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in Lebanon but has no public price * 31-12-2019 : 352 medicinal products have been declared as non-marketed or withdrawn * 09-11-2021 : 64.72% of lebanese pharmacists are female * 31-12-2019 : 486 medicines were submitted to the Ministry of Health for a marketing authorization,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* 01-06-2020 : Some Non-Marketed medicines are still imported * 01-06-2020 : Ixempra, a medicinal product withdrawn in Europe is imported to lebanon * 01-06-2020 : A vaccine made in India, removed from WHO list of prequalified vaccines, is submitted for registration in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 * 05-01-2021 : * 01-10-2023 : Adakveo is now withdrawn from use in the European Union due to lack of therapeutic efficacy *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


To avoid
As a precautionary measure

Contraindicated
Spiriva With Handihaler :
Type Medicine Authorised
Originator B
Agent Mersaco
Distributor Mersaco
Laboratory Boehringer Ingelheim
Responsible Party Boehringer Ingelheim International GmbH
Origin Germany
Manufacturer Boehringer Ingelheim Pharma GmbH & Co KG
Origin Germany
ATC R03BB04

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Spiriva With Handihaler :

Revision Date : 27/11/2014


Effect Frequency
Anaphylactic reactions Not known
Angioedema (Angioneurotic oedema) (Quincke oedema) Rare
Atrial fibrillation Uncommon
Bronchospasm Rare
Cephalea Uncommon
Constipation Uncommon
Cough Uncommon
Dehydration Not known
Dental caries Not known
Dry mouth (Xerostomia) Common
Dry skin Not known
Dysguesia (taste perversion) (Taste abnormality) (Taste disturbance) Uncommon
Dysphagia Rare
Dysphonia Uncommon
Dysuria (Micturition painful) Uncommon
Epistaxis (Nasal bleeding) Rare
Gastrooesophageal reflux disease Uncommon
Gingivitis Rare
Glaucoma Rare
Glossitis Rare
Hypersensitivity Rare
Ileus paralytic Rare
Immediate hypersensitivity reaction Rare
Insomnia Rare
Intestinal obstruction Rare
Intraocular pressure increased Rare
Joint swelling Not known
Laryngitis Rare
Lightheadedness Uncommon
Nausea Rare
Oropharyngeal candidiasis Uncommon
Palpitations Rare
Pharyngitis Uncommon
Pruritus Rare
Sinusitis Rare
Skin Eruption Uncommon
Skin infection Not known
Skin ulcer Not known
Stomatitis Rare
Supraventricular tachycardia Rare
Tachycardia Rare
Urinary retention Uncommon
Urinary tract infection Rare
Urticaria Rare
Vision blurred Uncommon

Different Units By MoH Code

Revision Date : 01/11/2001

Spiriva With Handihaler  MoH 2370 :
Form Inhalation powder, hard capsule
Package Size Box of 30 + Handihaler
Strength 18µg
Public Price 3197294,1 L.L.
Stratum B
NSSF ✔
Quarantine ✘
Reg. Number 973474/02
Submission date 01/01/2002
Registration Year 2002
Barcode 4048846000668


Price Comparison

● Country: Lebanon
● Form: Inhalation powder, hard capsule
● Package Size: Box of 30 + Handihaler
● Public Price: 3197294.1 LBP ( 3,197,294.10 LBP )
● Pack size unit used: 30
● Cost/Unit: 106576,47 LBP ( 106,576.00 LBP )
● Pricing Date: 10/01/2024

● Country: Abu Dhabi
● Package Size: 30 + Handihaler Device
● Public Price: 280 AED ( 1,151,068.80 LBP )
● Pack size unit used: 30
● Cost/Unit: 9,3333 AED ( 36,998.64 LBP )
● Pharmacy Price: 225.38 AED ( 926528.1648 LBP )
● Pricing Date: 27/01/2021
● Type: Medicine Authorised

● Country: UAE
● Package Size: 30's (10's Blister x 3) + Handihaler Device
● Public Price: 280 AED ( 1,151,068.80 LBP )
● Pack size unit used: 30
● Cost/Unit: 9,3333 AED ( 36,998.64 LBP )
● Pharmacy Price: 225.38 AED ( 926528.1648 LBP )
● Pricing Date: 21/08/2019
● Type: Medicine Authorised

● Country: Germany
● Package Size: 30
● Public Price: 66.26 EUR ( 1,217,862.11 LBP )
● Pack size unit used: 30
● Cost/Unit: 2,2087 EUR ( 36,760.10 LBP )
● Pricing Date: 24/10/2020
● Type: Medicine Authorised

