Zithromax (Z-Pak) | Uses, Dosage & Azithromycin Interactions

Zithromax (azithromycin), also known as Z-Pak, is an antibiotic approved for treatment of respiratory, skin and other bacterial infections. Studies link the drug to side effects, including an increased risk of fatal heart problems. In August 2018, the U.S. Food and Drug Administration warned of an increased risk of cancer relapse and death in some patients who take the drug long-term.

What Is a Z-Pak?

Zithromax (azithromycin), also known as Z-Pak, is an antibiotic used to treat bacterial infections by inhibiting the growth of bacteria in the body. A Z-Pak is typically taken over a five-day course to treat infections such as bronchitis, pneumonia, and infections of the ears, lungs and other organs. First approved by the FDA in 1991 to treat certain respiratory and skin infections, its use has since expanded to include a wide variety of bacterial infections. These include sexually transmitted diseases, bacterial inflammation and middle-ear infections in children.

COVID-19 Alert

Medical providers are experimenting with azithromycin plus hydroxychloroquine to treat COVID-19.


Learn More

Zithromax has been highly profitable for its manufacturer, Pfizer. At the height of sales in 2002, it brought in over $1 billion for Pfizer. Although the wide availability of generics reduced the company’s revenue, sales still totaled $435 million in 2012.

This antibiotic is popular because it treats infections in adults and children. But, the drug is not without side effects — including fatal heart-related risks.

Zithromax also led to some legal trouble for Pfizer. The company was forced to pay millions to several states to settle allegations that it used misleading tactics to market the drug to children.

How Zithromax Works

Zithromax belongs to a class of antibiotics called macrolides, which are bacteriostatic — meaning they treat infections by preventing bacteria from multiplying and producing the proteins that are essential for their growth. Eventually, the remaining bacteria die or are killed by the immune system, not by the drug itself. This is in contrast to bactericidal antibiotics, which kill bacteria. Bactericidal drugs include fluoroquinolones and penicillin.

Zithromax does not break down in the body as quickly as other antibiotics. Instead of floating freely in the blood, the drug molecules are picked up by white blood cells that fight bacteria. The white blood cells take the medicine to the front lines of their struggle with germs, where it becomes concentrated in the tissues surrounding the infection. That concentration helps it remain in the body longer, which means patients need fewer doses to beat their infections.

Zithromax and Z-Pak Dosage

Zithromax is most familiar to the public as the “Z-Pak,” a convenient five-day pill regimen with a dose of 500 mg (2 tablets of 250 mg) the first day and 250 mg for the remaining four days. But, as of 2022, Zithromax comes in several dosages and forms, including oral tablets and liquids for oral use, injections and intravenous drips.

Dosage forms and strengths

Tablets

250 mg, 500 mg, 600 mg

Oral suspension (liquid)

100 mg/5 mL, 200 mg/5 mL, 1,000 mg/5 mL

Injection and IV

10 mL vial of 500 mg

A doctor determines the dose depending on the infection being treated. For example, for pneumonia, pharyngitis or skin infections the recommended dose is the standard 500 mg for the first day and 250 mg for the remaining 4 days.

For more a complicated disease such as acute sinusitis, doctors prescribe 500 mg a day for three days. In the case of sexually transmitted diseases, the dose is 1 gram, or 1,000 mg, in a single dose.

Who Shouldn’t Take Zithromax?

According to the medication insert, certain people should not take Zithromax. Patients with allergies to azithromycin, erythromycin, or any macrolide or ketolide should not take Zithromax. People with liver problems or who had jaundice with prior use of Zithromax should not take it again.

Sexually Transmitted Infections

Antibiotics used at high doses for short periods of time may mask or delay the symptoms of incubating gonorrhea or syphilis (meaning the disease is already present and developing in the body but symptoms have not yet appeared). Therefore, Zithromax, at the recommended dose, should not be relied upon to treat gonorrhea or syphilis, two types of sexually transmitted diseases (STDs) caused by bacterial infections.

All patients who are diagnosed with or suspected of having sexually transmitted urethritis (urethral inflammation) or cervicitis (irritation or infection of the cervix) should also be tested for gonorrhea and syphilis prior to starting treatment with Zithromax. If infection is confirmed, treatment for those diseases should be initiated with a more appropriate antibacterial drug.

