How does Singulair work to manage asthma and allergies. What are the recommended dosages for different age groups and conditions. Can Singulair cause mood changes or other side effects. Is Singulair safe for long-term use in children and adults.

Understanding Singulair: A Comprehensive Overview

Singulair, known generically as montelukast, is a prescription medication widely used in the treatment of asthma and allergies. This versatile drug has gained prominence for its ability to prevent asthma attacks and provide relief from various allergic conditions. But what exactly makes Singulair effective, and how does it work in the body?

Singulair belongs to a class of medications called leukotriene receptor antagonists. Its primary mechanism of action involves blocking the effects of leukotrienes, which are inflammatory substances produced by the body in response to certain triggers. By inhibiting these molecules, Singulair helps to reduce inflammation in the airways, thereby alleviating symptoms associated with asthma and allergies.

Key Functions of Singulair

• Prevents asthma attacks in individuals 12 months and older
• Relieves symptoms of seasonal, indoor, and outdoor allergies
• Treats allergic rhinitis (hay fever)
• Prevents exercise-induced bronchospasm in adults and children 6 years or older

Are you wondering about the specific conditions Singulair can treat? The medication has been approved for use in:

1. Chronic asthma management
2. Prevention of exercise-induced asthma
3. Relief of seasonal allergic rhinitis symptoms
4. Treatment of perennial allergic rhinitis

Dosage Guidelines: Tailoring Treatment to Age and Condition

The effectiveness of Singulair relies heavily on proper dosing, which varies depending on the patient’s age and the specific condition being treated. Healthcare providers typically recommend taking Singulair once daily, but the exact dosage and timing can differ.

Chronic Asthma Dosage

For individuals with chronic asthma, the recommended evening doses are:

• 15 years or older: 10 mg
• 6-14 years: 5 mg
• 12 months-5 years: 4 mg

It’s important to note that Singulair is not approved for use in children under 12 months for chronic asthma management.

Exercise-Induced Asthma Prevention

When used to prevent exercise-induced asthma, Singulair should be taken 2 hours before physical activity. The dosages are:

• 15 years or older: 10 mg
• 6-14 years: 5 mg

Children under 6 years old should not use Singulair for exercise-induced asthma prevention due to a lack of clinical studies in this age group.

Seasonal Allergic Rhinitis Treatment

For seasonal allergic rhinitis, Singulair can be taken in the morning or evening:

• 15 years or older: 10 mg
• 6-14 years: 5 mg
• 2-5 years: 4 mg

The medication is not recommended for children under 2 years old for this condition.

Perennial Allergic Rhinitis Management

Dosages for perennial allergic rhinitis are similar to those for seasonal allergic rhinitis, with the addition of a 4 mg dose for children 6 months to 5 years old.

The Science Behind Singulair: How It Combats Asthma and Allergies

To truly appreciate the effectiveness of Singulair, it’s crucial to understand its mechanism of action. The medication works by targeting leukotrienes, which are key players in the body’s inflammatory response.

When a person with asthma or allergies encounters a trigger, their body releases leukotrienes. These molecules cause a cascade of effects, including:

• Airway inflammation and swelling
• Constriction of airway muscles
• Increased mucus production
• Obstruction of airflow

By blocking the action of leukotrienes, Singulair effectively prevents these inflammatory responses, helping to keep airways open and reduce allergy symptoms.

How quickly does Singulair take effect? The medication begins to work within 2 hours of ingestion, providing relatively rapid relief for users. However, it’s important to note that Singulair is not suitable for treating acute asthma attacks, as it doesn’t act quickly enough in emergency situations.

Potential Side Effects: Weighing the Benefits and Risks

While Singulair can be highly effective in managing asthma and allergies, it’s not without potential side effects. Understanding these risks is crucial for patients and healthcare providers when considering treatment options.

Common Side Effects

The most frequently reported side effects of Singulair include:

• Coughing
• Diarrhea
• Ear infections
• Headaches
• Sinus infections
• Sore throat
• Stomach pain
• Upper respiratory infections

While these side effects are generally mild, patients should inform their healthcare provider if they experience persistent or severe symptoms.

Serious Adverse Effects

In some cases, Singulair may cause more serious side effects that require immediate medical attention. These can include:

• Skin rashes or hives
• Bruising
• Muscle pain or weakness
• Unusual bleeding
• Pinpoint spots under the skin

Patients experiencing any of these symptoms should seek medical help promptly.

Neuropsychiatric Side Effects: A Cause for Concern

Perhaps the most controversial aspect of Singulair use is its potential to cause neuropsychiatric side effects. Research has suggested a link between the medication and changes in behavior and mood, including:

• Hostility
• Aggression
• Agitation
• Vivid and unpleasant dreams
• Depression
• Suicidal thoughts or actions

These potential side effects have raised concerns among healthcare professionals and patients alike. The FDA has issued warnings about these risks, particularly in children and adolescents.

Singulair in Children: Balancing Efficacy and Safety

The use of Singulair in pediatric populations requires careful consideration. While the medication can be highly effective in managing childhood asthma and allergies, the potential for neuropsychiatric side effects has led to increased scrutiny.

Parents and healthcare providers must weigh the benefits of improved asthma and allergy control against the risk of mood and behavior changes. Regular monitoring and open communication about any observed changes in a child’s behavior or mood are essential when using Singulair.

Alternative Formulations for Young Children

To accommodate younger patients, Singulair is available in different formulations:

• Chewable tablets: Cherry-flavored, for children 2-14 years old
• Oral granules: For children 6-23 months old

These alternative forms make it easier to administer the correct dose to young children who may have difficulty swallowing standard tablets.

