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DELTYBA 50 mg FILM-COATED TABLETS

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Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

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

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

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

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

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

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

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

How to use DELTYBA 50 mg FILM-COATED TABLETS

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.

Show original

Introduction

Package Leaflet: Information for the Patient

Deltyba 50 mg Film-Coated Tablets

delamanid

This medicine is subject to additional monitoring, which will allow for quick identification of new safety information. You can help by reporting any side effects you may get. The last section of this leaflet includes information on how to report side effects.

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the Package Leaflet

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

1. What is Deltyba and what is it used for

Deltyba contains the active substance delamanid, an antibiotic for the treatment of tuberculosis in the lung caused by bacteria that are not eliminated by the most frequently used antibiotics for treating tuberculosis.

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 you take Deltyba

Do not take Deltyba:

  • if you are allergic to delamanid or any of the other ingredients of this medicine (listed in section 6).
  • if you have very low levels of albumin in your blood
  • if you are taking medicines that strongly induce a certain liver enzyme called "CYP450 3A4" (e.g., carbamazepine).

Warnings and precautions

Tell your doctor, pharmacist, or nurse before taking Deltyba.

Before starting treatment with Deltyba, and during treatment, your doctor may check your heart's electrical activity with an ECG (electrocardiogram) to get a record of your heart's electrical activity. Your doctor may also perform a blood test to check the levels of certain minerals and proteins that are important for heart function.

Tell your doctor if you have any of the following conditions:

  • you have reduced levels of albumin, potassium, magnesium, or calcium in your blood.
  • you have been told you have heart problems, such as a slow heart rate (bradycardia) or have had a heart attack (myocardial infarction).
  • you have a condition called congenital long QT syndrome or severe heart disease or heart rhythm problems.
  • you have liver or kidney disease.
  • you have HIV.

Children and adolescents

Deltyba is not suitable for children with a body weight of less than 30 kg.

Other medicines and Deltyba

Tell your doctor …

  • if you are using, have recently used, or might use any other medicines, including those without a prescription or herbal medicines.
  • if you are taking medicines for treating an abnormal heart rhythm (e.g., amiodarone, disopyramide, dofetilide, ibutilide, procainamide, quinidine, hydroquinidine, sotalol).
  • if you are taking medicines for treating psychosis (e.g., phenothiazines, sertindole, sultoprida, chlorpromazine, haloperidol, mesoridazine, pimozide, or thioridazine) or depression.
  • if you are taking certain antibiotics (e.g., erythromycin, clarithromycin, moxifloxacin, sparfloxacin, bedaquiline, or pentamidine).
  • if you are taking antifungal medicines based on triazole (e.g., fluconazole, itraconazole, voriconazole).
  • if you are taking certain medicines for treating allergic reactions (e.g., terfenadine, astemizole, mizolastine).
  • if you are taking certain medicines for treating malaria (e.g., halofantrine, quinine, chloroquine, artesunate/amodiaquine, dihydroartemisinin/piperaquine).
  • if you are taking any of the following medicines: cisapride (used for treating stomach disorders), droperidol (used for treating nausea and migraine), domperidone (used for treating nausea and vomiting), bepridil (used for treating certain heart diseases), difemanil (used for treating stomach disorders or excessive sweating), probucol (reduces cholesterol levels in the blood), levomethadyl or methadone (used for treating opioid addiction), vinca alkaloids (anticancer), or arsenic trioxide (used for treating certain types of leukemia).
  • if you are taking anti-HIV medicines containing lopinavir/ritonavir or saquinavir.

You may be at greater risk of having dangerous changes in your heart rhythm.

Pregnancy and breastfeeding

Deltyba may be harmful to the development of the fetus. It is not normally recommended during pregnancy.

It is important to tell your doctor if you are pregnant, think you may be pregnant, or plan to become pregnant. Your doctor will weigh the benefits for you against the risks for your baby if you take Deltyba while pregnant.

It is not known if delamanid passes into breast milk in humans. During treatment with Deltyba, breastfeeding is not recommended.

Driving and using machines

Deltyba is not expected to have any influence on your ability to drive and use machines. If you experience side effects that could affect your ability to concentrate and react, do not drive or use machines.

Deltyba contains lactose monohydrate.