Pregnancy

In animal studies on mice and rats, researchers did not find evidence of birth defects at 3.2 times the human daily dose of 600 mg. But, because there are no actual studies on pregnant humans, pregnant mothers should only use Zithromax while pregnant if necessary. Since it can pass into breast milk, health care providers should use caution in administering Zithromax to breastfeeding mothers, according to the medication label.

Seniors

In clinical trials, 9 percent of patients were at least 65 years of age, and 3 percent were at least 75 years of age. Researchers did not find any differences in effectiveness or safety between young patients and seniors.

Side Effects

In most cases, patients don’t experience side effects from Z-Paks. In clinical trials, adverse reactions occurred in about 12 percent of patients, and less than 10 percent of the reactions were severe.

The most common side effects were gastrointestinal and included diarrhea, stomach pain and nausea. Generally, side effects were more severe with a higher dose.

Serious side effects are rare but can be life-threatening. These include severe allergic reactions, liver injury and diarrhea associated with antibiotic-resistant bacteria.

In March 2013, the FDA warned azithromycin, including brand names Zithromax, Zmax, Azithrocin and Azin, “can cause abnormal changes in the electrical activity of the heart that may lead to a potentially fatal irregular heart rhythm.”

More recently, in August 2018, the FDA warned long-term use of Zithromax can cause cancer relapse and death in people who have had blood or lymph node cancer and have received donor stem cell transplants.

Zithromax Drug Interactions

In clinical trials, Zithromax had the potential to interact with two different types of drugs. Taking Zithromax with alcohol could also intensify side effects.

Drugs that react to Zithromax include:

Nelfinavir

is a drug doctors prescribe to treat HIV infections. This drug can increase the amount of Zithromax in the blood. The medication insert does not recommend the use of these two drugs together. Health care providers should check for liver abnormalities and hearing impairment.

Warfarin

is a blood thinner. Taking Warfarin with Zithromax increased the blood thinning effect. Doctors should monitor patients taking both drugs.

Macrolides

are a class of antibiotic, and Zithromax belongs to this class. Researchers observed interactions between other macrolides and two drugs: digoxin and phenytoin. Patients who use Zithromax with digoxin and phenytoin should be carefully monitored for drug interactions.

Zithromax Effectiveness in Clinical Trials

In clinical trials, Zithromax was effective at fighting bacterial infection, including some antibiotic-resistant strains.

Studies conducted before approval of the drug measured its minimum inhibitory concentration (MIC) in relation to a host of bacteria. MIC is the lowest concentration of an antibiotic that will inhibit the growth of bacteria and thereby kill them. A lower MIC means a more effective antibiotic.

In a 1991 study in the European Journal of Clinical Microbiology and Infectious Diseases, researchers found Zithromax had a markedly low MIC against some bacteria compared with three other types of antibiotics, meaning it was highly effective — for example, resolving 92 percent of gonorrhea infections treated.

Zithromax Litigation

In 2003, Pfizer agreed to pay $6 million to settle deceptive Zithromax marketing allegations from 19 states. Oregon’s attorney general at the time, Hardy Myers, led the investigation. According to court documents, Pfizer misrepresented the effectiveness of Zithromax in its ads and failed to disclose the risks of antibiotic overuse.

Pfizer Settlement

Pfizer admitted no wrongdoing and said the FDA approved its advertising and promotional materials. It claimed it was settling to avoid unnecessary costs.

The drugmaker created a mascot for Zithromax, a zebra named Max, to use in its marketing. Pfizer sent plastic zebras that hang on stethoscopes and medical journals wrapped in zebra stripes to pediatricians. It also donated a zebra named Max to the San Francisco Zoo and invited children to a naming celebration.

The 2013 FDA heart rhythm warning prompted some lawyers to investigate and file Zithromax lawsuits. According to plaintiffs, Zithromax caused abnormal heart rhythms. But there have been no settlements or trial dates set.

Zithromax Facts

Please seek the advice of a medical professional before making health care decisions.

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How and when to take azithromycin

Dosage and strength

Azithromycin tablets come as either 250mg or 500mg strengths. The capsules are 250mg. The liquid comes as 200mg in 5ml.

