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AZITHROMYCIN RATIO 500 mg FILM-COATED TABLETS

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About the medicine

How to use AZITHROMYCIN RATIO 500 mg FILM-COATED TABLETS

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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 user

Azithromycin ratio 500 mg film-coated tablets EFG

Azithromycin (dihydrate)

Read the entire leaflet carefully before starting to take this medication because it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any doubts, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor, even if they are side effects not listed in this leaflet. See section 4.

Contents of the leaflet:

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

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

Azithromycin belongs to a group of antibiotics called macrolide antibiotics. It is used to treat bacterial infections caused by microorganisms such as bacteria. These infections are:

  • Chest infections such as acute bronchitis exacerbation and pneumonia.
  • Infections of the paranasal sinuses, throat, tonsils, or ears.
  • Mild to moderate skin and soft tissue infections, such as hair follicle infection (folliculitis), bacterial skin infection and its deeper layers (cellulitis), skin infection with swelling and bright red color (erysipelas).
  • Infections caused by a bacterium called Chlamydia trachomatis, which can cause inflammation of the tube that carries urine from the bladder (urethra) or the area where the uterus connects with the vagina (cervix).
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2. What you need to know before taking Azithromycin ratio

DO NOT take Azithromycin ratio

  • if you are allergic to azithromycin or any of the other components of this medication (listed in section 6)
  • if you are allergic to any other macrolide or ketolide antibiotic, such as erythromycin or telithromycin.

Warnings and precautions

Consult your doctor before starting to take Azithromycin ratio if you:

  • have ever had a severe allergic reaction with facial and throat swelling and possible breathing problems.
  • have severe kidney problems. Your doctor may need to adjust the dose.
  • have liver problems. Your doctor may need to monitor your liver function or stop treatment.
  • know you have or have been diagnosed with a prolonged QT interval (a heart condition). Azithromycin ratio is not recommended.
  • know you have a slow or irregular heartbeat or reduced cardiac function. Azithromycin ratio is not recommended.
  • know you have low potassium or magnesium levels in your blood. Azithromycin ratio is not recommended.
  • are taking medications known as antiarrhythmics (used to treat abnormal heart rhythm), hydroxychloroquine (used to treat rheumatic diseases or malaria), cisapride (used to treat stomach problems), or terfenadine (an antihistamine used to treat allergies), antipsychotics (e.g., pimozide), antidepressants (e.g., citalopram), or certain antibiotics (e.g., moxifloxacin, levofloxacino). Azithromycin should be used with caution.
  • are taking medications known as ergot alkaloids (such as ergotamine), used to treat migraines: azithromycin is not recommended (see "Using Azithromycin ratio with other medications").
  • have been diagnosed with a neurological disorder, a brain disorder, or a nervous system disorder.
  • have mental, emotional, or behavioral problems.
  • if you have a disease called myasthenia gravis, with muscle weakness and fatigue, as azithromycin may contribute to worsening the symptoms of this disease or triggering it.

If you experience any symptoms of liver dysfunction, such as loss of appetite, yellowing of the skin or whites of the eyes, dark urine, itching, or abdominal pain, stop taking Azithromycin ratio and inform your doctor immediately.

If you have an allergic reaction (e.g., difficulty breathing, dizziness, facial or throat swelling, skin rash, hives, blisters), stop taking Azithromycin ratio and contact a doctor immediately.

If you experience severe and persistent diarrhea, especially with blood or mucus, during or after treatment, consult your doctor immediately.

If symptoms persist after completing treatment with Azithromycin ratio or if you notice any new and persistent symptoms, inform your doctor.

Other medications and Azithromycin ratio

Inform your doctor if you are taking, have recently taken, or may need to take any other medication.

Inform your doctor if you are taking any of the following medications:

