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DESFLURANO 1 ml/ml Pulmonary Inhalation

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5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
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 DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION

Contents of the leaflet

  1. Introduction
  2. What is Desflurano Piramal and what is it used for
  3. What you need to know before taking Desflurano Piramal
  4. How to Use Desflurano Piramal
  5. Possible Side Effects
  6. Storage of Desflurano Piramal
  7. Container Contents and Additional Information

Introduction

Package Leaflet: Information for the User

Desflurano Piramal 100% (v/v) Liquid for Inhalation Vapor EFG

Desflurano

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

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor, pharmacist, or nurse.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor, pharmacist, or nurse, even if they are side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Desflurano Piramal and what is it used for
  2. What you need to know before taking Desflurano Piramal
  3. How to use Desflurano Piramal
  4. Possible side effects
  5. Storage of Desflurano Piramal
  6. Package Contents and Additional Information

1. What is Desflurano Piramal and what is it used for

Desflurano Piramal contains desflurano and belongs to the group of halogenated hydrocarbons. Desflurano Piramal is a colorless liquid used as a general anesthetic in surgery. It is an inhalation anesthetic (administered in the form of vapor for you to breathe). Breathing desflurano vapor makes you fall into a deep sleep. It also maintains deep sleep (general anesthesia) during which you can undergo an operation. In adults, Desflurano Piramal is used for the induction and maintenance of anesthesia. In infants and children, it is used only for maintaining anesthesia.

Doctor consultation

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2. What you need to know before taking Desflurano Piramal

Do not use Desflurano Piramal:

Before receiving this medication, inform your doctor or anesthesiologist if you meet any of the above conditions.

Warnings and Precautions

Consult your doctor or anesthesiologist before starting to use Desflurano Piramal:

The doctor may administer less Desflurano Piramal:

The doctor may decide not to administer desflurano and choose another type of anesthesia:

Jaundice (yellowing of the skin and eyes).

Fever.

Hepatocellular necrosis.

After anesthesia with Desflurano Piramal, you will wake up quickly. If it is expected that you will have pain after the operation, the doctor will give you an anesthetic. The doctor may also do this at the end of the operation or during the recovery phase. In this case, the anesthesiologist (doctor) will stop administering Desflurano Piramal, administer a medication to treat malignant hyperthermia (known as dantrolene), and provide other maintenance therapy.

The doctor must proceed with special caution if you have been administered an inhalation anesthetic previously, especially if it was multiple times during a short interval (repeated use).

Desflurano Piramal may cause a rapid and significant increase in body temperature during an operation (malignant hyperthermia).

Desflurano should be used with caution in patients without intubated airways.

Middle Ear Operations

Desflurano, like other volatile anesthetics, increases middle ear pressure, especially in children, and therefore, it is recommended to monitor middle ear pressure during desflurano anesthesia.

Children

  • Desflurano should be used with caution in children with asthma or a history of recent upper respiratory tract infection due to the potential for airway narrowing and increased airway resistance.
  • Desflurano Piramal should not be used to induce anesthesia in infants (see also section 2).
  • Waking up from anesthetics can cause a brief state of agitation in children, making them uncooperative.
  • Desflurano Piramal can be administered for the maintenance of anesthesia only if a breathing tube is placed in the airways to help you breathe (intubation). In these cases, caution should be exercised when removing the laryngeal mask after deep anesthesia to avoid side effects such as coughing or laryngospasm.

If any of the above conditions apply to you or your child, consult your doctor, nurse, or pharmacist. You may need to be closely monitored and your treatment modified.

Using Desflurano Piramal and Other Medications

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medication, including those obtained without a prescription.

Special care is needed if you are taking any of the following medications:

  • Muscle relaxants (such as suxamethonium, pancuronium, atracurium, vecuronium). These medications help relax the muscles. The anesthesiologist may adjust the dosage.
  • Opioids (such as fentanyl, morphine, remifentanil). These medications are potent pain relievers used frequently during total anesthesia.
  • Benzodiazepines (such as midazolam, diazepam, nitrazepam). These are tranquilizers used to relax an agitated patient before the operation.
  • Nitrous oxide (laughing gas). This medication may be used during total anesthesia to put the patient to sleep and relieve pain.

Taking Desflurano Piramal with Food and Drinks

Desflurano Piramal is a medication to put you to sleep and keep you asleep so you can undergo surgery. You should ask your doctor, surgeon, or anesthesiologist when and what you can eat or drink before anesthesia and after waking up.

Pregnancy and Breastfeeding

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

There is not enough data on the use of desflurano in pregnant or breastfeeding women; therefore, the use of desflurano is not recommended during pregnancy and breastfeeding. Desflurano should only be used in pregnant and breastfeeding women when it is absolutely necessary. Breastfeeding should be avoided after anesthesia with desflurano for approximately 24 hours.

Driving and Using Machines

Desflurano Piramal may affect your alertness and response for some time after receiving the medication. Therefore, do not drive or use machines for 24 hours after the operation.

