Medicinal Product Register of Latvia

...	...	Active substance	Medicinal product name	Pharmaceutical form	Strength	ATC code	Max. price range (€ incl. VAT)
Is available (according to the information provided by wholesalers)	OTC OTC	Silybum marianum	Carsil 110 mg capsules, hard mark for comparison compare medicines	Capsule, hard	110 mg	Is available (according to the information provided by wholesalers) OTC OTC	A05BA03 — BILE AND LIVER THERAPY	€ 10.12	skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	OTC OTC	Silybum marianum	Carsil 22.5 mg coated tablets mark for comparison compare medicines	Coated tablet	22.5 mg	Is available (according to the information provided by wholesalers) OTC OTC	A05BA03 — BILE AND LIVER THERAPY	€ 8.14	skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	OTC OTC	Silybum marianum	Carsil 22.5 mg coated tablets mark for comparison compare medicines	Coated tablet	22.5 mg	Is available (according to the information provided by wholesalers) OTC OTC	A05BA03 — BILE AND LIVER THERAPY	€ 8.09	skatīt informāciju par zālēm un iepakojumiem
Not available (according to the information provided by wholesalers)	OTC OTC	Silybum marianum	Carsil 22.5 mg coated tablets mark for comparison compare medicines	Coated tablet	22.5 mg	Not available (according to the information provided by wholesalers) OTC OTC	A05BA03 — BILE AND LIVER THERAPY	€ 5.96	skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	OTC OTC	Phospholipida ex soia	Essentiale forte N 300 mg hard capsules mark for comparison compare medicines	Capsule, hard	300 mg	Is available (according to the information provided by wholesalers) OTC OTC	A05BA10 — BILE AND LIVER THERAPY	€ 11.83–24.33	skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	OTC OTC	Phospholipida ex soia	Essentiale forte N 600 mg hard capsules mark for comparison compare medicines	Capsule, hard	600 mg	Is available (according to the information provided by wholesalers) OTC OTC	A05BA10 — BILE AND LIVER THERAPY	€ 16.99	skatīt informāciju par zālēm un iepakojumiem
Not available (according to the information provided by wholesalers)	Rx Prescription (Pr.)	Ornithini aspartas	Hepa-Merz 3 g granules for oral solution mark for comparison compare medicines	Granules for oral solution	3 g	Not available (according to the information provided by wholesalers) Rx Prescription (Pr.)	A05BA — BILE AND LIVER THERAPY	€ 46.03	skatīt informāciju par zālēm un iepakojumiem
Not available (according to the information provided by wholesalers)	Rx Prescription (Pr.)	Ornithini aspartas	Hepa-Merz 3000 3 g/5 g granules for oral solution mark for comparison compare medicines	Granules for oral solution	3000 mg	Not available (according to the information provided by wholesalers) Rx Prescription (Pr.)	A05BA — BILE AND LIVER THERAPY	€ 49.00	skatīt informāciju par zālēm un iepakojumiem
Authorisation for distribution of medicines revoked, distribution of the remaining stock of medicines authorised for a limited period of time Not available (according to the information provided by wholesalers)	Rx Prescription (Pr.)	Ornithini aspartas	Hepa-Merz 3000 3 g/5 g granules for oral solution mark for comparison compare medicines	Granules for oral solution	3000 mg	Authorisation for distribution of medicines revoked, distribution of the remaining stock of medicines authorised for a limited period of time Not available (according to the information provided by wholesalers) Rx Prescription (Pr.)	A05BA — BILE AND LIVER THERAPY	€ 46.04	skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	Rx Prescription (Pr.)	Ornithini aspartas	Hepa-Merz 3000 mg granules for oral solution mark for comparison compare medicines	Granules for oral solution	3000 mg	Is available (according to the information provided by wholesalers) Rx Prescription (Pr.)	A05BA — BILE AND LIVER THERAPY	€ 46.07	skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	Rx Prescription (Pr.)	Ornithini aspartas	Hepa-Merz 5 g/10 ml concentrate for solution for infusion mark for comparison compare medicines	Concentrate for solution for infusion	5 g/10 ml	Is available (according to the information provided by wholesalers) Rx Prescription (Pr.)	A05BA — BILE AND LIVER THERAPY	€ 89.10	skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	Rx Prescription (Pr.)	Ornithini aspartas	Hepa-Merz concentrate for solution for infusion 0.5 g/ml mark for comparison compare medicines	Concentrate for solution for infusion	5 g/10 ml	Is available (according to the information provided by wholesalers) Rx Prescription (Pr.)	A05BA — BILE AND LIVER THERAPY	€ 81.77	skatīt informāciju par zālēm un iepakojumiem
Not available (according to the information provided by wholesalers)	OTC OTC	Silybum marianum	Legalon forte capsules mark for comparison compare medicines	Capsule	140 mg	Not available (according to the information provided by wholesalers) OTC OTC	A05BA03 — BILE AND LIVER THERAPY		skatīt informāciju par zālēm un iepakojumiem
Is available (according to the information provided by wholesalers)	OTC OTC	Silybum marianum	Legalon Protect capsules mark for comparison compare medicines	Capsule	70 mg	Is available (according to the information provided by wholesalers) OTC OTC	A05BA03 — BILE AND LIVER THERAPY	€ 8.71	skatīt informāciju par zālēm un iepakojumiem

