Имупрет

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Имупрет

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Имупрет

Property Description
Active Ingredients Seven standardized herbal extracts (e.g., Yarrow herb, Marshmallow root, Oak bark)
Form Film-coated tablets and oral drops (solution)
Pharmacological Class Phyto-preparation with immunomodulating and anti-inflammatory properties
Common Purpose Supports immune function and upper respiratory tract health
Origin Natural (botanical/herbal)

Definition and Classification of Имупрет

Имупрет is classified as a multi-component phyto-preparation, a category of medicinal products derived entirely from botanical sources, distinguishing it from synthetic pharmaceuticals. It is defined pharmacologically by its core dual actions: providing immunomodulating support and exhibiting anti-inflammatory properties. This classification reflects its role in assisting the body's natural defense processes. As a product of the German manufacturer Bionorica SE, specializing in phytomedicines, it follows specific protocols for the standardization of herbal extracts, which helps ensure consistent quality.

Composition and Available Forms

Its complex formulation is a key feature, comprising seven active ingredients including Achillea Millefolii Herba (Yarrow herb), Althaeae Officinalis Herbae Extract (Marshmallow root extract), Quercus Cortex (Oak bark), and Taraxaci Officinalis Radices (Dandelion root). This specific combination of plant extracts is formulated for the synergistic activity of the whole blend. Имупрет is available for oral administration in both film-coated tablets and a liquid oral drops solution, ensuring versatility for different patient groups, including pediatric patients, and is typically available over-the-counter (OTC).

General Purpose and Overall Benefit

The primary purpose of Имупрет is to provide comprehensive support for the immune system and the overall health of the upper respiratory tract. Its design leverages the combined effects of its components to help the body stabilize its immune balance and assist in maintaining the integrity of the mucous membranes. The product is grounded in traditional knowledge of herbal components for supporting the body during seasonal respiratory challenges.

What side effects are possible with Имупрет?

Possible Side Effects and Safety Information

The safety profile of Имупрет is documented in official regulatory sources by classifying potential adverse reactions according to the organ system affected and their reported frequency. The official safety data identifies two main categories of effects based on System-Organ Classes (SOC):


Documented Adverse Reaction Categories

System-Organ Class Frequency Classification Specific Reaction Examples
Gastrointestinal Disorders Uncommon (1 in 100 to 1 in 1,000) Stomach pain, nausea, vomiting, or other digestive tract disturbances.
Immune System Disorders Frequency Unknown Allergic (hypersensitivity) reactions.

Serious Adverse Reactions and Safety Restrictions

Although generally uncommon, the regulatory documentation notes the potential for severe hypersensitivity reactions as a possible outcome of the immune system disturbances, including angioedema (swelling of the face or throat) and dyspnoea (difficulty breathing). Adverse effects, particularly hypersensitivity, are generally stated to resolve upon discontinuation of the preparation.

Contraindications and Limitations

Safety is strictly governed by a core restriction: Имупрет is contraindicated in individuals with known hypersensitivity to any of its active herbal components—Yarrow herb, Marshmallow root, Oak bark, or others—or to any excipient. Furthermore, the use of the product is typically advised against during pregnancy and lactation as a precautionary measure due to a lack of sufficient data in these specific populations.

Overdose and Emergency Response

Overdose Map: Overdose and when to seek help — official regulatory information for Имупрет

Overdose scope
Documented overdose presentations: No specific overdose symptoms are known to date, according to official regulatory information. – The only documented manifestation is the potential intensification of known adverse reactions (e.g., gastrointestinal issues or allergic events).
Physiological systems affected (as stated in label): – Gastrointestinal tract. – Immune system (hypersensitivity).
Dose-related or exposure-related factors (if applicable): – Regulatory documents explicitly state that there are no known cases of poisoning reported for this product.
Population-specific overdose notes (if applicable): – No specific overdose profile is documented for populations with impaired liver or kidney function.
Overdose classifications (high-level)
Severity classification (as defined in official documents): Undefined (due to no known cases of poisoning).
Regulatory basis (EMA / FDA / etc.): European Union (EU) aligned Patient Information Leaflet (PIL) / Summary of Product Characteristics (SmPC) data.