Long-Term Use of Singulair: What You Need to Know

For many individuals with chronic asthma or persistent allergies, long-term use of Singulair may be recommended. But what are the implications of extended use of this medication?

Long-term studies have generally shown Singulair to be safe and effective when used as directed. However, ongoing monitoring is crucial, particularly in light of the potential neuropsychiatric side effects.

Benefits of Long-Term Use

• Consistent asthma control
• Reduced frequency of asthma attacks
• Improved quality of life for allergy sufferers
• Potential reduction in the need for rescue medications

Considerations for Extended Use

• Regular check-ups with healthcare providers
• Monitoring for any changes in mood or behavior
• Periodic reassessment of the need for continued treatment
• Awareness of any new research or safety information

Patients on long-term Singulair therapy should maintain open communication with their healthcare providers and report any concerns or side effects promptly.

Singulair vs. Other Asthma and Allergy Medications: A Comparative Analysis

While Singulair has proven effective for many patients, it’s not the only option for managing asthma and allergies. How does it compare to other commonly prescribed medications?

Singulair vs. Inhaled Corticosteroids

Inhaled corticosteroids are often considered the gold standard for asthma control. They work by reducing inflammation in the airways. Compared to Singulair:

• Inhaled corticosteroids may be more effective for some patients in controlling asthma symptoms
• Singulair has the advantage of being an oral medication, which some patients find easier to use
• Inhaled corticosteroids may have different side effect profiles, including potential growth suppression in children

Singulair vs. Antihistamines

For allergy symptoms, antihistamines are a common alternative to Singulair. Key differences include:

• Antihistamines work by blocking histamine, while Singulair targets leukotrienes
• Some antihistamines can cause drowsiness, which is not typically associated with Singulair
• Singulair may be more effective for some patients in managing both asthma and allergy symptoms

Combination Therapy

In some cases, healthcare providers may recommend using Singulair in combination with other medications for optimal symptom control. This approach can leverage the benefits of different mechanisms of action to provide more comprehensive management of asthma and allergies.

Navigating Singulair Use: Tips for Patients and Caregivers

To maximize the benefits of Singulair while minimizing risks, patients and caregivers should keep the following tips in mind:

1. Always take Singulair exactly as prescribed by your healthcare provider
2. Do not use Singulair to treat acute asthma attacks; keep a rescue inhaler on hand for emergencies
3. Be aware of potential side effects and report any concerning symptoms to your doctor
4. If using Singulair for exercise-induced asthma, take it 2 hours before physical activity
5. For children using oral granules, administer the dose within 15 minutes of opening the packet
6. Keep regular follow-up appointments with your healthcare provider to assess the medication’s effectiveness
7. Inform your doctor of any other medications or supplements you’re taking to avoid potential interactions
8. If you’re pregnant or breastfeeding, discuss the risks and benefits of Singulair use with your healthcare provider

By following these guidelines and maintaining open communication with healthcare providers, patients can optimize their experience with Singulair and effectively manage their asthma and allergy symptoms.

How it works, uses, and side effects

Singulair, also known as montelukast, is a prescription medication that helps prevent asthma attacks in people aged 12 months and over. It can also provide relief for seasonal, indoor, and outdoor allergies and allergic rhinitis.

Doctors prescribe Singulair on a long-term basis to treat asthma. It can also help relieve symptoms of allergic rhinitis, such as sneezing, stuffy and runny noses, and nasal itching.

It can also prevent exercise-induced bronchospasm in adults and children aged 6 years or older.

However, Singulair has severe side effects related to mood, which have caused controversy in recent years.

Singulair has the following uses:

• as a treatment for chronic asthma
• to prevent exercise-induced asthma
• to relieve the symptoms of seasonal allergic rhinitis, also known as hay fever
• to relieve the symptoms of perennial allergic rhinitis

People taking Singulair to prevent asthma during physical activity should always speak with their doctor before use.

Singulair does not act fast enough to treat an asthma attack immediately, so a person should not use it to treat sudden asthma attacks. Instead, they should use a rescue inhaler. These have a much quicker effect.

The producers of Singulair advise taking the drug once a day.

The dosage depends on the type of allergic rhinitis or asthma a person has and their age.

Chronic asthma

For treating chronic asthma, a person should take Singulair in the evening in the following amounts:

• 15 years or older: 10 milligrams (mg)
• 6–14 years: 5 mg
• 12 months–5 years: 4 mg

Children under 12 months should not take Singulair for exercise-induced asthma, as there are no clinical studies to support its use by this age group.

Children aged 6–23 months should take Singulair in oral granule form, as the Food and Drug Administration (FDA) has not approved tablets for this age group. A person should give a child granules within 15 minutes of opening the packet.

Exercise-induced asthma

People who use Singulair to prevent exercise-induced asthma should take the drug 2 hours before exercise. They should keep a rescue inhaler on hand in case of a severe reaction. People who are already taking a daily dose should not take an additional prevention dose.

A person should separate daily doses by at least 24 hours.

Recommended dosages are 10 mg for people aged 15 years or older and 5 mg for people aged 6—14 years.

Children under 6 years old should not take Singulair for exercise-induced asthma, as there are no clinical studies to support its use by this age group.

Seasonal allergic rhinitis

A person with seasonal allergic rhinitis can take Singulair in the morning or evening in the following dosages:

• 15 years or older: 10 mg
• 6–14 years: 5 mg
• 2–5 years: 4 mg

Children under 2 years old should not take Singulair for seasonal allergic rhinitis, as there are no clinical studies to support its use by this age group.

Perennial allergic rhinitis

A person with perennial allergic rhinitis can take Singulair in the morning or evening in the following dosages:

• 15 years or older: 10 mg
• 6–14 years: 5 mg
• 6 months–5 years: 4 mg

Children aged 6–23 months should take Singulair in oral granule form, as tablets are not FDA-approved for this age group. A person should give a child granules within 15 minutes of opening the packet.

