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IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION

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Doctor

Antonio Cayatte

General medicine 44 years exp.

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
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 IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION

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 user

Ipratropium bromide/Salbutamol Neutec 0.5mg/2.5mg solution for inhalation by nebulizer

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

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor, pharmacist, or nurse.
  • 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, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What is Ipratropium bromide/Salbutamol Neutec and what is it used for
  2. What you need to know before starting to use Ipratropium bromide/Salbutamol Neutec
  3. How to use Ipratropium bromide/Salbutamol Neutec
  4. Possible side effects
  5. Storage of Ipratropium bromide/Salbutamol Neutec
  6. Package contents and additional information

1. What is Ipratropium bromide/Salbutamol Neutec and what is it used for

Ipratropium bromide/Salbutamol Neutec contains the active ingredients ipratropium bromide and salbutamol. Both belong to a group of medications called bronchodilators, which help improve breathing by opening the airways. This is achieved by preventing the contraction of the smooth muscles surrounding the airways, allowing them to remain open.

Ipratropium bromide/Salbutamol Neutec is used in adults and adolescents from 12 years of age to treat long-term respiratory problems in a disease called "chronic obstructive pulmonary disease" or COPD.

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2. What you need to know before starting to use Ipratropium bromide/Salbutamol Neutec

Do not useIpratropium bromide/Salbutamol Neutec if:

  • You are allergic to salbutamol, ipratropium bromide, atropine (including atropine-like medications), or any of the other components of this medication (listed in section 6).
  • You have a heart problem called "hypertrophic obstructive cardiomyopathy". This is a disease in which the wall separating the two sides of the heart thickens. The thickened heart wall can make it difficult for the heart to pump blood and block blood flow.
  • You have very rapid heartbeats (what is called "tachyarrhythmia").

Warnings and precautions

Consult your doctor or pharmacist before starting to use Ipratropium bromide/Salbutamol Neutec if:

  • You have glaucoma (increased eye pressure) or have been told you may have it. Your doctor will advise you to protect your eyes when using this medication.
  • You have heart or circulatory problems (e.g., you feel pain in your legs when walking), or you have recently had a heart attack.
  • You have diabetes.
  • You have an overactive thyroid gland.
  • You have problems urinating.
  • You are male and have prostate problems.
  • You have cystic fibrosis.
  • You have had an intestinal obstruction.
  • You have had a non-cancerous tumor of the adrenal gland (called "pheochromocytoma"). Using this medication can worsen symptoms.
  • You have impaired liver or kidney function.

Lactic acidosis associated with high therapeutic doses of salbutamol has been observed, mainly in patients treated for acute bronchospasm (see sections 3 and 4). The increase in lactate levels can lead to lack of breathing and hyperventilation. Talk to your doctor immediately if you feel that the medication is not working as usual and you need to use the nebulizer more often than your doctor has recommended.

Consult your doctor or go to the nearest hospital immediately if your breathing difficulties worsen suddenly or if the prescribed dose does not provide as much relief as before when breathing. Do not increase the dose without your doctor's advice.

Good oral hygiene and regular dental check-ups are recommended, as Ipratropium bromide/Salbutamol Neutec can cause dry mouth, which increases the risk of tooth decay.

It is very important to avoid getting the medication in your eyes, especially if you have or are at risk of glaucoma. If you accidentally get liquid or nebulization in your eyes, you may experience eye problems, such as pain, stinging, or redness of the eyes, enlarged pupils, blurred vision, seeing colors or lights. If this happens, talk to your doctor immediately for advice. If you have eye problems at any other time, talk to your doctor for advice.

Occasionally, the use of Ipratropium bromide/Salbutamol Neutec can reduce potassium levels in the blood, especially if you are taking certain other medications at the same time. If you are at risk of this happening, your doctor may monitor the amount of potassium in your blood.

If you need to provide a urine sample as part of a routine drug test, Ipratropium bromide/Salbutamol Neutec may give a positive result in the test.

Children

This medication is not recommended for children under 12 years of age, as it has not been investigated in this age group.

Other medications and Ipratropium bromide/Salbutamol Neutec

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

In particular, tell your doctor or pharmacist if you are taking any of the following medications:

  • Steroid medications such as prednisolone for the treatment of inflammatory diseases, which can increase the effect of this medication and the intensity of adverse reactions.
  • Diuretics.
  • Certain medications for treating anxiety and depression ("antidepressants"). This class of medications includes monoamine oxidase inhibitors (e.g., phenelzine) or tricyclic antidepressants (e.g., amitriptyline), which can increase the effect of salbutamol.
  • Other medications to help you breathe, such as inhalers and tablets for asthma, and medications for the treatment of acute asthma attacks. These medications include beta-agonists (e.g., fenoterol), xanthine derivatives (e.g., theophylline or aminophylline), and anticholinergics (e.g., tiotropium), which can increase the effect of this medication and the intensity of adverse effects.
  • Medications called "anticholinergics". They may be used to treat colic pain, Parkinson's disease, urinary problems, or loss of bladder or bowel control.
  • Medications called "beta-blockers" such as propranolol. They may be used to treat heart problems, high blood pressure, anxiety, or migraines. Taking beta-blockers can inhibit the effects of Ipratropium bromide/Salbutamol Neutec.
  • Digoxin: it is used for rapid heartbeats or heart failure, which can cause heart rhythm disorders if used with this medication.