3. How to Use Desflurano Piramal

Desflurano Piramal should be used under cardiorrespiratory supervision and in the presence of an anesthesiologist with technical means that allow anesthesia and resuscitation. Desflurano Piramal will always be administered by an anesthesiologist. The anesthesiologist will decide the dose you will receive, based on your age, body weight, and the type of operation you will undergo. During anesthesia, the anesthesiologist will check your blood pressure and heart rate. If necessary, the anesthesiologist will adjust the dose.

In most cases, Desflurano Piramal is administered through a tube placed in the airways after receiving an injection of another anesthetic that induces sleep. Only in rare cases may you be asked to breathe in Desflurano Piramal vapors through a mask to induce sleep.

Desflurano Piramal is a liquid for inhalation vapor that is administered using a vaporizer specifically calibrated for the use of this product, so that the administered concentration can be precisely controlled.

Waking Up After Anesthesia

After the operation, the anesthesiologist will stop giving you Desflurano Piramal. You will wake up within a few minutes.

If You Use More Desflurano Piramal Than You Should

If you receive more Desflurano Piramal than you should, the administration will be interrupted. You will be given pure oxygen. Your blood pressure and heart function will be closely monitored while you wake up.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 915 620 420, indicating the medication and the amount ingested.

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

Medicine questions

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4. Possible Side Effects

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

Most side effects are mild to moderate and short-lived. However, some side effects can also be serious.

Serious side effects (frequency not known) such as:

  • muscle fiber breakdown (rhabdomyolysis),
  • irregular heartbeats or abnormal heart rhythm (arrhythmia) in children.
  • Rapid and significant increase in body temperature during an operation (malignant hyperthermia). The signs of the disease include: Excess carbon dioxide in the blood (hypercapnia), Muscle stiffness (rigidity), Increased heart rate (tachycardia), Increased breathing rate (tachypnea), Blue discoloration of the skin (cyanosis), Irregular heartbeats or abnormal heart rhythm (arrhythmia), high or low blood pressure, and fever.

Most of these serious side effects can occur while you are under anesthesia and under the care of healthcare professionals.

Desflurano Piramal may cause a slight increase in blood sugar during anesthesia.

Possible side effects include:

Very Common(may affect more than 1 in 10 patients)

  • Nausea
  • Vomiting

These occur during the induction and maintenance of anesthesia with Desflurano Piramal.

Common(may affect up to 1 in 10 patients)

  • Inflammation of the back of the throat (pharyngitis)
  • Temporary breathing retention. This has occurred during the induction and maintenance of anesthesia with Desflurano Piramal.
  • Headache
  • Inflammation of the outer layer of the eye and the inner surface of the eyelids (conjunctivitis).
  • Irregular heartbeat or abnormal heart rhythm.
  • Slow heartbeat (bradycardia).
  • Fast heartbeat (tachycardia).
  • High blood pressure (hypertension).
  • Temporary interruption of breathing (apnea), coughing, and excessive saliva production (hypersalivation). These have occurred during the induction and maintenance of anesthesia with Desflurano Piramal.
  • Sudden spasm of the vocal cords that affects breathing and speech (laryngospasm).
  • Increased blood levels of an enzyme called creatine phosphokinase.
  • Abnormal electrocardiogram (ECG) reading.
  • Abnormal heart rhythm (prolongation of the QTc interval (abnormal ECG)).

Uncommon(may affect up to 1-10 in 100 patients)

  • Agitation.
  • Dizziness.
  • Heart attack (myocardial infarction).
  • Reduced blood flow to the heart muscle (myocardial ischemia).
  • Irregular heartbeat (arrhythmia).
  • Dilated blood vessels (vasodilation).
  • Reduced oxygen supply (hypoxia). This has occurred during the induction and maintenance of anesthesia with Desflurano Piramal.
  • Muscle pain (myalgia).

Frequency Not Known(cannot be estimated from the available data)

  • Blood clotting disorder (coagulopathy).
  • High or low potassium levels in the blood (hyperkalemia/hypokalemia).
  • Excess acid in the body fluids (metabolic acidosis).
  • Seizures (convulsions).
  • Yellowing of the eyeball (ocular jaundice).
  • Heart failure (when the heart has difficulty pumping) or cardiac arrest (when the heart stops pumping).
  • Serious heart rhythm disorders with rapid and irregular pulse (torsades de pointes).
  • Ventricular failure (when two heart chambers do not function properly or stop functioning).
  • Reduced heart muscle contraction (hypokinesia ventricular).
  • Irregular heartbeat (atrial fibrillation).
  • Very high blood pressure (malignant hypertension).
  • Bleeding (hemorrhage).
  • Low blood pressure (hypotension).
  • When body tissues do not receive enough blood (shock).
  • Breathing difficulties (respiratory failure) or cessation of breathing (respiratory arrest).
  • Sudden narrowing of the airway muscles (bronchospasm).
  • Coughing up blood from the lungs (hemoptysis).
  • Sudden inflammation of the pancreas (acute pancreatitis).
  • Stomach pain (abdominal pain).
  • Death of liver tissue (hepatic necrosis).
  • Inflammation of the liver (cytolytic hepatitis).
  • Blockage of bile flow from the liver (cholestasis).
  • Yellowing of the skin or eyeball (jaundice).
  • Liver function disorders or liver disease.
  • Hives (urticaria).
  • Redness of the skin (erythema).
  • Feeling of weakness (asthenia).
  • General malaise.
  • Abnormalities in the recording of heart activity (abnormal ST-T segment or T-wave inversion on the ECG).
  • Increased liver enzymes (elevated alanine or aspartate aminotransferase levels).
  • Blood clotting disorders (abnormal coagulation values).
  • High ammonia levels.
  • High bilirubin levels.
  • Liver failure.
  • Feeling of spinning and loss of balance (vertigo).
  • Palpitations.
  • Burning sensation in the eyes.
  • Temporary blindness.
  • Brain disease (encephalopathy).
  • Inflammation or infection of part of the eye (ulcerative keratitis).
  • Eye redness (ocular hyperthermia).
  • Reduced visual acuity and clarity.
  • Eye irritation.
  • Eye pain.
  • Fatigue.
  • Burning sensation on the skin.
  • Postoperative agitation.

