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. 2021 May 18;11(2):61–76. doi: 10.3390/jox11020005

Table 1.

Medicines and pharmaceutical products with the highest sales in Brazil, according to their active ingredient(s) and therapeutic indication(s).

Ranking Pharmaceuticals Products Therapeutic Indication
1 Dorflex® (dipyrone monohydrate, orphenadrine citrate, and caffeine) To relieve pain associated with muscle contractures, including tension headache
2 Xarelto® (rivaroxaban) To prevent venous thromboembolism in adult patients undergoing elective knee or hip arthroplasty surgery
3 Saxenda® (liraglutide) Chronic weight control in adults with a Body Mass Index of 27 kg/m2 or more
4 Neosaldina® (dipyrone, isometheptene mucate, and anhydrous caffeine) To treat various types of headache, including migraines, or for the treatment of colic
5 Addera D3® (cholecalciferol) Auxiliary treatment of bone demineralization (removal of minerals) before and after menopause, rickets, osteomalacia, osteoporosis and in the prevention of falls and fractures in older adults with vitamin D deficiency
6 Glifage XR® (metformin hydrochloride) To treat type 2 diabetes in adults, alone or in combination with other oral anti-diabetics. Also used to treat type 1 diabetes in addition to insulin therapy and indicated to treat Polycystic Ovary Syndrome
7 Torsilax® (caffeine, carisoprodol, diclofenac sodium and paracetamol) To treat rheumatism in its acute and chronic inflammatory-degenerative forms: acute gout crisis, acute inflammatory, post-traumatic and post-surgical states, acute exacerbations of rheumatoid arthritis or other rheumatic arthropathies, osteoarthritis, and acute states of rheumatism in extra-articular tissues, low back pain or low back pain. Also, an adjunct to severe inflammatory processes resulting from infectious conditions
8 Victoza® (liraglutide) Chronic weight control in adults with a Body Mass Index (BMI) of 27 kg m-2 or more
9 Anthelios® (avobenzone, homosalate, octisalate, octocrylene and oxybenzone) Sun protection
10 Puran T-4® (sodium levothyroxine) In patients with hypothyroidism of any etiology (except for transient hypothyroidism, during the recovery phase of subacute thyroiditis), a replacement therapy or hormonal supplementation. Suppression of pituitary TSH in the treatment or prevention of various euthyroid goiter types, including thyroid nodules, subacute or chronic lymphocytic thyroiditis (Hashimoto’s thyroiditis), thyroid-dependent follicular and papillary carcinomas. Upon diagnosis in suppression tests, aiding in the diagnosis of suspected mild hyperthyroidism or an autonomous thyroid gland.
11 Selozok® (metoprolol succinate) Arterial hypertension: reduction in blood pressure, morbidity, and risk of mortality from the cardiovascular and coronary origin (including sudden death); Angina pectoris; Adjuvant in the therapy of symptomatic chronic heart failure, mild to severe; Changes in heart rhythm, including especially supraventricular tachycardia; Maintenance treatment after myocardial infarction; Functional cardiac changes with palpitations; Migraine prophylaxis
12 Aradois® (losartan potassium) To treat hypertension and the treatment of heart failure when therapy with ACE inhibitors is no longer adequate.
13 Sal de Eno® (sodium bicarbonate, sodium carbonate and citric acid) Relief from heartburn, poor digestion, and other stomach disorders, such as excess stomach acid and acid indigestion
14 Novalgina® (dipyrone monohydrate) Analgesic and antithermic
15 Jardiance® (empagliflozin) Diabetes mellitus type 2
16 Alenia® (budesonide and formoterol) To improve and control shortness of breath in patients with bronchoconstriction or bronchospasm in patients with bronchial asthma.
17 Prolopa® (levodopa and benserazide) Parkinson’s disease
18 Galvus Met® (vildagliptin and metformin) Diabetes mellitus type 2
19 Ninho Fases 1+® (milk infant formula) Food supplement
20 Venvanse® (tablisdexanfetamine) Attention deficit hyperactivity disorder.

Source: Interfarma, 2019; Sanofi, 2014; Bayer, 2018; Novo Nordisk, 2016; Takeda Pharma Ltd., 2013; Mantecorp Farmasa, 2019; Merck S/A, 2014; Neo Química, 2019; Novo Nordisk, 2014; Sanofi, 2020; AstraZeneca, 2018; Biolab, 2019; GlaxoSmithKline Brasil, 2019; Sanofi, 2017; Boehringer Ingelheim, 2018; Biosintetica, 2014; Produtos Roche Químicos e Farmacêuticos S.A., 2019; Novartis, 2018; Shire, 2019.