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BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION

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Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION

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

Package Leaflet: Information for the User

Beromun 1mg powder for solution for perfusion

Tasonermin

Read all of this leaflet carefully before you start using this medicine, because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor.
  • If you experience any side effects, talk to your doctor, even if they are not listed in this leaflet.

Contents of the package leaflet

  1. What is Beromun and what is it used for
  2. What you need to know before you use Beromun
  3. How to use Beromun
  4. Possible side effects
  5. Storage of Beromun
  6. Contents of the pack and other information

1. What is Beromun and what is it used for

Beromun contains the active substance tasonermin (tumour necrosis factor alpha-1a), produced by recombinant DNA technology. It belongs to a group of medicines known as immunostimulants, which help the immune system to fight cancer cells.

Beromun is used, together with medicines containing melfalan, for the treatment of soft tissue sarcomas of the arms and legs. The treatment aims, by reducing the size of the tumour, to facilitate the removal of the tumour by surgery or to prevent serious damage to the surrounding healthy tissue and thus to delay or prevent the need to amputate the arm or leg.

Doctor consultation

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2. What you need to know before you use Beromun

Do not use Beromun

  • if you are allergic to tasonermin or any of the other ingredients of this medicine (listed in section 6).
  • if you have serious heart problems
  • if you have severe lung disease
  • if you have or have recently had a stomach ulcer
  • if you have a very low blood cell count or bleeding problems
  • if you have moderate or severe liver or kidney disease
  • if you cannot use vasopressors (used to increase low blood pressure), anticoagulants (used to prevent blood clotting) or radioactive markers
  • if you are also using heart-toxic medicines
  • if you have high levels of calcium in your blood
  • if you have certain infections that do not respond to antibiotics
  • if you have severe swelling of the affected arm or leg due to local fluid formation, or significant fluid accumulation in the abdomen
  • if you are pregnant or planning to become pregnant
    • if you are breast-feeding, you must interrupt it for at least seven days after administration of Beromun

Warnings and precautions

Beromun will be administered by an expert doctor, specialized in the technique of isolated limb perfusion (ILP). This technique ensures that Beromun remains limited to the affected arm or leg. It is essential that it does not reach other parts of your body, because so-called systemic leakage can cause serious side effects in the major organs of the body.

During the ILP technique and the period of seven to ten days thereafter, during which you will have to stay in the hospital, your doctor will closely monitor your blood pressure, circulation, and any side effects. You may need to stay in an intensive care unit (ICU) for a short period immediately after ILP.

During the first three days after administration of Beromun, a disease called "compartment syndrome" may develop. Symptoms of muscle deterioration in the perfused limb include pain, swelling, and neurological symptoms (e.g., paresthesia, paralysis), and should be reported immediately to the doctor treating you.

Other medicines and Beromun

Tell your doctor if you are using, have recently used, or might use any other medicines. In particular, you should tell your doctor if you are using medicines to lower blood pressure (for the treatment of hypertension).

During ILP, you will be given other medicines to control pain, fever, blood pressure, and blood clotting, as well as general anesthesia.

Pregnancy and breast-feeding

You must not use Beromun if you are pregnant.

You must not breast-feed your child for at least seven days after receiving treatment with Beromun.

Driving and using machines

Not applicable.

Beromun contains sodium

The reconstituted medicinal product contains up to 151.27 mg (6.58 mmol) of sodium per recommended dose. This should be taken into account for patients on a low-sodium diet.

The container contains latex

The container of this medicinal product contains latex. It may cause severe allergic reactions.

3. How to use Beromun

Beromun will be administered through the technique of isolated limb perfusion (ILP), together with the anti-tumour medicine melfalan. This will happen while you are unconscious, under the influence of general anesthesia.

The blood flow entering and leaving your affected limb will be interrupted using a tourniquet. The blood, supplied with oxygen by a heart-lung machine, will be pumped into the affected limb through a catheter inserted into the main artery, while it is drained (pumped out) from the main vein. Beromun and then melfalan will be injected into this circuit, and in this way, the affected limb will be exposed to Beromun for a total of 90 minutes.

The recommended dose of Beromun depends on the affected limb and is usually 3 mg for the arm and 4 mg for the leg. The Beromun powder must be dissolved before use. The resulting solution will be administered into an artery of your affected arm or leg, through the ILP technique, over an initial period of 30 minutes.

Then, melfalan will be added, and the ILP technique will continue for another 60 minutes.

