Panavir - instructions for use and side effects, mechanism of action, contraindications and analogues

Panavir is a herbal medicine used to treat most viral diseases. It has antiviral and immunomodulatory effects, improves the body's resistance to the effects of microorganisms due to improved production of interferons and gamma globulins.

In this article we will look at why doctors prescribe Panavir, including instructions for use, analogues and prices for this drug in pharmacies. Real REVIEWS of people who have already used Panavir can be read in the comments.

Description of this medicine

A spray for topical use that has an immunomodulatory effect and effectively fights viral pathogens. The drug is made on the basis of a natural component and rarely causes side effects. Panavir is produced in several release forms, due to which the range of its use is quite wide.

This drug is able to stimulate the production of interferon in the body. Almost every person is familiar with the properties of interferon - this is a special protein that is synthesized by the body. Thanks to it, cells become more resistant to the effects of viruses and the ability to prevent their reproduction.

The drug is characterized by the following pharmacological properties:

Neuroprotective.
Wound healing.
Painkiller.
Antipyretic.
Antiviral.
Anti-inflammatory.
Immunomodulatory.

Pharmacodynamics and pharmacokinetics

Panavir has immunomodulatory and antiviral effects; the product contains extract of potato tops shoots. The active substance of this extract is hexose glycoside (hexahydrate), consisting of rhamnose, mannose, galactose, glucose, arabinose, uronic acids and xylose. When treated with medication, the production of interferons is activated and nonspecific immunity increases.

The antiviral effect of the drug occurs due to the active substance inhibiting the synthesis of viral DNA in cells affected by it. Therapeutic doses of Panavir are well tolerated and do not exhibit mutagenic, allergenic, teratogenic, embryotoxic, or carcinogenic effects on the body. The drug has analgesic and anti-inflammatory activity, has a regenerative effect, accelerates the process of scarring of ulcers, has an antipyretic effect, and improves the functions of the optic nerve and retina.

With external and local use of Panavir, the active components are not detected in the systemic circulation; with intravenous administration, polysaccharides are detected in the blood five minutes after entry. The active substances are captured by the cells of the reticuloendothelial system of the liver and spleen. The remains are excreted by the lungs and kidneys. The removal process takes 20-30 minutes.

Composition, pharmacological forms of this medication

The manufacturer produces the medicine in several pharmacological forms:

Rectal suppositories.
Vaginal suppositories.
Gel intended for external use.
Injection solution.
Spray gel "Intimate".
Spray "Panavir Inlight".

Such a variety of pharmacological forms allows absolutely every patient to choose the most effective and convenient version of the drug for him.

Panavir throat spray is packaged in bottles with a volume of 40 ml and equipped with a special sprayer.

In accordance with the manufacturer's annotation attached, the main active ingredient in the spray is an extract obtained from the shoots of tuberous nightshade, as well as an extract of purple echinacea, the healing properties of which have been known since ancient times.

What else is characteristic of Panavir spray? The composition of the product is unique.

It includes polysaccharides as additional components: uronic acids, galactose, xylose, mannose, rhamnose, glucose. Polysaccharides are necessary for the human body as a source of energy. Polysaccharides also help maintain the desired blood sugar level. In this way, the brain can receive the nourishment it needs, which helps increase concentration, improve memory, and mental activity.

The composition of the drug also includes such additional substances as purified water, hydrogenated castor oil, lanthanum nitrate, sodium hydroxide, polyethylene glycol.

It is worth considering and paying attention when choosing a medicine that the manufacturer produces two types of spray. One of them contains eucalyptus oil, and the other does not.

Eucalyptus oil is added to the medicine in order to speed up the process of regeneration of damaged tissues and reduce the intensity of the inflammatory process.

Pharmacological properties

Panavir injections have antiviral and immunostimulating effects. After administration, the drug improves the body's resistance to infectious agents, promotes the production of alpha and gamma types of interferons in blood leukocytes. The medicine suppresses the synthesis of viral DNA, stopping the spread of pathogenic microorganisms in the human body.

Preclinical studies have revealed that the drug does not lead to mutation or cancerous degeneration of cells. The active compound does not irritate tissues and does not have an allergenic or teratogenic effect. Nightshade glycoside does not cause intrauterine anomalies or disruption of the reproductive system. All tests were conducted on animals.

