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DUKORAL 100 BILLION/1 mg Oral Solution/Suspension

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Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

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
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 DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION

Contents of the leaflet

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

Introduction

Package Leaflet: Information for the User

DUKORAL suspension and effervescent granule for oral suspension

Cholera vaccine (inactivated, oral)

Read all of this leaflet carefully before you start using this vaccine, 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 vaccine has been prescribed for you, do not pass it on to others.
  • If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.
  • Make sure to mix the vaccine with the buffer solution as described in this leaflet. See section 3.

Contents of thepackage leaflet

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

1. What is Dukoral and what is it used for

Dukoral is an oral cholera vaccine that stimulates the intestinal immune defenses. The vaccine protects adults and children from 2 years of age against cholera.

Dukoral makes the body produce its own protection against cholera. After receiving the vaccine, the body will create substances called antibodies that fight the toxin and cholera bacteria that cause diarrhea.

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 start using Dukoral

Do not use Dukoral

? if you are allergic to any of the components of the vaccine (listed in section 6) or to formaldehyde.

? if you have an acute gastric disorder or an infection accompanied by fever (vaccination should be postponed).

Warnings and precautions

Talk to your doctor before starting to take Dukoral

? if you are receiving treatment that affects your immune system

? if you have an immune system disease (including HIV infection).

The vaccine may provide a lower level of protection than that which occurs in people without immune system impairment.

The vaccine does not provide complete protection and it is important to follow dietary and hygiene recommendations to avoid contracting diseases that cause diarrhea.

Children

Do not administer this vaccine to children under 2 years of age as protection has not been studied in this group.

Use ofDukoral withother medicines

Tell your doctor if you are taking, have recently taken, or might take any other medicine.

Do not take any other medicine from one hour before to one hour after administration of the vaccine.

Use of Dukoral with food and drinks

Avoid ingestion of food and drinks from one hour before to one hour after administration of the vaccine.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor before taking the vaccine.

Driving and using machines

There is no reason to suspect that Dukoral affects the ability to drive and use machines.

Dukoralcontains sodium

Dukoral contains approximately 1.1 g of sodium per dose, which should be taken into account in patients with low-sodium diets.

3. How to use Dukoral

Follow the instructions for administration of the medicine contained in this leaflet or as indicated by your doctor. In case of doubt, consult your doctor again.

Adults and children from 6 years of age:The primary vaccination consists of two doses orally (by mouth) separated by a minimum interval of one week (up to six weeks).

  • Take the first dose no later than two weeks before starting your trip.
  • Take the second dose at least one week after the first dose and at least one week before your trip.

It takes approximately one week for protection to begin after the last dose.

To achieve continued protection, revaccination is recommended after two years. If it has been less than two years since your last dose of the vaccine, a single dose will renew your protection. If it has been more than two years since your last dose of the vaccine, primary vaccination should be repeated (2 doses).

Children from 2 to less than 6 years of age:The primary vaccination consists of three doses taken orally (by mouth) separated by a minimum interval of one week (up to six weeks). Only half of the buffer solution should be mixed with the vaccine.

  • Administer the first dose to the child no later than three weeks before starting your trip.
  • Administer the second dose to the child at least one week after the first dose.
  • Administer the third dose to the child at least one week after the second dose and at least one week before your trip.

It takes approximately one week for protection to begin after the last dose. To achieve continued protection, revaccination is recommended after six months. If it has been less than six months since the last dose of the vaccine, a single dose will renew protection. If it has been more than six months since the last vaccination, primary vaccination should be repeated (3 doses).

The suspension is a white suspension that is supplied in a glass vial for single dose. Each vial comes with a sachet containing a white, effervescent granule of sodium bicarbonate. The effervescent granule should be dissolved in a glass of cold water, and the resulting buffer solution should be mixed with the suspension. It is important to use the buffer solution, as it protects the vaccine against gastric acid.

Drink the entire mixture within 2 hours after mixing with the buffer solution.

Instructions for use:

Powder pouring into a glass with 150ml of water, stir, mix gently and drink within 2 hours according to the instructions

  1. To prepare the buffer solution, dissolve the effervescent granule in a glass of cold water (approx. 150 ml) by gently stirring.

Do not use any other liquid.

For children from 2 to less than 6 years:discard half of the buffer solution.

  1. Shake the Dukoral suspension vial (1 vial = 1 dose).
  1. Pour the contents of the Dukoral suspension vial into the glass of buffer solution (see 1). Mix by gently stirring.
  2. Drink the entire mixture within 2 hours. Avoid ingestion of food and drinks from one hour before to one hour after drinking the mixture.