Medicinal Product Register of Latvia contains information only about those substances and methods, that are prohibited for use in sport and are included in World Anti-doping agency’s Prohibited list. The Register contains information only about those Medicinal Products, which can be purchased in Latvia. The Register does not contain information about food supplements.

If You search in the Medicinal Product Register of Latvia and do not find the necessary information about use in sports, it does not mean that use of substance or method in sport is not prohibited.

Information about use in sports to Medicinal Product Register of Latvia is provided by Anti-doping bureau of Latvia. Information for use in sports is included for information purposes, it is not considered as an authoritative information on the status of the substance or method for use in sports. Anti-doping bureau of Latvia shall make all reasonable efforts to provide up-to-date and accurate information but does not accept liability for errors or omissions. Please be informed that there may be special circumstances or situations that require a doctor’s or pharmacist’s consultation. Please note that information about new products or changes in Prohibited list shall be renewed after accession of these products in the register or publication of the Prohibited list on the World Anti-Doping Agency’s website.

The purpose of the Meds75+ database of medication for older persons is to support the clinical decision-making on the pharmacotherapy of patients over 75 years of age and to improve medication safety in primary health care. The database contains classification and recommendation for almost 500 substance or their combination when used in older persons.

The Meds75+ database is maintained by the Finnish Medicines Agency, Fimea. Information regarding the use of medicinal products in persons over the age of 75 has been included in the register only for informative purposes. Patients should talk to their doctor before using medicinal products. The State Agency of Medicines does not take responsibility for the accuracy and completeness of this information. If you note any errors, please contact info@zva.gov.lv.

Content of the database

Like in other health care databases, the medicinal substances are classified into categories A, B, C and D. The category indicates how suitable the medicinal substance is for persons over 75 years of age. The categories are based on a multidisciplinary clinical consensus.

A (green): Suitable for the older persons. The medicinal substance can be used as in younger patients. Changes due to aging do not affect the dose or frequency of administration, and the adverse reaction profile is not different from that of younger patients.
B (grey): There is little research evidence, practical experience or efficacy in older persons.
C (yellow): Suitable for older persons, with specific cautions. The medicinal substance can be used by older persons, but the dose might either have to be reduced, or the frequency of administration decreased due to mild or moderate renal insufficiency or a significant risk of interactions or adverse reactions.
D (red): Avoid use in older persons. Use is possible only in exceptional cases or on a one-off basis. Changes due to aging predispose older persons to adverse or dangerous reactions to the drug. The risk of adverse reactions typically exceeds the benefits.

The legend for each pharmaceutical substance contains information on the effects and dosing of the substance and the most typical adverse reactions and interactions. The legend does not contain indications or contraindications.

Using the database in health care

The database is primarily intended for physicians and other health care professionals. It must be borne in mind that individual cases might require the use of category D medicinal products. The pharmacotherapy must be started, changed or discontinued under the supervision of a physician.

Meds75+ data source is Finnish Medicines Agency Fimea (licensed under CC BY 4.0).
Data updated on Apr 23, 2024.