{"id":53785,"date":"2026-02-09T18:45:50","date_gmt":"2026-02-09T18:45:50","guid":{"rendered":"https:\/\/www.africa-press.net\/congo-brazzaville\/politique\/medicaments-a-eviter-en-2026-et-alternatives-disponibles-2"},"modified":"2026-02-09T19:07:29","modified_gmt":"2026-02-09T19:07:29","slug":"medicaments-a-eviter-en-2026-et-alternatives-disponibles-2","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/congo-brazzaville\/toutes-les-actualites\/medicaments-a-eviter-en-2026-et-alternatives-disponibles-2","title":{"rendered":"M\u00e9dicaments \u00e0 \u00c9viter en 2026 et Alternatives Disponibles"},"content":{"rendered":"

Africa-Press – Congo Brazzaville. <\/strong> <\/span>Chaque anne\u0301e, la revue inde\u0301pendante Prescrire scrute le marche\u0301 du me\u0301dicament pour en pointer les de\u0301rives, les traitements inutiles ou trop risque\u0301s qui continuent pourtant d\u2019e\u0302tre propose\u0301s aux patients. L\u2019e\u0301dition 2026 de ce bilan annuel n\u2019e\u0301chappe pas a\u0300 la re\u0300gle: la liste noire s\u2019allonge encore, confirmant que des produits bien ancre\u0301s dans les habitudes franc\u0327aises, parfois vendus depuis des de\u0301cennies, pre\u0301sentent une balance be\u0301ne\u0301fice-risque de\u0301favorable ou une efficacite\u0301 a\u0300 peine supe\u0301rieure a\u0300 celle d\u2019un placebo.<\/p>\n

Ainsi, d\u2019apre\u0300s Prescrire, 108 me\u0301dicaments sont a\u0300 e\u0301carter en 2026, dont 89 encore commercialise\u0301s en France. La revue rappelle que figurer sur cette liste ne signifie pas un retrait du marche\u0301, mais constitue un signal de vigilance pour les patients comme pour les soignants.<\/p>\n

Ces me\u0301dicaments pre\u0301sentent souvent une balance be\u0301ne\u0301fice-risque de\u0301favorable, c\u2019est-a\u0300-dire que les patients encourent des risques beaucoup trop e\u0301leve\u0301s en les utilisant pluto\u0302t que d\u2019autres traitements, ou qu\u2019ils exposent a\u0300 des effets inde\u0301sirables disproportionne\u0301s par rapport a\u0300 leur efficacite\u0301. D\u2019autres encore ne font pas mieux qu\u2019un placebo, rendant leur usage inutile.<\/p>\n

Le Spasfon, un me\u0301dicament en vente libre aux effets inde\u0301sirables potentiellement graves<\/b><\/p>\n

Parmi les traitements pointe\u0301s figure le phloroglucinol, plus connu sous le nom de Spasfon<\/b>, en vente libre partout en France. Ses effets inde\u0301sirables possibles \u2014 re\u0301actions allergiques, tre\u0300s rares syndromes de Lyell (un syndrome dermatologique potentiellement mortel pour le patient) \u2014 sont bien documente\u0301s, tandis que son efficacite\u0301 reste incertaine pour les douleurs intestinales ou gyne\u0301cologiques.<\/p>\n

Ce me\u0301dicament n\u2019est d\u2019ailleurs commercialise\u0301 qu\u2019en France et en Italie, la Belgique ayant arre\u0302te\u0301 sa mise sur le marche\u0301 de\u0300s 2010. Pourtant, il demeure l\u2019un des produits les plus consomme\u0301s du pays. En 2023, en France, ce sont pre\u0300s de 26,5 millions de boi\u0302tes qui ont e\u0301te\u0301 rembourse\u0301es par l’Assurance maladie.<\/p>\n

Ces me\u0301dicaments contre le rhume et la toux a\u0300 e\u0301viter<\/b><\/p>\n

