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Stugeron (Strugeron) forte 75 mg tablets – not marketed in Serbia; authorised alternative Cinedil 75 mg
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- Stock: Zabrana online prodaje
- Brand: KRKA-EN
- Model: BR-65143310
This medicine is currently not marketed in Serbia
- Stugeron forte tablets (often searched as “Strugeron forte”) currently have no valid marketing authorisation in Serbia (ALIMS) and cannot be obtained in pharmacies in Serbia, including ApotekaOnline.
- The authorisation for Stugeron forte 75 mg (Krka in cooperation with Janssen, no. 515-01-02538-17-001, dispensing category: prescription-only) ceased to be valid by an ALIMS decision of 26.05.2021.
- A medicine with the same substance and strength is authorised in Serbia – Cinedil® 75 mg (cinnarizine, Alkaloid), prescription-only. A switch is decided by the doctor.
- This page is for information only and is not an offer to sell the medicine.
Stugeron forte is a tablet medicine containing 75 mg of cinnarizine (not flunarizine), an antihistamine used for balance disorders (ATC N07CA02 – antivertigo preparations). The tablet also contains lactose.
According to the last summary of product characteristics approved in Serbia (ALIMS, April 2018), Stugeron forte was intended for the control of vestibular disorders such as vertigo, tinnitus, nausea and vomiting – similar to those seen in Ménière’s disease. All information on this page comes from the official documentation listed in the sources.
What is Stugeron forte, what was it used for and what can replace it in Serbia?
Basic information about the medicine
| Name of the medicine | Stugeron® forte, 75 mg, tablets |
|---|---|
| Active substance | cinnarizine |
| Strength | 75 mg per tablet |
| Pharmaceutical form | tablet for oral use |
| Therapeutic group | other nervous system drugs – antivertigo preparations (N07CA02) |
| Pack | 50 tablets (5 blisters of 10) |
| Marketing authorisation holder | previously in Serbia: Krka-Farma d.o.o. Beograd (Krka d.d. Novo Mesto in cooperation with Janssen Pharmaceutica) |
| Status in Serbia | no valid authorisation since 26.05.2021 (previously: prescription-only medicine) |
What was Stugeron forte used for?
According to the SmPC approved in Serbia (2018), Stugeron forte is intended for:
- control of vestibular disorders such as vertigo, tinnitus, nausea and vomiting – similar to those that may be seen in Ménière’s disease
The medicine is not intended for children. The previous description on this page stated flunarizine as the active substance and an effect on brain circulation – according to the official documentation, Stugeron forte contains cinnarizine, and the indication in Serbia was only the control of vestibular disorders.
How was it taken?
The official documentation describes, in adults and the elderly, 1 tablet once or twice a day, with a maximum of 3 tablets a day. The tablet is taken after a meal with enough liquid, which reduces stomach discomfort.
This information describes the official product information and is not an individual recommendation – the dosage of an authorised medicine is decided by the doctor according to the official information for that medicine.
Important safety information from the official documentation
- The medicine must not be used in case of hypersensitivity to cinnarizine or the excipients, parkinsonism or extrapyramidal disorders; use should be avoided in porphyria.
- Like other antihistamines, cinnarizine may cause upper abdominal discomfort; taking it after meals reduces this. It may suppress positive skin allergy tests if taken within 4 days before testing.
- Concomitant use with alcohol, CNS depressants or tricyclic antidepressants may increase sedation; a synergistic effect is possible with vasodilators, blood pressure medicines and domperidone.
- Cinnarizine may cause drowsiness, especially at the start of treatment or with alcohol – in that case do not drive or operate machinery.
- Dry mouth is common; nausea, vomiting and diarrhoea are uncommon; rarely loss of appetite, weight gain, drowsiness, insomnia, headache and – especially in the elderly with long-term use – cinnarizine-induced parkinsonism (the dose is then reduced or treatment stopped).
- Use is not recommended during pregnancy or breast-feeding.
What is available in Serbia?