Resulting overdose structure

Official overdose statements:

  • No specific overdose symptoms are known to date, and official regulatory documents confirm that there are no known cases of poisoning reported for this medicinal product.
  • The documented clinical presentation following ingestion of an excessive dose is the potential for the intensification of known adverse reactions, specifically affecting the gastrointestinal tract or manifesting as hypersensitivity.
  • If a larger dose than recommended is taken, the required action is to consult a doctor to determine further action.

Connection to the overall overdose profile

The regulatory profile for Имупрет is primarily defined by the documented absence of specific toxic effects or known cases of poisoning. This status dictates that the primary emergency action is the mandated consultation with a doctor for professional clinical assessment following ingestion of a dose larger than recommended; management is focused only on symptomatic support for any potential intensification of mild, known adverse reactions.

Therapeutic Uses of Имупрет

What Имупрет Treats: Main Uses and Benefits

The preparation is commonly used for the supportive management of the common cold, particularly during phases when symptoms become more noticeable and during the active course of the infection. Its use extends to the supportive care of acute conditions, such as severe acute tonsillitis. It helps address symptom clusters that create noticeable interference with daily functioning, such as nasal congestion, rhinitis, and general malaise. The key therapeutic benefit plays a role in managing symptoms to help ease the overall symptom load and may contribute to supporting the patient through difficult episodes.

This medicine is applied across conditions presenting with acute episodes, including pharyngitis and tonsillitis. It is relevant for easing local symptoms, providing supportive relief for a sore throat, throat irritation, and discomfort when swallowing. This offers symptomatic relief that helps patients cope more steadily with difficult episodes.

“The preparation provides support that helps ease the overall symptom burden, particularly during episodes of inflammatory discomfort.”

It is commonly used across pediatric and adult patient groups, when symptoms form part of episodic or fluctuating patterns, such as recurrent infections of the upper respiratory tract.

Quick Fact: Relief for Inflammatory Throat Discomfort

Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Имупрет — Official Regulatory Information


Eligibility Scope

Populations for whom use is allowed (as stated in label): Adults, adolescents (12 years and older), and children 2 years of age and older.

Populations for whom use is contraindicated:

  • Hypersensitivity: Patients with known allergy to any of the seven active herbal components or excipients, including known sensitivity to plants in the Compositae/Asteraceae family.
  • Age Limits: The film-coated tablets are contraindicated in children under 6 years of age. The oral drops solution is contraindicated in children under 2 years of age.
  • Comorbidity/Condition: Use of the oral drops is restricted in patients with alcoholism due to its ethanol content. The tablet formulation is restricted for patients with known lactose or sucrose intolerance (e.g., lactase deficiency).

Eligibility Classifications

Populations for whom use is not recommended: Use is not recommended during pregnancy or breastfeeding due to the lack of sufficient safety data in these populations.

Eligibility-context constraints: Regulatory documents state that there is insufficient information available to establish specific dosing or use in patients with altered renal or hepatic function.


Connection to the overall eligibility profile

The official regulatory profile defines eligibility primarily by setting minimum age limits tied to the specific formulation and establishing absolute contraindications based on allergic history. Use is further restricted or not recommended in special populations—including pregnancy, lactation, and organ impairment—where safety and efficacy have not been sufficiently investigated as per regulatory standards.

What should I know about interactions with other medicines?

Interactions with other medicines and products

This section outlines the official interaction patterns for Имупрет as documented strictly in government regulatory sources, such as national Summary of Product Characteristics (SmPC) and equivalent prescribing information.

Physical Absorption and Timing Constraints

The most significant interaction constraint is based on physical absorption interference. Because components of the Marshmallow root extract may temporarily affect the absorption of other orally administered medicinal products in the digestive tract, a mandatory timing rule applies. To ensure adequate systemic exposure of co-administered oral medicines, Имупрет must be administered with a separation window of one hour before or one hour after the intake of any other oral medication.

Pharmacodynamic Interaction Risk

Interactions centered on additive pharmacodynamic effects are noted for certain plant constituents. Due to the content of tannins from ingredients such as Oak bark, co-administration with other medicinal preparations containing high levels of tannins should be avoided. Furthermore, general caution is advised against the concurrent use of other immune-stimulating or anti-inflammatory herbal products, as well as the use of alcohol.