Surgery

Some gases used in surgery (anesthetic gases) can increase the sensitivity to the adverse effects of salbutamol on the heart. If you are going to have surgery, you will be closely monitored or your doctor may decide to stop the use of Ipratropium bromide/Salbutamol Neutec. If you are about to undergo surgery, make sure to mention to your doctor, dentist, or anesthesiologist that you are taking Ipratropium bromide/Salbutamol Neutec.

Pregnancy and breastfeeding

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

Do not use Ipratropium bromide/Salbutamol Neutec if you are pregnant, unless your doctor decides that the benefit to you outweighs any risk to your child.

If you are breastfeeding, your doctor will decide whether you should stop breastfeeding or stop using this medication, taking into account the benefit of breastfeeding for the child and the benefit of treatment for you.

Driving and using machines

You may feel dizzy, have difficulty focusing, or blurred vision while taking Ipratropium bromide/Salbutamol Neutec. If this happens, do not drive or use tools or machines.

3. How to use Ipratropium bromide/Salbutamol Neutec

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

The recommended dose for adults and adolescents over 12 years of ageis:

the contents of 1 single-dose container, three or four times a day.

Ipratropium bromide/Salbutamol Neutec should be inhaled using a suitable nebulizer, e.g., a jet nebulizer. Read all the instructions for use of the nebulizer provided with the nebulizer before starting inhalation.

Instructions for use

Read points 1 to 5 before starting to use your nebulizer.

  1. Prepare your nebulizer for use according to the manufacturer's instructions and your doctor's advice.
  1. Open the bag and carefully separate a new container from the strip. Never use an ampoule that is already open or if the solution for inhalation by nebulizer is discolored.

Hand holding an insulin cartridge with a needle inserted and a numerical adjustment device visible

  1. Hold the ampoule in a vertical position and open it by twisting the top.

Hands holding a syringe filled with the plunger pointing upwards and the needle visible

  1. Pressing, pour the entire contents into the nebulizer chamber, unless your doctor has given you other instructions. Make sure to use the entire contents immediately. Any unused medication should be discarded and not used.

Hand holding an auto-injector with the tip inserted into the skin fold of the abdomen

  1. Start and use the nebulizer according to the instructions for use. Inhale with calm and uniform breaths through the nebulizer mouthpiece/mask.

If you use more Ipratropium bromide/Salbutamol Neutec than you should

If you use more of this medication than you should, you may experience symptoms such as: dry mouth, blurred vision, rapid heartbeat, chest pain, high blood pressure, irregular heartbeats, tremors, low blood pressure, and redness of the skin. If you use more of this medication than you should, talk to a doctor or go to the nearest hospital immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.

If you forget to useIpratropium bromide/Salbutamol Neutec

  • If you forget a dose, take it as soon as you remember.
  • Do not take a double dose to make up for forgotten doses.

If you stop treatment with Ipratropium bromide/Salbutamol Neutec

Do not stop using Ipratropium bromide/Salbutamol Neutec without talking to your doctor first.

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

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4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

Stop usingIpratropium bromide/Salbutamol Neutecand contact your doctor immediately or go to the nearest emergency room if you notice any of the following serious side effects - you may need urgent medical treatment:

  • If immediately after inhaling this medication, your respiratory problem worsens or you experience wheezing and difficulty breathing. This can occur rarely when using this medication (it can affect up to 1 in 1,000 people).
  • If you have an allergic reaction: the signs can include skin rash, itching, and hives. In severe cases, the signs include swelling of the tongue, lips, and face, sudden difficulty breathing (angioedema), and a drop in blood pressure that can cause dizziness. This can occur rarely when using this medication (it can affect up to 1 in 1,000 people).
  • If after taking this medication, you experience eye pain, blurred vision, or redness of the eyes, or if you see halos or colored spots. This can occur rarely when using this medication (it can affect up to 1 in 1,000 people).

Tell your doctor as soon as possible, but do not stop using this medication unless advised to do so or if you notice the following:

  • Chest pain (due to heart problems, such as angina). This can occur rarely when using this medication (it can affect up to 1 in 1,000 people).

Other side effects:

Uncommon(can affect up to 1 in 100 people)

  • Feeling nervous, trembling, or dizzy.
  • Dry mouth.
  • Cough.
  • Headache.
  • Feeling dizzy (nausea).
  • Throat irritation.
  • Increased blood pressure.
  • Increased heart rate or irregular heartbeats (palpitations).
  • Voice problems ("dysphonia").
  • Skin reactions.