If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

3. How to take Deltyba

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

Follow the instructions for administration of this medicine exactly as told by your doctor. If you are unsure, consult your doctor or pharmacist.

The recommended dose as advised by your doctor is:

Adults, adolescents, and children with a body weight of 50 kg or more: two 50 mg tablets twice a day (in the morning and at night).

Children with a body weight of 30 kg or more and less than 50 kg: one 50 mg tablet taken twice a day for 24 weeks.

Tablets should be taken during or after finishing a meal. Swallow the tablets with water.

If you take more Deltyba than you should

In case you take more tablets than prescribed, contact your doctor or the local hospital. Remember to take the package with you so it is clear what medicine you have taken.

If you forget to take Deltyba

If you forget to take a dose, take it as soon as you remember. However, if it is almost time for the next dose, do not take the missed dose.

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

If you stop taking Deltyba

DO NOTstop taking the tablets unless your doctor tells you to. Stopping treatment too early could lead to the bacteria recovering and becoming resistant to delamanid.

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

4. Possible side effects

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

Side effects that were reported very frequently (may affect more than 1 in 10 people)in clinical studies with Deltyba were:

  • Feeling of irregular and/or strong heartbeat
  • Vomiting
  • Nausea
  • Diarrhea
  • Stomach pain
  • Headache
  • Feeling of tingling, burning, or numbness of the skin (paresthesia)
  • Tremor
  • Decreased appetite
  • Dizziness
  • Hearing a persistent sound in the ear that does not exist (tinnitus)
  • Feeling of complete lack of energy
  • Pain in the joints or muscles
  • Difficulty falling or staying asleep
  • Increased level of immature red blood cells in the blood
  • Low level of potassium in the blood
  • Increased level of uric acid in the blood
  • Coughing up blood
  • Changes found in heart studies (electrocardiogram, ECG)

Side effects that were reported frequently (may affect up to 1 in 10 people)in clinical studies with Deltyba were:

  • Anemia
  • Increased level of certain white blood cells in the blood (eosinophilia)
  • Increased level of triglycerides in the blood
  • Psychotic disorder
  • Agitation
  • Anxiety
  • Depression
  • Restlessness
  • Nerve damage causing numbness or pain (burning) or tingling sensation in hands or feet
  • Numbness
  • Reduced sensation
  • Dry eye
  • Decreased tolerance of the eyes to bright light
  • Ear pain
  • Increased blood pressure (hypertension)
  • Decreased blood pressure (hypotension)
  • Bruising
  • Hot flashes
  • Shortness of breath
  • Cough
  • Pain in the mouth or throat
  • Sore throat
  • Dry throat
  • Nasal discharge (rhinorrhea)
  • Chest pain
  • Gastritis
  • Constipation
  • Indigestion
  • Dermatitis
  • Hives
  • Welts
  • Papules (small elevations of the skin)
  • Rash
  • Acne
  • Increased sweating
  • A bone disease called osteochondrosis
  • Muscle weakness
  • Bone pain
  • Pain in the side
  • Pain in the arms or legs
  • Blood in urine
  • Fever
  • Chest pain
  • General malaise
  • Chest discomfort
  • Swelling of the feet, legs, or ankles
  • Elevated levels of the hormone cortisol in blood tests

Side effects that were reported infrequently (may affect up to 1 in 100 people)in clinical studies with Deltyba were:

  • Herpes zoster
  • Mouth ulcers
  • Fungal skin infection (pityriasis versicolor)
  • Low white blood cell count in the blood (leucopenia)
  • Low platelet count in the blood (thrombocytopenia)
  • Dehydration
  • Low level of calcium in the blood
  • High level of cholesterol in the blood
  • Aggression
  • Paranoia
  • Panic attacks
  • Adjustment disorder with depressed mood
  • Neurosis
  • Feeling of emotional and mental unease
  • Mental aberration
  • Sleep disorders
  • Increased libido
  • Lethargy
  • Balance disorder
  • Regional pain
  • Allergic conjunctivitis
  • Heart rhythm problems
  • Difficulty swallowing
  • Abnormal sensation in the mouth
  • Abdominal discomfort
  • Hair loss
  • Itching or redness of the skin even around the hair roots
  • Urinary retention
  • Pain while urinating
  • Increased need to urinate at night
  • Feeling of heat
  • Abnormal blood test results related to blood clotting (prolonged APPT)
  • Abnormal blood test results related to liver, bile, or pancreas function
  • Decreased levels of the hormone cortisol in blood tests
  • Increased blood pressure

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is possible side effects not listed in this leaflet. You can also report side effects directly through the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Deltyba

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

Do not use this medicine after the expiry date which is stated on the carton or blister after the abbreviation "EXP:". The expiry date refers to the last day of the month stated.