Finally, your limb will be washed to remove any remaining Beromun and melfalan.

The ILP technique allows the tumour cells in your limb to be exposed to a very high dose of Beromun and melfalan, enhancing their anti-tumour effect, but without reaching the rest of your body, where it could cause serious side effects.

Normally, you will not receive a second ILP with Beromun. If it happens, it will not take place until at least six weeks after the first ILP.

If you use more Beromunthan you should

Because Beromun is always administered by expert hospital doctors, accidental overdose is extremely unlikely. Nevertheless, if it were to happen, your doctor will immediately wash the affected limb to remove Beromun and interrupt the ILP technique. In case of risk of serious side effects, your doctor will immediately transfer you to an intensive care unit (ICU) to closely monitor you and initiate appropriate treatment.

In case of severe systemic leakage of Beromun

If more than 10% of your dose of Beromun reaches the main part of your body, your doctor will take similar measures to those described for the treatment of an overdose.

If you have any further questions on the use of this product, ask your doctor.

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Side effects can be caused by Beromun, melfalan, the ILP technique, or a combination of these factors. Some side effects can be serious, especially if Beromun reaches other parts of your body (systemic leakage). In approximately 2% of cases, Beromun can cause tissue damage in the affected arm or leg, which may be severe enough to require amputation. If there is any risk of serious side effects, your doctor will immediately transfer you to an intensive care unit to closely monitor you and initiate appropriate treatment.

During treatment with this medicine, the following side effects were observed (grouped by frequency of occurrence).

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

  • heart rhythm disorders (arrhythmia)
  • feeling of dizziness, vomiting
  • liver damage
  • blisters on the skin
  • fever (usually mild to moderate), chills
  • pain in the affected arm and leg
  • fatigue (tiredness)

Common (may affect up to 1 in 10 people)

  • infections
  • local wound infections
  • decrease in the number of certain white blood cells and platelets
  • hypersensitivity reactions (allergy)
  • nerve damage
  • decreased consciousness
  • headache
  • heart problems that can cause shortness of breath or swelling of the ankles
  • formation of blood clots in the arteries or veins of the affected arm or leg (thrombosis)
  • low blood pressure, shock
  • severe respiratory problems
  • constipation, diarrhoea
  • skin necrosis (death of skin cells) of the affected arm or leg
  • swelling of the ankles, feet, or toes caused by fluid accumulation in the affected arm or leg
  • "compartment syndrome", a disease characterized by pain, swelling, and neurological symptoms, as well as muscle damage in the affected arm or leg
  • muscle pain
  • protein in the urine
  • night sweats
  • tissue necrosis (death of tissue cells) of the affected arm or leg, which may be severe enough to require amputation

Uncommon (may affect up to 1 in 100 people)

  • blood infection (sepsis)
  • fluid in the lungs
  • stomach pain
  • gastritis (inflammation of the stomach lining)
  • temporary loss of fingernails or toenails of the affected arm or leg
  • kidney failure
  • blood tests showing changes in kidney function
  • narrowing or closure of the blood vessels in the limbs that carry blood from the heart

Reporting of side effects

If you experience any side effects, talk to your doctor, even if they are not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Beromun

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 carton and on the label of the vial after EXP. The expiry date is the last day of the month shown.

Store in a refrigerator (2°C - 8°C). The reconstituted product should be used immediately.

6. Contents of the pack and other information

Composition of Beromun

  • The active substance is tasonermin. Each vial contains 1 mg of tasonermin. The contents of one vial of Beromun powder must be reconstituted with 5.3 ml of sterile sodium chloride 0.9% injection solution.
  • The other ingredients (excipients) are sodium dihydrogen phosphate dihydrate, disodium phosphate dodecahydrate, and human serum albumin.

Appearance and pack contents

Beromun is a white to almost white powder for solution for perfusion (powder for perfusion), provided in a glass vial with a rubber stopper and sealed with an aluminium flip-off cap.

Each pack contains 4 vials of powder.