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

  • Irregular heartbeats.
  • Decreased potassium levels in the blood (called "hypokalemia"), observed in blood tests.
  • Blurred vision, dilated pupils, pain, stinging, or redness of the eyes, swelling of the eyes, seeing colors or lights.
  • Increased sweating.
  • Dry throat, swelling of the throat.
  • Difficulty breathing or speaking due to a brief spasm of the vocal muscles.
  • Diarrhea, constipation, nausea (vomiting), or other digestive problems.
  • Skin rash, pruritic rash, and/or itching.
  • Swelling or inflammation of the mouth.
  • Muscle cramps, muscle weakness, and pain.
  • Difficulty urinating.
  • Feeling of weakness.
  • Low blood pressure.
  • Mood changes.

The following side effect may also occur, but its frequency is unknown (the frequency cannot be estimated from the available data):

  • A condition known as lactic acidosis that can cause stomach pain, hyperventilation, difficulty breathing, despite possible improvement in wheezing, cold hands and feet, irregular heartbeat, or thirst.

Reporting side effects

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Ipratropium bromide/Salbutamol Neutec

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

Do not use this medication after the expiration date stated on the box, bag, and label of the single-dose container after CAD. The expiration date is the last day of the month indicated.

Store the single-dose containers in the outer bag and carton to protect them from light and moisture.

Do not use this medication if you notice discoloration of the liquid.

Use immediately after opening the single-dose container for the first time.

Each container is for single use.

Discard the unused contents immediately after the first use. Partially used, opened, or damaged single-dose containers should be discarded.

Medications should not be thrown down the drain or into the trash. Deposit the containers and medications you no longer need in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of medications you no longer need. This will help protect the environment.

6. Container contents and additional information

What Ipratropium Bromide/Salbutamol Neutec contains

  • The active substances are ipratropium bromide and salbutamol. Each single-dose container of 2.5 ml contains 0.5 mg of ipratropium bromide (as ipratropium bromide monohydrate) and 2.5 mg of salbutamol (as salbutamol sulfate).
  • The other excipients are: sodium chloride, hydrochloric acid 1 N (for pH adjustment) and water for injectable preparations.

Appearance and container contents of the product

Each single-dose container contains 2.5 ml of a clear, colorless or almost colorless solution for inhalation by nebulizer.

Five single-dose containers are wrapped in a bag and packaged in a cardboard box.

Ipratropium Bromide/Salbutamol Neutec is available in packs of 10, 20, 40, 60, 80 or 100 single-dose containers.

Only some pack sizes may be marketed.

Marketing authorization holder

Neutec Inhaler Ireland Limited

22 Northumberland Road, Ballsbridge

Dublin 4, Co. Dublin

D04 ED73

Ireland

Manufacturer

NextPharma Oy

Niittyhaankatu 20

33720 Tampere

Finland

Kymos S.L.

Ronda De Can Fatjo 7b,

Parc Tecnologic Del Valles,

Cerdanyola Del Valles,

08290

Spain

This medicinal product has been authorized in the following European Economic Area member states and in the United Kingdom (Northern Ireland) under the following names:

Sweden

Ipratropium/Salbutamol Neutec

Belgium

Ipratropium bromide/salbutamol Neutec 0.5 mg/2.5 mg verneveloplossing

Denmark

Ipratropiumbromid/salbutamol Neutec

Finland

Ipratropium bromide/salbutamol Neutec 0.5 mg / 2.5 mg per 2.5 ml sumutinliuos

Germany

Ipratropiumbromid/Salbutamol Neutec 0,5 mg/2,5mg Lösung für einen Vernebler

Iceland

Ipratropium bromide/salbutamol Neutec

Ireland

Ipratropium bromide/salbutamol Neutec 0.5/2.5 mg per 2.5 ml nebuliser solution

Netherlands

Ipratropiumbromide/salbutamol Neutec 0,5/2,5 mg per 2,5 ml, verneveloplossing

Norway

Ipratropium bromide/salbutamol Neutec

Spain

Ipratropium Bromide/Salbutamol Neutec 0.5 mg/2.5 mg solution for inhalation by nebulizer

United Kingdom (Northern Ireland)

Ipratropium bromide/salbutamol Neutec 0.5 mg/2.5 mg per 2.5 ml nebuliser solution

Date of last revision of this leaflet: 05/2023.

Other sources of information

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

Online doctors for IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION

Discuss questions about IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (85)
Doctor

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.

4.6 (76)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate

Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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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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Doctor

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.
5.0 (1235)
Doctor

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

Antonio Cayatte

General medicine 44 years exp.

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
5.0 (196)
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.

5.0 (55)
Doctor

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.
5.0 (43)
Doctor

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.

Get IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION?

IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION?

The active ingredient in IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION is salbutamol and ipratropium bromide. This information helps identify medicines with the same composition but different brand names.

Who manufactures IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION?

IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION is manufactured by Neutec Inhaler Ireland Limited. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION?

Other medicines with the same active substance (salbutamol and ipratropium bromide) include IPRATROPIUM BROMIDE/SALBUTAMOL GENETIC 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION, COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION, IPRATROPIUM BROMIDE/SALBUTAMOL CIPLA 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION. 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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