The usual dose is 500mg a day for 3 to 10 days depending on the infection being treated.

For some infections, you’ll be given a one-off higher dose of 1g or 2g.

The dose may be lower for children or if you have liver or kidney problems.

Azithromycin is sometimes prescribed long-term to prevent chest infections if you keep getting them. In this case you will usually need to take it 3 times a week, often on a Monday, Wednesday and Friday.

Important

Carry on taking this medicine until the course is completed, even if you feel better. If you stop your treatment early, your infection could come back.

How to take it

You’ll usually take azithromycin once a day. Try to take your medicine at the same time each day.

Swallow tablets and capsules whole with a drink of water. If you are taking azithromycin capsules, take them at least 1 hour before food or 2 hours after eating. If you have tablets or liquid, you can take them with or without food.

The liquid can have a bitter aftertaste, so it can be a good idea to offer children a drink of fruit juice afterwards.

Do not take medicines for indigestion 2 hours before or after you take this medicine.

Azithromycin liquid is available for children and people who find it difficult to swallow tablets.

If you, or your child, are taking azithromycin as a liquid, your pharmacist will usually make it up for you. The medicine will come with a syringe or spoon to help you measure the right amount. If you do not have one, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not measure the right amount.

If you forget to take it

If you forget to take a dose, take it as soon as you remember, unless it’s nearly time for your next one. In this case, just leave out the missed dose and take your next dose at the usual time.

Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.

If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for other ways to help you remember to take your medicine.

If you take too much

Taking an extra dose of azithromycin is unlikely to harm you or your child. It may, however, increase the chance of temporary side effects, such as feeling or being sick or diarrhoea.

Talk to your pharmacist or doctor if you’re worried, or if you or your child take more than 1 extra dose.

Page last reviewed: 20 January 2022

Next review due: 20 January 2025

Amoxicillin Dispertab 500 mg instructions for use

Instructions for use Amoxicillin Dispertab 500 mg

Trade name: Amoxicillin Dispertab ^®

International non-proprietary or grouping name: amoxicillin

Dosage form: dispersible tablets

Composition per tablet:

Description

Capsule-shaped biconvex tablets from almost white to light yellow color with a score with a specific odor.

Pharmacotherapeutic group: antibiotic – semi-synthetic penicillin

ATX code: J01CA04

Special patient groups

Age

The half-life of amoxicillin is approximately the same in children aged 3 months to 2 years, in older children and in adults. In very young children (including premature newborns), amoxicillin is administered no more than twice a day during the first week of life, taking into account the immaturity of the renal route of excretion. Since the elderly may experience a decrease in renal function, for this category of patients it is necessary to carefully select the dose and periodically monitor renal function.

Floor

After ingestion of amoxicillin by male and female participants in the studies, there was no significant effect of gender on the pharmacokinetics of amoxicillin.

Impaired kidney function

The total plasma clearance of amoxicillin decreases in proportion to the deterioration in renal function.

Liver failure

Care must be taken in patients with hepatic insufficiency, and periodic monitoring of the state of liver function should also be carried out.

Indications for use

Infections caused by susceptible microorganisms, including:

– acute bacterial sinusitis;

– acute otitis media;

– acute streptococcal tonsillitis and pharyngitis;

– exacerbation of chronic bronchitis;

– community-acquired pneumonia;

– acute cystitis;

– asymptomatic bacteriuria during pregnancy;

– acute pyelonephritis;

– typhus and paratyphoid;

-dental abscess with inflammation of the subcutaneous tissue;

– infections of prosthetic joints;

– Lyme disease;

– prevention of bacterial endocarditis during surgical procedures in the oral cavity and upper respiratory tract.

In combination with other drugs, according to eradication schemes, it is used to treat diseases of the digestive tract associated with Helicobacter pylori.

When choosing an antibiotic, official clinical guidelines for antibiotic therapy should be taken into account.

Contraindications

• Hypersensitivity to amoxicillin, other penicillins or any other component of the drug.

• History of severe immediate-type hypersensitivity reactions (eg, anaphylaxis) to another beta-lactam antibiotic (eg, cephalosporin, carbapenem, or monobactam).