Panavir exhibits the following beneficial properties:

slows down the proliferative inflammatory process, relieves exudative swelling;
increases the rate of regeneration of damaged tissues;
reduces pathologically high body temperature;
increases the resistance of neurons to stress factors, improves the conduction of nerve impulses;
has a beneficial effect on the functioning of the visual analyzer;
relieves pain.

The analgesic effect manifests itself in pain caused by damage to nerve tissue, inflammation or burns. The neuroprotective properties of the drug are manifested in Parkinson's syndrome. Promotes healing in case of ulcerative-erosive disease of the stomach and duodenum.

After intravenous injection, the therapeutic effect is achieved within 5 minutes. During this period, the polysaccharides of the active substance form a complex with the endothelial cells of the spleen and liver. Despite the rapid action, the therapeutic effect is short-lived. Removal of active substances begins 30 minutes after administration of the solution - the glycoside leaves the body through the urinary and respiratory systems.

Indications for use of the drug

In accordance with the instructions for use attached to the Panavir spray, it is indicated for use for the treatment of ENT diseases and the prevention of infections in the following cases:

Burns of the mucous membranes in the oral cavity.
Damage to the mucous membranes in the oral cavity is of a traumatic nature.
Runny nose of a viral nature.
Flu.
ARVI.
Insect bites.
Period of seasonal diseases.
Stomatitis, bleeding gums.
Pharyngitis, laryngitis, tonsillitis and other throat pathologies of infectious etiology.

Many people are wondering at what age Panavir spray is allowed. More on this below.

Side effects

Vaginal suppositories. Allergic reactions may develop. If any undesirable disturbances occur, you should interrupt therapy and consult a specialist.

Gel. At the site of application of Panavir, short-term redness and itching of the skin and/or mucous membranes may be observed.
Rectal suppositories, solution for intravenous administration. The drug is generally well tolerated by patients. Possible disorders may be associated with hypersensitivity to the components of Panavir.

Contraindications for use, negative effects of this medicine

The only contraindication to the use of Panavir spray that is worth noting is individual sensitivity to any component included in the drug. Using the product in this case can lead to the development of an allergic response of the body and manifest itself as itching and burning on the treated mucosal surfaces.

However, additional symptomatic therapy for allergies is not required; all clinical manifestations disappear independently and completely after stopping the use of the spray.

Caution must be exercised when using Panavir throat spray:

Patients with severe forms of pathologies of the spleen and kidneys.
People who are prone to allergic reactions.
Patients with severe intolerance to polysaccharides.
Children's age up to 1 year.
The period of exacerbation of severe systemic pathologies: tuberculosis, leukemia, multiple sclerosis, collagenosis (an immunopathological process accompanied by dysfunction of connective tissues; collagenosis includes rheumatism, dermatomyositis, rheumatoid arthritis).

There are no restrictions on the combined use of Panavir Inlight with other drugs that have anti-inflammatory effects and are intended for the treatment of acute respiratory viral infections and influenza.

In addition, the drug can be used for a long time without any side effects.

There are no hormonal components and alcohol in the composition of the drug, so the spray can be used during the lactation period, during pregnancy. The drug is also safe for children and can be used from the age of 1 year.

Special instructions and precautions

When using the drug against cytomegalovirus and herpes diseases, women planning pregnancy need to know that the active compounds in Panavir contribute to a decrease in reproductive function. Therefore, conceiving a child should be postponed until the end of drug therapy.

Only a clear solution without foreign impurities is allowed for administration. If the liquid becomes cloudy, sediment or insoluble particles appear, the ampoule with the medication must be discarded.

Drug interactions

Doctors prohibit mixing Panavir with other injection solutions for parenteral administration in the same syringe. The medication has good compatibility with other anti-inflammatory or antiviral drugs. It does not contain hormones or an alcohol base, so it can be used in parallel with hormonal, hypoglycemic, and antihypertensive drugs.

Alcohol compatibility

During drug therapy, the consumption of alcoholic beverages is prohibited. Ethyl alcohol weakens the immune system and has a negative effect on the functioning of the cardiovascular and nervous systems. Alcohol blurs the clinical picture of a viral disease and reduces the medicinal effect of the drug, so there is a need for re-therapy.