Absence of Pharmacokinetic Interactions

The regulatory profile confirms the absence of many complex drug-drug interaction warnings typical of synthetic compounds. Official documentation currently does not list interactions mediated by cytochrome P450 (CYP) enzymes, or drug transporters like P-glycoprotein, nor are any drug combinations formally classified as contraindicated.

Mechanism of Action

How Имупрет Works

Modulation of Microbial Replication and Adherence

The components of Имупрет (BNO 1030) engage in a direct mechanistic focus, interfering with the molecular processes governing microbial lifecycle and cellular adherence. This action modifies signaling sequences that lead to downstream effects, specifically influencing mechanisms that constrain pathogen replication and proliferation by acting on defined biological targets at the microbial level.

Influence on Inflammatory Pathway Activity

This agent is applied to adjust activity within central and peripheral physiological pathways. It engages mechanisms that regulate overactive or dysregulated processes within the immune system, particularly those associated with inflammation. By altering signaling dynamics in defined humoral pathways, the mechanism modulates pathway dynamics within targeted systems, influencing downstream effects of heightened pathway activation.

Augmentation of Innate Cellular Defense Mechanisms

Mechanistic activity involves influencing pathways that enhance the activity of innate immune cells. This targeted pathway adjustment supports the regulation of processes driven by distinct signaling patterns, which ultimately augments phagocytic cell function and microbial clearance processes, reinforcing defense activity at a cellular level.

Dosage and Administration Information

Instruction Map: How to use Имупрет — Official Administration Guidelines

Administration Scope

Entity Detail
Route of administration Oral (by mouth).
Dosing schedule Two-phase schedule: 5–6 doses per day during the acute phase; reduced to 3 doses per day upon symptom improvement.
Timing in relation to meals (if applicable) May be administered independently of meals.
Preparation requirements (if applicable) Oral drops solution must be shaken well before use.
Age-group administration rules Film-coated tablets are for use in individuals at least 6 years of age; Oral drops are for individuals at least 2 years of age. Dosing is strictly age-dependent.
Missed-dose rules Do not take a double dose to compensate for a missed dose.
Total duration of use Treatment course should not exceed two consecutive weeks (14 days). The high-frequency dose is limited to a maximum of 7 days.

Instruction Classifications (High-Level)

Classification Detail
Administration method type Oral
Frequency pattern Divided daily use, adjusting from an acute to a maintenance frequency.
Basis of use Standardized administration guidelines.
Use-context constraints Usage is time-bound (14 days maximum) and symptom-driven (frequency adjusts based on symptom severity).

Resulting Procedural Structure

Official step sequence:

  • Select the correct dosage form (drops or tablets) based on the patient's age category (at least 2 years for drops, at least 6 years for tablets).
  • Administer the age-appropriate unit dose 5–6 times per day during the acute symptom phase, ensuring tablets are swallowed whole with liquid.
  • Reduce the frequency to 3 times per day upon symptom improvement, continuing the age-appropriate unit dose.
  • Cease use when symptoms resolve or when the maximum total continuous use period of 14 days is reached.

Connection to the overall use protocol: The instructions establish a structured protocol that governs the medicine's use by age, total duration, and symptom-driven frequency shifts. This protocol dictates a shift from an initial high-frequency dose to a lower, maintenance dose as symptoms subside, and limits the entire treatment course to two weeks.

Recent Clinical Evidence

Research evidence / Overview of studies for Имупрет


Evidence for Use in Common Cold

Research has explored the preparation in studies involving conditions associated with acute or disruptive episodes, such as the common cold. The primary evidence base consists of short-term Randomized Controlled Trials (RCTs) and supporting Systematic Reviews. These studies included populations of adults and pediatric patients and were applied in research contexts involving fluctuating or unstable symptoms.

The studies conducted focused on outcomes related to physical discomfort and episodic changes. Researchers monitored key symptom axes, such as sore throat, nasal congestion, and general malaise, documenting how these symptoms evolved in the observed populations over short-term intervals. Studies reported measurements of changes in patient-reported symptom scores during the acute phase. A key limitation is that follow-up durations were limited, meaning that long-term effects are not fully established.


