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BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION

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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.

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 BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION

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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Introducción

PROSPECTO: INFORMACIÓN PARA EL USUARIO

Bupivacaína Hiperbárica Physan 5 mg/ml solución inyectable

Bupivacaína, hidrocloruro

Lea todo el prospecto detenidamente antes de empezar a usar el medicamento, porque contiene información importante para usted

? Conserve este prospecto, ya que puede tener que volver a leerlo.

? Si tiene alguna duda, consulte a su médico, farmacéutico o enfermero.

? Si experimenta efectos adversos consulte a su médico, farmacéutico o enfermero, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Contenido del prospecto:

  1. Qué es Bupivacaína Hiperbárica Physan y para qué se utiliza
  2. Qué necesita saber antes de empezar a usar Bupivacaína Hiperbárica Physan
  3. Cómo usar Bupivacaína Hiperbárica Physan
  4. Posibles efectos adversos
  5. Conservación de Bupivacaína Hiperbárica Physan
  6. Contenido del envase e información adicional

1. Qué es Bupivacaína Hiperbárica Physan y para qué se utiliza

Bupivacaína Hiperbárica Physan contiene hidrocloruro de bupivacaína, un anestésico local (agente que reduce o elimina las sensaciones, afectando una región particular) que pertenece al subgrupo de

las amidas.

Bupivacaína Hiperbárica Physan le ha sido recetado para proporcionarle efecto anestésico durante una cirugía.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Qué necesita saber antes de empezar a usar Bupivacaína Hiperbárica Physan

No use Bupivacaína Hiperbárica Physan:

? Si es alérgico (hipersensible) al hidrocloruro de bupivacaína o a alguno de los demás

componentes de Bupivacaína Hiperbárica Physan (incluidos en la sección 6).

? Si es alérgico (hipersensible) a cualquier otro anestésico local del mismo grupo (por

ejemplo, la mepivacaína, la lidocaína).

? Si se emplea como anestesia regional intravenosa (bloqueo de Bier), ya que el paso inadvertido de bupivacaína a la circulación sanguínea puede dar lugar a reacciones sistémicas de toxicidad aguda.

? Si Ud. padece alguna de las siguientes afecciones:

? Enfermedad del sistema nervioso central preexistente atribuible a infección, tumores u otras causas.

? Deformación espinal y enfermedad activa (ej. espondilitis, tumor) o lesión reciente (ej. fractura) de la columna vertebral.

? Septicemia (paso de gérmenes infecciosos a la sangre).

? Infección de la piel en el lugar de la inyección o en posición próxima.

? Enfermedad cardiovascular, sobre todo bloqueo cardíaco o shock hipovolémico.

? Alteraciones de la coagulación, tratamiento anticoagulante en curso o alteraciones de la sangre.

? Antecedentes de hipertermia (aumento patológico de la temperatura del cuerpo) maligna.

? Dolor de espalda crónico.

? Dolor de cabeza preexistente, sobre todo si existe historial de migraña.

? Líquido cefalorraquídeo hemorrágico.

? Hipertensión (tensión arterial alta) o hipotensión (tensión arterial baja).

? Sensación de hormigueo persistente.

Advertencias y precauciones

Consulte a su médico antes de empezar a usar Bupivacaína Hiperbárica Physan:

? Si tiene algún tipo de bloqueo en el corazón

? Si padece alteraciones del ritmo del corazón

? Si tiene la tensión arterial baja

? Si tiene hemorragia

? Si padece algún tipo de infección

? Si padece alteraciones del hígado o riñón.

Niños

La bupivacaína deberá utilizarse con precaución en niños menores de 12 años, debido a que

tienen una mayor probabilidad de toxicidad sistémica.

Otros medicamentos e Bupivacaína Hiperbárica Physan

Informe a su médico o farmacéutico si está utilizando o ha utilizado recientemente o podría tener que utilizar cualquier otro medicamento, incluso los adquiridos sin receta.

Bupivacaína debe usarse con precaución en pacientes que están recibiendo tratamiento con agentes estructuralmente parecidos a los anestésicos locales tipo amida, ya que puede producirse aumento de los efectos tóxicos sistémicos.