● Country: Switzerland
● Package Size: 30
● Public Price: 72.1 CHF ( 1,230,044.03 LBP )
● Pack size unit used: 30
● Cost/Unit: 2,4033 CHF ( 34,120.50 LBP )
● Exfactory Price: 48.51 CHF
● Pricing Date: 04/04/2021
● Type: Medicine Authorised

● Country: Qatar
● Package Size: 30
● Public Price: 262 QAR ( 1,087,446.72 LBP )
● Pack size unit used: 30
● Cost/Unit: 8,7333 QAR ( 33,204.48 LBP )
● Pharmacy Price: 214.97435024 QAR ( 892263.93913213 LBP )
● Pricing Date: 28/01/2021
● Type: Medicine Authorised

● Country: Iceland
● Package Size: 30
● Public Price: 7893 ISK ( 875,017.98 LBP )
● Pack size unit used: 30
● Cost/Unit: 263,1 ISK ( 29,156.18 LBP )
● Pharmacy Price: 4672 ISK ( 517937.92 LBP )
● Reference: Icelandic Medicines Agency
● Pricing Date: 01/04/2020
● Type: Medicine Authorised

● Country: KSA
● Package Size: 30
● Public Price: 234.15 SAR ( 943,713.48 LBP )
● Pack size unit used: 30
● Cost/Unit: 7,805 SAR ( 28,212.66 LBP )
● Reference: sfda
● Pricing Date: 16/01/2021
● Type: Medicine Authorised

● Country: Czech Republic
● Package Size: 30
● Public Price: 1054.85 CZK ( 728,648.19 LBP )
● Pack size unit used: 30
● Cost/Unit: 35,1617 CZK ( 24,176.60 LBP )
● Reference: SUKL
● Pricing Date: 28/02/2020
● Type: Medicine Authorised

● Country: Denmark
● Package Size: 30
● Public Price: 288.45 DKK ( 709,866.80 LBP )
● Pack size unit used: 30
● Cost/Unit: 9,615 DKK ( 22,148.73 LBP )
● Pharmacy Price: 209.37 DKK ( 515253.2889 LBP )
● Reference: Danish Medicine Agency
● Pricing Date: 19/05/2021
● Type: Medicine Authorised

● Country: Jordan
● Package Size: 30
● Public Price: 44.32 JOD ( 945,797.22 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,4773 JOD ( 21,340.19 LBP )
● Pharmacy Price: 33.82 JOD ( 721725.2258 LBP )
● Reference: JFDA
● Pricing Date: 20/11/2019
● Type: Medicine Non Marketed

● Country: Norway
● Package Size: 30 doses
● Public Price: 386.2 NOK ( 668,230.27 LBP )
● Pack size unit used: 30
● Cost/Unit: 12,8733 NOK ( 20,763.24 LBP )
● Pharmacy Price: 274.47 NOK ( 474907.2069 LBP )
● Reference: Norwegian Medicine Agency
● Pricing Date: 01/04/2020
● Type: Medicine Authorised

● Country: UK
● Package Size: 30
● Public Price: 34.87 GBP ( 702,657.35 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,1623 GBP ( 20,150.77 LBP )
● Reference: DMD
● Pricing Date: 08/03/2021
● Type: Medicine Authorised

● Country: Sweden
● Package Size: 30
● Public Price: 345.04 SEK ( 621,109.95 LBP )
● Pack size unit used: 30
● Cost/Unit: 11,5013 SEK ( 19,801.21 LBP )
● Pharmacy Price: 293 SEK ( 527432.23 LBP )
● Pricing Date: 23/04/2020
● Type: Medicine Authorised

● Country: Ireland
● Package Size: 30
● Public Price: 31.42 EUR ( 577,501.17 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,0473 EUR ( 18,380.05 LBP )
● Exfactory Price: 35 EUR
● Pricing Date: 09/10/2020
● Type: Medicine Authorised

● Country: Cyprus
● Package Size: 30
● Public Price: 38.61 EUR ( 709,653.73 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,287 EUR ( 18,380.05 LBP )
● Reference: Cyprus Minister of Health
● Pricing Date: 24/03/2021
● Type: Medicine Authorised

● Country: Belgium
● Package Size: 30
● Public Price: 34.3 EUR ( 630,435.72 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,1433 EUR ( 18,380.05 LBP )
● Reference: cbip
● Pricing Date: 27/11/2020
● Type: Medicine Authorised

