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AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS

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About the medicine

How to use AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Leaflet: information for the patient

Azithromycin Krka 250 mg film-coated tablets EFG

Read the entire leaflet carefully before starting to take this medicine, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What Azithromycin Krka is and what it is used for
  2. What you need to know before taking Azithromycin Krka
  3. How to take Azithromycin Krka
  4. Possible side effects
  5. Storage of Azithromycin Krka
  6. Pack contents and further information

1. What Azithromycin Krka is and what it is used for

Azithromycin, the active substance of Azithromycin Krka, belongs to a group of medicines called macrolide antibiotics.

Antibiotics are used to treat bacterial infections and are not effective against viral infections such as flu or common cold.

It is essential that you follow the dosage, administration interval, and treatment duration instructions indicated by your doctor.

Do not store or reuse this medicine. If you have any leftover antibiotic after completing treatment, return it to the pharmacy for proper disposal. Do not throw medicines down the drain or in the trash.

It is used to treat numerous infections, including:

  • acute bacterial infections of the paranasal sinuses
  • acute bacterial infections of the ears
  • tonsillitis, pharyngitis
  • acute bacterial exacerbation of chronic bronchitis
  • mild to moderately severe pneumonia
  • mild to moderately severe skin and soft tissue infections, e.g., folliculitis, cellulitis, erysipelas
  • urinary tract infections that start in the bladder (urethra) or cervix caused by a bacterium called Chlamydia trachomatis.
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2. What you need to know before taking Azithromycin Krka

Do not take Azithromycin:

  • if you are allergic to azithromycin or other macrolide antibiotics (such as erythromycin or clarithromycin) or ketolides or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist before starting to take Azithromycin.

  • if you have severe liver problems: your doctor may need to monitor your liver function or interrupt treatment;
  • if you have certain heart conditions (e.g., severe heart problems, "prolongation of the QT interval") or if you are taking medicines that induce an alteration of the electrical function of your heart, such as cisapride (used to increase intestinal movement) or hydroxychloroquine or chloroquine (used in the treatment of malaria);
  • if you have an irregular or slow heartbeat;
  • if you have altered electrolyte levels in your blood, especially low potassium and magnesium levels;
  • if you are taking other medicines that produce abnormal changes in the ECG (see section "Other medicines and Azithromycin Krka");
  • if you are undergoing treatment with ergotamine derivatives (see section "Other medicines and Azithromycin Krka"), as these medicines should not be taken with azithromycin;
  • if you have severe kidney problems;
  • if you have myasthenia gravis (localized muscle weakness);
  • if you have neurological or mental problems.

During treatment, inform your doctor immediately:

  • if you experience severe hypersensitivity reactions with difficulty breathing, dizziness, swelling of the face or throat, skin rash, redness, burning (sometimes fatal). If these symptoms appear, stop taking azithromycin and contact your doctor immediately.
  • if you see signs of liver problems during treatment (such as dark urine, intense loss of appetite, or your skin or the whites of your eyes turn yellow): Stop taking this medicine and seek urgent medical advice.
  • if you develop diarrhea, which can be a sign of severe intestinal inflammation. If you have watery or bloody diarrhea, call your doctor.Do not use any medicine to stop diarrhea unless your doctor tells you to.
  • if you feel your heart beating in your chest or an abnormal heartbeat, feel dizzy or are about to faint, or suffer from muscle weakness when taking azithromycin.
  • if you have a new infection (which can be a sign of excessive growth of resistant microorganisms);

Children and adolescents

Azithromycin film-coated tablets are notsuitable for infants and young children (under 2 years of age) and adolescents and children (up to 17 years of age) with a body weight less than45 kg.

Information on the administration of azithromycin in children and adolescents over 45 kg can be found in section 3 "How to take Azithromycin Krka".