Singulair is also available as a cherry-flavored chewable tablet for children aged 24 months to 14 years.

A person who has both asthma and allergic rhinitis should take one dose daily in the evening.

How long does it take to work?

Singulair tablets begin to work within 2 hours of the person taking their dose.

Singulair blocks the action of leukotrienes.

Leukotrienes are fatty signaling molecules that the body produces when there is inflammation. Researchers believe they may play a key role in triggering asthma and hay fever symptoms.

These molecules contribute to the way asthma develops, causing a range of effects, including:

• inflammation and swelling in the airways
• airflow obstruction
• airway constriction
• increased secretion and buildup of mucus

When a person inhales asthma triggers, such as pollen, the body reacts by releasing leukotrienes.

Leukotrienes cause swelling and inflammation in the lungs and airways. The muscles in the airways tighten, resulting in asthma symptoms, including:

• shortness of breath
• wheezing
• coughing

When Singulair blocks leukotrienes, it helps to prevent asthma symptoms.

The most common side effects of Singulair include:

• a cough
• diarrhea
• ear infections
• earache
• sinus infections
• a sore throat
• stomach pain
• upper respiratory infections

People should report the following adverse effects to a doctor:

• a skin rash or hives
• bruising
• pain or muscle weakness
• bleeding
• pinpoint spots under the skin

Research suggests a link between Singulair and behavior and mood changes, including:

• hostility
• aggression
• agitation
• vivid and unpleasant dreams
• confusion
• anxiety
• hallucinations
• sleepwalking
• suicidal thoughts
• insomnia
• tremor
• depression

Children and younger people using the medication are particularly at risk of these side effects. In March 2020, the FDA strengthened its warning about Singulair’s adverse effects.

The FDA also cautions people not to stop taking Singulair without first discussing this with a healthcare professional.

A person should report any worsening asthma symptoms to a doctor. If Singulair triggers an allergic reaction, seek immediate medical assistance.

The chewable tablets contain a component of aspartame called phenylalanine. Some people are allergic to this substance and should not use Singulair.

Suicide prevention

If you know someone at immediate risk of self-harm, suicide, or hurting another person:

• Ask the tough question: “Are you considering suicide?”
• Listen to the person without judgment.
• Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor.
• Stay with the person until professional help arrives.
• Try to remove any weapons, medications, or other potentially harmful objects.

If you or someone you know is having thoughts of suicide, a prevention hotline can help. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988.

Click here for more links and local resources.

Was this helpful?

Singulair or montelukast is a drug that gradually reduces the risk of asthma flare-ups by blocking the action of leukotrienes. These are fatty signaling molecules, which the body uses during inflammation and allergic reactions.

Singulair is available as chewable tablets, granules, and regular tablets, and dosage depends on the age of the person with inflammation or asthma.

However, the FDA warns that Singulair can lead to severe side effects, including difficulties with psychological health, especially in young people.

Q:

Can I take Singulair while using other medications?

Anonymous

A:

Singulair is safe to take with most medications.

Discuss all medications you are taking with your doctor and pharmacist to ensure that Singulair is safe to take with your medications.

Dena Westphalen, Pharm.D Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Was this helpful?

How it works, uses, and side effects

Singulair, also known as montelukast, is a prescription medication that helps prevent asthma attacks in people aged 12 months and over. It can also provide relief for seasonal, indoor, and outdoor allergies and allergic rhinitis.

Doctors prescribe Singulair on a long-term basis to treat asthma. It can also help relieve symptoms of allergic rhinitis, such as sneezing, stuffy and runny noses, and nasal itching.

It can also prevent exercise-induced bronchospasm in adults and children aged 6 years or older.

However, Singulair has severe side effects related to mood, which have caused controversy in recent years.

Singulair has the following uses:

• as a treatment for chronic asthma
• to prevent exercise-induced asthma
• to relieve the symptoms of seasonal allergic rhinitis, also known as hay fever
• to relieve the symptoms of perennial allergic rhinitis

People taking Singulair to prevent asthma during physical activity should always speak with their doctor before use.

Singulair does not act fast enough to treat an asthma attack immediately, so a person should not use it to treat sudden asthma attacks. Instead, they should use a rescue inhaler. These have a much quicker effect.

The producers of Singulair advise taking the drug once a day.

The dosage depends on the type of allergic rhinitis or asthma a person has and their age.

Chronic asthma

For treating chronic asthma, a person should take Singulair in the evening in the following amounts:

• 15 years or older: 10 milligrams (mg)
• 6–14 years: 5 mg
• 12 months–5 years: 4 mg

Children under 12 months should not take Singulair for exercise-induced asthma, as there are no clinical studies to support its use by this age group.

Children aged 6–23 months should take Singulair in oral granule form, as the Food and Drug Administration (FDA) has not approved tablets for this age group. A person should give a child granules within 15 minutes of opening the packet.

Exercise-induced asthma

People who use Singulair to prevent exercise-induced asthma should take the drug 2 hours before exercise. They should keep a rescue inhaler on hand in case of a severe reaction. People who are already taking a daily dose should not take an additional prevention dose.

A person should separate daily doses by at least 24 hours.

Recommended dosages are 10 mg for people aged 15 years or older and 5 mg for people aged 6—14 years.

Children under 6 years old should not take Singulair for exercise-induced asthma, as there are no clinical studies to support its use by this age group.

Seasonal allergic rhinitis

A person with seasonal allergic rhinitis can take Singulair in the morning or evening in the following dosages:

• 15 years or older: 10 mg
• 6–14 years: 5 mg
• 2–5 years: 4 mg

Children under 2 years old should not take Singulair for seasonal allergic rhinitis, as there are no clinical studies to support its use by this age group.