With care

Allergic reactions (including bronchial asthma, hay fever, hypersensitivity to acetylsalicylic acid) in history, diseases of the gastrointestinal tract in history (especially colitis associated with the use of antibiotics), renal failure, pregnancy and breastfeeding.

Use during pregnancy and lactation

The results of animal studies do not indicate a direct or indirect effect on reproductive toxicity. Limited data on the use of amoxicillin during human pregnancy do not indicate an increased risk of congenital malformations. The drug Amoxicillin can be used during pregnancy only in cases where the expected benefit to the mother outweighs the potential risk to the fetus.

Amoxicillin is excreted in breast milk in small amounts, if necessary, it is possible to use the drug during breastfeeding. A breastfed baby may develop diarrhea, sensitization, and fungal infection of the mucous membranes, so it may be necessary to stop breastfeeding. Amoxicillin should be used during breastfeeding only after the benefit / risk ratio has been assessed by the attending physician.

Route of administration and doses

Amoxicillin Dispertab ^®
used inside, regardless of the meal.

The tablet can be swallowed whole with a glass of water, or diluted in water (not less than 50 ml) immediately before use and mixed thoroughly. The resulting mixture, which has a light fruity taste, must be taken immediately after preparation.

Doses

When choosing a dose of the drug Amoxicillin Dispertab ^® for the treatment of certain infections, the following factors should be considered:

suspected pathogens and their likely susceptibility to antibacterial drugs;

the severity and location of the infection;

age, body weight, and kidney function of the patient, as described below.

The duration of treatment depends on the type of infection and the clinical response of the patient and should be as short as possible. Some infections require longer treatment.

Adults and children ≥ 40 kg

Indication for use*	Dose*
Acute bacterial sinusitis	250-500 mg every 8 hours or 750 mg – 1 g every 12 hours For severe infections 750 mg – 1 g every 8 hours For the treatment of acute cystitis, it is possible to take 3 g twice a day.
Asymptomatic bacteriuria during pregnancy
Acute pyelonephritis
Dental abscess with inflammation of the subcutaneous tissue
Acute cystitis
Acute otitis media	500 mg every 8 hours or 750 mg – 1 g every 12 hours For severe infections 750 mg – 1 g every 8 hours for 10 days
Acute streptococcal tonsillitis and pharyngitis
Exacerbation of chronic bronchitis
community-acquired pneumonia	500 mg – 1 g every 8 hours
Typhoid and paratyphoid	500 mg – 2 g every 8 hours
Prosthetic joint infections	500 mg – 1 g every 8 hours
Prevention of bacterial endocarditis during surgical procedures in the oral cavity and upper respiratory tract	2 g orally, single dose 30 to 60 minutes before surgical procedure in the mouth and upper airways
Helicobacter pylori eradication	750 mg – 1 g twice daily in combination with a proton pump inhibitor (eg, omeprazole) and another antibiotic (eg, clarithromycin, metronidazole) for 7 days
Lyme disease	Early stage: 500 mg – 1 g every 8 hours, maximum daily dose of 4 g, divided into several doses, for 14 days (range 10 to 21 days) Late stage (systemic infection): 500 mg – 2 g every 8 hours, maximum daily dose of 6 g, divided into several doses, for 10-30 days
*The official clinical guidelines for each indication should be taken into account.

Children weighing ≥ 40 kg

Children weighing over 40 kg should take the recommended adult dose.

Children weighing < 40 kg:

Indication for use*	Dose*
Acute bacterial sinusitis	20-90 mg/kg/day divided into 2-3 doses**
Acute otitis media
community-acquired pneumonia
Acute cystitis
Acute pyelonephritis
Dental abscess with inflammation of the subcutaneous tissue
Acute streptococcal tonsillitis and pharyngitis	40-90 mg/kg/day divided into 2-3 doses**
Typhoid and paratyphoid	100 mg/kg/day divided into 3 doses
Prosthetic joint infections	500 mg – 1 g every 8 hours
Prevention of bacterial endocarditis during surgical procedures in the oral cavity and upper respiratory tract	50 mg/kg po, single dose 30 to 60 minutes before surgical procedure in the mouth and upper airways
Lyme disease	Early stage: 25-50 mg/kg/day divided into 3 doses for 10-21 days. Late stage (systemic infection): 100 mg/kg/day divided into 3 divided doses for 10-30 days.
* Official guidelines for each indication should be taken into account. **Only in the case of amoxicillin in the upper dose range, twice daily administration should be considered.