Other medicines and Azithromycin Krka

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

It is especially important that you inform your doctor or pharmacist if you are taking:

  • Medicines known as ergotamine derivatives, e.g., ergotamine or dihydroergotamine (medicines used for migraine or to reduce blood flow), as these medicines should not be taken simultaneously with azithromycin,
  • Ciclosporin (a medicine used for skin conditions, rheumatoid arthritis, or after organ transplants),
  • Atorvastatin (for the treatment of high blood cholesterol levels),
  • Cisapride (used for stomach problems),
  • Theophylline (for respiratory problems),
  • Warfarin or other medicines to thin your blood,
  • Digoxin (for heart problems),
  • Colchicine (used for gout and familial Mediterranean fever),
  • Zidovudine, efavirenz, indinavir, nelfinavir, didanosine (for HIV infections),
  • Rifabutin (for HIV infections or tuberculosis treatment),
  • Terfenadine (a medicine for allergy treatment),
  • Fluconazole (to treat fungal infections),
  • Medicines known as antacids (medicines that neutralize stomach acid). Your azithromycin tablets should be taken at least one hour before or two hours after you take your antacids.
  • Astemizole (a medicine for allergy treatment), alfentanil (a pain reliever),
  • Hydroxychloroquine and chloroquine (for malaria treatment).

Using Azithromycin with food and alcohol

The tablets should be taken with water.

You can take your medicine with or without food, as it does not affect the absorption of azithromycin.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

This medicine must not be used during pregnancy or breastfeedingunless you have discussed it with your doctor.

Driving and using machines

This medicine may make you feel dizzy. If you feel dizzy, do not drive or use any tools or machines.

Azithromycin Krka contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per dose; this is, essentially, "sodium-free".

3. How to take Azithromycin Krka

Follow the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

For adults and children and adolescents with a body weight of 45 kg or more:

Indication

Dose

  • acute bacterial infections of the paranasal sinuses,
  • acute bacterial infections of the ears,
  • tonsillitis, pharyngitis
  • acute bacterial exacerbation of chronic bronchitis,
  • mild to moderately severe pneumonia
  • mild to moderately severe skin and soft tissue infections
  • 500 mg once daily for three days with a total dose of 1500 mg

or

  • 500 mg as a single dose on the first day and 250 mg once daily from day 2 to 5, with a total dose of 1500 mg.
  • infections of the cervix and urethra caused by Chlamydia trachomatis
  • 1000 mg as a single dose

Children and adolescents under 45 kg in weight:

The tablets are not recommended. Children and adolescents under 45 kg in weight should use other pharmaceutical forms of medicines containing azithromycin.

Patient with kidney or liver problems:

You should inform your doctor if you have kidney or liver problems, as your doctor may need to modify the normal dose.

Dose for elderly patients:

For elderly patients, the same dose applies as for adults.

Administration:

Swallow the film-coated tablets whole with a little water.

You can take your medicine with or without food, as it does not affect the absorption of azithromycin.

If you take more Azithromycin than you should

It is essential that you adhere to the dose prescribed by your doctor. If you or someone else has taken several tablets at once, or if you think a child has taken some of the tablets, contact your doctor or pharmacist immediately or call the Toxicology Information Service, telephone 91 562 04 20, indicating the medicine and the amount used. Always carry some tablets with you and also the packaging, as this will allow for simpler identification of the tablets. The symptoms of an overdose may include severe nausea, vomiting, and diarrhea, and reversible hearing loss.

If you forget to take Azithromycin

Do not take a double dose to make up for a forgotten dose. If you forget to take a dose, you should take it as soon as you remember. However, if it is almost time for the next dose, leave the forgotten dose and continue with the rest of the medicine as usual.

If you stop taking Azithromycin

Do not stop treatment prematurely.

It is essential that you continue taking your tablets for the period indicated by your doctor, even when you start to feel better.

If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

Medicine questions

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4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. These are usually mild to moderate and disappear when treatment is stopped.

If you have any of the following symptoms of a severe allergic reaction, stop taking your tablets and inform your doctor immediately or go to the nearest emergency department:

  • low blood pressure, rapid or irregular heartbeat (anaphylactic reaction);
  • swelling of the hands, feet, ankles, face, lips, mouth, or throat (angioedema),
  • difficulty swallowing or breathing,
  • severe skin reactions, including Stevens-Johnson syndrome (a severe skin rash) and other severe skin rashes that can include blisters or peeling (toxic epidermal necrolysis),

If you experience any of the following side effects, contact your doctor as soon as possible:

  • diarrhea that is severe, prolonged, especially if it contains blood or mucus (this can be pseudomembranous colitis, an inflammation of the intestine);
  • dark urine, intense loss of appetite, and your skin or the whites of your eyes turn yellow, which are signs of liver problems (liver failure that can rarely result in death, liver necrosis), inflammation of the liver (hepatitis).