Au-dela\u0300 du phloroglucinol, d\u2019autres traitements tre\u0300s re\u0301pandus pre\u0301sentent une balance be\u0301ne\u0301fice-risque de\u0301favorable. C\u2019est le cas de certaines argiles me\u0301dicamenteuses, telles que la diosmectite (Smecta)<\/b> ou l\u2019hydrotalcite (Rennieliquo)<\/b>, susceptibles de contenir naturellement du plomb, une substance neurotoxique. Lorsque l\u2019usage d\u2019un me\u0301dicament est re\u0301ellement ne\u0301cessaire, Prescrire recommande de privile\u0301gier des alternatives sans argile, comme Gaviscon<\/b>, compose\u0301 de bicarbonate et d\u2019alginate de sodium.<\/p>\n

Avec l\u2019hiver, les toux be\u0301nignes se multiplient, et les sirops antitussifs retrouvent les e\u0301tage\u0300res des foyers. Pourtant, nombre d\u2019entre eux exposent a\u0300 des effets inde\u0301sirables importants sans re\u0301elle efficacite\u0301 de\u0301montre\u0301e. C\u2019est le cas de l\u2019oxome\u0301mazine (Toplexil)<\/b>, responsable de somnolence et d\u2019autres effets inde\u0301sirables. L\u2019ambroxol (Muxol<\/b>), quant a\u0300 lui, expose a\u0300 des re\u0301actions anaphylactiques ou cutane\u0301es parfois se\u0301ve\u0300res, sans faire mieux qu\u2019un placebo.<\/p>\n

NOUVEAUTE\u0301 2026. <\/b>En 2026, Prescrire ajoute e\u0301galement a\u0300 sa liste le ge\u0301fapixant (Lyfnua)<\/b>, un me\u0301dicament re\u0301cent contre la toux chronique. Son efficacite\u0301 est juge\u0301e modeste, tandis que les effets inde\u0301sirables \u2014 en particulier des troubles importants du gou\u0302t, mais aussi des infections respiratoires ou des calculs urinaires \u2014 sont fre\u0301quents.<\/p>\n

Ainsi, en cas de toux, si l’on souhaite vraiment prendre un me\u0301dicament, il est pre\u0301fe\u0301rable, selon Prescrire, de se tourner vers le dextrome\u0301thorphane, contenu par exemple dans le sirop Tussidane<\/b>, bien qu\u2019il comporte lui aussi des limites.<\/p>\n

Maux de gorge: des pastilles pas si utiles<\/b><\/p>\n

Face aux maux de gorge, les pastilles semblent une solution e\u0301vidente. Pourtant, l\u2019alpha-amylase (Maxilase<\/b>) ne montre aucune efficacite\u0301 clinique solide et expose a\u0300 des re\u0301actions allergiques parfois graves. L\u2019avis de Prescrire reste inchange\u0301: pour les de\u0301sagre\u0301ments de l\u2019hiver, mieux valent le miel, l\u2019eau sucre\u0301e, les confiseries a\u0300 sucer ou du parace\u0301tamol en cas de douleur intense.<\/p>\n

Douleurs articulaires: des risques qui persistent<\/b><\/p>\n

La tre\u0300s grande majorite\u0301 des Franc\u0327ais de\u0301clare avoir de\u0301ja\u0300 souffert de douleurs articulaires. Pour y reme\u0301dier, beaucoup se tournent vers les anti-inflammatoires non ste\u0301roi\u0308diens (AINS), qui posse\u0300dent tous des effets inde\u0301sirables communs, notamment digestifs, cardiovasculaires ou re\u0301naux.<\/p>\n

Parmi les produits les plus proble\u0301matiques, l\u2019ace\u0301clofe\u0301nac (Cartrex<\/b>) et le diclofe\u0301nac (Voltare\u0300ne<\/b>) augmentent le risque de mortalite\u0301 cardiovasculaire (infarctus du myocarde, insuffisance cardiaque). Les myorelaxants tels que Miorel<\/b> n\u2019apportent souvent pas plus qu\u2019un placebo, tandis que d\u2019autres, comme le me\u0301thocarbamol (Lumirelax<\/b>), exposent a\u0300 des troubles digestifs et cutane\u0301s.<\/p>\n

