CENAT ORAL SOLUTION/SUSPENSION

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Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

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.
Book a video appointment
€66
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 CENAT GRANULADO

Contents of the leaflet

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

Introduction

Package Leaflet: Information for the User

CENAT Granules

Plantago ovata seeds / Cuticles of Plantago ovata seeds

(Ispaghula husk)

Read the entire package leaflet carefully because it contains important information for you.

This medication can be obtained without a prescription. Nevertheless, to obtain the best results, it should be used properly.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If symptoms worsen or persist after 7 days, you should consult a doctor.
  • If you consider that any of the adverse effects you are experiencing is serious or if you notice any adverse effect not mentioned in this package leaflet, inform your doctor or pharmacist.

Contents of the Package Leaflet

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

1. What Cenat is and what it is used for

Cenat belongs to a group of medications called bulk-forming laxatives. These medications work by facilitating the absorption of water by the intestinal bolus, forming a gel that increases the volume and fluidity of the stool.

Cenat is used for:

  • Chronic habitual constipation, or as a result of bed rest after surgical operations, for example, after rectal or anal surgery, due to changes in diet, travel, or prolonged treatment with drastic laxatives.
  • Conditions that involve alternating episodes of diarrhea and constipation (irritable colon, diverticulosis). Regulation of bowel movements in patients with an artificial anus (colostomy).
  • Symptomatic treatment of functional diarrhea and as an additional measure in cases of Crohn's disease.
  • Proctological (rectal) processes such as hemorrhoids, fissures (or anal abscesses), which reduce the pain of defecation and facilitate the evacuation of stool, as it is richer in water.
  • To complete the daily intake of fiber when it is insufficient (weight loss diets and certain metabolic disorders).
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Cenat

Do not take Cenat

  • If you are hypersensitive (allergic) to Plantago ovataor Ispaghula huskor to any of the other components of the medication.
  • If you experience nausea, vomiting, or other abdominal symptoms of unknown diagnosis.
  • If you have intestinal obstruction or have been diagnosed with stenosis (narrowing) of the digestive tract.

Be careful with Cenat

  • Consult your doctor if you have difficulty breathing or swallowing.
  • Maintain adequate hydration with an intake of 1-2 liters of water per day during treatment with Cenat.

Use of other medications

Inform your doctor or pharmacist if you are using or have recently used other medications, including those obtained without a prescription.

Because Cenat can delay the absorption of certain medications, you should take Cenat 30 minutes or 1 hour before or after the administration of other medications such as: coumarin derivatives (oral anticoagulants), digitalis-based medications, lithium, vitamins such as B12, calcium, magnesium, iron, or zinc.

Due to the risk of intestinal obstruction, do not take Cenat if you are taking antidiarrheal medications or products that inhibit intestinal motility (diphenoxylate, loperamide, opioids).

Use of Cenat with food and drinks

As a general rule, Cenat should be administered after meals.

In the case of using Cenat as a complementary treatment for obesity, it is useful to take it 30 minutes before main meals to induce a feeling of fullness.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medication.

Driving and using machines

No effects of this medication on the ability to drive and use machinery are expected.

Important information about some of the components of Cenat

This medication contains sucrose. If your doctor has indicated that you have an intolerance to certain sugars, consult with them before taking this medication.

3. How to take Cenat

Follow the administration instructions of Cenat indicated by your doctor. Consult your doctor or pharmacist if you have doubts.

Remember to take your medication.

Cenat is administered orally.

Considering the safety of dietary fiber administration, there is no limitation to the treatment.

Take the granules without chewing and with a sufficient amount of liquid (a full glass) to avoid blockage of the throat.

Drink 1 to 2 liters of water daily during treatment with Cenat.

If symptoms worsen or persist after 7 days, you should consult a doctor.

If you think the action of Cenat is too strong or too weak, inform your doctor or pharmacist.

Adults and children over 12 years old

Take 2 dessert spoons of granules (10 g of granules) at night after dinner. If necessary, you can take an additional spoon in the morning (which would be equivalent to a total of 15 g of granules per day).

