from 900.00
up to
19,900.00
UAHLonquex
2 offers starting from 36,300.00
up to
36,300.00
UAHAlgeron
no offers found
Interferon
15 offers priced from 74.00
up to
100.00
UAHInterferon-Biolic
no offers found
Alfaferon
no offers found
Ingaron
12 offers priced from 290.00
up to
6,000.00
UAHRoferon-A
no offers found
Alviron
no offers found
Reaferon-EC
no offers found
Reaferon-EC
4 offers starting from 1,100.00
up to
2,050.00
UAHAlfarekin
531 offers priced from 112.00
up to
2,663.00
UAHVirogel
no offers found
Viferon
326 offers priced from 114.00
up to
1,050.00
UAHGenferon
53 offers starting from 58.00
up to
1,150.00
UAHGrippferon
3 offers starting from 410.00
up to
600.00
UAHIntroferobion
no offers found
Intron-A
16 offers priced from 100.00
up to
7,100.00
UAHLaferon-Farmbiotech
192 offers priced from 29.00
up to
697.00
UAHLaferon-farmbiotek nasal
30 offers priced from 35.00
up to
100.00
UAHLipoferon
no offers found
Nazoferon
758 offers priced from 52.00
up to
132.00
UAHRealdiron
no offers found
Reaferon-ES-Lipint
11 offers priced from 550.00
up to
1,280.00
UAHAlfarona
2 offers starting from 800.00
up to
900.00
UAHVitaferon
10 offers priced from 73.00
up to
337.00
UAHInfagel
6 offers priced from 155.00
up to
250.00
UAHLaferon
386 offers priced from 26.00
up to
724.00
UAHBioferon
19 offers priced from 430.00
up to
582.00
UAHGiaferon
no offers found
Viferon-Feron
148 offers priced from 117.00
up to
578.00
UAHGenferon IB
22 offers priced from 195.00
up to
760.00
UAHGenferon Light
2 offers starting from 90.00
up to
385.00
UAHGenferon Light IB
2 offers starting from 90.00
up to
100.00
UAHEberon Alpha R
no offers found
Introbion interferon Alpha-2B
no offers found
Laferobion
1984 offers priced from 16.00
up to
1,013.00
UAHLaferomax
310 offers priced from 136.00
up to
452.00
UAHRecoferon
no offers found
Ceferon
no offers found
Viferon-1
29 offers priced from 114.00
up to
335.00
UAHViferon-2
8 offers starting from 165.00
up to
485.00
UAHLaifferon
1 offer priced from 1,350.00
up to
1,350.00
UAHInterferal
no offers found
Avonex
9 offers starting from 100.00
up to
16,500.00
UAHBetfer-1a
no offers found
Rebif
no offers found
Betfer 1A Plus
no offers found
Genfaxon
no offers found
Blastopheron
no offers found
Teberif
no offers found
Plegridy
no offers found
Betaferon
26 offers priced from 100.00
up to
27,500.00
UAHBetfer-1b
no offers found
Infibeta
no offers found
Infergen
no offers found
Pegintron
no offers found
Peg-Interferon
no offers found
Silatron
no offers found
Alphapeg
no offers found
Pegasis
47 offers priced from 100.00
up to
4,200.00
UAHPegferon peg-interferon alfa-2A
no offers found
Ronkoleikin
4 offers starting from 1,790.00
up to
5,200.00
UAH
Analogues of Imudon for children
Also on the pharmaceutical market is the following list of analogues of Imudon for children:
- Bronchomunal-P – 1 capsule contains 3.5 mg of lyophilized bacterial lysate. Capsules are used once a day. The course of treatment is determined by the doctor, taking into account the indications prescribed in the instructions. If the child cannot swallow the capsule, its contents can be dissolved in water.
- Anaferon for children - the cost is from 210 rubles. for 20 tablets. The drug can be used in the treatment of children older than one month. The dosage regimen is also determined by the pediatrician.
- IRS 19 is a close analogue of Imudon. Can be used in the treatment of children from 3 years of age. The medicine demonstrates good organic stimulation, which manifests itself in the form of increased runny nose at the beginning of therapy.