La administración conjunta de heparina, anticoagulantes, antiinflamatorios no esteroideos (AINES) y sustitutivos plasmáticos (dextranos), puede aumentar la tendencia a hemorragias por la inyección del anestésico local.

Asimismo, pueden ser necesarios controles del estado de coagulación de los pacientes después de la medicación conjunta con antiinflamatorios no esteroideos.

Embarazo y lactancia

Si está embarazada o en periodo de lactancia, cree que podría estar embarazada o tiene intención de quedarse embarazada, consulte a su médico o farmacéutico antes de utilizar este

medicamento.

Embarazo

En caso de estar embarazada su médico le recetará Bupivacaína Hiperbárica Physan teniendo en cuenta el beneficio que pueda tener frente al riesgo para su bebé.

Lactancia

En caso de estar en periodo de lactancia su médico le recetará Bupivacaína Hiperbárica Physan teniendo en cuenta el beneficio que pueda tener frente al riesgo para su bebé.

Conducción y uso de máquinas

Bupivacaína Hiperbárica Physan puede alterar temporalmente su capacidad de movimiento, atención y

coordinación. Su médico le indicará si puede conducir o utilizar máquinas.

3. Cómo usar Bupivacaína Hiperbárica Physan

Bupivacaína Hiperbárica Physan debe administrarse solo bajo la supervisión de un médico con experiencia en la utilización de este tipo de tratamientos.

Bupivacaína Hiperbárica Physan se administra en forma de inyección por vía intratecal.

La dosis, velocidad de administración y duración del tratamiento será variable dependiendo del proceso anestésico que se lleve a cabo, del área que debe ser anestesiada y del peso, situación clínica y respuesta del paciente.

Si se administra más Bupivacaína Hiperbárica Physan del que se debe

Al igual que con los otros anestésicos locales, debido a una excesiva dosificación, una rápida absorción o una inyección accidental en vasos sanguíneos, pueden presentarse síntomas de

intoxicación que pueden manifestarse:

? Sobre el sistema nervioso central:

Caracterizados por anestesia de la lengua, pérdida de conciencia ligera, desvanecimiento, visión borrosa, dolor de cabeza, temblores seguidos por somnolencia, convulsiones e inconsciencia.

? Sobre el aparato respiratorio:

Aceleración de la respiración, seguida de dificultad/parada respiratoria.

? Sobre el aparato circulatorio:

Disminución de la capacidad de contracción del corazón, tensión arterial baja (hipotensión).

A dosis elevadas vasodilatación, colapso, alteraciones de la conducción, disminución del ritmo cardiaco, bloqueo auriculoventricular, arritmias, paro cardíaco.

Si se producen efectos tóxicos, la primera medida es cesar la administración del anestésico local. El subsiguiente tratamiento consiste en parar las convulsiones y asegurar la respiración adecuada con oxígeno, si es necesario por respiración asistida. Si se producen convulsiones pueden tratarse con 5 - 10 mg de diazepam. Si existe hipotensión debe administrarse un vasopresor por vía intravenosa, por ejemplo 15 - 30 mg de efedrina.

En caso de sobredosis o administración accidental, llame al Servicio de Información

Toxicológica. Tel. 91 5620420, indicando el medicamento y la cantidad administrada.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Posibles efectos adversos

Al igual que todos los medicamentos, Bupivacaína Hiperbárica Physan puede producir efectos adversos, aunque no todas las personas los sufran.

Los efectos adversos que puede experimentar pueden clasificarse en función de su frecuencia en:

? Muy frecuentes (pueden afectar a más de 1 de cada 10 pacientes):descenso de la tensión arterial, de la frecuencia del ritmo cardiaco y náuseas

? Frecuentes (pueden afectar hasta 1 de cada 10 pacientes):dolor de cabeza, vómitos, retención de orina o incontinencia.

? Poco frecuentes (pueden afectar hasta 1 de cada 100 pacientes):hormigueos, alteraciones en el sentido del tacto, el oído, olfato, vista o gusto, debilidad muscular o dolor de espalda.