● Country: Greece
● Package Size: 30
● Public Price: 31.86 EUR ( 585,588.39 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,062 EUR ( 18,380.05 LBP )
● Exfactory Price: 22.04 EUR
● Pharmacy Price: 23.12 EUR ( 424946.756 LBP )
● Reference: National Organization for Medicines
● Pricing Date: 25/02/2021
● Type: Medicine Authorised

● Country: The Netherlands
● Package Size: 30
● Public Price: 46.44 EUR ( 853,569.52 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,548 EUR ( 18,380.05 LBP )
● Pharmacy Price: 39.44 EUR ( 724909.172 LBP )
● Reference: Zorginstituut Nederland
● Pricing Date: 15/06/2019
● Type: Medicine Authorised

● Country: Spain
● Package Size: 30
● Public Price: 52.76 EUR ( 969,731.44 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,7587 EUR ( 18,380.05 LBP )
● Reference: Agencia Española de Medicamentos y Productos Sanitarios
● Pricing Date: 14/12/2018
● Type: Medicine Authorised

● Country: Finland
● Package Size: 30
● Public Price: 52.22 EUR ( 959,806.21 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,7407 EUR ( 18,380.05 LBP )
● Reference: Kela
● Pricing Date: 22/04/2021
● Type: Medicine Authorised

● Country: Portugal
● Package Size: 30
● Public Price: 36.65 EUR ( 673,628.83 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,2217 EUR ( 18,380.05 LBP )
● Reference: Autoridade Nacional do Medicamento e Produtos de Saúde
● Pricing Date: 22/04/2019
● Type: Medicine Authorised

● Country: Italy
● Package Size: 30UNITA
● Public Price: 42.39 EUR ( 779,130.32 LBP )
● Pack size unit used: 30
● Cost/Unit: 1,413 EUR ( 18,380.05 LBP )
● Pricing Date: 15/01/2021
● Type: Medicine Authorised

● Country: Turkey
● Package Size: 30
● Public Price: 90 TRY ( 172,862.10 LBP )
● Pack size unit used: 30
● Cost/Unit: 3 TRY ( 5,762.07 LBP )
● Pricing Date: 28/10/2020
● Type: Medicine Authorised

● Country: Oman
● Package Size: 30
● Public Price: 27.56 OMR ( 1,083,121.78 LBP )
● Pack size unit used: 30
● Cost/Unit: 0,9187 OMR ( 0.00 LBP )
● Pricing Date: 13/06/2019
● Type: Medicine Non Marketed

● Country: Bahrain
● Package Size: 30
● Public Price: 25.12 BHD ( 1,007,833.74 LBP )
● Pack size unit used: 30
● Cost/Unit: 0,8373 BHD ( 0.00 LBP )
● Reference: nhra
● Pricing Date: 09/02/2021
● Type: Medicine Authorised

● Country: Kuweit
● Package Size: 30
● Public Price: 21.47 KWD ( 1,064,269.62 LBP )
● Pack size unit used: 30
● Cost/Unit: 0,7157 KWD ( 0.00 LBP )
● Pharmacy Price: 18.14 KWD ( 899201.2512 LBP )
● Pricing Date: 07/02/2021
● Type: Medicine Authorised

● Country: France
● Package Size: 30
● Public Price: 26.77 EUR ( 492,033.94 LBP )
● Pack size unit used: 30
● Cost/Unit: 0,8923 EUR ( 0.00 LBP )
● Reference: ansm
● Pricing Date: 15/05/2021
● Type: Medicine Authorised

    ◼ Lebanon
    ◼ Country of Origin
    ◼ Reference Countries
    ◼ Other Countries

