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Echinamed 1 ml/ echinacea and sage tincture 1338,8 mg oral spray

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About the medicine

How to use ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION

Contents of the leaflet

  1. Introduction
  2. What is EchinaMed Plus Spray and what is it used for
  3. What you need to know before starting to use EchinaMed Plus Spray
  4. How to use EchinaMed Plus Spray
  5. Possible adverse effects
  6. Storage of EchinaMed Plus Spray
  7. Package contents and additional information

Introduction

Leaflet: information for the user

EchinaMed plus spray, solution for oral spray.

Read the entire leaflet carefully before starting to use this medication

because it contains important information for you.

This medication can be purchased without a prescription. Nevertheless, to obtain the best

results, it must be used properly.

Follow the administration instructions of the medication contained in

this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience adverse effects, consult your doctor, pharmacist, or nurse,

even if it is an adverse effect not described in this leaflet.

  • You should consult a doctor if it worsens, or if it does not improve after 7 days of

treatment.

Contents of the leaflet:

  1. What is EchinaMed plus spray and what is it used for
  2. What you need to know before starting to use EchinaMed plus spray
  3. How to use EchinaMed plus spray
  4. Possible adverse effects
  5. Storage of EchinaMed plus spray
  6. Package contents and additional information

1. What is EchinaMed Plus Spray and what is it used for

EchinaMed plus spray is a traditional herbal medicinal product for the relief of pharyngitis

(sore throat) associated with a cold, cooling, and flu, based on its traditional use.

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 starting to use EchinaMed Plus Spray

Do not use EchinaMed plus sprayif you:

  • Are allergic to plants of the Asteraceae (Compositae) family, to sage, or to

any of the product's components.

  • Suffer from an autoimmune disease (multiple sclerosis, collagenosis)
  • Suffer from conditions that reduce your resistance to infection.
  • Are undergoing treatment with immunosuppressants (oncological treatments with

cytostatics or by transplant)

  • Suffer from diseases characterized by a low white blood cell count

such as agranulocytosis or leukemia.

Warnings and precautions

  • If during the use of the medication, the symptoms worsen or there is a high fever, you

should consult a doctor or pharmacist.

  • There is a possible risk of anaphylactic reaction in atopic patients. If you suffer from

urticaria, atopic dermatitis, or asthma, you should consult your doctor before using

this medication.

  • This medication contains 40-47% V/V of ethanol, equivalent to 163mg per

dose (81mg per spray), equivalent, for example, to: 3.7 ml of beer per dose (1.85 ml of beer per spray), equivalent, for example, to: 1.5 ml

of wine per dose (0.77 ml of wine per spray)

  • It is harmful to alcoholics and should be monitored during pregnancy, breastfeeding,

in children, and in high-risk groups such as patients with liver disease or epileptics.

  • This medication contains sorbitol. If your doctor has told you that you have

intolerance to certain sugars, you should consult your doctor before using this

medication.

  • This medication contains sucrose. Patients with fructose intolerance, glucose or galactose malabsorption, or sacarase-isomaltase insufficiency,

    should not take this medication.

    • This medication contains soy lecithin and should not be used by patients with a known

    allergy to peanuts or soy.

    Children and adolescents

    It should not be administered to minors under 18 years of age.

    Use of EchinaMed plus spray with other medications:

    There is no evidence that extracts of echinacea or sage interact with other medications.

    Pregnancy and breastfeeding

    As a precautionary measure and in the absence of sufficient data, use during pregnancy and breastfeeding is not recommended without medical supervision.

    If you are pregnant or think you may be pregnant, consult your doctor before taking this medication. The consumption of medications during pregnancy can be hazardous to the embryo or fetus and should be monitored by your doctor.

    Driving and using machinery:

    No studies have been conducted on the effects of EchinaMed plus spray on the ability to drive vehicles and operate machinery. However, based on its activity, it is unlikely that EchinaMed plus spray will alter this ability.

    3. How to use EchinaMed Plus Spray

    Follow the administration instructions of the medication contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your pharmacist or doctor.