? Raros (pueden afectar hasta 1 de cada 1.000 pacientes): paro cardiaco, reacciones alérgicas, choque anafiláctico, alteraciones nerviosas y dificultades para respirar.

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, consulte a su médico, incluso si se trata de posibles efectos adversos que no aparecen en este prospecto. También puede comunicarlos directamente a través del Sistema Español de Farmacovigilancia de Medicamentos de Uso

Humano www.notificaram.es. Mediante la comunicación de efectos adversos usted puede

contribuir a proporcionar más información sobre la seguridad de este medicamento..

5. Conservación de Bupivacaína Hiperbárica Physan

Mantener este medicamento fuera de la vista y del alcance de los niños. No conservar a temperatura superior a 25ºC. No congelar.

No utilice este medicamento después de la fecha de caducidad que aparece en la ampolla y en el cartón del producto. La fecha de caducidad es el último día del mes que se indica.

Las soluciones no contienen conservantes y deben ser usadas inmediatamente tras su apertura. Todo resto de solución debe ser desechado.

Debido a que la especialidad contiene glucosa, puede aparecer caramelización durante la esterilización en autoclave. Por este motivo no debe re-esterilizarse.

Los medicamentos no se deben tirar por los desagües ni a la basura. Pregunte a su farmacéutico cómo deshacerse de los envases y de los medicamentos que no necesita. De esta forma ayudará a proteger el medio ambiente.

6. Contenido del envase e información adicional

Composición de Bupivacaína Hiperbárica Physan

? El principio activo es hidrocloruro de bupivacaína. Cada ml contiene 5 mg de hidrocloruro de bupivacaína. Cada ampolla de 4 ml contiene 20 mg de hidrocloruro de bupivacaína.

? Los demás componentes son: glucosa anhidra, hidróxido de sodio (E-524)/ácido clorhídrico

(para el ajuste de pH) y agua para preparaciones inyectables.

Aspecto del producto y contenido del envase

Bupivacaína Hiperbárica Physan está envasado en ampollas de vidrio.

Este medicamento, se presenta en cajas que contienen 50 o 100 ampollas (envases clínicos) de vidrio de 4 ml.

Titular de la autorización de comercialización

LAPHYSAN S.A.U.

Anabel Segura, 11 Edificio A, Planta 4, Puerta D,

28108 Alcobendas

MADRID ESPAÑA

Responsable de la fabricación

Laboratorios Inibsa, S.A.

Ctra. Sabadell a Granollers, km. 14,5

08185 Lliçà de Vall (Barcelona)

Laboratórios Basi - Indústria Farmacéutica S.A.

Parque Industrial Lourenço Ferreira, Nº8, Nº15 y Nº16.

3450-232 Mortágua, Portugal

España

Teléfono: +34 938 609 500

Fax: +34 938 439 695

e-mail: [email protected]

Esta información está destinada únicamente a médicos o profesionales del sector sanitarioLas soluciones deben ser usadas inmediatamente después de su apertura. Todo resto de solución debe ser desechado.

Debido a que la especialidad contiene glucosa, puede aparecer caramelización durante la esterilización en autoclave. Por este motivo no debe re-esterilizarse.

Los procedimientos de anestesia regional deben ser siempre llevados a cabo por profesionales debidamente formados y en áreas apropiadas. Los equipos y fármacos necesarios para la monitorización y la reanimación de emergencia deben estar disponibles. El acceso intravenoso, por ej. perfusión i.v., debe realizarse antes de iniciar la anestesia intratecal. Los médicos deben tomar las precauciones necesarias para evitar una inyección intravascular y deben recibir la formación adecuada y estar familiarizados con el diagnóstico y tratamiento de los efectos secundarios, la toxicidad sistémica y otras complicaciones. Si aparecen signos de toxicidad sistémica aguda o aparece un bloqueo espinal total, debe detenerse inmediatamente la inyección del anestésico local.

Los pacientes con una condición general de debilidad debido a la edad o con otros factores comprometidos como puede ser bloqueo parcial o total de la conducción cardiaca, disfunción hepática o renal avanzada, necesitan especial atención aunque la anestesia regional puede ser una elección óptima para la cirugía.

