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COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION

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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.
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 COMBIPRASAL 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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Introducción

Prospecto:información para elusuario

COMBIPRASAL 0.5 mg/2.5 mg

solución para inhalación por nebulizador

Lea todo el prospecto detenidamente antes de empezara usareste 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 o farmacéutico.
  • Este medicamento se le ha recetado solamente a usted, y no debe dárselo a otras personas aunque tengan los mismos síntomas que usted, ya que puede perjudicarles.
  • Si experimenta efectos adversos, consulte a su médico o farmacéutico, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Contenido del prospecto

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

1. Qué es COMBIPRASAL y para qué se utiliza

Este medicamento se presenta en ampollas monodosis que contienen una solución transparente e incolora para inhalación por nebulizador. Combiprasal contiene 0.5 mg de bromuro de ipratropio (como monohidrato) y 2.5 mg de salbutamol (como sulfato).

COMBIPRASAL pertenece a un grupo de medicamentos llamados broncodilatadores que ayudan a abrir los conductos aéreos de los pulmones para que usted pueda respirar más fácilmente.

Está indicado en el tratamiento del broncoespasmo reversible asociado con la enfermedad pulmonar obstructiva crónica (EPOC) en pacientes que requieren más de un único broncodilatador.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. ANTES DE UTILIZAR COMBIPRASAL

No use COMBIPRASAL

  • Si es alérgico (hipersensible) al bromuro de ipratropio, salbutamol sulfato, atropina o a cualquiera de los demás componentes de Combiprasal.
  • Si usted padece una enfermedad cardiaca llamada miocardiopatía hipertrófica obstructiva (esto ocurre cuando el corazón no trabaja adecuadamente debido a una inflamación de los músculos cardíacos).
  • Si usted tiene un ritmo cardíaco rápido e irregular (lo que se conoce como taquiarritmia).

Advertencias y precauciones

Se ha observado acidosis láctica asociada a altas dosis terapéuticas de salbutamol, principalmente en pacientes tratados con un broncoespasmo agudo (ver las secciones 3 y 4). El aumento en los niveles de lactato puede dar lugar a la falta de respiración e hiperventilación.

Hable inmediatamente con su médico si usted siente que el medicamento no está funcionando como habitualmente y necesita usar el nebulizador más veces de las que su médico le ha recomendado.

Tenga especial cuidado con COMBIPRASAL

Informe a su médico antes de iniciar el tratamiento con este medicamento:

  • Si tiene historial de enfermedad cardiaca, ritmo cardíaco irregular o angina de pecho
    • Si está embarazada, con intención de estarlo o si está en periodo de lactancia.
    • Podrían aparecer reacciones alérgicas inmediatas, tales como urticaria, angioedema, erupción cutánea, tos, pitidos al respirar y dificultad respiratoria (broncoespasmo) e hinchazón de boca y garganta (edema orofaríngeo).
    • Cuando se presente dificultad respiratoria aguda que empeora rápidamente, debe consultar inmediatamente a su médico.
    • Si padece diabetes.
    • Si tiene una glándula tiroide demasiado activa.
    • Si tiene un trastorno denominado feocromocitoma, que es un tumor que produce sustancias químicas que pueden causar cansancio, elevada presión sanguínea y ritmo cardíaco más rápido.
    • Si padece fibrosis quística, ya que puede ser más propenso a los trastornos de la motilidad gastrointestinal.
    • Si usted tiene predisposición a padecer aumento de la presión del ojo (glaucoma de ángulo estrecho). Usted debe evitar que la solución entre en contacto con los ojos. Esto puede provocar dolor o molestia en los ojos, visión borrosa transitoria, halos visuales o imágenes coloreadas, junto con un enrojecimiento de los ojos. En caso de que aparezca cualquiera de estos síntomas, debe interrumpir el tratamiento y consultar inmediatamente a un médico.
    • Si padece hiperplasia prostática (aumento del tamaño de la próstata).
    • Si tiene un trastorno que dificulte el paso de la orina.

Uso de otros medicamentos

Informe a su médico o farmacéutico si está tomando o ha tomado recientemente otros medicamentos, incluso los adquiridos sin receta.

Algunos medicamentos pueden interaccionar con Combiprasal. Es importante que informe a su médico si está tomando alguno de los siguientes medicamentos:

  • Medicamentos derivados de la xantina, como la teofilina.
  • Medicamentos que contengan beta-bloqueantes tales como el propranolol o el timolol, ya que pueden reducir la eficacia de este medicamento.
  • Diuréticos tales como la furosemida o indapamida.
  • Digoxina, usada en el tratamiento del fallo cardíaco.
  • Otros medicamentos que ayudan a respirar más fácilmente tales como la terbutalina.
  • Medicamentos que contengan anticolinérgicos (usados para tratar el asma, síndrome del intestino irritable, enfermedad de Parkinson e incontinencia).
  • Ciertos medicamentos para tratar la depresión (conocidos como inhibidores de la monoamino oxidasa y antidepresivos tricíclicos).
  • Medicamentos anestésicos, como el halotano.