If you take more Dukoral than you should

If you take the doses with a time interval of less than one week, contact your doctor, pharmacist, or nurse.

As each vial of Dukoral contains only one dose, it is unlikely that an overdose will occur.

If you have taken more than one dose at a time, contact your doctor, pharmacist, or nurse.

If you forget to take Dukoral

You can take the second dose of Dukoral up to 6 weeks after the first dose (children from 2 to less than 6 years of age have to take 3 doses). If more than 6 weeks have passed, contact your doctor, pharmacist, or nurse.

If you have any further questions on the use of this vaccine, ask your doctor, pharmacist, or nurse.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

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

Contact a doctor immediately if you experience the following serious side effects:

  • Severe diarrhea with loss of body water
  • Severe allergic reactions that cause swelling of the face or throat and difficulty breathing

Other side effects:

Uncommon side effects (may affect up to 1 in 100 people)

  • Diarrhea, stomach pain, abdominal cramps, abdominal rumbling, abdominal swelling, gas in the stomach, and general abdominal discomfort
  • Headache

Rare side effects (may affect up to 1 in 1,000 people)

  • Fever
  • General malaise, feeling of dizziness
  • Nausea, vomiting, loss or decreased appetite
  • Swelling, inflammation inside the nose, and cough

Very rare side effects (may affect up to 1 in 10,000 people)

  • Rash
  • Sore throat, decreased sense of taste
  • Fatigue/feeling of tiredness
  • Sweating, chills
  • Joint pain
  • Difficulty sleeping

Other side effects (frequency cannot be estimated from the available data)

  • Pseudo-flu symptoms, respiratory symptoms, chills, general pain, weakness
  • Hives, itching
  • Swelling of the lymph nodes
  • Numbness or tingling
  • High blood pressure

Reporting of side effects

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

5. Storage of Dukoral

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

Do not use Dukoral after the expiry date which is stated on the carton after EXP. The expiry date is the last day of the month stated.

Store in a refrigerator (between 2°C and 8°C). Do not freeze.

The product from the vial and sachet unopened, stored in the outer carton, remains stable at temperatures not above 25°C for a period of 14 days. At the end of this period, the product should be used or discarded.

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

6. Contents of the pack and further information

Composition of Dukoral

  • The active substances are: 31.25x10^9 bacteria* of the following strains of V. choleraeO1: classical biotype Inaba (inactivated by heat), El Tor biotype Inaba (inactivated with formalin), classical biotype Ogawa (inactivated by heat), classical biotype Ogawa (inactivated with formalin). Recombinant cholera toxin B subunit (TCBr), 1 mg.

*bacterial content prior to inactivation

  • The other components of the suspension that contains the vaccine are sodium dihydrogen phosphate, disodium hydrogen phosphate, sodium chloride, and water for injections.
  • The effervescent granule contains sodium bicarbonate, citric acid, sodium carbonate, sodium saccharin, sodium citrate, and raspberry flavor.

Appearance of the product and contents of the pack

Dukoral is presented as a suspension and effervescent granule for oral suspension. The suspension is a white suspension that is presented in a vial. The effervescent granule is white with a raspberry flavor and is supplied in a sachet.

Dukoral is presented in packs of 1, 2, and 20 doses. Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Valneva Sweden AB, 105 21 Stockholm, Sweden.

[email protected]

Date of last revision ofthis leaflet:MM/AAAA

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu.

On the European Medicines Agency website, you can find this leaflet in all languages of the European Union/European Economic Area.

Online doctors for DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION

Discuss questions about DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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(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
Doctor
0.0(0)

Hocine Lokchiri

General medicine21 years of experience

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.
Book a video appointment
€64

Get DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION Prescription Online

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Frequently Asked Questions

DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION 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 DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION is cholera, inactivated, whole cell. This information helps identify medicines with the same composition but different brand names.

The average pharmacy price for DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION is around 49.39 EUR. Prices may vary depending on the manufacturer and dosage form.

DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION is manufactured by Valneva Sweden Ab. 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 DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION 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 DUKORAL SUSPENSION AND EFFERVSCENT GRANULES FOR ORAL SUSPENSION 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 (cholera, inactivated, whole cell) include VAXCHORA effervescent powder and powder for oral suspension, BEXSERO Injectable Suspension in Pre-filled Syringe, BEXSERO Injectable Suspension in Pre-filled Syringe. 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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