These are all serious side effects. You may need urgent medical attention. Serious side effects are rare (may affect up to 1 in 100 people), or the frequency cannot be estimated from the available data.

Other reported side effects are:

Very common (may affect more than 1 in 10 people)

  • diarrhea

Common (may affect up to 1 in 10 people)

  • headache
  • being sick (vomiting), abdominal pain, feeling sick (nausea)
  • changes in white blood cell count
  • changes in other blood parameters (decrease in blood bicarbonate)

Uncommon (may affect up to 1 in 100 people)

  • thrush (candidiasis) – a fungal infection of the mouth and vagina
  • pneumonia, bacterial infection of the throat, inflammation of the gastrointestinal tract, respiratory disorder, inflammation of the mucous membrane inside the nose
  • changes in white blood cells (leucopenia, neutropenia, eosinophilia)
  • allergic reactions
  • loss of appetite (anorexia)
  • nervousness, difficulty sleeping (insomnia)
  • feeling dizzy, feeling sleepy, change in taste (dysgeusia), feeling of tingling or numbness (paresthesia)
  • vision disturbances
  • hearing loss, vertigo
  • feeling your heartbeat (palpitations)
  • hot flushes
  • wheezing, nosebleeds
  • constipation, gas, indigestion (dyspepsia), inflammation of the stomach lining (gastritis), difficulty swallowing (dysphagia), abdominal distension, dry mouth, belching, mouth ulceration, excessive salivation
  • rash, itching, urticaria, dermatitis, dry skin, abnormal sweating (hyperhidrosis)
  • degenerative joint disease (osteoarthritis), muscle pain, back pain, neck pain
  • difficulty urinating (dysuria), kidney pain
  • uterine bleeding at irregular intervals (metrorrhagia), testicular disorder
  • edema, weakness, general feeling of being unwell, facial edema, chest pain, fever, pain, peripheral edema
  • abnormal laboratory test results (e.g., blood or liver tests)

Rare (may affect up to 1 in 1,000 people)

  • feeling irritated
  • abnormal liver function, yellowing of the skin or eyes
  • allergic skin reactions such as increased sensitivity to sunlight
  • skin rash characterized by the rapid appearance of areas of red skin sprinkled with small blisters (small fluid-filled bumps)
  • skin rash with eosinophilia (an increase in a type of white blood cell) and systemic symptoms such as fever or lymph node inflammation (DRESS syndrome)

Not known (cannot be estimated from the available data)

  • reduction in the number of red blood cells due to increased cell breakdown (hemolytic anemia), reduction in platelet count
  • feeling angry, aggressive, feeling anxious or worried, acute confusional state (delirium), hallucinations
  • fainting (syncope)
  • seizures (convulsions)
  • reduced sense of touch (hypoesthesia)
  • feeling overactive
  • change in sense of smell (anosmia, parosmia)
  • loss of sense of taste (ageusia)
  • muscle weakness (myasthenia gravis)
  • life-threatening irregular heartbeat (arrhythmia, torsades de pointes), abnormal heart tracing on an ECG (prolongation of the QT interval)
  • hearing problems, including deafness or ringing in the ears
  • low blood pressure
  • inflammation of the pancreas (pancreatitis)
  • change in tongue color
  • joint pain (arthralgia)
  • inflammation of the kidney (interstitial nephritis) and kidney failure

Adverse reactions possibly or probably related to the prophylaxis and treatment of Mycobacterium Avium complex(MAC):

Very common (may affect more than 1 in 10 people)

  • diarrhea
  • abdominal pain
  • feeling sick (nausea)
  • flatulence
  • abdominal distension
  • loose stools

Common (may affect up to 1 in 10 people)