Perennial allergic rhinitis

A person with perennial allergic rhinitis can take Singulair in the morning or evening in the following dosages:

• 15 years or older: 10 mg
• 6–14 years: 5 mg
• 6 months–5 years: 4 mg

Children aged 6–23 months should take Singulair in oral granule form, as tablets are not FDA-approved for this age group. A person should give a child granules within 15 minutes of opening the packet.

Singulair is also available as a cherry-flavored chewable tablet for children aged 24 months to 14 years.

A person who has both asthma and allergic rhinitis should take one dose daily in the evening.

How long does it take to work?

Singulair tablets begin to work within 2 hours of the person taking their dose.

Singulair blocks the action of leukotrienes.

Leukotrienes are fatty signaling molecules that the body produces when there is inflammation. Researchers believe they may play a key role in triggering asthma and hay fever symptoms.

These molecules contribute to the way asthma develops, causing a range of effects, including:

• inflammation and swelling in the airways
• airflow obstruction
• airway constriction
• increased secretion and buildup of mucus

When a person inhales asthma triggers, such as pollen, the body reacts by releasing leukotrienes.

Leukotrienes cause swelling and inflammation in the lungs and airways. The muscles in the airways tighten, resulting in asthma symptoms, including:

• shortness of breath
• wheezing
• coughing

When Singulair blocks leukotrienes, it helps to prevent asthma symptoms.

The most common side effects of Singulair include:

• a cough
• diarrhea
• ear infections
• earache
• sinus infections
• a sore throat
• stomach pain
• upper respiratory infections

People should report the following adverse effects to a doctor:

• a skin rash or hives
• bruising
• pain or muscle weakness
• bleeding
• pinpoint spots under the skin

Research suggests a link between Singulair and behavior and mood changes, including:

• hostility
• aggression
• agitation
• vivid and unpleasant dreams
• confusion
• anxiety
• hallucinations
• sleepwalking
• suicidal thoughts
• insomnia
• tremor
• depression

Children and younger people using the medication are particularly at risk of these side effects. In March 2020, the FDA strengthened its warning about Singulair’s adverse effects.

The FDA also cautions people not to stop taking Singulair without first discussing this with a healthcare professional.

A person should report any worsening asthma symptoms to a doctor. If Singulair triggers an allergic reaction, seek immediate medical assistance.

The chewable tablets contain a component of aspartame called phenylalanine. Some people are allergic to this substance and should not use Singulair.

Suicide prevention

If you know someone at immediate risk of self-harm, suicide, or hurting another person:

• Ask the tough question: “Are you considering suicide?”
• Listen to the person without judgment.
• Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor.
• Stay with the person until professional help arrives.
• Try to remove any weapons, medications, or other potentially harmful objects.

If you or someone you know is having thoughts of suicide, a prevention hotline can help. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988.

Click here for more links and local resources.

Was this helpful?

Singulair or montelukast is a drug that gradually reduces the risk of asthma flare-ups by blocking the action of leukotrienes. These are fatty signaling molecules, which the body uses during inflammation and allergic reactions.

Singulair is available as chewable tablets, granules, and regular tablets, and dosage depends on the age of the person with inflammation or asthma.

However, the FDA warns that Singulair can lead to severe side effects, including difficulties with psychological health, especially in young people.

Q:

Can I take Singulair while using other medications?

Anonymous

A:

Singulair is safe to take with most medications.

Discuss all medications you are taking with your doctor and pharmacist to ensure that Singulair is safe to take with your medications.

Dena Westphalen, Pharm.D Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Was this helpful?

Singular reviews. Advice and recommendations of physicians about the use of Singulair

5 / 5

Singular is used in obstructive airway diseases. Reviews of doctors on the use for children

2 votes

Latin name: Singulair. Producer: Merck Sharp and Dome BV (Netherlands).

Doctors about the drug: use for children, treatment of bronchitis and allergic rhinitis.

Active ingredient : Montelukast

Doctors’ opinions, What people write, User questions

Consultation with a specialist is necessary before use – consult

All doctors are experts in our service. Documents of doctors are checked.

Singular

The active ingredient of Singular is montelukast, a leukotriene receptor blocker.

Available in 5 mg tablets for children aged 6 to 14 and 10 mg for 14 years and adults. The tablets must be chewed. There are other analogues of this drug, which are available in coated tablets, they must be swallowed whole without chewing.

This drug is indicated for mild bronchial asthma as an additional therapy to reduce the number of attacks. It does not stop the attacks themselves, does not replace inhaled glucocosteroids and bronchodilators.

Also, the drug can be used to alleviate the course of seasonal allergic rhinitis.

Singulair is well tolerated. It is contraindicated in pregnancy, individual intolerance and lactation, as it penetrates well into breast milk and through the placental barrier.

It is well compatible with HCC and β-adrenergic agonists, which are prescribed for the treatment of bronchial asthma.

Doctor’s assessment:

2018-04-14 00:55:21

Singulair

Singulair is an anti-asthma drug that blocks special receptors in the bronchi, helps restore normal rhythm and breathing volume.

Controlled multicenter randomized clinical trials have shown that Singulair relieves day and night symptoms of bronchial asthma, improves the functional characteristics of the respiratory tract, reduces the number of acute episodes, reduces the consumption of bronchodilator drugs, reduces the hypersensitivity of the bronchial tree, incl. during physical work, effective in patients with individual intolerance to Aspirin.

Used in pediatric practice from the age of 6. Chewable tablets should be taken before going to bed, which is very popular with children.