- Ribomunil - when treating children, preference is given to the dosage form in the form of granules for internal administration.
It is recommended to trust the selection of a suitable drug to replace the original only to a pediatrician.
Imudon analogues and prices
The following Imudon analogues have the same ATC codes. Analogues are selected according to the chemical structure of the drug and are the most suitable substitutes. Same composition, indications for use, doses of active ingredients may differ.
Compound:
combination of many active ingredients
Allokin-Alpha
21 offers priced from 3,750.00
up to
RUB 8,400.00Anaferon
99 offers starting from 178.00
up to
538.00
rubAnaferon for children
56 offers priced from 218.00
up to
538.00
rubWilosen
no offers found
Wobenzym
97 offers priced from 371.00
up to
99,475.00
RURErbisol Ultrapharm
no offers found
Echinacin madaus liquid
no offers found
Echinacin madaus capsets
no offers found
Immuno-tone
no offers found
Immunorm
8 offers starting from 81.00
up to
307.00
rubLycopid
71 offers priced from 208.00
up to
RUB 2,502.00Pyrogenal
74 offers starting from 668.00
up to
RUB 2,520.00Polyoxidonium
162 offers priced from 100.00
up to
RUB 1,549.00Protfenoloside
no offers found
Taktivin
23 offers priced from 624.00
up to
RUB 1,090.00Thymogen
82 offers starting from 100.00
up to
790.00
rubTsitovir-3
196 offers priced from 247.00
up to
RUB 1,500.00Gepon
2 offers starting from 712.00
up to
RUB 1,240.00Immunomax
12 offers priced from 627.00
up to
RUB 1,385.00Extra Erbisol
no offers found
Zadaxin
1 offer priced from 26,700.00
up to
RUB 26,700.00Immuno Theiss
no offers found
Immuno Theiss Forte
no offers found
Imodin
no offers found
Cryocell
no offers found
Liasthene immunomodulator of bacterial origin
no offers found
Lynchy
1 offer priced from 1,900.00
up to
RUB 1,900.00Pro-Symbioflor
no offers found
Nuclex
no offers found
Heliscan
no offers found
Tsitovir-3
7 offers starting from 272.00
up to
559.00
rubEchinacea
181 offers priced from 24.00
up to
RUB 31,103.00Echinacea-Lubnypharm
no offers found
Kipbioferon
no offers found
Arpetolide
no offers found
Immunal plus S
3 offers starting from 421.00
up to
RUB 2,792.00Viusid
6 offers priced from 2,060.00
up to
RUB 4,700.00Ismigen
69 offers priced from 474.00
up to
RUB 1,833.00Polymuramyl
2 offers starting from 1,779.00
up to
RUB 2,675.00Molixan
3 offers starting from 3,093.00
up to
RUB 3,470.00Tylaxin
5 offers starting from 386.00
up to
870.00
rubEchinacin liquidum
15 offers priced from 192.00
up to
392.00
rubBroncho-Vaxom adult
9 offers starting from 407.00
up to
RUB 1,730.00Echinacea tincture
7 offers starting from 133.00
up to
204.00
rubRuzam
16 offers priced from 1,815.00
up to
RUB 2,966.00Echinacea compositum CH
22 offers priced from 870.00
up to
RUB 14,607.00Echinacea crushed herb
no offers found
Natur Product Echinacea
no offers found
Dr. Theiss Echinacea forte
6 offers priced from 268.00
up to
384.00
rubAnaferon adult
2 offers starting from 240.00
up to
245.00
rubEchinacin
16 offers priced from 192.00
up to
392.00
rubBioaron
5 offers starting from 131.00
up to
669.00
rub
Vaccine for the prevention of tuberculosis (BCG)
no offers found
Onco BCG
1 offer priced from 8,500.00
up to
RUB 8,500.00Uro-BCG
2 offers starting from 19,500.00
up to
RUB 19,500.00Imunorix
34 offers starting from 624.00
up to
RUB 1,386.00Copaxone-Teva
10 offers priced from 21,900.00
up to
RUB 28,261.00Echinacea-Astrapharm
no offers found
Axoglatiran FS
no offers found
Timekson
2 offers starting from 7,280.00
up to
RUB 8,000.00Glatyrate