Reporting Side Effects

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if they are possible side effects not listed in this package leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use www.notificaRAM.es.

By reporting side effects, you can help provide more information on the safety of this medication.

Tell your doctor, pharmacist, or nurse if you notice any change in how you feel after receiving Desflurano Piramal. Some side effects may require treatment.

5. Storage of Desflurano Piramal

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

Do not use this medication after the expiration date stated on the label after "EXP". The expiration date is the last day of the month indicated.

Store below 30°C.

Keep the bottle in a vertical position with the cap perfectly closed.

6. Container Contents and Additional Information

Composition of Desflurano Piramal

  • The active ingredient is desflurane 100% (v/v).
  • It does not contain any other component.

This medication contains fluorinated greenhouse gases.

Each container contains 360 g of desflurane, equivalent to 0.9324 tons of CO2 (global warming potential GWP = 2950).

Appearance of Desflurano Piramal and Container Contents

Desflurano Piramal is a liquid for vapor inhalation.

Desflurano Piramal is a clear and colorless liquid.

250 ml type III amber glass bottle with a PVC coating on the outside of the bottle and an HDPE/Ethylene Propylene Diene Monomer (EPDM) closure with an aluminum cap.

Packaging of 1 and 6 bottles.

Not all package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Piramal Critical Care B.V.,

Rouboslaan 32, 2252 TR,

Voorschoten,

Netherlands

Or

(Manufacturer only for the United Kingdom)

Piramal Critical Care Limited

Suite 4, Ground Floor,

Heathrow Boulevard - East Wing,

280 Bath Road, West Drayton,

UB7 0DQ,

United Kingdom.

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

Euromed Pharma Spain, S.L.

C/Eduard Maristany, 430-432

08918 Badalona

Barcelona - Spain

Tel: +34 932 684 208

Fax: +34 933 150 469

This medication is authorized in the Member States of the European Economic Area under the following names:

Austria

:

Desfluran Piramal 100% Liquid for the production of an inhalation vapor

Belgium

:

FR - Desflurane Piramal 100% liquid for vapor inhalation

NL - Desfluraan Piramal 100%, liquid for inhalation vapor

DE - Desfluran Piramal 100%, liquid for the production of an inhalation vapor

Denmark

:

Desfluran Piramal 100% Liquid for inhalation vapor

Finland

:

Desfluraani Piramal

France

:

DESFLURANE PIRAMAL 100% liquid for vapor inhalation

Germany

:

Desfluran Piramal 100%, liquid for the production of an inhalation vapor

Hungary

:

Dezflurán Piramal 100% liquid for inhalation vapor production

Italy

:

Desflurano Piramal

Netherlands

:

Desfluraan Piramal 100% liquid for inhalation vapor

Norway

:

Desfluran Piramal

Poland

:

Desfluran Piramal

Portugal

:

Desflurano Piramal 100% liquid for inhalation by vaporization

Spain

:

Desflurano Piramal 100% Liquid for vapor inhalation EFG

Sweden

:

Desfluran Piramal 100% inhalation vapor, liquid

United Kingdom

:

Desflurane 100% v/v Inhalation Vapour, liquid

Date of the last revision of this prospectus:03/2024

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

Online doctors for DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION

Discuss questions about DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General 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(24)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

Book a video appointment
€156
Doctor
5.0(3)

Lina Travkina

General 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(20)

Nuno Tavares Lopes

General 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 DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION Prescription Online

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Frequently Asked Questions

DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION is desflurane. This information helps identify medicines with the same composition but different brand names.

DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION is manufactured by Piramal Critical Care B.V.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

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 DESFLURANE PIRAMAL 100% LIQUID FOR INHALATION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (desflurane) include DESFLURANE BAXTER 100% LIQUID FOR INHALATION, SUPRANE 100% LIQUID FOR INHALATION, AERRANE 100% LIQUID FOR 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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