A medicine with the same active substance, strength and pharmaceutical form is authorised in Serbia. In the National Medicines Register, Cinedil® and Stugeron® forte were listed as chemically parallel medicines.
| Option | What it is | Note |
|---|---|---|
| Cinedil®, 75 mg, tablets (Alkaloid AD Skopje / Alkaloid d.o.o. Beograd; authorisation renewed 21.02.2024, no. 000457630 2023 59010 007 000 515 021 04 001) | cinnarizine 75 mg, 45 tablets, prescription-only | same substance and strength, different manufacturer; according to the SmPC, Cinedil is intended for vestibular disorders and as add-on therapy for symptoms of peripheral circulatory disorders; it is also contraindicated in pregnancy, breast-feeding and after a recent heart attack |
| Medical examination (ENT, neurologist) | finding the cause of vertigo | vertigo has various causes – the doctor decides on treatment |
According to the SmPC for Cinedil, in vestibular disorders adults take 1 tablet (75 mg) once or twice a day; the dosage in an individual case is decided by the doctor.
A replacement medicine must always be chosen by a doctor. A pharmacist can help you choose suitable supportive products and care, but cannot replace the treatment prescribed by your doctor.
When to seek medical help immediately?
- sudden severe vertigo with headache, weakness on one side of the body, speech or vision disturbances
- fainting or a fall
- trembling, stiffness or slowed movements during cinnarizine use (especially in the elderly)
- swelling of the face, lips or throat, difficulty breathing, widespread rash
- sudden hearing loss
Pharmacist’s advice
If you used Stugeron forte, ask your doctor for a prescription for Cinedil 75 mg – it contains the same substance at the same strength. Before switching, tell your doctor which other medicines you take, especially sedatives, sleeping pills, antidepressants and blood pressure medicines, because cinnarizine may increase their effect.
Take the tablets after meals and avoid alcohol. At the start of treatment, check how you react before driving. With long-term use, especially in the elderly, watch for trembling or slowed movements and report them to your doctor. If you also take blood pressure medicines, measure your blood pressure at home from time to time.
Availability and price
Stugeron forte is currently not marketed in Serbia and cannot be bought in pharmacies, including ApotekaOnline. No price is available because the medicine has no valid authorisation.
The authorised medicine Cinedil 75 mg is dispensed on prescription in pharmacies. This page is for information only.
Composition, pack and manufacturer
- Active substance: cinnarizine 75 mg per tablet.
- Excipient with known effect: lactose (171.95 mg per tablet).
- Appearance: white, round, flat tablets with bevelled edges.
- Pack: 5 blisters of 10 tablets (50 tablets).
- Previously in Serbia: marketing authorisation holder Krka-Farma d.o.o. Beograd.
Storage
- According to the SmPC: store at a temperature up to 25 °C; shelf life 5 years.
- Keep out of the reach of children.
Frequently asked questions
Can Stugeron (Strugeron) forte be bought in Serbia?
No. The authorisation for Stugeron forte 75 mg ceased to be valid on 26.05.2021, so the medicine cannot be obtained in pharmacies in Serbia.
Is Cinedil the same as Stugeron forte?
Cinedil 75 mg contains the same active substance (cinnarizine) at the same strength and is authorised in Serbia. The manufacturer, excipients and approved leaflet text differ, and a switch to Cinedil is decided by the doctor.
Does Stugeron forte cause drowsiness?
Yes, according to the SmPC cinnarizine may cause drowsiness, especially at the start of treatment or with alcohol. People who experience this should not drive or operate machinery.
Does Stugeron forte contain flunarizine?
No. Stugeron forte contains cinnarizine 75 mg. Flunarizine is a different active substance from a related group and is not an ingredient of this medicine.
Related information
For additional care and support with dizziness, see also the Vertigo category – products in this category do not replace the medicine you have been prescribed.
Sources
- ALIMS – Sažetak karakteristika leka Stugeron® forte, 75 mg, tablete (dozvola 515-01-02538-17-001, april 2018)
- ALIMS – Uputstvo za lek Stugeron® forte, 75 mg, tablete
- ALIMS – Rešenja o prestanku važenja dozvole 01.05.–30.06.2021 (Stugeron forte, 26.05.2021)
- ALIMS – Sažetak karakteristika leka Cinedil®, 75 mg, tablete
- ALIMS – Uputstvo za lek Cinedil®, 75 mg, tablete
- ALIMS – Nove dozvole i obnove 01.01.–15.03.2024 (Cinedil, obnova 21.02.2024)
Date sources were checked: 23 October 2026.
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