1 offer priced from 27,300.00
up to
RUB 27,300.00Copaxone 40
13 offers priced from 18,500.00
up to
RUB 26,238.00Copaxone
16 offers priced from 18,500.00
up to
99,475.00
RURInflamafertin
no offers found
Mepact
no offers found
Ingalar
no offers found
Mozobail
4 offers starting from 259,000.00
up to
RUB 587,665.00Amik
7 offers starting from 68.00
up to
RUB 4,115.00Amyx
7 offers starting from 602.00
up to
RUB 1,253.00Amiksin
129 offers priced from 511.00
up to
RUB 7,192.00Amiksin IC
no offers found
Galavit
124 offers priced from 100.00
up to
RUB 2,035.00Derinat
122 offers priced from 221.00
up to
RUB 2,531.00Erbisol
2 offers starting from 4,400.00
up to
RUB 4,900.00Oscillococcinum
no offers found
Echinacea Compositum
25 offers priced from 870.00
up to
RUB 14,607.00Echinacea-Ratiopharm
no offers found
Immunal
10 offers priced from 236.00
up to
473.00
rubImmunoplus
no offers found
Neovir
39 offers priced from 221.00
up to
RUB 1,586.00Cycloferon
138 offers priced from 163.00
up to
RUB 42,250.00Glutoxim
65 offers priced from 644.00
up to
RUB 2,309.00Erbisol Extra
1 offer priced from 4,900.00
up to
RUB 4,900.00Esberitox
1 offer priced from 1,580.00
up to
RUB 1,580.00Lavomax
90 offers priced from 247.00
up to
RUB 3,224.00Liasten
no offers found
Timalin
28 offers priced from 393.00
up to
906.00
rub
Nucleospermate Sodium
no offers found
Exthymia
4 offers starting from 22,100.00
up to
RUB 41,540.00Neupogen
13 offers priced from 2,580.00
up to
RUB 50,090.00Filmsteam
no offers found
Grastim
no offers found
Zarcio
24 offers priced from 1,500.00
up to
19,099.00
RURGranogen
no offers found
Neutromax
no offers found
Tevagrastim
20 offers priced from 1,569.00
up to
RUB 2,898.00Neupomax
11 offers priced from 3,899.00
up to
7,398.00
RURLeucite
no offers found
Mielastra
no offers found
Leucostim
15 offers priced from 1,977.00
up to
9,769.00
RURNeostim
no offers found
Granocyte
11 offers priced from 11,120.00
up to
RUB 83,227.00Granocyte-34
1 offer priced from 7,200.00
up to
RUB 7,200.00Neulastim
12 offers priced from 25,400.00
up to
RUB 56,000.00Lonquex
6 offers priced from 18,900.00
up to
RUB 119,100.00Algeron
3 offers starting from 3,600.00
up to
RUB 14,400.00Interferon
15 offers priced from 81.00
up to
RUB 8,100.00Interferon-Biolic
no offers found
Alfaferon
no offers found
Ingaron
63 offers starting from 207.00
up to
6,002.00
RURRoferon-A
4 offers starting from 725.00
up to
RUB 4,500.00Alviron
no offers found
Reaferon-EC
no offers found
Reaferon-EC
21 offers priced from 1,111.00
up to
RUB 1,486.00Roferon
1 offer priced from 712.00
up to
712.00
rubAlfarekin
no offers found
Virogel
no offers found
Viferon
120 offers priced from 219.00
up to
RUB 48,780.00Genferon
164 offers starting from 188.00
up to
RUB 2,048.00Grippferon
16 offers priced from 220.00
up to
363.00
rubIntroferobion
no offers found
Intron-A
1 offer priced from 7,152.00
up to
RUB 7,152.00Laferon-Farmbiotech
no offers found
Laferon-farmbiotek nasal
no offers found
Lipoferon
no offers found
Nazoferon
1 offer priced from 1,360.00
up to
RUB 1,360.00Realdiron
no offers found
Reaferon-ES-Lipint
71 offers priced from 294.00
up to
RUB 1,350.00Altevir
37 offers priced from 474.00
up to
RUB 2,827.00Infagel
49 offers priced from 93.00
up to
221.00
rubLaferon
no offers found
Giaferon
6 offers priced from 348.00
up to
413.00
rubViferon-Feron
no offers found
Genferon IB
no offers found
Genferon Light
22 offers priced from 256.00
up to
RUB 1,584.00Genferon Light IB
no offers found
Introbion interferon Alpha-2B
no offers found
Laferobion