A worthy alternative to i-GCS or increasing doses of i-GCS.

In general, I think Singulair is an excellent drug. Its ease of use and quality of the drug are worth special attention. In the absence of any benefits, the price significantly limits its purpose. Parents of patients periodically either do not complete treatment or do not start it at all.

Doctor’s rating:

2018-02-18 21:20:15

Reviews of the drug Singulair

Pay close attention to user reviews. Some manufacturing companies may order purchased reviews.

Singular user questions

Stopping drugs before skin tests

Hello! My son is 17 years old, the immunologist prescribed a scheme: 2 weeks of each month, take loratadine 1t. in the morning and singular every day for 1t. in the morning. In 2 weeks we have skin allergy tests. Antihistamines were told to stop. And the singular somehow m…

Should I start taking Singulair?

Hello. My daughter is almost 3 years old. And for the past year she has been suffering from cough and snot. We go to the garden for three weeks at home. They drank various antibiotics, inhalations with beradual, syrups, allergy drops. Were at the allergist, preliminary diagnosis of obstructive…

Attacks at night

Hello. a 3.5-year-old child was diagnosed with bronchial asthma with allergic rhinitis, basic therapy with pulmicort and singular at night. prisiupy very often at night. what to do?

Drug interactions

Allergist prescribed Singulair, ENT prescribed Polydex, Nasonex, Vibrocil and Loratadine. Everything must be taken at once. Question: is it possible to combine Singular with Loratadine

Compatibility

Hello, is it possible to do a Diaskin test for a child while taking a course of Ismigen (we do not get sick for prevention) and Singular? we are afraid for a false positive test or it is better to postpone. Thank you !

I doubt the test results

Good afternoon, a little over a month ago I made an appointment with an allergist, because I thought that I had an allergic exacerbation (nasal congestion did not go away for 2 weeks, my eyes itched, I often sneezed). As a child, she was allergic to dust…

what to bring and how to buy them, rules for importing medicines to Russia

Natalya Zhukova

saves on medicines

Author profile

Our acquaintance with Turkish medicines began seven years ago.

Our child fell ill while on vacation on the Turkish coast. I am one of those mothers who take on vacation an impressive first aid kit with drugs for all possible cases of ailment. However, that time the antipyretic brought from Russia was enough for exactly four doses. We found a pharmacy and bought several syrups for the child: Ibufen, Calpol and Dolven.

We liked the effect, and then I realized that many medicines are cheaper in Turkey than in Russia. Since then, every vacation I replenish the first-aid kit with drugs. I will tell you how to find the right medicine in Turkey and how best to buy medicines in a Turkish pharmacy.

After this evening, our acquaintance with Turkish medicines began

Go to the doctor

Our articles are written with love for evidence-based medicine. We refer to authoritative sources and go to doctors with a good reputation for comments. But remember: the responsibility for your health lies with you and your doctor. We don’t write prescriptions, we give recommendations. Relying on our point of view or not is up to you.

How do I make a list of necessary medicines using Turkish websites

How to make a list of needed medicines. Before my next trip to Turkey, I always make a list of the medicines we need. I am writing indicative prices in Turkish lira, possible analogues in case something is not available in the pharmacy.

I collect information on drugs myself. At first, I formed my list based on the reviews of other tourists, including only the simplest drugs. Some of them have firmly entered our family first aid kit.

Each drug has a main active ingredient, or international non-proprietary name, INN. It is indicated in the instructions for any medicine, usually in the “Composition” section. For example, the main active ingredient of the drug “Nise” is nimesulide.

Also in the instructions is the ATC code, or anatomical-therapeutic-chemical classification. This is an international drug classification system. For example, for “Nise” ATX – M01AX17.

You can see the necessary information in the paper instructions for the drug or on sites with instructions, I usually use the Russian register of medicines.

Required drug information. Source: Register of Medicines of Russia

To find the right medicine abroad, you will need the name of the active substance, only in Latin, or the ATC code. So, “Nise” in Latin will be referred to as Nimesulide.

That is, you need to write out active substances or ATC codes for all drugs that you want to buy. For search, you can use either one or the other – which will be more convenient.

What are the drugs

Analogues – drugs with different active ingredients, but similar action. It is worth replacing one medicine with an analogue only after consulting a doctor – for example, they may have different side effects and contraindications. For example, an analogue of an antipyretic drug based on paracetamol will be an antipyretic drug based on ibuprofen.

Synonyms – drugs with the same active ingredient, but different names. So, painkillers based on diclofenac “Diklak” and “Ortofen” are synonyms.

Originals and generics. There are original drugs – these are drugs from the manufacturer with a unique active ingredient. Generics are copied drugs with the same active ingredient as the original. Original drugs and generics will be synonymous drugs in relation to each other.

Theoretically, generics should have the same medicinal effect as the originals, but this is not always the case because different companies may use different excipients or raw materials in production.

It is not always justified to replace the original drug with a generic drug – although this is unlikely to harm health when it comes to the treatment of minor ailments. For example, for colds, insect bites, heartburn or bruises, a generic is also suitable, but a serious chronic disease is best treated with the original drug.

Which sites to look for Turkish medicines. There are many Turkish reference books with a list of medicines, I tried two options:

1. Ilacrehberi.com – here is the most complete information, but it is very difficult to use it, even if you have experience searching for medicines and some Turkish words are familiar. On this site, I check the cost of medicines after I have already found out their Turkish name. Here you can see the maximum selling price, above which pharmacies are not allowed to sell the drug.
2. Ilactr.com is the site I usually use to find the right drugs, their generics and analogues. The data here is up-to-date, and it is much easier to search for medicines.