  • loss of appetite (anorexia)
  • feeling dizzy
  • headache
  • feeling of tingling or numbness (paresthesia)
  • change in taste (dysgeusia)
  • vision disturbances
  • hearing loss
  • skin rash, itching
  • joint pain (arthralgia)
  • fatigue

Uncommon (may affect up to 1 in 100 people)

  • reduced sense of touch (hypoesthesia)
  • hearing disturbance, ringing in the ears
  • feeling your heartbeat (palpitations)
  • inflammation of the liver (hepatitis)
  • severe allergic skin reactions (Stevens-Johnson syndrome)
  • skin more sensitive than usual to sunlight
  • weakness
  • general feeling of being unwell

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Azitromicina Krka

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the packaging after CAD. The expiry date is the last day of the month indicated.

This medicine does not require any special storage conditions .

Medicines should not be disposed of via wastewater or household waste. Dispose of the packaging and any unused medicine in the SIGRE collection point at your pharmacy. If you are unsure, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Azitromicina

  • The active substance is azithromycin.

Each film-coated tablet contains 250 mg of azithromycin (as azithromycin dihydrate).

  • The other ingredients (excipients) are microcrystalline cellulose (E460), pregelatinized potato starch, sodium lauryl sulfate, hypromellose (E464), sodium croscarmellose (E468), colloidal anhydrous silica (E551), and magnesium stearate (E470b) in the tablet core, and hypromellose 5 cP (E464), titanium dioxide (E171), and macrogol 400 in the film coating. See section 2 "Azitromicina Krka contains sodium".

Appearance and Package Contents of the Product

The film-coated tablets are white or almost white, capsule-shaped (length: 13.8 - 14.2 mm, width: 6.3 - 6.7 mm), engraved with "S19" on one side and blank on the other side.

Blister packs of 4 and 6 film-coated tablets are available.

Only some pack sizes may be marketed.

Marketing Authorization Holder

KRKA, d.d., Novo mesto, Šmarješka cesta 6, 8501 Novo mesto, Slovenia

Manufacturer

KRKA, d.d., Novo mesto, Šmarješka cesta 6, 8501 Novo mesto, Slovenia

TAD Pharma GmbH, Heinz-Lohmann-Straße 5, 27472 Cuxhaven, Germany

You can request more information about this medicine by contacting the local representative of the marketing authorization holder:

KRKA Farmacéutica, S.L., C/ Anabel Segura 10, Pta. Baja, Oficina 1, 28108 Alcobendas, Madrid, Spain

This medicine is authorized in the Member States of the European Economic Area under the following names:

Member State

Medicine Name

SK

Azithromycin Krka 250 mg film-coated tablets

BG

Azibiot 250 mg film-coated tablets

EE

Azithromycin Krka

HU

Azithromycin Krka 250 mg film tablet

LV

Azithromycin Krka 250 mg film-coated tablets

LT

Azibiot NEO 250 mg film-coated tablets

PL

Azithromycin Krka

CZ

Azibiot NEO 250 mg

RO

Azibiot 250 mg film-coated tablets

ES

Azitromicina Krka 250 mg film-coated tablets

IT

Azitromicina Krka

IE

Azithromycin Krka 250 mg film-coated tablets

SI

Azitromicin Krka 250 mg film-coated tablets

SE

Azithromycin Krka 250 mg film-coated tablet

FI

Azithromycin Krka 250 mg tablet, film-coated

Date of the last revision of this leaflet: August 2022

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS

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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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Frequently Asked Questions

Is a prescription required for AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS?
AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS?
The active ingredient in AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS is azithromycin. This information helps identify medicines with the same composition but different brand names.
How much does AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS cost in pharmacies?
The average pharmacy price for AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS is around 5.62 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS?
AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS is manufactured by Krka D.D. Novo Mesto. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to AZITHROMYCIN KRKA 250 mg FILM-COATED TABLETS?
Other medicines with the same active substance (azithromycin) include ARATRO 200 mg/5 ml POWDER FOR ORAL SUSPENSION IN A BOTTLE, ARATRO 500 mg FILM-COATED TABLETS, ARATRO 500 mg ORAL SUSPENSION POWDER IN SACHET. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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