  • antacids, such as aluminum hydroxide: take azithromycin at least 1 hour before or 2 hours after taking an antacid.
  • ergotamine derivatives, such as ergotamine (used to treat migraines): should not be administered at the same time, as ergotism (a potentially serious side effect with numbness or tingling in the limbs, muscle cramps, headaches, seizures, or abdominal or chest pain) may develop.
  • cumarin derivatives, such as warfarin (used to prevent blood clotting): may increase the risk of bleeding.
  • digoxin (used to treat heart failure) or colchicine (used to treat gout and familial Mediterranean fever): may increase digoxin/colchicine levels in the blood.
  • zidovudine, nelfinavir (used to treat HIV): azithromycin or zidovudine levels may increase.
  • rifabutin (used to treat HIV and bacterial infections, including tuberculosis): may result in a decrease in the number of white blood cells in the blood.
  • cyclosporin (an immunosuppressant used after organ transplantation): cyclosporin levels may increase. Your doctor will need to monitor your cyclosporin levels in the blood.
  • cisapride (used to treat stomach problems): heart problems may occur.
  • hydroxychloroquine (used to treat rheumatic diseases or malaria): heart problems may occur.
  • astemizole, terfenadine (antihistamines used to treat allergic reactions): their effects may be increased.
  • alfentanil (a pain reliever): the effect of alfentanil may be increased.
  • fluconazole (for fungal infections): azithromycin levels may be reduced.
  • atorvastatin (a cholesterol-lowering medication). Concomitant use of azithromycin and atorvastatin has been associated with an increased risk of muscle tissue damage (rhabdomyolysis) leading to muscle pain and dark urine.

No interactions have been observed between azithromycin and cetirizine (an antihistamine); didanosine, efavirenz, indinavir (for HIV infection); carbamazepine (for epilepsy), cimetidine (an antacid); methylprednisolone (to suppress the immune system); midazolam, triazolam (sedatives); sildenafil (for impotence), theophylline (for asthma), and trimethoprim/sulfamethoxazole (a combination antibiotic).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant or are breastfeeding, inform your doctor or pharmacist before using this medication.

There is not enough information regarding the safety of azithromycin during pregnancy. Therefore, azithromycin is not recommended if you are pregnant or wish to become pregnant. However, your doctor may prescribe it in severe circumstances.

Talk to your doctor before taking Azithromycin ratio if you are breastfeeding. Your doctor will decide whether Azithromycin Teva can be used during breastfeeding.

Azithromycin has been reported to be excreted in breast milk. No serious adverse reactions to azithromycin have been observed in babies.

Azithromycin ratio, as it may cause side effects such as diarrhea and infection in the baby.

Driving and using machines

This medication may cause drowsiness and dizziness. If it affects you, do not drive or use machines.

Azithromycin ratio contains sodium

This medication contains less than 1 mmol of sodium (23 mg) per tablet; it is essentially "sodium-free".

3. How to take Azithromycin ratio

Follow the administration instructions for this medication exactly as indicated by your doctor. If in doubt, consult your doctor or pharmacist again.

Take the tablets preferably with a glass of water; they can be taken with or without food.

The tablet can be divided into equal doses.

The recommended dose is:

Adults (including elderly patients) and children weighing over 45 kg:

The recommended dose is 1500 mg divided over 3 or 5 days as follows:

  • When taken for 3 days, 500 mg once daily.
  • When taken for 5 days, 500 mg on the first day and 250 mg from the 2nd to the 5th day, once daily.

Inflammation of the urethra or cervix caused by Chlamydia

1000 mg taken as a single dose, in one day.

Children and adolescents weighing less than 45 kg:

Tablets are not recommended for these patients. Other pharmaceutical forms containing azithromycin (e.g., suspensions) may be used.

Patients with liver or kidney problems

Inform your doctor if you have liver or kidney problems, as the normal dose may need to be adjusted.

If you take more Azithromycin ratio than you should

If you (or someone else) swallow many tablets at once or if you think a child has swallowed some tablets, contact your doctor or pharmacist immediately. Overdose may cause reversible hearing loss, severe nausea, vomiting, and diarrhea.

In case of overdose or accidental ingestion, consult your doctor or pharmacist or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested. Bring this leaflet, any remaining tablets, and the packaging to the hospital or your doctor so they know what tablets you have taken.

If you forget to take Azithromycin ratio

If you forget to take a tablet, take it as soon as you remember, unless it is almost time for your next dose. Do not take a double dose to make up for forgotten doses.

If you stop taking Azithromycin ratio

Do not stop taking your medication without consulting your doctor first, even if you feel better. It is very important that you continue taking Azithromycin ratio for the time indicated by your doctor, or the infection may recur.

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

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

4. Possible Adverse Effects

Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.

If you experience any of the following, stop taking Azithromycin ratio and go to your doctor immediately or to the emergency room of the nearest hospital.

Uncommon: may affect up to 1 in 100 people

  • Angioedema: swelling of the lips, face, or neck, which causes severe difficulty breathing; rash or hives on the skin.