How to search for medicines on the Turkish website. In the search bar, I enter the name of the active substance in Latin or the ATC code. The site gives me the medicine I need. It shows its Turkish name, such as NIMES for “Nise”, dosage, sometimes a photo, the need for a prescription, as well as the price – 14. 56 TRY⁣ (95.82 R).

How much do popular drugs and their cheap analogues cost?

The drug must be chosen in a suitable dosage. Everything is intuitively clear, for example:

• 100 mg 15 Tablet – dosage 100 mg, 15 tablets per pack;
• Jel %1 30 g 1% gel, 30 grams per tube;
• Şurup 150 ml – syrup, bottle 150 ml.

A site where I look at the Turkish name of the drug I need. Source: ilactr.com Turkish drug name, dosage, API, code, price, type of prescription. Source: ilactr.com At the time of the search, the site gives out all possible dosages of drugs with the introduced active ingredient, you need to choose the right one. Source: ilactr.com

How to tell if a drug is original or generic. In terms of composition and action, generics should be identical to the original, but this is not always the case. In Turkey, as in Russia, they are not tested for compliance with the therapeutic effect of the original drug in clinical trials. The test concerns only the bioavailability of the drug – the amount of active substance that is absorbed by the body. Generics will cost less than original drugs.

What are generics – FDA

I look for the original drug or generic drug on the Ilactr.com website in the drug description tab.

Ilacrehberi.com also lists this information – it will say Original or Generic. This can be viewed on the tab with general information about the drug.

Here you can see that Nimes 100 mg 15 Tablet is a generic drug. Source: ilactr.com The block on the right side indicates that the drug is generic. Source: ilacrehberi.com

How to check if a prescription is needed. In Turkey, as in Russia, not all medicines can be bought without a prescription. Most antibiotics, any hormonal or psychotropic drugs are sold only by prescription.

Even at a paid appointment, which costs from $30⁣ (2200 R), the doctor is not always entitled to prescribe what the patient asks him to. For example, at an insurance appointment, the doctor prescribes only what is needed for treatment at the moment.

It happens that prescription and over-the-counter drugs in Russia and Turkey do not match. That is, something in Russia is sold just like that, but in Turkey by prescription, and vice versa. Therefore, it is always worth checking the type of recipe and making sure that there will be no problems.

/za-granicey/

How to buy drugs abroad

In the column “Recipe type” must be indicated “Regular medicine”, or Normal Reçete, then it can be bought without problems.

If Normal Reçete is indicated, the medicine can be bought without a prescription. Source: ilactr.com

How to check the cost of a medicine. Please note that the Ilactr.com website indicates the minimum price of the drug, in reality it can be more expensive. I already look at the possible price range on the Ilacrehberi.com website. So, the minimum price of Nimes is 14. 56 TRY⁣ (97 R), maximum – 17.45 TRY⁣ (119 R). The average price is 16.93 TRY⁣ (112 R). That is, pharmacies should not sell for more than 17.45 TRY⁣ (119 R).

To find a drug on Ilacrehberi.com, you need to know the barcode of the drug, barkod in Turkish. I take it from Ilactr.com and enter it into the search bar.

The barcode is indicated in the description of the drug. Source: ilactr.com In the section with general information about medicines, you need to enter a barcode. Source: ilacrehberi.com The site shows the range of possible prices and the dynamics of changes in the cost of medicine for any period. Source: ilacrehberi.com

Russian-Turkish Medicinal Phrasebook

Turkish drug websites are intuitive. At first, I used a regular online translator from Russian to Turkish and vice versa. Then it’s much easier to navigate. Here are some key Turkish words that may come in handy:

Fiyatı – price.
Eşdeğerleri – literally “equivalents”, or analogues.
Original/Generic
Reçete Durumu/Reçete Tipi – the type of recipe required. We need a Normal Reçete, or “common medicine”, that is, something that can be bought without a prescription.
Firma is a manufacturer.
Etkin Madde is the active ingredient.
ATC Kodu – ATC code.
Çocuk is a child. This word should appear in the instructions if the drug is for children. You can also find the word Pediatrik – the literal translation of “pediatric”, or children’s. For example, Dolven Pediatrik Şurup 150 ml or Ibufen 100 mg/5 ml 100 ml pediatric şurup.

What is the best way to buy medicines in Turkey

Before the trip, I look at the map on the Internet for the location of pharmacies in the region where we plan to rest. In Turkey, there are pharmacies in any city or resort village. They are called Eczane, Apotheke and are designated by the letter E.

Upon arrival, I try to go to all the pharmacies that come my way. I pay special attention to the points that are located away from the center. I try not to buy medicines in large shopping centers and tourist hotspots – they are usually more expensive there. I always take with me a list of medicines compiled at home.

Photo of one of the pharmacies. Photographs were not allowed inside

I never buy drugs in pharmacies for dollars or euros, because then pharmacists inflate the price by several times. For example, they may announce a price of $30, but in local currency the cost is only 23 TRY⁣ (152 R). At the same time, 1 $ is 9.47 TRY⁣ (62.5 R).

Turks always state the price in dollars or euros first. I usually say that I only have local money and end up buying in lira. However, there was a case when a pharmacist in a shopping center refused to sell me drugs for lira.

In a pharmacy, you should ask for a receipt, show a printout with prices for medicines or their cost on the monitor. You can do this in Russian or English – as a rule, pharmacists understand. If not, it’s worth trying to show your list of drugs with prices – this often works.

/cheap-drugs/

6 services that will allow you to buy medicines cheaper

As a rule, I check my list and know approximately how much I should pay. Usually pharmacists do not deceive when they see a meticulous person with a bunch of papers and an insistent desire to find out pricing.

Another way is to ask someone from the hotel staff to buy medicines. However, the candidate must be very reliable. I met only one hotel employee whom I could ask to provide such a service for a nominal fee.