NOUVEAUTE\u0301 2026. <\/b>La chondroi\u0308tine (Chondrosulf<\/b>), largement utilise\u0301e dans l\u2019arthrose, rejoint la liste des produits a\u0300 e\u0301carter en 2026. Les donne\u0301es montrent une absence d\u2019efficacite\u0301, combine\u0301e a\u0300 des risques allergiques. Elle rejoint ainsi la glucosamine (Voltaflex<\/b>, Flexea<\/b>, Chondroflex<\/b>, etc.) de\u0301ja\u0300 de\u0301conseille\u0301e.<\/p>\n

En cas de douleurs articulaires, Prescrire recommande de privile\u0301gier le parace\u0301tamol, l\u2019ibuprofe\u0300ne ou le naproxe\u0300ne, utilise\u0301s ponctuellement et a\u0300 la dose minimale efficace.<\/p>\n

Antide\u0301presseurs: des effets inde\u0301sirables parfois graves<\/b><\/p>\n

Certains antide\u0301presseurs figurent e\u0301galement dans la liste noire. L\u2019agome\u0301latine (Valdoxan<\/b>) n\u2019a pas fait mieux qu\u2019un placebo dans les e\u0301tudes, tout en exposant a\u0300 des he\u0301patites, pancre\u0301atites, risques suicidaires ou re\u0301actions cutane\u0301es.<\/p>\n

Le citalopram (Seropram<\/b>) et l\u2019escitalopram (Seroplex<\/b>), deux IRS (des antide\u0301presseurs inhibiteurs se\u0301lectifs de la recapture de la se\u0301rotonine), comportent un risque accru en cas de surdosage par rapport a\u0300 d\u2019autres me\u0301dicaments de la me\u0302me classe.<\/p>\n

Deux autres me\u0301dicaments ajoute\u0301s a\u0300 la liste noire en 2026<\/b>
\nNOUVEAUTE\u0301S 2026.<\/b> L\u2019andexanet alfa (Ondexxya<\/b>), utilise\u0301 en milieu hospitalier pour contrer certaines he\u0301morragies graves. Prescrire pointe un risque thromboembolique important, conduisant a\u0300 son inscription sur la liste des produits a\u0300 e\u0301viter, bien qu\u2019il ne soit pas commercialise\u0301 en ville. Autre ajout a\u0300 la longue liste noire: le fe\u0301zoline\u0301tant (Veoza<\/b>), contre les <\/b>bouffe\u0301es de chaleur de la me\u0301nopause. Ce tout re\u0301cent traitement non hormonal peine a\u0300 de\u0301montrer un be\u0301ne\u0301fice significatif, tandis que la revue signale des atteintes he\u0301patiques, parfois graves.<\/p>\n

Pour finir, rappelons que l\u2019autome\u0301dication comporte des risques, et que l\u2019avis d\u2019un professionnel de sante\u0301 demeure indispensable pour choisir un traitement re\u0301ellement utile, efficace et su\u0302r.<\/p>\n

Retrouvez plus d\u2019actualit\u00e9s et d\u2019analyses sur Congo Brazzaville<\/span> sur le site Africa Press<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Congo Brazzaville. Chaque anne\u0301e, la revue inde\u0301pendante Prescrire scrute le marche\u0301 du me\u0301dicament pour en pointer les de\u0301rives, les traitements inutiles ou trop risque\u0301s qui continuent pourtant d\u2019e\u0302tre propose\u0301s aux patients. L\u2019e\u0301dition 2026 de ce bilan annuel n\u2019e\u0301chappe pas a\u0300 la re\u0300gle: la liste noire s\u2019allonge encore, confirmant que des produits bien ancre\u0301s […]<\/p>\n","protected":false},"author":82,"featured_media":53784,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[46],"class_list":["post-53785","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-congo-brazzaville"],"yoast_head":"\nM\u00e9dicaments \u00e0 \u00c9viter en 2026 et Alternatives Disponibles - Congo Brazzaville<\/title>\n<meta name=\"description\" content=\"-article-header-tag"> Africa-Press - Congo Brazzaville. 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