Rare: may affect up to 1 in 10,000 people

  • Skin rash characterized by the rapid appearance of red skin areas sprinkled with small blisters (small blisters filled with white/yellow liquid)

Very rare: may affect up to 1 in 10,000 people

  • Hypersensitivity reaction with skin rash, fever, lymph node inflammation, and possible organ damage (DRESS)

Unknown: frequency cannot be estimated from available data

  • Anaphylactic reaction: severe allergic reaction that causes difficulty breathing or dizziness
  • Severe liver disorders or liver failure (rarely life-threatening): signs may include fatigue associated with yellowing of the skin or the whites of the eyes (jaundice), dark urine, tendency to bleed
  • Blisters/bleeding of lips, eyes, nose, mouth, and genitals, which can be caused by Stevens-Johnson syndrome, erythema multiforme, or toxic epidermal necrosis, which are serious diseases.
  • Changes in heart rate, changes in heart rhythm on the electrocardiogram (prolongation of the QT interval, ventricular tachycardia, and torsades de pointes)
  • Prolonged diarrhea with blood and mucus (pseudomembranous colitis).

These are very serious adverse effects. You may need urgent medical attention or hospitalization.

Other Adverse Effects

Very common: may affect more than 1 in 10 people

  • Diarrhea

Common: may affect up to 1 in 10 people

  • Headache
  • Vomiting, stomach pain, nausea
  • Alteration of the number of some types of white blood cells and bicarbonate in blood

Uncommon: may affect up to 1 in 100 people

  • Fungal infection, for example, in the mouth (thrush), vaginal infection, pneumonia, bacterial infection
  • Sore throat, inflammation of the stomach and intestine lining
  • Shortness of breath, chest pain, wheezing, and cough (respiratory disorders), congested nose
  • Blood disorders characterized by fever or chills, sore throat, ulcers in the mouth or throat
  • Allergic reactions
  • Lack of appetite
  • Nervousness, difficulty sleeping
  • Dizziness, drowsiness, alteration of taste, tingling or numbness
  • Visual disturbances
  • Hearing problems,
  • Vertigo (feeling of spinning)
  • Abnormality in heart rhythm or frequency and detection of heartbeat (palpitations)
  • Hot flashes
  • Difficulty breathing
  • Nosebleeds
  • Inflammation of the stomach, constipation, gas, indigestion, difficulty swallowing
  • Feeling of being bloated, dry mouth
  • Belching, mouth ulcers, increased salivation, soft stools
  • Liver problems, (such as liver inflammation, hepatitis)
  • Itchy skin rash, hives (itchy rash)
  • Skin inflammation, dry skin, increased sweating
  • Inflammation of bones and joints, muscle pain, back pain, neck pain
  • Difficulty and pain when urinating, pain in the kidneys (kidney pain)
  • Inflammation of the vagina, irregular menstrual bleeding, testicular disorders
  • Chest pain, swelling, discomfort, weakness, fatigue
  • Inflammation of the face, hands, legs, and/or feet, fever, pain.
  • Changes in liver enzymes and blood test values

Rare: may affect up to 1 in 1,000 people

  • Agitation
  • Feeling that things are unreal.
  • Confusion, especially in elderly patients.
  • Discoloration of teeth
  • Abnormal liver function, jaundice (yellow pigmentation of the skin)
  • Photosensitivity: redness and blistering of the skin when exposed to sunlight

Unknown: frequency cannot be estimated from available data

  • Blood disorders characterized by uncommon bleeding or unexplained bruising, decrease in red blood cell count causing weakness or uncommon fatigue
  • Feeling of ill humor, anxiety, confusion, seeing or hearing things that are not happening
  • Fainting, seizures, decreased sensitivity, hyperactivity, alteration or loss of sense of smell, loss of sense of taste, myasthenia gravis (muscle weakness and fatigue, see 2 "Warnings and Precautions")
  • Alteration in hearing including deafness and/or ringing in the ears.
  • Decrease in blood pressure (which may be associated with weakness, fainting, and fainting)
  • Discoloration of the tongue, inflammation of the pancreas that produces nausea, vomiting, abdominal pain, back pain
  • Skin rash with spots and blisters
  • Pain in the joints (arthralgia)
  • Kidney problems

The following adverse effects have been reported in patients treated with azithromycin for the prevention of Mycobacterium Avium Complex (MAC) infections:

Very common: may affect more than 1 in 10 people

  • Diarrhea
  • Abdominal pain
  • Nausea
  • Gas (flatulence)
  • Abdominal discomfort
  • Soft stools

Common: may affect up to 1 in 10 people

  • Lack of appetite (anorexia)
  • Feeling of dizziness
  • Headache
  • Feeling of tingling or numbness (paresthesia)
  • Changes in taste (dysgeusia)
  • Visual impairment
  • Deafness
  • Skin rash
  • Itching (pruritus)
  • Pain in the joints (arthralgia)
  • Fatigue

Uncommon: may affect up to 1 in 100 people

  • Decreased sensitivity (hypoesthesia)
  • Hearing loss or ringing in the ears
  • Abnormality in heart rhythm or frequency and detection of heartbeat (palpitations)
  • Liver problems such as hepatitis
  • Blisters/bleeding of lips, eyes, nose, mouth, and genitals, which can be caused by Stevens-Johnson syndrome.
  • Allergic skin reactions such as sensitivity to sunlight, red, scaly, and inflamed skin
  • Weakness (asthenia)
  • Feeling of general discomfort

Reporting of Adverse Effects

If you experience any type of adverse effect, consult your doctor, even if it is a possible adverse effect that is not listed in this leaflet. You can also report them directly through the Spanish Medicines Agency's website: www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Azithromycin Ratio

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

Do not use this medicine after the expiration date that appears on the packaging, after CAD.

The expiration date is the last day of the month indicated.

No special storage conditions are required.

Medicines should not be thrown away through wastewater or household waste. Deposit the packaging and medicines you no longer need at the pharmacy's SIGRE point. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Azithromycin Ratio

  • The active ingredient is azithromycin.

Each film-coated tablet contains 500 mg of azithromycin (as dihydrate).

  • The other ingredients are calcium hydrogen phosphate, anhydrous, hypromellose, corn starch, pregelatinized corn starch, microcrystalline cellulose, magnesium stearate, sodium lauryl sulfate, indigo carmine (E132), titanium dioxide (E171), polysorbate 80, and talc.

Appearance of the Product and Package Contents

  • Azithromycin ratio 500 mg film-coated tablets are pale blue, oblong, biconvex, and marked with AI 500 and a score line on one side.
  • The 500 mg tablets are available in pack sizes of: 1, 2, 3, 6, or 30 tablets.

Only some pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

Teva Pharma, S.L.U.

C/ Anabel Segura 11, Edificio Albatros B, 1ª planta

28108 Alcobendas, Madrid (Spain)

Manufacturer:

Teva Operations Poland Sp. z.o.o.

ul. Mogilska 80

31-546 Cracovia

Poland

Merckle GmbH

Ludwig Merckle Straβe 3

89143 Blaubeuren

Germany

Pharmachemie B.V.

Swensweg, 5

Haarlem

Netherlands

or

Pliva Croatia Limited (PLIVA KRVATSKA D.O.O.)

Prilaz Baruna Filipovica 25

10000 Zagreb

Croatia

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

Netherlands

Azithromycine ratiopharm 500 mg, filmomhulde tabletten

Germany

Azithromycin-CT 500 mg Filmtabletten

Ireland

Azithromycin Teva 250 mg Film-coated Tablets

Spain

Azitromicina ratio 500 mg comprimidos recubiertos con película EFG

Date of the last revision of this leaflet: July 2022

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

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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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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

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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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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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Alina Tsurkan

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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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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 RATIO 500 mg FILM-COATED TABLETS?
AZITHROMYCIN RATIO 500 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 RATIO 500 mg FILM-COATED TABLETS?
The active ingredient in AZITHROMYCIN RATIO 500 mg FILM-COATED TABLETS is azithromycin. This information helps identify medicines with the same composition but different brand names.
How much does AZITHROMYCIN RATIO 500 mg FILM-COATED TABLETS cost in pharmacies?
The average pharmacy price for AZITHROMYCIN RATIO 500 mg FILM-COATED TABLETS is around 5.62 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures AZITHROMYCIN RATIO 500 mg FILM-COATED TABLETS?
AZITHROMYCIN RATIO 500 mg FILM-COATED TABLETS is manufactured by Teva Pharma S.L.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of AZITHROMYCIN RATIO 500 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 RATIO 500 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 RATIO 500 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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