Dosing regimen in certain categories of patients

Elderly patients

Dose adjustment is not required.

Patients with renal insufficiency

Glomerular filtration rate (ml/min)	Adults and children ≥ 40 kg	Children < 40kg*
Over 30	No need for adjustment	No need for adjustment
10-30	Maximum 500 mg twice daily	15 mg/kg twice daily (maximum 500 mg twice daily)
Less than 10	Maximum 500 mg per day	15 mg/kg once daily (maximum 500 mg daily)
* In most cases, parenteral treatment is preferred

Patients receiving hemodialysis

Amoxicillin can be removed from the blood during hemodialysis.

	Hemodialysis
Adults and children ≥ 40 kg	15 mg/kg/day once. Before hemodialysis, one additional dose of 15 mg/kg is required. To restore the level of circulation of the drug after hemodialysis, it is necessary to administer an additional dose of 15 mg/kg.

Patients receiving peritoneal dialysis

The maximum dose of amoxicillin is 500 mg/day.

Patients with impaired liver function

Caution should be exercised and liver function monitored regularly.

Side effect:

The most common side effects are diarrhea, nausea, and skin rash.

The frequency of side effects is defined as follows: very often (≥ 1/10), often (≥ 1/100, < 1/10), infrequently (≥ 1/1000, < 1/100), rarely (≥ 1/10000, < 1/1000), very rare (< 1/10000), not known (cannot be estimated from the available data).

Infectious and parasitic diseases
very rarely	candidiasis of the skin and mucous membranes.
Blood and lymphatic system disorders
very rarely	reversible leukopenia (including severe neutropenia or agranulocytosis), reversible thrombocytopenia and hemolytic anemia; prolongation of bleeding time and prothrombin time.
Immune System Disorders
very rarely	severe allergic reactions such as angioedema, anaphylaxis, serum sickness and allergic vasculitis.
unknown	Jarisch-Herxheimer reaction, acute coronary syndrome associated with hypersensitivity (Kounis syndrome).
Nervous System Disorders
very rarely	hyperkinesia, dizziness, convulsions.
unknown	aseptic meningitis.
Gastrointestinal disorders
Clinical Study Data
* often	diarrhea and nausea.
* rarely	vomit.
Post-registration data
very rarely	antibiotic-associated colitis (including pseudomembranous colitis and hemorrhagic colitis), black “hairy” tongue; superficial discoloration of teeth.**
Liver and biliary tract disorders
very rarely	hepatitis, cholestatic jaundice, a moderate increase in the activity of aspartate aminotransferase and / or alanine aminotransferase in blood plasma.
Skin and subcutaneous tissue disorders
Clinical Study Data
* often	skin rash.
* rarely	hives, itching.
Post-registration data
very rarely	skin reactions such as erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, bullous and exfoliative dermatitis, acute generalized exanthematous pustulosis (AGEP), drug rash with eosinophilia and systemic symptoms (DRESS syndrome).
Renal and urinary tract disorders
very rarely	interstitial nephritis, crystalluria.
* The frequency of these adverse reactions was obtained on the basis of clinical studies, which in total covered about 6000 adults and children taking amoxicillin. ** Superficial tooth discoloration has been reported in children. Good oral hygiene helps prevent tooth discoloration, which can be corrected by brushing your teeth.

Release form

Dispersible tablets 125 mg, 250 mg, 500 mg, 1000 mg.

5 tablets (with a dosage of 125 mg, 250 mg, 500 mg and 1000 mg) or 7 tablets (with a dosage of 125 mg) or 10 tablets (with a dosage of 125 mg, 250 mg) in a blister pack made of polyvinyl chloride / polyvinylidene chloride film and aluminum foil printed varnished.

4 blisters of 5 tablets (125 mg, 250 mg, 500 mg and 1000 mg) or 2 blisters of 5 tablets (125 mg) or 2 or 4 blisters of 7 tablets (125 mg) mg) or 2 blister packs of 10 tablets (dosage 125 mg, 250 mg) are placed in a cardboard box.