Impact on the ability to drive a car and other vehicles

The active compounds contained in the drug do not penetrate the blood-brain barrier. Thanks to this, glycosides do not affect the functioning of the brain and spinal cord. The therapeutic effect is achieved only at the exit points of pairs of cranial nerves. It improves the transmission of electrical impulses along nerve fibers and has an analgesic effect, so it does not affect:

concentration;
memory;
cognitive functions;
speed of physical reaction and thinking.

As a result, there is no reason not to drive a vehicle or operate complex hardware devices while undergoing drug therapy.

Use for therapy in children

The medicinal spray can be used for the treatment of respiratory diseases in children from the age of 1 year, but only as an element of complex therapy, in addition to therapeutic drugs. The duration of use of the drug must be determined by a pediatrician, and self-medication is unacceptable, since any treatment should be prescribed exclusively by a specialist.

Panavir spray for children is recommended in the following cases:

A prophylactic agent during periods of epidemics of seasonal colds.
Insect bites.
Deprivation therapy.
Herpes (the components included in the drug can reduce itching).
Stomatitis.
Runny nose.
Sore throat with various etiologies.

What does Panavir help with?

Solution for intravenous administration and vaginal suppositories:

Tick-borne encephalitis (to eliminate neurological symptoms - anisoreflexia, nystagmus, pain at the exit points of cranial nerves, decreased reflexes), as part of combination therapy;
Human papillomavirus infection (anogenital warts), as part of combination therapy;
Acute respiratory viral infections (ARVI) and influenza, as part of combination therapy.
Genital herpes in women (for suppositories), as part of complex treatment;
Herpesvirus infections of various localizations (including ophthalmoherpes, herpes zoster, recurrent genital herpes);
Secondary immunodeficiency states that arise against the background of infectious lesions;
Cytomegalovirus infection (can be used in women with recurrent miscarriage, as well as at the stage of preparation for pregnancy in the presence of interferon deficiency and chronic viral infection).

Panavir ointment instructions recommend prescribing for the treatment of the following pathological conditions:

genital herpes (including recurrent);
herpetic infection of the Varicella-Zoster type;
ophthalmoherpes;
human papillomavirus infection (in complex therapy);
tick-borne encephalitis;
bacterial prostatitis (in the chronic stage);
rheumatoid arthritis.

Methods of application

For the purpose of treating ARVI in combination with other medications, it is recommended to perform 2-3 sprays twice a day using Panavir throat spray. In severe forms of the disease, it is allowed to increase the frequency of applications to 5 per day, but in this case you should first consult a doctor.

In order to prevent infection with respiratory diseases, it is recommended to spray up to 2 sprays into the throat twice a day.

For the treatment of lichen, herpes, stomatitis, it is recommended to spray the product on the affected area twice a day. It should be used in a similar way to eliminate the itching that occurs after an insect bite.

It is important to adhere to some precautions when using Panavir Inlight:

It is strictly forbidden to use the drug if its expiration date has expired.
The product can only be used if recommended by a specialist.
The use of the drug under the age of one year is unacceptable. This is due to the impossibility of using the spray in young children.

Cheap and popular analogues

There are no complete analogues of Panavir.

The most inexpensive analogues based on the principle of operation are:

Neovir – solution RUR 368.60;
Acyclovir - solution 291 rubles, table. 189 RUR, cream 62.5 RUR;
Arbidol - table. 150 rub., caps. RUR 215;
Viferon - ointment 180 RUR, supp. RUR 359;
Amiksin - table. RUR 513;
Kagocel - table. 238 rub.

Spray "Panavir": analogues

This medication is based on herbal components, and therefore it has virtually no contraindications and is completely safe:

The medicine can be used during pregnancy.
You can combine the use of the drug with other medications.
Allows you to strengthen your immune system.
Has a long-lasting protective effect.
Accelerates regeneration.
Has a regenerating effect on the mucous membranes in the nasopharynx.
Shows its effectiveness when used prophylactically.
Can be used for therapy.

If necessary, Panavir Inlight can be replaced with a similar product. The most popular analogues are: “Ergoferon”, “Kagocel”, “Tiloron”, “Yodantipirin”, “Lavomax”, “Tilaxin”, “Ingavirin”, “Virasept”, “Oxolinic ointment”, “Amizon”, “Amiksin”.

Not everyone knows what to replace Panavir spray with. Analogues should be selected by a doctor.

It is important to remember that all of these drugs differ in their composition, although their effects are similar. Nevertheless, medications can provoke negative effects and have contraindications and age restrictions.