Comparison of the cost of some medicines in Turkey and Russia

Name and dosage in Turkey	Name and dosage in the Russian Federation	Price in Lira	Purchase price	Price in the pharmacy of the Russian Federation, recalculated according to the dosage	Price difference
Pariet, 200 mg, 28 Tablets	Pariet, 200 mg, 28 Tablets	42.16 TRY	366.79 R	4877.60 P	4510.81 R
Creon, 300 mg, 100 capsules	Creon, 300 mg, 50 Capsules	132. 66 TRY	1154.14 P	2759.20 P	1605.06 P
Aerius 5 mg 20 Tablets	Erius 5 mg 20 Tablets	17.39 TRY	151.29 P	1304.80 P	1153.51 R
Daflon, 500 mg, 60 Tablets	Venarus 50 + 450 mg 60 Tablets	51.79 TRY	450.57 P	1408.10 R	957.53 R
Risonel, 0.05%	Nasonex 0.05%	24.87 TRY	216.37 R	623.60 P	407.23 R
Rennie, 680 mg, 48 Tablets	Rennie, 680 mg, 48 Tablets	18.33 TRY	159.47 R	R 514.30	354.83 R
Tylolhot, 5 mg, 12 sachets	Theraflu 5 mg 10 sachets	32.99 TRY	287.01 P	486.24 R	199.23 R
Kalmosan lotion, 100 ml	Calamine, 100 ml	11.78 TRY	102.48 P	$298. 20	195.72 R
Tantum Verde, 30 ml	Tantum Verde, 25.5 ml	24.61 TRY	210.19 P	403.65 R	193.46 R
Ibufen Pediatrik Şurup, 100 ml	Nurofen for children, 100 ml	9.63 TRY	83.78 R	142.56 P	58.78 P
Nimes, 100 mg, 15 tablets	Nise, 100 mg, 20 Tablets	14.56 TRY	126.67 R	168.15 P	41.48 P
Dolven Pediatrik Şurup, 150 ml	Nurofen for children, 100 ml	23.01 TRY	200.19 P	213.84 R	13.65 P
Calpol Şurup, 120 mg, 150 ml	Panadol Baby, 100 ml	16.82 TRY	146.33 R	140.51 P	-5.82 P

Pariet, 200 mg, 28 tablets

Name and dosage in Turkey

Pariet, 200 mg, 28 tablets

Price in Lira

42. 16 TRY

Purchase price

R 366.79

Price in the pharmacy of the Russian Federation, recalculated by dosage

4877.60 R

Price difference

4510.81 R

Creon, 300 mg, 50 capsules 9 0003

Name and dosage in Turkey

Kreon, 300 mg, 100 capsules

Lira price

132.66 TRY

Purchase price

1154.14 R

Price in the Russian pharmacy, recalculated by dosage price

1605.06 Р

Erius, 5 mg, 20 tablets

Name and dosage in Turkey

Aerius, 5 mg, 20 tablets

Price in Lira

17.39 TRY

Purchase price

151.29 Р

Price in the pharmacy of the Russian Federation, recalculated by dosage

1304.80 R

Price difference

1153.51 R

Venarus, 50 + 450 mg, 60 tablets

Name and dosage in Turkey

Daflon, 500 mg, 60 tablets

Price in Lira

51. 79 TRY

Purchase price

450.57 R

Price in the pharmacy of the Russian Federation, recalculated by dosage

1408.10 R

900 02 Price difference

957.53 R

Nasonex “, 0.05%

Name and dosage in Turkey

Risonel, 0.05%

Price in Lira

24.87 TRY

Purchase price

216.37 R

dosage

623.60 R

Price difference

407.23 R

Rennie, 680 mg, 48 tablets

Name and dosage in Turkey

Rennie, 680 mg, 48 tablets 003

Price in Lira

18.33 TRY

Purchase price

159.47 Р

Price in the pharmacy of the Russian Federation, recalculated by dosage

514.30 R

Price difference

354.83 R

Theraflu, 5 mg, 10 sachets

Name and dosage per Tour

Tylolhot, 5 mg, 12 sachets

Price in Lira

32.99 TRY

Purchase price

287. 01 R

Price in the pharmacy of the Russian Federation, recalculated by dosage

486.24 R

Difference in the price

199.23 R

Calamine , 100 ml

Name and dosage in Turkey

Kalmosan losyon, 100 ml

Price in Lira

11.78 TRY

Purchase price

102.48 R

Price in Russian pharmacy, recalculated

298.20 R

Price difference

195.72 Р

Tantum Verde, 25.5 ml

Name and dosage in Turkey

Tantum Verde, 30 ml

Price in Lira 9 0003

24.61 TRY

Purchase price

210 ,19 R

Price in the pharmacy of the Russian Federation, recalculated by dosage

403.65 R

Price difference

193.46 R

Nurofen for children, 100 ml

Name and dosage in Turkey

Ibufen Pediatrik Şurup, 100 ml

Lira price

9.63 TRY

Purchase price

83. 78 R

Price in the pharmacy of the Russian Federation, recalculated by dosage

142.56 R

Price difference

58.78 R

Name and dosage in Turkey

Dolven Pediatrik Surup, 150 ml

Price in liras

23.01 TRY

Purchase price

200.19 Р

Price in the pharmacy of the Russian Federation, recalculated by dosage

213.84 R

Price difference

13.65 R

Nimes, 100 mg, 20 tablets

Name and dosage in Turkey

Nimes, 100 mg, 15 tablets

Price in Lira TRY

Purchase price

R 126.67

Price in the pharmacy of the Russian Federation, recalculated by dosage

168.15 R

Price difference

41.48 R

Panadol Baby, 100 ml

Name and dosage in Turkey 9 0003

Calpol Şurup, 120 mg, 150 ml

Lira price

16.82 TRY

Purchase price

146.33 R

Price in the pharmacy of the Russian Federation, recalculated by dosage

140. 51 R

Price difference e

-5.82 R

Possible problems with the purchase drugs in Turkey

Ignorance of the language. In almost every pharmacy where we bought medicines, pharmacists knew Russian. But anyway, it’s better to come to the pharmacy with your list if you are preparing for shopping in advance, or with an empty package or instructions for the medicine, even if in Russian, where the active substance and the ATC code are indicated.