no offers found
Laferomax
no offers found
Recoferon
no offers found
Ceferon
no offers found
Viferon-1
24 offers priced from 245.00
up to
741.00
rubViferon-2
15 offers priced from 356.00
up to
518.00
rubLaifferon
40 offers priced from 485.00
up to
RUB 2,170.00Interferal
2 offers starting from 238.00
up to
242.00
rubReaferon-Lipint
17 offers priced from 651.00
up to
RUB 1,398.00Intron
1 offer priced from 7,152.00
up to
RUB 7,152.00Viferon gel
18 offers priced from 143.00
up to
RUB 1,304.00Viferon-3
11 offers priced from 546.00
up to
727.00
rubViferon-4
11 offers priced from 952.00
up to
RUB 1,138.00Avonex
5 offers starting from 31,000.00
up to
RUB 167,476.00Betfer-1a
no offers found
Rebif
18 offers priced from 4,900.00
up to
RUB 209,616.00Betfer 1A Plus
no offers found
Genfaxon
1 offer priced from 4,200.00
up to
RUB 4,200.00Blastopheron
no offers found
Teberif
1 offer priced from 10,200.00
up to
RUB 10,200.00Plegridy
8 offers starting from 22,500.00
up to
RUB 141,523.00Betaferon
4 offers starting from 34,000.00
up to
RUB 36,000.00Betfer-1b
no offers found
Infibeta
6 offers priced from 9,200.00
up to
RUB 37,000.00Pegintron
1 offer priced from 14,490.00
up to
RUB 14,490.00Peg-Interferon
no offers found
Silatron
no offers found
Alphapeg
no offers found
Pegasis
17 offers priced from 5,490.00
up to
RUB 145,590.00Pegferon peg-interferon alfa-2A
no offers found
Ronkoleikin
34 offers starting from 1,882.00
up to
99,475.00
RURBetaleikin
no offers found
All analogues of Imudon are presented for informational purposes only and are not a reason for making an independent decision about replacing the drug. Before using the drug, consult your doctor and read the instructions for use.
SELF-MEDICATION CAN BE HARMFUL TO YOUR HEALTH
Imudon or Lizobakt
Both drugs differ in their pharmacological action. If necessary, the doctor may recommend the combined use of these medications.
Lizobakt acts locally, tablets are prescribed for the treatment of chronic and acute tonsillitis, tonsillitis, pharyngitis, gingivitis, stomatitis, erosions affecting the oral cavity.
Lysobact is an antiseptic that is produced in the form of lozenges. The active substance of the drug has the ability to convert insoluble bacterial membranes into a soluble mucopeptide.
Tablets are used up to 4 times a day for a week. In the future, the doctor may decide to extend the course of using the antiseptic.
Both drugs are not recommended for use in the treatment of patients under 3 years of age, as well as in cases of individual intolerance to the active component. The cost of Lizobakt is from 280 rubles. for 30 lozenges.
Ismigen or Imudon
Ismigen, like Imudon, is presented in the form of sublingual lozenges, which can be recommended for patients over 3 years of age. The pharmacological effect of the analogue is similar to the original due to the composition, which includes bacterial lysates:
- Staphylococcus aureus.
- Streptococcus pyogenes.
- Catarrhal micrococcus.
- Haemophilus influenzae type B.
- Klebsiella ozena.
- Klebsiella pneumonia.
- Pneumococcus.
Under the influence of Ismigen, stimulation of both local and systemic immunity is observed. As a result, there is a reduction in the frequency, severity, duration of acute respiratory infection, relief of symptoms in the form of cough, shortness of breath, and increased body temperature.
The drug is often prescribed for acute, subacute and recurrent pathologies affecting the ENT organs. A substitute for Imudon is used from the age of 3; the tablets should be taken on an empty stomach.