Panavir during pregnancy

Before using the product during pregnancy, you should consult your doctor. The solution and gel can be used when the benefit to the mother exceeds the risk to the child. During treatment with Panavir solution and rectal suppositories, breastfeeding is prohibited. When carrying a child, the instructions prohibit the use of rectal and vaginal suppositories, although no carcinogenic, mutagenic, embryotoxic or teratogenic effects of the drug have been identified. Sprays are allowed during pregnancy.

Reviews

Most often there are reviews about the use of the drug for the treatment of children. Parents note that the product is almost completely safe and only occasionally provokes allergic reactions. The drug is effective for tonsillitis, pharyngitis and stomatitis.

However, children often complain that the medicine has a bitter taste, which remains in the mouth for quite a long time after irrigation. In addition, after use, the secretion of mucus from the nasal cavity increases. Doctors say that this situation is normal and recommend continuing therapy, since unpleasant reactions disappear on their own after some time.

Despite the almost complete safety of the drug, its use should be coordinated with a doctor, especially if therapy is intended for pediatric patients.

Treatment regimen

The regimen for using Panavir is selected based on the disease.

Intravenous injections

herpes and tick-borne encephalitis - 2 times every 24 or 48 hours, repeating the course is acceptable after 1 month;
cytomegalovirus and papillomavirus - 3 times in the first week with an interval of 48 hours and 2 times in the second week every 72 hours;
exacerbation of chronic cytomegalovirus in pregnant women from the second trimester - in the first week 3 times with an interval of 48 hours, the second week - twice every 72 hours;
exacerbation of a stomach ulcer - a total of 5 injections, administered every other day, course 10 days;
rheumatoid arthritis together with herpes infection - 5 injections intravenously with an interval of 24–48 hours, the course can be repeated after 2 months;
influenza and ARVI - 2 injections every 18–24 hours;
chronic prostatitis of the bacterial type - 5 injections with an interval of 48 hours.

IV

On the website, the doctor replies that the manufacturer recommends only intravenous administration of the drug without dilution with anything.

However, he notes that specialists from medical institutions sometimes prescribe Panavir by drip, but it is not known what substances they mix with and how they are used. This is done at the discretion of the individual doctor treating the patient.

Does it help with papillomas?

Based on all of the above, one could guess that injections with Panavir are often prescribed for HPV. Reviews from satisfied patients, for whom this product really helped get rid of papillomas, are direct confirmation of its effectiveness. There are just some nuances.

Injections for this disease are rarely prescribed - if the case is very advanced. As a rule, papillomas are treated with Panavir ointment. In this form, the medication exhibits the greatest antiviral effect. It helps to quickly remove inflammation and stop the progression of the disease at the earliest stage.

If you start using the product at the first symptoms (itching and redness), then new growths will not even have time to appear on the skin.

Due to its consistency, the ointment quickly penetrates the skin pores and mucous membranes. Of course, with large papillomas you will have to resort to injections for a more powerful effect. But even in such cases, one should not forget about the ointment, which helps prevent the formation of new growths.

(information for specialists)

on the medical use of the drug Panavir®

Registration number

Trade name of the drug:

Panavir®

Dosage form:

gel for external and local use

Compound:

Active ingredient: Panavir® (purified extract of shoots of the Solanum tuberosum plant) - 0.002 g per 100 g.

Excipients: glycerin, polyethylene oxide 400, polyethylene oxide 4000, ethyl alcohol; sodium hydroxide, lanthanum nitrate, purified water

Description

Homogeneous white mass with a slight specific odor

Pharmacotherapeutic group:

herbal antiviral agent

ATX code

[J05AX]

Pharmacological properties:

Panavir® is an antiviral drug for external use that has a virusostatic effect. Active against Herpes simplex viruses types I and II. Panavir® suppresses the replication and polymerase reactions of viruses, blocking the synthesis of viral DNA in affected skin cells.

Indications for use:

Infectious and inflammatory skin diseases caused by the herpes simplex virus types I and II (including genital herpes).

Contraindications

Hypersensitivity to the components of the drug, pregnancy, lactation.

Pregnancy and lactation

The safety of Panavir® during pregnancy and lactation has not been studied, so it should not be used during pregnancy and breastfeeding, unless from a medical point of view, the potential benefit to the mother outweighs the possible risk to the fetus.

Experimental studies on animals have not established a negative effect on reproductive function and fetal development.