Al igual que otros anestésicos locales, bupivacaína puede dar lugar a efectos tóxicos agudos de los sistemas nervioso central y cardiovascular, si se utiliza en procesos de anestesia local que den lugar a una elevada concentración sanguínea del fármaco. Esto es especialmente lo que ocurre tras una inyección intravascular indebida.

En cualquier caso, y teniendo en cuenta que la posología debe calcularse en función de varios factores, se aconseja consultar la información facilitada en el Ficha Técnica antes de usar este medicamento.

Incompatibilidades

En general, se aconseja no mezclar las soluciones espinales con ningún producto.

Última revisión del prospecto: octubre 2018

La información detallada y actualizada de este medicamento está disponible en la página Web de la Agencia Española de Medicamentos y Productos Sanitarios (AEMPS) http://www.aemps.es/

Online doctors for BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION

Discuss questions about BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (1237)
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.

5.0 (44)
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.

5.0 (3)
Doctor

Pedro Alvarez Guerrero

Psychiatry 8 years exp.

Dr. Alvarez Guerrero graduated in Medicine from the San Pablo CEU University in Madrid. He subsequently completed his specialization in Psychiatry in the Department of Psychiatry at Hospital Sant Joan de Deu in Manresa (Barcelona), where over the course of four years he acquired solid training in the bio-psycho-social model, developing his expertise across the different areas of mental health.

During his residency, he undertook training placements at Hospital Clínic de Barcelona, where he trained for several months in the psychiatric consultation-liaison unit. He also completed another placement at Hospital de Cruces in Bilbao, in the first-episode psychosis unit.

Throughout his professional career, Dr. Alvarez Guerrero has sought to complement his medical training with psychotherapeutic tools that allow him to address mental health disorders from a comprehensive perspective. For this reason, he specialized in Brief Strategic Psychotherapy through the Spanish Society of Psychosomatic Medicine and Psychotherapy, an approach focused on targeted and effective interventions.

With the aim of deepening his knowledge and promoting the rational use of treatments, he also completed a Master’s Degree in Psychopharmacology at the University of Valencia, which has enabled him to rigorously integrate the most up-to-date scientific evidence into the clinical management of psychopharmacological treatments.

He has also shown a particular interest in the field of legal psychiatry, completing an Official Master’s Degree in Legal, Forensic and Criminological Psychopathology at the Universitat Internacional de Catalunya. This training has allowed him to acquire the necessary competencies for the preparation of psychiatric expert reports in judicial and medico-legal contexts, thereby broadening the scope of his professional activity.

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.

0.0 (0)
Doctor

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.

0.0 (14)
Doctor

Daria Portnova

Psychiatry 31 years exp.

Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations. In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life. Patients consult Dr Daria Portnova for the following concerns: 

  • existential crises and complex life situations;
  • loss, grief, and emotional exhaustion;
  • relationship difficulties, separation, and divorce;
  • psychological and psychiatric trauma, including complex PTSD (cPTSD);
  • anxiety disorders: generalised anxiety disorder and panic disorder;
  • social anxiety and social phobia;
  • obsessive-compulsive disorder (OCD);
  • sleep disorders;
  • depressive disorders;
  • bipolar affective disorder;
  • schizoaffective disorder;
  • schizophrenia;
  • personality disorders.

Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.

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Frequently Asked Questions

Is a prescription required for BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION?

BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION 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 BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION?

The active ingredient in BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION is bupivacaine. This information helps identify medicines with the same composition but different brand names.

Who manufactures BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION?

BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION is manufactured by Laphysan S.A.U.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION 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 BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION 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 BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION 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 BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION 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 BUPIVACAINE HYPERBARIC PHYSAN 5 mg/ml INJECTABLE SOLUTION?

Other medicines with the same active substance (bupivacaine) include BUPIVACAINE AUROVITAS 2.5 mg/ml INJECTABLE SOLUTION, BUPIVACAINE AUROVITAS 5 mg/ml INJECTABLE SOLUTION, BUPIVACAINE B. BRAUN 5 mg/ml INJECTABLE SOLUTION. 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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