Isigmen is prescribed to patients with:
- Recurrent, acute and subacute infections affecting the upper and lower respiratory tract: bronchitis, tonsillitis, pharyngitis, rhinitis, otitis, sinusitis.
- Complications after a viral infection, including influenza.
- To prevent exacerbation of chronic bronchitis.
Imudon has a wider range of indications and a more extensive composition, which makes it possible to use it in the treatment of various dental diseases, and is also prescribed to patients who have had their tonsils removed. Otherwise the drugs are identical.
Ismigen has a more convenient method of administration: the manufacturer recommends using the medicine one tablet per day for 10 days, so the course of treatment will cost less than Imudon.
The cost of Ismigen is from 505 rubles. for 10 tablets, from 1290 rub. for 30 pcs.
Bronchomunal or Imudon
Bronchomunal is an immunomodulatory drug with a multicomponent composition intended for internal use. Helps reduce the frequency and severity of infectious diseases affecting the upper respiratory tract, as well as reduce the duration of use of drugs with antibacterial action.
It is not an exact structural analogue of Imudon; Bronchomunal contains lyophilized bacterial lysates.
The readings of the original and its substitute are similar. Bronchomunal can be used:
- During the complex treatment of frequent relapses of infectious diseases affecting the upper and lower respiratory tract.
- The drug is prescribed for the treatment of acute and chronic bronchitis, tonsillitis, bronchial asthma, sinusitis, and rhinitis.
- The advantage of Bronchomunal is that it can be used in the treatment of acute infectious diseases that do not respond to standard treatment regimens involving antibacterial drugs. The drug is also prescribed for the development of complications after a viral illness. It is recommended to take the capsules on an empty stomach for 10 days to 1 month.
The cost of Bronchomunal in January 2022 is from 520 rubles. for 10 capsules of 7 mg (drug for adults) and from 490 rub. for 10 capsules of 3.5 mg (for the treatment of children).
IRS-19 or Imudon
The drugs are similar in composition, but differ in the form of release. The analogue is presented in the form of an aerosol for intranasal administration.
The drug can be used in the treatment, as well as for the prevention of the development of chronic diseases affecting the upper respiratory tract: sinusitis, pharyngitis, laryngitis, tracheitis. The aerosol is also used in preparation for planned surgical intervention in the area of ENT organs.
The drug IRS-19 is preferred when it is not possible to use drugs in tablet form, including Imudon.
The aerosol cannot be used in cases of individual intolerance to active substances, in the treatment of pregnant and lactating women, and children under 3 years of age.
The cost of IRS-19 is from 490 rubles. for 20 ml. A course of prevention and treatment will cost less than a similar course of Imudon.
Use during pregnancy and lactation*
Possibility of use in this category of patients | A drug |
Not recommended during pregnancy (first trimester). Breastfeeding should be discontinued during treatment | Grammidin Neo, Grammidin with anesthetic neo, Tantum verde |
Under the supervision of a doctor | Hexoral tabs classic, Hexoral tabs extra |
Gorpils | |
Strepsils | |
Strepsils with cooling effect | |
Strepsils Plus | |
Strepsils with vitamin C | |
After consultation with your doctor | Dr. Theiss Angi Sept |
Sebidin | |
Septolete | |
Laripront | |
Septolete Total | |
As prescribed by a doctor | Faringosept |
Carefully | Septolete Neo |
Strepsils with menthol and eucalyptus | |
If the expected benefit to the mother outweighs the potential risk to the fetus and child | Hexalize |
Strepsils with a warming effect | |
Can be used during pregnancy and breastfeeding | Lysobacter |
In the 2nd and 3rd trimesters as prescribed by a doctor, during lactation - with caution | Anti-Angin Formula |
Use during pregnancy is not discussed in the instructions. | Suprima-ENT |
*According to the instructions for use of the drugs.
Among the list of drugs for sore throat, which are used in obstetric and gynecological practice for the treatment of pregnant and lactating women and are directly indicated in the instructions for use without consultation with a doctor, as of January 2022, there is “Lizobakt”. All other drugs can only be prescribed by the attending physician.