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03-05-2023 : 769 Pharmacists work as Medical Representative, of which 39 work as Senior Medical Representative * 02-06-2020 : 216 non Pharmacists work as Medical Representative, and 54 work as Senior Medical Representative * 05-06-2023 : In Lebanon, 88 generic medicinal products are more expensive than their Originators * 31-12-2019 : A medicinal product refused in Europe is marketed in Lebanon * 05-06-2023 : At least 332 medicinal products are available on the Lebanese market and are not available in the country of origin * 05-06-2023 : The price of the most expensive medicine available in Lebanon is 30434557 LL * 05-06-2023 : At least 1309 medicinal products are more expensive in Lebanon than in the countries of origin * 01-01-2019 : Daktavira, a generic of Daklinza, is registered in Lebanon but has no public price * 31-12-2019 : 352 medicinal products have been declared as non-marketed or withdrawn * 09-11-2021 : 64.72% of lebanese pharmacists are female * 31-12-2019 : 486 medicines were submitted to the Ministry of Health for a marketing authorization, and 514 medicines were registered to date * 15-06-2018 : The Minister of Public Health, has decided to suspend the commercialization of AB Slim (Ab Care Medical Herbs), which contains sibutramine, sildenafil and phenolphthalein * 01-06-2020 : Some Non-Marketed medicines are still imported * 01-06-2020 : Ixempra, a medicinal product withdrawn in Europe is imported to lebanon * 01-06-2020 : A vaccine made in India, removed from WHO list of prequalified vaccines, is submitted for registration in Lebanon * 01-06-2020 : Lebanon has 14 CROs, and is ranked as one of the largest countries in the world in clinical studies. According to the WHO, 817 clinical studies are currently conducted in Lebanon. * 05-01-2021 : * 01-10-2023 : Adakveo is now withdrawn from use in the European Union due to lack of therapeutic efficacy *

Products » Items » Zirabev 400mg


Contraindicated
Reproductive toxicity in animals

Contraindicated
Zirabev 400mg :
Type Medicine Authorised
Originator Biotech (Avastin 400mg)
Agent Droguerie Fattal
Distributor Droguerie Fattal
Laboratory Pfizer
Responsible Party Pfizer Inc
Origin U.S.A.
Manufacturer Pharmacia & Upjohn Company
Origin U.S.A.
ATC L01XC07

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Zirabev 400mg :

Revision Date : 26/07/2022


Effect Frequency
Abdominal pain Very Common
Abscess Common
Anaemia Common
Aneurysm Not known
Anorexia Very Common
Artery dissection Not known
Arthralgia (Pain joint) (Joint ache) Very Common
Asthenia Very Common
Back pain Common
Cellulitis Common
Cerebrovascular accident Common
Congestive heart failure Common
Constipation Very Common
Cough Very Common
Deep vein thrombosis Common
Dehydration Common
Dermatitis exfoliative Very Common
Diarrhoea (Diarrhea) Very Common
Dry skin Very Common
Dysarthria Very Common
Dysguesia (taste perversion) (Taste abnormality) (Taste disturbance) Very Common
Dysphonia Common
Dyspnoea (dyspnea) Very Common
Epistaxis (Nasal bleeding) Very Common
Eye disorder Very Common
Fatigue Very Common
Febrile neutropenia (Neutropenic fever) Very Common
Fistula Common
Foetal abnormalitie Not known
Gallbladder perforation Not known
Gastrointestinal disorders Common
Gastrointestinal perforation Common
Gastrointestinal ulcer Not known
Haemoptysis Common
Haemorrhage Common
Hand and foot syndrome (Palmar-plantar erythrodysaesthesia syndrome) Common
Headache Very Common
Hypersensitivity Common
Hypertension Very Common
Hypertensive encephalpathy Very rare
Hypomagnesaemia Very Common
Hyponatraemia (Hyponatremia) Very Common
Hypoxia Common
Ileus Common
Infection Common
Infusion related reaction Common
Intestinal obstruction Common
Intestinal perforation Common
Lacrimation increased (Epiphora) Very Common
Lethargy Common
Leucopenia (Leukopenia) Very Common
Lymphopenia Common
Mucosal inflammation Very Common
Muscle weakness Common
Myalgia Very Common
Nasal septum perforation Not known
Nausea Very Common
Necrotizing fasciitis Rare
Neutropenia Very Common
Non-mandibular osteonecrosis Not known
Osteonecrosis of the jaw Not known
Ovarian failure Very Common
Pain Very Common
Pelvic pain Common
Peripheral sensory neuropathy Very Common
Posterior reversible leukoencephalopathy syndrome (PRES) Rare
Proctalgia Common
Proteinuria Very Common
Pulmonary embolism Common
Pulmonary haemorrhage Common
Pulmonary hypertension Not known
Pyrexia Very Common
Rectal haemorrhage Very Common
Recto-vaginal fistulae Common
Renal-limited thrombotic microangiopathy Not known
Rhinitis Very Common
Sepsis (Systemic infection) (Sepsis state) Common
Skin discolouration (Dyschromia) Very Common
Somnolence Common
Stomatitis Very Common
Supraventricular tachycardia Common
Syncope Common
Thrombocytopenia (Thrombopenia) Very Common
Thromboembolism arterial Common
Thromboembolism venous Very Common
Urinary tract infection Common
Vomiting Very Common
Weight decreased (Weight loss) Very Common
Wound healing complications Very Common