Store in the original package to protect from moisture.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Deltyba

  • One film-coated tablet contains 50 mg of the active substance delamanid.
  • The other ingredients are hypromellose, povidone, α-tocopherol (racemic mixture), microcrystalline cellulose, sodium carboxymethyl starch, calcium carmellose, colloidal hydrated silica, magnesium stearate, lactose monohydrate, hypromellose, macrogol 8000, titanium dioxide, talc, iron oxide (E172).

Appearance of Deltyba and contents of the pack

Deltyba 50 mg film-coated tablets are yellow, round.

Deltyba is available in packs of 48 film-coated tablets in aluminum/aluminum blisters.

Marketing authorization holder and manufacturer

Otsuka Novel Products GmbH

Erika-Mann-Straße 21

80636 Munich

Germany

Tel: +49 (0)89 206020 500

Manufacturer

AndersonBrecon (UK) Ltd.

Wye Valley Business Park

Brecon Road

Hay-on-Wye

Hereford, HR3 5PG

United Kingdom

R-Pharm Germany GmbH

Heinrich-Mack-Straße 35

89257 Illertissen

Germany

You can request more information about this medicine from the local representative of the marketing authorization holder:

BE

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

LT

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

BG

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

LU

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

CZ

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

HU

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

DK

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

MT

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

DE

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

NL

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

EE

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

NO

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

EL

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

AT

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

ES

Otsuka Pharmaceutical S.A.

Tel: +34 93 208 10 20

PL

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

FR

Otsuka Pharmaceutical France SAS

Tel: +33 (0)1 47 08 00 00

PT

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

HR

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

RO

Ewopharma AG

Tel: +40 (0)21 260 13 44; +40 (0)21 260 14 07

IE

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

SI

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

IS

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

SK

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

IT

Otsuka Pharmaceutical Italy S.r.l.

Tel: +39 (0)2 00632710

FI

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

CY

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

SE

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

LV

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

UK

Otsuka Novel Products GmbH

Tel: +49 (0)89 206020 500

Date of last revision of this leaflet: <{MM/AAAA}>.

This medicine has been authorized with a "conditional approval". This type of approval means that more information on this medicine is expected.

The European Medicines Agency will review the new information on this medicine at least once a year and this leaflet will be updated as necessary.

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu. There are also links to other websites on rare diseases and orphan medicines.

Online doctors for DELTYBA 50 mg FILM-COATED TABLETS

Discuss questions about DELTYBA 50 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

0.0 (10)
Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

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

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

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

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

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

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

5.0 (1206)
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.

0.0 (0)
Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
0.0 (11)
Doctor

Rita Isabel Calero Garcia

General medicine 2 years exp.

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

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

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

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

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

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

0.0 (15)
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
0.0 (0)
Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

5.0 (53)
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.

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Frequently Asked Questions

Is a prescription required for DELTYBA 50 mg FILM-COATED TABLETS?

DELTYBA 50 mg FILM-COATED TABLETS 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 DELTYBA 50 mg FILM-COATED TABLETS?

The active ingredient in DELTYBA 50 mg FILM-COATED TABLETS is delamanid. This information helps identify medicines with the same composition but different brand names.

Who manufactures DELTYBA 50 mg FILM-COATED TABLETS?

DELTYBA 50 mg FILM-COATED TABLETS is manufactured by Otsuka Novel Products Gmbh. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of DELTYBA 50 mg FILM-COATED TABLETS 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 DELTYBA 50 mg FILM-COATED TABLETS 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 DELTYBA 50 mg FILM-COATED TABLETS 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 DELTYBA 50 mg FILM-COATED TABLETS 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 DELTYBA 50 mg FILM-COATED TABLETS?

Other medicines with the same active substance (delamanid) include Myambutol 400 mg film-coated tablets, PYRAZINAMIDE PRODES 250 mg TABLETS, SIRTURO 100 MG TABLETS. 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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