Keywords: L-carnitine, poly- and comorbidity, postcoid syndrome, application prospects. Purpose – to analyze scientific data on the use of drugs with L-carnitine in medical practice and the prospects for its use in patients with poly- and comorbidity. Material and methods. Conducted scientific search in printed and electronic publications, search scientific databases using methods of analysis, comparison and generalization. Preliminary results of the use of one of the L-carnitine agents in patients with postcoid syndrome are presented. Results. Information material testifies to a wide range of applications of drugs with L-carnitine in various fields of medicine, age groups from newborns to old age, with the most common lesions of almost all organs and systems. The thorough mechanisms of the positive effect of L-carnitine , including dysfunctions of cellular mitochondria, have been disclosed and give grounds for widespread use in patients with poly- and comorbidity or other systemic diseases.In this aspect, the use of multicomponent preparations based on L-carnitine with qualities complementary to its properties seems promising. The authors used a complex agent of L-carnitine, zinc and selenium in patients with postcovid syndrome and obtained significant positive results. Conclusion. Mono- and multi-component L-carnitine agents, reinforced by other active factors, are promising in the complex treatment of patients with poly- and comorbidity, symptoms of postcoid syndrome as adjuvants.