Different Units By MoH Code

Revision Date : 26/07/2022

Revision Date : 26/07/2022

Zirabev 400mg  MoH 10249 :
Form Concentrate for solution for infusion
Packaging Vial (Type I Glass)
Package Size 1x16ml
Package Content 16 ml solution in a vial (Type I glass) with a stopper (butyl rubber)
Strength 400mg
Storage Condition 2-8°C Do not freeze
Public Price 80926878,06 L.L.
Stratum E1
NSSF ✘
Quarantine ✘
Reg. Number 100220/1
Submission date 28/07/2020
Registration Year 21/08/2020


Price Comparison

● Country: Denmark
● Package Size: 1x16ml
● Public Price: 10373.75 DKK ( 25,529,487.54 LBP )
● Pack size unit used: 1
● Cost/Unit: 10373,75 DKK ( 25,527,641.81 LBP )
● Pharmacy Price: 7707.76 DKK ( 18968566.1272 LBP )
● Reference: Danish Medicine Agency
● Pricing Date: 19/05/2021
● Type: Medicine Authorised

● Country: Belgium
● Package Size: 1x16ml
● Public Price: 1114 EUR ( 20,475,375.70 LBP )
● Pack size unit used: 1
● Cost/Unit: 1114 EUR ( 20,475,375.70 LBP )
● Reference: cbip
● Pricing Date: 07/12/2020
● Type: Medicine Authorised

● Country: Switzerland
● Package Size: 1x16ml
● Public Price: 1117.5 CHF ( 19,064,829.38 LBP )
● Pack size unit used: 1
● Cost/Unit: 1117,5 CHF ( 19,056,299.25 LBP )
● Exfactory Price: 962.84 CHF
● Pricing Date: 04/04/2021
● Type: Medicine Authorised

● Country: UK
● Package Size: 1x16ml
● Public Price: 902.7 GBP ( 18,190,100.08 LBP )
● Pack size unit used: 1
● Cost/Unit: 902,7 GBP ( 18,175,994.54 LBP )
● Reference: DMD
● Pricing Date: 08/03/2021
● Type: Medicine Authorised

● Country: Greece
● Package Size: 1x16ml
● Public Price: 885.55 EUR ( 16,276,453.28 LBP )
● Pack size unit used: 1
● Cost/Unit: 885,55 EUR ( 16,266,344.25 LBP )
● Exfactory Price: 772.84 EUR
● Pharmacy Price: 784.43 EUR ( 14417862.6215 LBP )
● Reference: National Organization for Medicines
● Pricing Date: 25/02/2021

● Country: KSA
● Package Size: 16ml
● Public Price: 2973.099 SAR ( 11,982,718.75 LBP )
● Pack size unit used: 1
● Cost/Unit: 2973,099 SAR ( 11,982,319.74 LBP )
● Reference: sfda
● Pricing Date: 16/01/2021
● Type: Medicine Authorised

● Country: Turkey
● Package Size: 1x16ml
● Public Price: 3695.16 TRY ( 7,097,256.86 LBP )
● Pack size unit used: 1
● Cost/Unit: 3695,16 TRY ( 7,096,949.55 LBP )
● Pricing Date: 28/10/2020
● Type: Medicine Authorised

● Country: Lebanon
● Form: Concentrate for solution for infusion
● Package Size: 1x16ml
● Public Price: 1320023 LBP ( 1,320,023.00 LBP )
● Pack size unit used: 1
● Cost/Unit: 1320023 LBP ( 1,320,023.00 LBP )
● Pricing Date: 10/01/2024

● Country: Finland
● Package Size: 1x16ml
● Reference: Kela
● Pricing Date: 22/04/2021
● Type: Medicine Non Marketed

● Country: Spain
● Package Size: 1x16ml
● Reference: Agencia Española de Medicamentos y Productos Sanitarios
● Pricing Date: 06/05/2021
● Type: Medicine Authorised

● Country: France
● Package Size: 1x16ml
● Reference: ansm
● Pricing Date: 15/05/2021
● Type: Medicine Authorised

    ◼ Lebanon
    ◼ Country of Origin
    ◼ Reference Countries
    ◼ Other Countries
Prices are provided in Dollar ($)
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