Directions for use and doses

Externally. The gel is applied in a thin layer to the affected areas of the skin and/or mucous membranes 5 times a day. Duration of treatment is 4-5 days. The course of treatment can be extended up to 10 days.

Intravaginally. A small amount of gel is inserted vaginally and evenly distributed in a thin layer along the vaginal walls. Treatment is continued until clinical manifestations disappear completely.

Side effects

Rapid redness and itching of the skin may occur in the area where the gel is applied.

special instructions

It is recommended to start treatment at the earliest possible stage of the disease, at the first signs (itching, tingling, redness, feeling of tension), in this case the development of the vesicular stage of the disease can be completely prevented.

Panavir® gel cannot be used in ophthalmology. When applying the gel to the face, avoid getting it into the eyes.

Release form

Gel for external and local use, 0.002% in polymer tubes or aluminum tubes with varnish coating of 3 g, 5 g, 10 g and 30 g, along with instructions for use in a cardboard box.

Storage conditions

In a dry place, protected from light, at a temperature of 4 to 25 ° C, out of the reach of children.

Best before date

3 years. Do not use after expiration date.

Conditions for dispensing from pharmacies

Over the counter

Manufacturer / Organization accepting consumer complaints.

Produced by ZAO "Green Dubrava", Russia, 141800
,
Dmitrov, st. Professional, 151, tel./fax: (495) 504 2550;

LLC "LANAFARM", Russia, 127299, Moscow, st. Klara Zetkin, 4, tel./fax: (495) 453 4080, 159 5955.

Registration applicant LLC National Research National Research National

Research Panavir" will be effective on its own if the size of the elements is no more than 4 mm and the number is no more than 5. In other cases, it is necessary to remove specialists and use the "Panavir" gel. Thank you.

Nikita asks:2017-07-14 02:21:07

The question is, a papilloma appeared just below the head of the penis, 2 small, flesh-colored pieces, how much and how often should you use Panavir gel?

Korobkova Elena Vladimirovna Obstetrician-gynecologist answers: Good afternoon, 3-4 times a day, for at least a month. Thank you.

Arthur asks:2017-05-20 15:28:13

Hello. In the lower area of the penis, 3 papillomas of normal size appeared (2 months ago), now I notice the appearance of new growths in the form of vesicular membranes. In what quantities and duration should the medicine be used?

Korobkova Elena Vladimirovna Obstetrician-gynecologist answers: Good afternoon! Use Panavir gel 3-4 times a day; papillomas must be removed. Formations in the form of bubbles are not typical for HPV! To clarify the diagnosis, consult a dermatovenerologist. Thank you.

Igor asks:2017-05-11 09:35:06

hello, papillomas appeared on the outside of the eyelid, then on the neck - small, but a lot, now it started to itch in the groin and testicles - and they appeared there. Tell me, will Panavir help in these cases? I’m especially interested in the eyelids because the drug, as I understand it, is not good for the eyes? Thank you

Korobkova Elena Vladimirovna Obstetrician-gynecologist answers: Good afternoon! Because papillomas throughout the body, then systemic treatment is recommended - intravenous ampoule form or rectal suppositories. It is necessary to remove formations if they are more than 4 mm. "Panavir" gel can be applied to the eyelids; the gel is not applied to the mucous membrane of the eyes. Thank you.

Denis asks:2017-03-15 13:15:57

Good afternoon Please tell me, in combination with which drugs is it better to use Panavir gel against genital warts? Thank you very much in advance for your answer!

Bagaeva Madina answers: Hello! In combination with systemic treatment. For example, Panavir ampoules No. 5 IV Genferon suppositories No. 10 rectally.

Dilya asks: 2017-02-15 15:02:21

Hello! A 3.5 year old child has molluscum contagiosum. The dermatologist prescribed Panavir gel. There are no contraindications in the instructions, but the one I bought is contraindicated for people under 18 years of age. Can we use this gel? Thanks in advance!

Bagaeva Madina answers: Yes, it works only at the local level and does not have a systemic effect on the body. Changes in the instructions are related to new requirements from the Ministry of Health, in other words, this is exclusively a “paper” issue.