Evidence for Use in Pharyngitis and Tonsillitis

This multi-component preparation was studied in controlled clinical trials involving conditions characterized by periods of heightened symptoms, such as acute pharyngitis and tonsillitis. Studies monitored outcomes linked to inflammatory or irritative states in the throat. The research examined endpoints such as local symptom relief, and monitored the need for concurrent medication, such as antibiotics, in both adults and pediatric patients.

Studies reported how symptoms evolved in the observed populations during episodes of heightened symptom activity. The design as an adjuvant (add-on) means that subgroup findings are not fully characterized regarding its specific contribution when used alongside other medications.


Evidence for Recurrence and Extended Use

Research involving the preparation for recurrent infections of the upper respiratory tract relies heavily on Observational studies and Post-marketing surveillance data, rather than controlled trials. The outcomes monitored in these settings included the frequency of new infection episodes and the duration of symptom-free intervals over intermediate to long-term periods. Long-term data remain an evidence gap, as findings from observational studies are susceptible to confounding factors that influence infection rates.

Key Studies & References Study of Imupret Application in the Technology of Delayed Prescription of Antibiotics in Patients With Acute Tonsillitis (NCT04537819) - Clinical Trial Protocol

Frequently Asked Questions (FAQ)

Common questions about Имупрет (FAQ)


Q: Is Имупрет the same as other cold medicines?

A: According to official documents, Имупрет is classified as a multi-component phyto-preparation. This designation indicates that the product is derived from botanical sources.

This classification, along with its specific composition of standardized herbal extracts, distinguishes it by regulatory category from many other common cold treatments on the market.

Q: What are the most commonly reported side effects of Имупрет?

A: Regulatory documents state that gastrointestinal disorders are the most frequently documented type of side effect. These reactions, which can include stomach pain, nausea, or vomiting, are classified as uncommon, affecting between 1 in 100 and 1 in 1,000 users.

Allergic reactions are also documented in the official safety profile, although their frequency is currently unknown.

Q: Does Имупрет interact with pain relievers like ibuprofen?

A: The official regulatory documentation requires that this medicine be separated from any other orally administered medicinal product. This means that a separation window of one hour before or one hour after the intake of any oral pain reliever, such as ibuprofen, is required to prevent physical absorption interference in the digestive tract.

Q: Can I take İмупрет with my daily vitamins or supplements?

A: Official documents require separation from other orally administered medicinal products due to potential absorption interference. Although non-herbal vitamins and supplements may not always be classified as medicinal products, maintaining the one-hour separation is intended to limit potential physical absorption interference.

Q: Are there any known issues combining Имупрет with cough syrups?

A: Yes, the regulatory profile advises that any oral medication, including liquid preparations like cough syrups, should be taken separately from Имупрет.

To avoid absorption issues, a separation window of one hour before or one hour after the intake of the cough syrup is required.

Q: How does Имупрет differ from general herbal supplements?

A: Имупрет is classified as a regulated multi-component phyto-preparation. This distinction highlights that the medicine utilizes standardized herbal extracts and follows specific manufacturing protocols required for regulated medicinal products.

This process helps ensure consistent quality and concentration, unlike general, non-regulated dietary or herbal supplements.

Q: How are the side effects of Имупрет generally managed?

A: The official documentation states that documented adverse effects, particularly hypersensitivity reactions (allergies), typically resolve upon the discontinuation of the product.

Q: Does the research on Имупрет focus more on prevention or treatment?

A: Clinical research evidence includes Randomized Controlled Trials (RCTs) focused on short-term use for acute, fluctuating symptoms, which is indicative of a treatment focus. There are also observational studies that examine the frequency of new episodes (recurrence), which relates to a longer-term context.

Q: Are there any long-term health concerns associated with Имупрет use?

A: Official research summaries confirm that follow-up durations in the main studies were limited. This means that long-term effects are not fully established, and data regarding use beyond the recommended period remain an evidence gap in the official product profile.

Q: What is the role of the ingredients in Имупрет?

A: The official classification defines the medicine's role as providing immunomodulating (immune support) and anti-inflammatory properties.

These effects result from the combined, synergistic activity of the seven specific herbal components included in the formulation.

Q: Is Имупрет considered an antibiotic?