Note

Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 106576,47 LBP ( 106,576.00 LBP )
● Cost/Day: 106576,47 LBP ( 106,576.00 LBP )
● Cost/Month: 3197294,1 LBP ( 3,197,294.00 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 9,3333 AED ( 36,998.64 LBP )
● Cost/Day: 9,33 AED ( 36,998.64 LBP )
● Cost/Month: 279,9 AED ( 1,146,957.84 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 9,3333 AED ( 36,998.64 LBP )
● Cost/Day: 9,33 AED ( 36,998.64 LBP )
● Cost/Month: 279,9 AED ( 1,146,957.84 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 2,2087 EUR ( 36,760.10 LBP )
● Cost/Day: 2,21 EUR ( 36,760.10 LBP )
● Cost/Month: 66,3 EUR ( 1,213,083.30 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 2,4033 CHF ( 34,120.50 LBP )
● Cost/Day: 2,4 CHF ( 34,120.50 LBP )
● Cost/Month: 72 CHF ( 1,228,338.00 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 8,7333 QAR ( 33,204.48 LBP )
● Cost/Day: 8,73 QAR ( 33,204.48 LBP )
● Cost/Month: 261,9 QAR ( 1,083,296.16 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 263,1 ISK ( 29,156.18 LBP )
● Cost/Day: 263,1 ISK ( 29,156.18 LBP )
● Cost/Month: 7893 ISK ( 875,017.98 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 7,805 SAR ( 28,212.66 LBP )
● Cost/Day: 7,8 SAR ( 28,212.66 LBP )
● Cost/Month: 234 SAR ( 943,108.92 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 35,1617 CZK ( 24,176.60 LBP )
● Cost/Day: 35,16 CZK ( 24,176.60 LBP )
● Cost/Month: 1054,8 CZK ( 728,061.04 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 9,615 DKK ( 22,148.73 LBP )
● Cost/Day: 9,62 DKK ( 22,148.73 LBP )
● Cost/Month: 288,6 DKK ( 708,759.36 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,4773 JOD ( 21,340.19 LBP )
● Cost/Day: 1,48 JOD ( 21,340.19 LBP )
● Cost/Month: 44,4 JOD ( 938,968.36 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 12,8733 NOK ( 20,763.24 LBP )
● Cost/Day: 12,87 NOK ( 20,763.24 LBP )
● Cost/Month: 386,1 NOK ( 667,884.22 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,1623 GBP ( 20,150.77 LBP )
● Cost/Day: 1,16 GBP ( 20,150.77 LBP )
● Cost/Month: 34,8 GBP ( 685,126.18 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 11,5013 SEK ( 19,801.21 LBP )
● Cost/Day: 11,5 SEK ( 19,801.21 LBP )
● Cost/Month: 345 SEK ( 621,037.95 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,062 EUR ( 18,380.05 LBP )
● Cost/Day: 1,06 EUR ( 18,380.05 LBP )
● Cost/Month: 31,8 EUR ( 569,781.55 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,1433 EUR ( 18,380.05 LBP )
● Cost/Day: 1,14 EUR ( 18,380.05 LBP )
● Cost/Month: 34,2 EUR ( 624,921.70 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,287 EUR ( 18,380.05 LBP )
● Cost/Day: 1,29 EUR ( 18,380.05 LBP )
● Cost/Month: 38,7 EUR ( 698,441.90 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,0473 EUR ( 18,380.05 LBP )
● Cost/Day: 1,05 EUR ( 18,380.05 LBP )
● Cost/Month: 31,5 EUR ( 569,781.55 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,413 EUR ( 18,380.05 LBP )
● Cost/Day: 1,41 EUR ( 18,380.05 LBP )
● Cost/Month: 42,3 EUR ( 771,962.10 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,2217 EUR ( 18,380.05 LBP )
● Cost/Day: 1,22 EUR ( 18,380.05 LBP )
● Cost/Month: 36,6 EUR ( 661,681.80 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,7407 EUR ( 18,380.05 LBP )
● Cost/Day: 1,74 EUR ( 18,380.05 LBP )
● Cost/Month: 52,2 EUR ( 955,762.60 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,7587 EUR ( 18,380.05 LBP )
● Cost/Day: 1,76 EUR ( 18,380.05 LBP )
● Cost/Month: 52,8 EUR ( 955,762.60 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 1,548 EUR ( 18,380.05 LBP )
● Cost/Day: 1,55 EUR ( 18,380.05 LBP )
● Cost/Month: 46,5 EUR ( 845,482.30 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 3 TRY ( 5,762.07 LBP )
● Cost/Day: 3 TRY ( 5,762.07 LBP )
● Cost/Month: 90 TRY ( 172,862.10 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 0,8373 BHD ( 0.00 LBP )
● Cost/Day: 0,84 BHD ( 0.00 LBP )
● Cost/Month: 25,2 BHD ( 1,003,019.25 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 0,8923 EUR ( 0.00 LBP )
● Cost/Day: 0,89 EUR ( 0.00 LBP )
● Cost/Month: 26,7 EUR ( 477,881.30 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 0,9187 OMR ( 0.00 LBP )
● Cost/Day: 0,92 OMR ( 0.00 LBP )
● Cost/Month: 27,6 OMR ( 1,061,113.50 LBP )
Chronic obstructive pulmonary disease (COPD) :
● Cost/Unit: 0,7157 KWD ( 0.00 LBP )
● Cost/Day: 0,72 KWD ( 0.00 LBP )
● Cost/Month: 21,6 KWD ( 1,040,971.68 LBP )
Prices are provided in Dollar ($)
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