Rumia asks:2017-01-25 11:32:08

Good afternoon, I was prescribed HPV56 isocarcinogen, but now not a single pharmacy has these pills. Tell me what can I replace it with? Panavir? And my husband is better off with gel and suppositories. Thank you

Bagaeva Madina answers: Hello! Yes, with a diagnosis of HPV, the use of Panavir is more than justified. I would recommend ampoules No. 5 for you (IV on days 1, 3, 5, 8 and 11 of treatment); for my husband, rectal suppositories No. 10 (daily at night) are better. If there are local manifestations, then yes, apply a thin layer of gel 2-5 r/s.

Elena asks: 2016-11-24 12:03:16

Good afternoon I was diagnosed with HPV types 18 and 59. The doctor prescribed isoprinosine from the first day of menstruation, then Panavir suppositories. M/h has a negative PCR. How to protect yourself and not transmit the virus to patients before starting treatment? Can Panavir gel or epigen spray be effective? And is it necessary to treat him if the test is negative? If necessary, then with what?

Bagaeva Madina answers: It is imperative to treat your sexual partner. Rectal suppositories Panavir No. 10 (daily, at night) are perfect. During treatment, all sexual contacts must be protected with a barrier (condom) Panavir Intim spray (before and after sexual intercourse).

Katya asks: 2016-10-07 00:31:00

Hello, I have HPV, I was prescribed Panavir gel to be inserted with a tampon, I encountered a problem - severe pain during insertion, as if the vaginal walls were being pulled, the tampon could not be inserted completely, burning, discomfort. They prescribed the gel to be inserted this way for a month, but I can’t do it even once . Tell me, how can I use the gel without tampons?

Bagaeva Madina answers: Good afternoon! Try using an applicator. Buy the simplest candles at the pharmacy, which come with an applicator. Or a regular 2.0 ml syringe.

Natalia asks: 2016-09-19 17:35:59

Hello! In case of frequent relapses of genital herpes, do you need to use any other means or can you get by with Panavir gel alone?

Natalya asks:2016-09-11 23:58:35

Hello! My daughter is 15 years old. She complained to me about white papillomas on the labia minora. Tell me what to do? What course of treatment should I take with Panavir gel? How many times should I apply it?

Bagaeva Madina answers: Good afternoon! Recommended regimen for using Panavir gel: 2-5 times a day, in a thin layer, 10-14 days. But it all depends on the size of the papillomas. And explain in more detail about the “white color”. Usually papillomas almost match the color of the skin.

Ekaterina asks: 2016-08-12 10:05:37

Hello, I am 22 weeks pregnant. Genital herpes came out, two weeks ago there were already small rashes, I applied akiklovir and here it is again

Bagaeva Madina answers: Good afternoon! Your gestational age allows you to undergo treatment with Panavir ampoules. Panavir does not have teratogenic, mutagenic or embryotoxic effects.

Natalya asks:2016-08-12 09:59:37

Hello, is this gel prescribed for the treatment of molluscs in a child in combination with fucorcin? or did the doctor mix something up? There is no description of this disease in the drug annotation

Bagaeva Madina answers: Good afternoon! Similar application experience exists. You should not rely only on the instructions; the scope of use of the drug Panavir is much wider.

Marina asks:2016-05-30 14:48:20

Hello, during pregnancy, papillomas appeared in the armpit area, one large and several small ones, a dermatovenerologist prescribed Panavir gel. Tell me, please, do they need to be removed first, and then the papillomas themselves should be smeared or smeared and they will disappear? Thank you

Bagaeva Madina answers: Good afternoon! If papillomas are less than 3 mm in diameter, they may disappear. But larger ones need to be removed. Start applying the gel 7-10 days before destruction. After destruction, you can also use a gel; it will speed up the healing process.

Marina asks:2016-05-30 13:48:20

Viktor Arkadyevich asks: 2016-05-13 10:39:38

Good afternoon Is it possible to get a consultation on Panavir gel by phone? This is a very big problem and takes a long time to describe.

Bagaeva Madina answers: Good afternoon! You can always call the hotline 8-800-555-222-9 (calls within Russia are free). Phone in Moscow: (495) 921-4991 (from 9:00 to 18:00).

Viktor Arkadyevich asks: 2016-05-13 09:39:38

Good afternoon Is it possible to get a consultation on Panavir gel by phone? This is a very big problem and takes a long time to describe.

Bagaeva Madina answers: Good afternoon! You can always call the hotline 8-800-555-222-9 (calls within Russia are free). Phone in Moscow: (495) 921-4991 (from 9:00 to 18:00).