A: No. Official documentation classifies the medicine as a multi-component phyto-preparation. This classification describes its botanical origin and core actions, which include immunomodulating and anti-inflammatory properties, distinguishing it from a conventional antibiotic medication.

Q: Can you take Имупрет for a sore throat only?

A: Research studies have examined the product's use in conditions that involve throat pain, such as acute pharyngitis and tonsillitis. During these trials, researchers monitored outcomes related to local symptom relief.

Q: Is it normal to feel tired after taking Имупрет?

A: Official adverse reaction lists, which document known side effects, do not include fatigue or tiredness among the listed side effects.

Q: Does Имупрет cause drowsiness?

A: Official adverse reaction lists do not include drowsiness among the documented side effects.

Q: Can older adults use Имупрет without issue?

A: Official product information strictly specifies age limits for children (under 2 and under 6, depending on the form) but does not contain specific dosing, efficacy, or safety data for older adults (e.g., those aged 65 and above).

Q: Why do official sources list specific ingredients for Имупрет?

A: Official regulatory documents list specific ingredients as a mandatory requirement for all medicinal products. This is done to confirm the exact composition and concentration of the active substances for both healthcare professionals and patients.

Q: Is İмупрет an antiviral medication?

A: No. Official documentation classifies the medicine as a multi-component phyto-preparation. It is defined by its immunomodulating and anti-inflammatory properties and is not classified as a conventional antiviral medicine.

Q: What is the risk of dependence or addiction with Имупрет?

A: Official safety documentation does not contain warnings or information regarding the potential for physical dependence or addiction.

Q: Is there a link between Имупрет and changes in blood pressure?

A: Official adverse reaction lists do not include changes in blood pressure among the documented side effects that are classified as uncommon or frequency unknown.

Q: Can İмупрет be used by people with diabetes?

A: The official product information states that the film-coated tablets are restricted for patients with known sucrose or lactose intolerance. Since the tablets contain specific excipients, the content of the excipient list in the patient information leaflet is relevant for individuals with diabetes.

Q: Does İмупрет affect alertness or the ability to drive?

A: Official safety documentation does not list adverse reactions that are known to impair alertness or affect the ability to drive or use machines.

Q: Is Имупрет recommended for seasonal use only?

A: No. Regulatory instructions state that the medicine’s usage is primarily symptom-driven, dictating frequency shifts based on symptom severity.

The use is strictly time-bound to a maximum of 14 days and is not restricted to specific seasons.

Q: Does the effectiveness of İмупрет vary by age group?

A: Clinical research summaries confirm the inclusion of both adult and pediatric patients in studies. However, official regulatory statements do not provide specific information on the variance of effectiveness across distinct age groups.

Q: Is İмупрет a homeopathic product?

A: No. Official documentation classifies the medicine as a multi-component phyto-preparation, which means it is a medicinal product derived entirely from botanical sources. This classification is distinct from a homeopathic product.

Q: Does İмупрет affect sleep patterns?

A: Official adverse reaction lists do not include side effects that are known to affect or disrupt sleep patterns.

Q: Are there any restrictions on activity while using Имупрет?

A: Official safety documentation does not contain restrictions on general physical activity while using the product.

Q: What happens if İмупрет is used for longer than recommended?

A: Regulatory product information limits the treatment course to a maximum of two consecutive weeks (14 days).

However, the official documents do not contain specific information regarding the consequences of prolonged use beyond this strict duration limit.

How should Имупрет be stored and disposed of?

How to Store and Dispose of Imupret

The storage and disposal of Imupret (tablets and oral drops) must strictly follow official regulatory guidelines to maintain product quality and safety.


Storage Requirements

Condition Requirement
Temperature Do not store at a temperature above 30°C; store oral drops at room temperature.
Protection Keep film-coated tablets in the cardboard box to protect them from light and moisture.
Stability (Drops) Use oral drops within 6 months after opening the bottle.
Child Safety Mandatory: Keep the medicine out of the sight and reach of children.
Expiration Do not use the medicine after the expiry date printed on the packaging.

Disposal Instructions

To protect the environment, unused or expired Imupret should not be disposed of via wastewater or household waste. Patients must ask a pharmacist how to dispose of these medicines properly, ensuring they are handled as pharmaceutical waste.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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