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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in Lebanon but has no public price * 31-12-2019 : 352 medicinal products have been declared as non-marketed or withdrawn * 09-11-2021 : 64.72% of lebanese pharmacists are female * 31-12-2019 : 486 medicines were submitted to the Ministry of Health for a marketing authorization,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* 01-06-2020 : Some Non-Marketed medicines are still imported * 01-06-2020 : Ixempra, a medicinal product withdrawn in Europe is imported to lebanon * 01-06-2020 : A vaccine made in India, removed from WHO list of prequalified vaccines, is submitted for registration in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 * 05-01-2021 : * 01-10-2023 : Adakveo is now withdrawn from use in the European Union due to lack of therapeutic efficacy *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 » Esram 20mg*


Contraindicated
Increased risk of persistent pulmonary hypertension in the newborn

Not recommended
Esram 20mg* :
Type Medicine Non Marketed
Originator Cipralex 20mg
Agent Khalil Fattal & Fils
Distributor Khalil Fattal & Fils
Laboratory Sandoz
Manufacturer Pharmaline SAL*
Manufacturing Type Pharmaline SAL (Packing) under license from Sandoz GmbH, Austria
Origin Lebanon
ATC N06AB10

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Esram 20mg* :

Revision Date : 01/06/2014


Effect Frequency
Abnormal dreams Common
Aggressiveness Rare
Agitation Uncommon
Akathisia Not known
Alopecia Uncommon
Anaphylactic reactions Rare
Angioedema (Angioneurotic oedema) (Quincke oedema) Not known
Anorexia Not known
Anorgasmia Common
Anxiety Common
Arthralgia (Pain joint) (Joint ache) Common
Bradycardia Rare
Bruxism Uncommon
Confusional state Uncommon
Constipation Common
Decreased appetite Common
Depersonalisation Rare
Diarrhoea (Diarrhea) Common
Dry mouth (Xerostomia) Common
Dysguesia (taste perversion) (Taste abnormality) (Taste disturbance) Uncommon
Dyskinesia Not known
Ecchymosis Not known
ECG QT prolonged Not known
Ejaculation disorder Common
Epistaxis (Nasal bleeding) Uncommon
Fatigue Common
Fever Common
Galactorrhoea Not known
Gastroduodenal haemorrhage Uncommon
Hallucination Rare
Hepatitis Not known
Hyponatraemia (Hyponatremia) Not known
Impotence Common
Inappropriate antidiuretic hormone secretion (SIADH) Not known
Increased appetite Common
Insomnia Common
Libido decreased Common
Liver function test abnormal Not known
Mania Not known
Menorrhagia Uncommon
Metrorrhagia Uncommon
Movement disorder Not known
Myalgia Common
Mydriasis (dilated pupils) (Dilatation pupillary) Uncommon
Nausea Very Common
Nervousness Uncommon
Oedema Uncommon
Orthostatic hypotension Not known
Panic attack Uncommon
Paraesthesia (paresthesia) Common
Priapism Not known
Pruritus Uncommon
Rectorrhagia Uncommon
Seizures Not known
Serotonin syndrome Rare
Sinusitis Common
Skin Eruption Uncommon
Sleep disorder (Sleep disturbance) Uncommon
Somnolence Common
Suicidal behaviour Not known
Suicidal ideation Not known
Sweating increased (Excessive sweating) (Hyperhydrosis) Common
Syncope Uncommon
Tachycardia Uncommon
Thrombocytopenia (Thrombopenia) Not known
Tinnitus Uncommon
Tremor Common
Unrest Common
Urinary retention Not known
Urticaria Uncommon
Vertigo Common
Visual disturbance Uncommon
Vomiting Common
Weight decreased (Weight loss) Uncommon
Weight increased (weight gain) Common
Yawning Common

Different Units By MoH Code

Esram 20mg*  MoH 7462 :
Form Tablet, Film-Coated
Package Size Box of 28
Strength 20mg
NSSF ✘
Quarantine ✘
Reg. Number 186053/13
Submission date 01/01/2013
Registration Year 2014
Archived Date 01/04/2020


Price Comparison

● Country: Switzerland
● Package Size: 14
● Public Price: 19.5 CHF ( 2,016,690.00 LBP )
● Pack size unit used: 14
● Cost/Unit: 1,3929 CHF ( 103,420.00 LBP )
● Exfactory Price: 9.85 CHF
● Pricing Date: 04/04/2021
● Type: Medicine Authorised

● Country: Sweden
● Package Size: 28
● Public Price: 205.29 SEK ( 1,726,078.32 LBP )
● Pack size unit used: 28
● Cost/Unit: 7,3318 SEK ( 58,856.00 LBP )
● Pharmacy Price: 146.16 SEK ( 1228913.28 LBP )
● Pricing Date: 27/12/2019
● Type: Medicine Non Marketed

● Country: Belgium
● Package Size: 98
● Public Price: 22.68 EUR ( 2,197,147.68 LBP )
● Pack size unit used: 98
● Cost/Unit: 0,2314 EUR ( 0.00 LBP )
● Reference: cbip
● Pricing Date: 27/11/2020
● Type: Medicine Authorised

● Country: France
● Package Size: 28
● Public Price: 6.17 EUR ( 597,724.92 LBP )
● Pack size unit used: 28
● Cost/Unit: 0,2204 EUR ( 0.00 LBP )
● Reference: ansm
● Pricing Date: 15/05/2021
● Type: Medicine Authorised

● Country: The Netherlands
● Package Size: 28
● Public Price: 9.2 EUR ( 891,259.20 LBP )
● Pack size unit used: 28
● Cost/Unit: 0,3286 EUR ( 0.00 LBP )
● Pharmacy Price: 2.2 EUR ( 213127.2 LBP )
● Reference: Zorginstituut Nederland
● Pricing Date: 15/06/2019
● Type: Medicine Authorised

● Country: Greece
● Package Size: 28
● Public Price: 13.83 EUR ( 1,339,795.08 LBP )
● Pack size unit used: 28
● Cost/Unit: 0,4939 EUR ( 0.00 LBP )
● Exfactory Price: 9.57 EUR
● Pharmacy Price: 10.04 EUR ( 972635.04 LBP )
● Reference: National Organization for Medicines
● Pricing Date: 25/02/2021
● Type: Medicine Authorised

● Country: Finland
● Package Size: 28
● Public Price: 2.24 EUR ( 217,002.24 LBP )
● Pack size unit used: 28
● Cost/Unit: 0,08 EUR ( 0.00 LBP )
● Reference: Kela
● Pricing Date: 22/04/2021
● Type: Medicine Non Marketed

● Country: Spain
● Package Size: 28
● Public Price: 17.53 EUR ( 1,698,236.28 LBP )
● Pack size unit used: 28
● Cost/Unit: 0,6261 EUR ( 0.00 LBP )
● Pharmacy Price: 11.24 EUR ( 1088886.24 LBP )
● Reference: Agencia Española de Medicamentos y Productos Sanitarios
● Pricing Date: 06/05/2021
● Type: Medicine Authorised

● Country: Italy
● Package Size: 28UNITA
● Public Price: 16.38 EUR ( 1,586,828.88 LBP )
● Pack size unit used: 28
● Cost/Unit: 0,585 EUR ( 0.00 LBP )
● Pricing Date: 15/01/2021
● Type: Medicine Authorised

● Country: Denmark
● Package Size: 28
● Reference: Danish Medicine Agency
● Pricing Date: 09/04/2018
● Type: Medicine Non Marketed

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