Embarazo y lactancia

Consulte a su médico o farmacéutico antes de tomar cualquier medicamento.

No se recomienda el uso de Combiprasal durante el embarazo o la lactancia. En caso necesario su médico valorará la conveniencia de utilizarlo.

Conducción y uso de máquinas

No se han realizado estudios de los efectos sobre la capacidad para conducir y utilizar máquinas. No obstante, no conduzca o utilice máquinas hasta que sepa cómo tolera el medicamento.

Uso en deportistas

Se informa a los deportistas que este medicamento contiene salbutamol que puede establecer un resultado analítico de control de dopaje como positivo.

3. Cómo usar COMBIPRASAL

Siga exactamente las instrucciones de administración de Combiprasal indicadas por su médico. Consulte a su médico o farmacéutico si tiene dudas.

Combiprasal se debe utilizar a demanda y no de forma regular.

Si su asma está activa (por ejemplo, tiene síntomas o crisis frecuentes, como dificultad para respirar que le dificulta hablar, comer o dormir, tos, sibilancias, opresión en el pecho o capacidad física limitada), debe informar inmediatamente a su médico, que le puede empezar a administrar un medicamento o aumentar la dosis de tratamiento, como un corticosteroide inhalado, para controlar su asma.

Informe a su médico lo antes posible si su medicamento parece no estar funcionando tan bien como de costumbre (por ejemplo, si necesita dosis más altas para aliviar sus problemas respiratorios o si su inhalador no le proporciona alivio durante al menos 3 horas), ya que su asma puede estar empeorando y usted puede necesitar un medicamento diferente.

Si utiliza Combiprasal más de dos veces por semana para tratar sus síntomas asmáticos, sin incluir el uso preventivo antes del ejercicio, esto indica un asma mal controlada y puede aumentar el riesgo de ataques de asma graves (empeoramiento del asma) que pueden tener complicaciones serias y pueden poner en riesgo su vida o incluso ser mortales. Se debe poner en contacto con su médico lo antes posible para revisar su tratamiento del asma.

Si utiliza a diario un medicamento contra la inflamación de sus pulmones, p.ej., un “corticosteroide inhalado”, es importante que siga utilizándolo con regularidad, aunque se sienta mejor.

Su médico puede indicarle que use su nebulizador regularmente, a diario o sólo cuando respire con dificultad.

Adultos incluyendo ancianos y niños mayores de 12 años:La dosis recomendada es de 1 envase monodosis, 3 o 4 veces al día. En casos graves, su médico podría incrementar la dosis a 1 envase monodosis, 4 veces al día.

No hay experiencia en la utilización de este medicamento en niños menores de 12 años.

En el caso que no consiga mejoría significativa o que su estado empeore, debe consultar a su médico.

Instrucciones para la correcta administración del preparado:

Su medicación es para inhalación mediante un nebulizador o ventilador, por lo que no debe inyectarse ni tragarse.

Manos sosteniendo y separando blísteres de comprimidos blancos y manos abriendo un blíster con la uña

  1. Prepare su nebulizador siguiendo las instrucciones dadas por el fabricante y su médico. Asegúrese de que el dispositivo nebulizador está limpio.
  1. Saque de la caja una tira de plástico con ampollas, ábralo y saque una de las ampollas (Fig. 1). Deje el resto de las ampollas en la tira y devuelva ésta a la caja.
  1. Coja la ampolla y ábrala girando la parte superior (Fig.2).
  1. A menos que su médico le dé otras indicaciones, añada todo el líquido de la ampolla de plástico en el contenedor de solución del nebulizador.
  1. Utilice el nebulizador de acuerdo con las instrucciones del médico. Tire la ampolla de plástico vacía.
  1. Tras usar el nebulizador, límpielo de acuerdo con las instrucciones del fabricante.

Si estima que la acción de Combiprasal es demasiado fuerte o débil, comuníqueselo a su médico o farmacéutico.

Si usa más COMBIPRASAL del que debiera:

Si usa más del que debiera, podrían aparecer alteraciones del ritmo cardiaco, palpitaciones, temblor, aumento o descenso de la presión arterial, alteraciones del pulso, angina de pecho, sofocos, sequedad de boca y trastornos de la acomodación visual.

En caso de sobredosis o ingestión accidental, consulte inmediatamente a su médico o farmacéutico o llame al Servicio de Información Toxicológica, teléfono 91 562 04 20, indicando el medicamento y la cantidad administrada. Contacte con su médico o Servicio de Urgencias Hospitalarias más cercano. Lleve consigo este prospecto o una ampolla de este medicamento, para que el médico que le trate sepa lo que está tomando.

Si olvidó usar COMBIPRASAL

Si olvidó usar Combiprasal, use la siguiente dosis cuando corresponda o antes en caso de empezar a respirar con dificultad.