Storage conditions

In a place protected from moisture and light at a temperature not exceeding 25 ° C.

Keep out of the reach of children.

Expiry date

2 years. Do not use after the expiration date.

Vacation conditions

Released by prescription.

Manufacturer/claimer:

AVVA RUS JSC, Russia, 610044, Kirov region, Kirov, st. Luganskaya, d. 53a.

Tel.: +7 (8332) 25-12-29; +7 (495) 956-75-54.

avva-rus.ru

Full instructions can be found in the file

Download Instructions – Amoxicillin Dispertab 125 mg

SOLGAR – official site in Russia

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We drink Solgar products with the whole family, we buy cangavites for our daughter, she chews them with pleasure. When used, hair and nails grow actively immediately and the complexion changes, which means the contents of the tablets are perfectly absorbed. And the child became easier to endure the disease.

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`Irina
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ʻAbout Kangavites Tropical Fruit Flavored Multivitamin & Mineral Complex Formula`+
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Saw selenium solgar as prescribed by an endocrinologist. After covid, TSH increased a lot. Taking 1 tablet of Solgar selenium for 3 months evened out the thyroid gland. It was not necessary to add L-teroxin. Thank you for such a product.

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`Svetlana
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`Product Selenium`+
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Excellent product for keeping the skin in good condition. I have had psoriasis for many years. And when an exacerbation begins in spring and autumn, I drink these vitamins.

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`Aizhan
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`about the product Skin, nails, hair`+
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I am taking it for the third month. Not a trace of the tides remained. I advise. I didn’t find information anywhere – how much can I take continuously?

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`Natalia
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`about Meno Prime`+
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I buy every six months, my iron constantly drops, I drink it, the effect is enough for half a year

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`Elena
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ʻAbout Gentle Iron Easily Accessible Iron`+
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I’ve been drinking this complex for many years, twice a year. Solgar has been the best manufacturer for me for over 20 years.

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`Christina
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ʻAbout the product Multi-ONE`+
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I have been taking Lysine for several years now. Nothing helps like Lysine to prevent herpes! I forgot about herpes in general. Lysine also improves immunity, you get sick more easily and recover faster. But lysine is a cumulative effect.

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`Katerina
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`about the product L-Lysine tablets 1000 mg 50 pcs`+
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I drank this complex, the result is excellent

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`Valery
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`about the product Collagen and hyaluronic acid complex`+
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Liked this product. After taking the course, I began to feel better, it was easier to wake up in the morning, my general condition improved. I will recommend to all my relatives.

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`George
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`about the product Multivitamin and mineral complex for men`+
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I only accept Solgar. Tried cheaper dietary supplements, no benefit. Only drugs from Solgar helped. Highly recommend.

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`Galina
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`about the product Complex for digestion`+
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IT HAS BEEN TWO WEEKS BUT I FEEL IMPROVED. IN DIABETES. I WOULD LIKE TO PURCHASE THE SAME DRUG BUT WITH WEIGHT LOSS. ALTHOUGH AND WITH THIS I EAT LESS. IT WOULD BE GOOD TO HAVE A PAPER INSTRUCTION INDICATING THE COURSE OF TREATMENT.

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`LYUDMILA
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ʻAbout Chromium Picolinate`+
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Taking omega-3 Solgar for 2 months, cholesterol dropped to 5.1, skin became younger and everything improved. Digestion is restored, the pain in the knee is gone.

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`Lyudmila
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`about the product Omega-3 Fish Oil Concentrate`+
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Good afternoon! I started taking Menoprime two weeks ago. I was pleasantly surprised by the quick action of vitamins on my body. Sleep improved, anxiety went away, mood swings and hot flashes disappeared. Miracle – the cycle was restored! Highly recommend to all pre-menopausal women! 💕

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`Hope
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`about Meno Prime`+
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I drank the 3rd trimester of pregnancy, and now I’m starting to drink while breastfeeding 🙂 in general, the condition is good, the only thing it would be good if the instructions wrote how many tablets per day are recommended for breastfeeding:)

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`Ole Brown
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`About Prenatabs`+
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I have been taking Solgar complexes for a long time, I am satisfied. Tried to replace, alas, the difference is palpable. Thanks to the coach for the recommendation.