Pharmacists do not always understand customers correctly. For example, once I forgot the list at the hotel and tried to explain at the pharmacy that I needed an ointment for stomatitis. The pharmacist knew Russian, but apparently not so well. But I didn’t succeed in explaining this disease with gestures, I didn’t buy the ointment.

Turkish pharmacists can cheat. Unfortunately, this is possible. In Turkey, a pharmacist takes a big risk if he sells drugs at an inflated price, does not issue receipts, or cheats with change. For such violations, the license may be revoked. But it is unlikely that they will do this because of the tourist. If they refuse to give me a receipt or don’t give me information on prices, I just don’t buy and go to another pharmacy.

Manual in Turkish. This is necessary if you buy an analogue of the desired drug or the same drug in a slightly different dosage. In such cases, when buying, I always ask the pharmacist to write the dosage regimen directly on the medicine box. Additionally, I find the drug on the Turkish website and translate the instructions using Yandex Translator. Be sure to check with those recommendations for admission that are indicated in the pharmacy. In case of doubt, it is better to clarify the information with your doctor.

Medicines on the list may not be available at the pharmacy. It is quite likely that the required drug will not be available: it has run out or has been discontinued. The pharmacist, if he understands what medicine is needed, can offer a replacement or analogue. So, “Risonel” appeared on my list instead of “Nasonex” – the active substance of the drugs is the same.

How to export drugs from Turkey and import them to Russia

Export from Turkey. Medicines are classified as personal items. They can be transported in limited quantities – there are no specific figures, but the number of packages should not suggest commercial purposes. If a wholesale lot is suspected, customs will inspect and evaluate each sample included in one lot.

Turkish Customs Code

Cabinet Decree 2009/15481 On the Application of Certain Articles of the Customs Code

Prescription drugs must be declared. Must have a prescription from a Turkish doctor in the local language.

Do not take medicines and pills out of packages, transfer them in bulk into pillboxes or other places. In such cases, it will not be clear what these drugs are and whether they can be transported.

I only place all medicines in my luggage. There were never any questions. I have carried a maximum of ten packs of Tylolhot.

Movement of medicines — Federal Customs Service

Import to Russia. It is possible to bring medicines into Russia for personal use, and in some cases for relatives, in particular, if the medicines are not produced in Russia and they are recommended for use by WHO. For import in this case, you need to obtain permission from the Ministry of Health.

You only need to declare the transportation of drugs included in the list of potent drugs. They must have a prescription in Russian and an extract from the medical history confirming the need to take such drugs.

10 medicines and substances that are forbidden to be imported into Russia

How much I save buying medicines in Turkey

Not all, but many medicines in Turkey are cheaper than in Russia, so there are significant savings. In addition, we usually buy several packages.

I bought most of the medicines more than once, during this time I chose those that suit me the most. For example, instead of the Russian Teraflu, you can buy Turkish Theraflu, I tried it, but I like the Tylolhot analogue more.

The last time I saved on medicines from Turkey 7136 R

Name in Turkey and quantity	Name in the Russian Federation	Price in Lira	Purchase price	How much would I spend in Russia	Price difference
Tylolhot, 10 packs	Theraflu	329.90 TRY	2870.10 P	4862.40 R	1992.30 R
Daflon, 2 packs	Venarus	103.58 TRY	901.14 R	2816.20 P	1915.06 R
Creon	Creon	132.66 TRY	1154.14 P	2759.20 P	1605.06 P
Aerius	Erius	17.39 TRY	151.29 P	1304.80 P	1153.51 R
Tantum Verde, 2 packs	“Tantum Verde”	49. 22 TRY	420.38 P	R 807.30	386.92 R
Nimes, 2 packs	“Nise”	29.12 TRY	253.34 P	$336.30	82.96 R
Total		661.87 TRY	5750.39R	$12,886.20	7135.81 P

Theraflu

Turkish name and quantity

Tylolhot, 10 packs

Lira price

3 29.90 TRY

Purchase price

2870.10 R

How much would I spend in Russia

4862.40 R

Price difference

1992.30 R

Venarus

Turkish name and quantity

Daflon, 2 packs

Price in Lira

103.58 TRY

Purchase price

901.14 R

How much would you spend in Russia

900 02 2816.20 R

Price difference

1915.06 R

Creon

Turkish name and quantity

Kreon

Lira price

132. 66 TRY

Purchase price

1154.14 R

How much would you spend in Russia

2759.20 R

Price difference

1605.06 R

Aerius

Turkish name and quantity

Aerius

Lira price x

17.39 TRY

Purchase price

151.29 R

How much would I spend in Russia

1304.80 R

Price difference

1153.51 R

Tantum Verde

Turkish name and quantity

Tantum Verde, 2 packs

Lira price

49.22 TRY

Purchase price

420.38 R

How much would you spend in Russia

807.30 R

Price difference

386.92 Р

“Nise”

Name in Turkey and quantity

Nimes, 2 packs

Price in Lira

29.12 TRY

Purchase price

253.34 R

How much would you spend in Russia

336.30 R

Price difference

82.