No tome una dosis doble para compensar las dosis olvidadas.

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, Combiprasal puede producir efectos adversos, aunque no todas las personas los sufran.

Se han comunicado los siguientes efectos adversos:

Frecuentes (afectan a 1 de cada 10 personas)

  • Nerviosismo
  • Dolor de cabeza (cefaleas)
  • Tos
  • Sequedad de boca

Poco frecuentes (afectan a menos de 1 de cada 100 personas)

  • Vértigo
  • Temblor
  • Disfonía
  • Alteraciones del ritmo cardiaco (taquicardia, palpitaciones, arritmia)
  • Irritación de garganta
  • Náuseas
  • Retención urinaria

Raros (afectan a menos de 1 de cada 1000 personas)

  • Reacciones alérgicas (hipersensibilidad)
  • Disminución de los niveles de potasio en sangre (hipopotasemia)
  • Alteraciones psíquicas
  • Aumento de la presión intraocular
  • Glaucoma de ángulo estrecho
  • Dolor ocular
  • Dilatación de la pupila (midriasis)
  • Obstrucción de las vías respiratorias (broncoespasmo paradójico)
  • Vómitos
  • Trastornos de la motilidad gastrointestinal
  • Reacción cutánea y aumento de la sudoración
  • Dolor y debilidad muscular
  • Calambres musculares
  • Aumento o descenso de la tensión arterial

Los siguientes efectos adversos también pueden ocurrir, pero su frecuencia no es conocida:

  • Algunas personas pueden experimentar ocasionalmente dolor en el pecho (debido a problemas de corazón tales como angina de pecho). Avise a su médico si desarrolla estos síntomas mientras está siendo tratado con COMBIPRASAL, pero no deje de tomar este medicamento a menos que así lo indique su médico.
  • Una condición conocida como acidosis láctica que puede causar dolor de estómago, hiperventilación, dificultad respiratoria, a pesar de que pueda haber una mejoría en sus sibilancias, pies y manos fríos, latido del corazón irregular o sed.

Comunicación de efectos adversos:

Si experimenta cualquier tipo de efecto adverso, consulte a su médico o farmacéutico, 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: http;//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 COMBIPRASAL

Mantener fuera del alcance y de la vista de los niños.

No conservar a temperatura superior a 25ºC.

Conservar en el embalaje exterior para protegerlo de la luz.

Las ampollas deben abrirse inmediatamente antes de su uso y debe desecharse cualquier resto de solución sobrante.

Caducidad:

No utilice Combiprasal después de la fecha de caducidad que aparece en el envase después de Cad.: La fecha de caducidad es el último día del mes que se indica.

Los medicamentos no se deben tirar por los desagües ni a la basura. Deposite los envases y los medicamentos que no necesita en el Punto SIGRE de la farmacia. En caso de duda, 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. INFORMACIÓNADICIONAL

Composición de Combiprasal:

  • Los principios activos son bromuro de ipratropio y salbutamol
  • Los demás componentes (excipientes) son: cloruro sódico, ácido clorhídrico y agua para inyectables.

Cada ampolla de 2.5 ml de Combiprasal contiene 0.5 mg de bromuro de ipratropio (equivalentes a 0.52 mg de bromuro de ipratropio monohidrato) y 2.5 mg de salbutamol (equivalentes a 3 mg de sulfato de salbutamol).

Aspecto del producto y contenido del envase:

Combiprasal se presenta en tiras de 10 ampollas conteniendo una solución transparente e incolora en el interior de un sobre de aluminio.

Cada caja contiene 20 ampollas.

Titular de la autorización de comercialización:

Laboratorio ALDO-UNIÓN, S.L.

Baronessa de Maldà, 73

08950 Esplugues de Llobregat

Barcelona (España)

Responsable de la fabricación:

Laboratoire Unither

Espace Industriel Nord

151 rue André Durouchez-CS 28028

80084 AMIENS Cedex 2

Francia

Este prospecto ha sido aprobado en Febrero de 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.gob.es/

Online doctors for COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION

Discuss questions about COMBIPRASAL 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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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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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 COMBIPRASAL 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 COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION?

COMBIPRASAL 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 COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION?

The active ingredient in COMBIPRASAL 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.

How much does COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION cost in pharmacies?

The average pharmacy price for COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION is around 13.88 EUR. Prices may vary depending on the manufacturer and dosage form.

Who manufactures COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION?

COMBIPRASAL 0.5 mg/2.5 mg SOLUTION FOR NEBULIZER INHALATION is manufactured by Laboratorio Aldo Union S.L.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of COMBIPRASAL 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 COMBIPRASAL 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 COMBIPRASAL 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 COMBIPRASAL 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 COMBIPRASAL 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, IPRATROPIUM BROMIDE/SALBUTAMOL NEUTEC 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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