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`Guzil
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`about the product Collagen and hyaluronic acid complex`+
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I drink not for the first time, together with Omega 950 – the effect is amazing, energy, the brain works)) I will buy more

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`Diana
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`About B-Complex`+
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Excellent drug, the result is

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`Svetlana
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ʻAbout Chromium Picolinate`+
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Recommended. Very good vitamins. After prolonged pneumonia and a course of antibiotics, her hair began to fall out profusely. A course of vitamins helped.

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`Julia
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`about the product Skin, nails, hair`+
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Feeling better, a surge of strength, no depression, now as without it

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`Olga
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`about the product Multivitamin and mineral complex 50+`+
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I fell ill in the summer and could not recover for a long time, the immune system could not cope. I decided to try to drink the complex for immunity from Solgar. The effect is very pleasing! I drank the whole complex in 2 months. With the onset of cold weather, I feel great! Already recommended to all my friends!

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`Anastasia
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`about the product Immuno-complex Ester-C plus`+
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The effect of the product is noticeable in just a week of use! The complex perfectly helped to solve the problem with drowsiness and irritability. We drink with the whole family

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`Elizabeth
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ʻAbout the product Multi-ONE`+
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Solgar Magnesium Citrate is always in my first aid kit. When you need to calm down during the day or after a hard day at work in order to fall asleep easier and get better sleep. Two tablets a day – very convenient and priced much better than the other

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`Sofia
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`About Magnesium Citrate`+
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At the first sign of a cold! 2 capsules! And you are recovering! The cold is gone! Super product!

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`Irina
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`about the product Immuno-complex Ester-C plus`+
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Tried 5 iron preparations, could not drink – nausea, etc. , the doctor recommended solgar, 3 months and ferritin is normal, now I continue. Recommend

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`Zueva Kristina
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ʻAbout Gentle Iron Easily Accessible Iron`+
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I’ve been taking this complex for three months now, I feel great, my hair is falling out less

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`Olga
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ʻAbout the product Multi-ONE`+
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I take it on a daily basis, constantly, regardless of the season, the dosage is optimal for taking on a regular basis, immunity support plus a good mood, where else can vitamin D come from in our body, a very good vitamin brand

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`Vladislav
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`about the product Vitamin D3 600 ME`+
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The best iron I’ve ever tried! Well tolerated, does not cause nausea, well raises the level of iron and ferritin.

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`Alana
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ʻAbout Gentle Iron Easily Accessible Iron`+
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I go to the gym 3-4 times a week professionally. I take 2 capsules, strength and energy have increased a lot. I came to the pharmacy and asked for vitamins for vigor. Works !

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`Sergey
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`Product Nutricoenzyme Q-10 with Alpha Lipoic Acid`+
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I bought omega 3 because everyone says: doctors and nutritionists that this product is very useful. I note that at the first dose there was a very strong smell of Fish, at first I was embarrassed, but several days passed, and the smell is almost not noticeable. I take 1 capsule every day. I plan to continue taking it on an ongoing basis.

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`Elena
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ʻProduct Information Triple Omega-3 Capsules 950mg EPA & DHA`+
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I take lecithin on a regular basis. It is a necessary product for health, memory and attention. I feel great.

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`Christina
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ʻAbout Natural Soy Lecithin`+
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Bought amino acids after an illness on the recommendation of a doctor. Really working product that helped to recover quickly!! I will take other products of the brand! Thank you!

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`Natalia
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ʻAbout the product Complex of essential amino acids capsule`+
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Excellent product for restoring intestinal flora after taking antibiotics. One capsule a day👍 Recommend ❤️

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`Elena
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ʻAbout Ultibio-Immun`+
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It took me a long time to choose vitamins for myself. I compared the compositions, settled on Solgar. I have been taking the product Skin, Hair, Nails for 2 months. Hair noticeably branched out and began to look much better. Rashes, peeling and inflammation have disappeared on the skin. Feeling smooth and silky. Plus now I started drinking Omega 3-6-9and I want to add a Hyaluronic Complex to enhance the effect.

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`Alina
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`about the product Skin, nails, hair`+
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We take this product with the whole family, it helps my husband to control cholesterol and maintain the cardiovascular system, in my case it is an excellent support for joint health.