Marketing authorisation holder

Boehringer Ingelheim International GmbH

Binger Strasse 173

55216 Ingelheim am Rhein

Germany

Manufacturer

Boehringer Ingelheim RCV GmbH & Co KG

Dr. Boehringer-Gasse 5-11

1121 Vienna

Austria

You can obtain further information on this medicine from the representative of the marketing authorisation holder:

Belgium

SCS Boehringer Ingelheim Comm.V

Tel: +32 2 773 33 11

Lithuania

Boehringer Ingelheim RCV GmbH & Co KG

Lithuanian branch

Tel: +370 37 473922

Bulgaria

Boehringer Ingelheim RCV GmbH & Co KG

Bulgarian branch

Tel: +359 2 958 79 98

Luxembourg

SCS Boehringer Ingelheim Comm.V

Tel: +32 2 773 33 11

Czech Republic

Boehringer Ingelheim spol. s r.o.

Tel: +420 234 655 111

Hungary

Boehringer Ingelheim RCV GmbH & Co KG Hungarian branch

Tel: +36 1 299 8900

Denmark

Boehringer Ingelheim Danmark A/S

Tel: +45 39 15 88 88

Malta

Boehringer Ingelheim Ltd.

Tel: +44 1344 424 600

Germany

Boehringer Ingelheim Pharma GmbH & Co. KG

Tel: +49 (0) 800 77 90 900

Netherlands

Boehringer Ingelheim b.v.

Tel: +31 (0) 800 22 55 889

Estonia

Boehringer Ingelheim RCV GmbH & Co KG

Estonian branch

Tel: +372 612 8000

Norway

Boehringer Ingelheim Norway KS

Tel: +47 66 76 13 00

Greece

Boehringer Ingelheim Ellas A.E.

Tel: +30 2 10 89 06 300

Austria

Boehringer Ingelheim RCV GmbH & Co KG

Tel: +43 1 80 105-0

Spain

Boehringer Ingelheim España, S.A.

Tel: +34 93 404 51 00

Poland

Boehringer Ingelheim Sp. z o.o.

Tel: +48 22 699 0 699

France

Boehringer Ingelheim France S.A.S.

Tel: +33 3 26 50 45 33

Portugal

Boehringer Ingelheim, Unipessoal, Lda.

Tel: +351 21 313 53 00

Croatia

Boehringer Ingelheim Zagreb d.o.o.

Tel: +385 1 2444 600

Romania

Boehringer Ingelheim RCV GmbH & Co KG Vienna - Bucharest branch

Tel: +40 21 302 2800

Ireland

Boehringer Ingelheim Ireland Ltd.

Tel: +353 1 295 9620

Slovenia

Boehringer Ingelheim RCV GmbH & Co KG, Ljubljana branch

Tel: +386 1 586 40 00

Iceland

Vistor hf.

Tel: +354 535 7000

Slovakia

Boehringer Ingelheim RCV GmbH & Co KG, Slovak branch

Tel: +421 2 5810 1211

Italy

Boehringer Ingelheim Italia S.p.A.

Tel: +39 02 5355 1

Finland

Boehringer Ingelheim Finland Ky

Tel: +358 10 3102 800

Cyprus

Boehringer Ingelheim Ellas A.E.

Tel: +30 2 10 89 06 300

Sweden

Boehringer Ingelheim AB

Tel: +46 8 721 21 00

Latvia

Boehringer Ingelheim RCV GmbH & Co KG

Latvian branch

Tel: +371 67 240 011

United Kingdom

Boehringer Ingelheim Ltd.

Tel: +44 1344 424 600

Date of last revision of this leaflet:

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu

The leaflet for this medicine can be found on the European Medicines Agency website in all languages of the European Union/European Economic Area.

Online doctors for BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION

Discuss questions about BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

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Rita Isabel Calero Garcia

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Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

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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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Andrei Popov

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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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Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

  • Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
  • Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning
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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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Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

Get BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION Prescription Online

1

Fill in a 2-min form

Tell us your symptoms, history, and what medicine you're requesting.

2

Pick a doctor or let us assign

Choose a specialist or we'll match you with the next available doctor.

3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

Collect from any pharmacy

Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION?

BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION 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 BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION?

The active ingredient in BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION is tasonermin. This information helps identify medicines with the same composition but different brand names.

Who manufactures BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION?

BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION is manufactured by Belpharma S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION 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 BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to BEROMUN 1 mg POWDER FOR SOLUTION FOR INFUSION?

Other medicines with the same active substance (tasonermin) include CEPLENE 0.5 mg/0.5 ml INJECTABLE SOLUTION, COPAXONE 20 mg/ml INJECTABLE SOLUTION IN PRE-FILLED SYRINGE, COPAXONE 40 mg/mL injectable solution in pre-filled syringe. 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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