    The recommended dose is:

    Adults and elderly: 2 sprays, 6 to 10 times a day.

    Start treatment with the first symptoms.

    At the end of this leaflet, you can find the instructions for assembling the sprayer.

    EchinaMed plus spray is a medication for exclusive buccopharyngeal use.

    Do not use more than the recommended dose.

    Duration of use

    Do not use EchinaMed plus spray continuously for more than 2 weeks.

    If symptoms persist for more than 7 days, you should consult a doctor or pharmacist.

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

    If you take more EchinaMed plus spray than you should:

    In case of excessive intake, symptoms can be expected according to the amount of ethanol (alcohol) ingested

    In case of overdose or accidental ingestion, go to a medical center or consult the Toxicology Information Service, phone 91 562 0420, indicating the medication and the amount used.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible adverse effects

Like all medications, EchinaMed plus spray can have adverse effects, although not all people experience them.

Interrupt treatment and consult your doctor if allergic reactions occur

such as:

  • Rash
  • Urticaria
  • Inflammatory skin disorders (Stevens-Johnson syndrome)
  • Swelling of the skin due to fluid
  • Swelling of the face (Quincke's edema)
  • Reduced airflow to the lungs (bronchospasm)
  • Asthma and severe allergic reactions (anaphylactic shock)

Echinacea can trigger allergic reactions in atopic patients.

If you experience adverse effects, consult your doctor or pharmacist, even if it is an adverse effect that does not appear in this leaflet.

Reporting of adverse effects:

If you experience any type of adverse effect, consult your doctor or pharmacist

or nurse, even if it is a possible adverse effect that does not appear in this leaflet. You can also report it directly through the Spanish Pharmacovigilance System for Human Use Medications: https://www.notificaram.es.

By reporting adverse effects, you can contribute to providing more information on the safety of this medication.

5. Storage of EchinaMed Plus Spray

Keep this medication out of sight and reach of children.

Store at room temperature.

Do not use EchinaMed plus spray after the expiration date indicated on the packaging.

Medications should not be thrown away in drains or trash. Ask your pharmacist how to dispose of the packaging and medications that are no longer needed. This will help protect the environment.

6. Package contents and additional information

1 ml of EchinaMed plus spray solution contains as active ingredients:

  • 863.3 mg of extract from the fresh aerial part of Echinacea purpurea
  • 45.5 mg of extract from the fresh root of Echinacea purpurea
  • 430 mg of extract from the fresh leaf of Salvia officinalis

The other components are excipients:

Sucrose laurate (vegetable origin)

Soy lecithin (vegetable origin)

94% ethanol (m/m)

Peppermint oil

Sorbitol (liquid)

Appearance of the product and package contents

EchinaMed plus is a translucent liquid, brown to yellowish-green with

a minty aroma and a fresh, slightly bitter, alcoholic taste.

It is presented in bottles with 30 ml

For buccopharyngeal application.

Instructions for assembling the sprayer

Three illustrated steps for using a nasal sprayer with instructions below each drawing

Marketing authorization holder and manufacturer

Bioforce España A.Vogel, S.A.

Platón 6,

08021-Barcelona

Spain

Tel 93 201 99 22

Fax 93 209 03 19

Manufacturer

  • VOGEL B.V.

J.P. Broekhovenstraat 16, Elburg

Netherlands

Date of the last revision of this leaflet: January 2020

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.gob.es/

Online doctors for ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION

Discuss questions about ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION, including use, safety considerations and whether a prescription is appropriate, subject to medical assessment and local regulations.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience
Licence no. 464628925

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
Licence no. 35/35/09707

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
Licence no. 70352

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
€170
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(21)

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

Frequently Asked Questions

ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION is manufactured by Bioforce Espana A Vogel S.A.. 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 ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request an assessment, you can use Oladoctor:

Other medicines with the same active substance () include ANGIFEN 8.75 mg LOZENGES MINT FLAVOR, ANGIFEN 8.75 mg LOZENGES ORANGE FLAVORED, BUCOPRO 8.75 mg LOZENGES ORANGE FLAVORED. 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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