In case of diarrhea, take an initial dose of two spoons 3 times a day (30 g of granules/day) for 2 or 3 days and then reduce the dose to one heaped spoon 3 times a day (15 g/day).

You should try to make the last daily intake of Cenat after dinner, but not just before bedtime, and you should take it in an upright position.

As a complementary treatment for obesity, take Cenat 30 minutes before main meals to induce a feeling of fullness.

Children from 6 to 12 years old

Administer half of the doses indicated for adults and children over 12 years old.

If you take more Cenat than you should

If you have taken more Cenat than you should, consult your doctor or pharmacist.

Overdose of Plantago ovatacan cause abdominal discomfort and flatulence and may even cause intestinal obstruction.

In case of overdose or accidental ingestion, consult the Toxicology Information Service, phone 915 62 04 20, indicating the medication and the amount ingested.

If you forget to take Cenat

Do not take a double dose to make up for forgotten doses.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, Cenat can cause side effects, although not everyone experiences them.

The side effects of this medication are generally mild and transient. At the start of treatment and depending on the dose, some discomfort such as flatulence and a feeling of fullness may appear, which disappear in a few days without needing to stop the medication.

In certain cases, abdominal distension may appear and exceptionally, isolated cases of intestinal, throat, or esophageal obstruction may occur, especially if the granules are ingested without sufficient water.

Occasionally, allergic reactions to Plantago ovatamay occur, mainly due to inhalation of the powder, and isolated cases of anaphylactic reactions may exist. Due to the granule presentation of Cenat, this problem is very unlikely.

If you consider that any of the side effects you are experiencing is serious or if you notice any side effect not mentioned in this package leaflet, inform your doctor or pharmacist.

5. Storage of Cenat

Keep in the original packaging. Keep the bottle perfectly closed. Keep out of the reach and sight of children.

Expiration date

Do not use Cenat after the expiration date (EXP.) that appears on the bottle. The expiration date is the last day of the month indicated. Medications should not be thrown away through the sewage system or in the trash. Ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Contents of the pack and further information

Composition of Cenat granules

  • The active ingredients are Plantago ovata seeds, Cuticles of Plantago ovata seeds (Ispaghula Husk).
  • The other components are: Carum carvi essential oil; Salvia officinalis essential oil; Mentha piperita essential oil; Gum arabic; Talc; Yellow iron oxide (E-172); Red iron oxide (E-172); Titanium dioxide (E-171); Solid paraffin; Liquid paraffin; Sucrose.

Appearance of the product and contents of the pack

Cenat is presented in bottles containing 250 or 400 g of granules for oral administration.

Marketing authorization holder and manufacturer

Marketing authorization holder

Cooper Consumer Health B.V.

Verrijn Stuartweg 60,

1112 AX Diemen,

Netherlands

Manufacturer

MADAUS GMBH

Lütticher Strasse, 5

(Troisdorf) – 53842

Germany

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

Vemedia Pharma Hispania, S.A.

C/ Aragón, 182, 5ª planta

08011 Barcelona

Spain

Date of the last revision of this package leaflet:September 2022.

Online doctors for CENAT GRANULADO

Discuss questions about CENAT GRANULADO, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

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.
Book a video appointment
€66
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

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.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

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.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

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.

Book a video appointment
€75
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get CENAT GRANULADO Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for CENAT GRANULADO?

CENAT GRANULADO does not require 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 CENAT GRANULADO?

The active ingredient in CENAT GRANULADO is ispaghula (psylla seeds). This information helps identify medicines with the same composition but different brand names.

Who manufactures CENAT GRANULADO?

CENAT GRANULADO is manufactured by Cooper Consumer Health B.V.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of CENAT GRANULADO 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 CENAT GRANULADO 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 CENAT GRANULADO 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 CENAT GRANULADO 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 CENAT GRANULADO?

Other medicines with the same active substance (ispaghula (psylla seeds)) include AGIOLAX GRANULADO, PLANTABEN 3.5 g EFFERVESCENT POWDER, PLANTAGO OVATA CINFA 3.5 g POWDER FOR ORAL SUSPENSION. 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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