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ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES

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About the medicine

How to use ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Esomeprazol Krka 20 mg Gastro-Resistant Hard Capsules EFG

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 or pharmacist.
  • 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 or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information

  1. What is Esomeprazol Krka and what is it used for
  2. What you need to know before you take Esomeprazol Krka
  3. How to take Esomeprazol Krka
  4. Possible side effects

5 Storage of Esomeprazol Krka

  1. Contents of the pack and other information

1. What is Esomeprazol Krka and what is it used for

Esomeprazol Krka contains a medicine called esomeprazole. This belongs to a group of medicines called ‘proton pump inhibitors’. They work by reducing the amount of acid that the stomach produces.

Esomeprazole is used to treat the following conditions:

Adults

  • Gastro-oesophageal reflux disease (GORD). This is where acid from the stomach escapes into the gullet (the tube which carries food from the mouth to the stomach) causing pain and inflammation.
  • Stomach ulcers or ulcers in the part of the gut called the duodenum that are caused by a bacteria called Helicobacter pylori. If you have this condition, your doctor may also prescribe antibiotics to treat the infection and allow the ulcer to heal.
  • Stomach ulcers caused by medicines called NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). Esomeprazol Krka can also be used to stop stomach ulcers from forming if you are taking NSAIDs.
  • Too much acid in the stomach caused by a tumour in the pancreas (Zollinger-Ellison syndrome).
  • Prevention of bleeding from stomach ulcers caused by Helicobacter pyloriin patients who have been treated with esomeprazole injection.

Adolescents from 12 years of age

  • Gastro-oesophageal reflux disease (GORD). This is where acid from the stomach escapes into the gullet (the tube which carries food from the mouth to the stomach) causing pain and inflammation.
  • Stomach ulcers or ulcers in the part of the gut called the duodenum that are caused by a bacteria called Helicobacter pylori. If you have this condition, your doctor may also prescribe antibiotics to treat the infection and allow the ulcer to heal.
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 Esomeprazol Krka

Do not take Esomeprazol Krka

  • if you are allergic to esomeprazole or any of the other ingredients of this medicine (listed in section 6).
  • if you are allergic to other proton pump inhibitor medicines (e.g. pantoprazole, lansoprazole, rabeprazole, omeprazole).
  • if you are taking a medicine that contains nelfinavir (used to treat HIV infection).
  • If you have ever had a skin reaction after treatment with a medicine similar to Esomeprazol Krka that reduces stomach acid.

If any of the above apply to you, do not take Esomeprazol Krka. If you are not sure, talk to your doctor or pharmacist before taking Esomeprazol Krka.

Warnings and precautions

Talk to your doctor or pharmacist before taking Esomeprazol Krka

  • if you have severe liver problems.
  • if you have severe kidney problems.
  • if you have ever had a skin reaction after treatment with a medicine similar to Esomeprazol Krka that reduces stomach acid. Serious skin reactions such as Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS) and erythema multiforme have been reported with Esomeprazol Krka. If you get any of the following symptoms, stop taking Esomeprazol Krka and contact your doctor immediately: severe skin rash, blisters, sores or ulcers in the mouth, redness and swelling of the skin, fever, flu-like symptoms, enlarged lymph nodes, itching and swelling of the hands, feet, ankles, face, lips, eyes or mouth.
  • if you have been told that you have a low level of magnesium in your blood.

Esomeprazol Krka may hide the symptoms of other diseases. Therefore, if you are taking Esomeprazol Krka on a long-term basis, your doctor may need to keep a regular check on you:

  • if you have ever had a stomach ulcer or stomach cancer.
  • if you are taking a medicine that prevents blood clots, such as warfarin.

Children and adolescents

This medicine should not be used in children under the age of 12 years.

Other medicines and Esomeprazol Krka

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines that you can buy without a prescription. This is because Esomeprazol Krka can affect the way some medicines work and some medicines can increase the chance of you getting side effects.

Taking Esomeprazol Krka with food and drink

You can take the capsules with or without food.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Your doctor will decide whether you can take Esomeprazol Krka during this time.

It is not known if Esomeprazol Krka passes into breast milk. Therefore, you should not take Esomeprazol Krka if you are breast-feeding.

Driving and using machines

Esomeprazol Krka is not likely to affect your ability to drive or use any tools or machines. However, sometimes dizziness or blurred vision may occur. Do not drive or use any tools or machines if you are affected in this way.

Esomeprazol Krka contains sucrose and sodium

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

This medicine contains less than 1 mmol sodium (23 mg) per capsule, that is to say essentially ‘sodium-free’.

3. How to take Esomeprazol Krka

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

  • If you are taking this medicine for a long time, your doctor may need to keep a regular check on you.
  • If your doctor has told you to take this medicine as and when you need it, tell your doctor if your symptoms change.

How much to take

  • Your doctor will tell you how many capsules to take and when to take them. This will depend on your condition, your age and your liver function.
  • The recommended dose is given below:

Use in adults aged 18 years and above

For gastro-oesophageal reflux disease (GORD):

  • If your doctor has found that your gullet (oesophagus) is slightly damaged, the recommended dose is one 40 mg capsule (or two 20 mg capsules) per day for 4 weeks. Your doctor may tell you to take the same dose for a further 4 weeks if your oesophagus has not healed yet.

Once the oesophagus has healed, the recommended dose is one 20 mg capsule per day.

  • If your oesophagus has not been damaged, the recommended dose is one 20 mg capsule per day.
  • If you have serious liver problems, your doctor may give you a lower dose.

For stomach ulcers caused byHelicobacter pyloriand to stop them coming back:

  • The recommended dose is one 20 mg capsule twice a day for one week. Your doctor will also prescribe two antibiotics called amoxicillin and clarithromycin to be taken in combination with Esomeprazol Krka.

For stomach ulcers caused by NSAIDs (Non-Steroidal Anti-Inflammatory Drugs):

  • The recommended dose is one 20 mg capsule per day for 4-8 weeks.

To prevent stomach ulcers if you are taking NSAIDs (Non-Steroidal Anti-Inflammatory Drugs):

  • The recommended dose is one 20 mg capsule per day.

Treatment of too much acid in the stomach caused by a tumour in the pancreas (Zollinger-Ellison syndrome):

  • The recommended dose is one 40 mg capsule (or two 20 mg capsules) twice a day.
  • Your doctor will adjust the dose depending on your needs and will also decide how long you need to take the medicine for. The maximum dose is one 80 mg capsule (or two 40 mg capsules) twice a day.

Prevention of bleeding from stomach ulcers caused by Helicobacter pyloriin patients who have been treated with esomeprazole injection:

  • The recommended dose is one 40 mg capsule (or two 20 mg capsules) per day for 4 weeks.

Use in adolescents from 12 years of age

For gastro-oesophageal reflux disease (GORD):

  • If your doctor has found that your gullet (oesophagus) is slightly damaged, the recommended dose is one 40 mg capsule (or two 20 mg capsules) per day for 4 weeks. Your doctor may tell you to take the same dose for a further 4 weeks if your oesophagus has not healed yet.
  • Once the oesophagus has healed, the recommended dose is one 20 mg capsule per day.
  • If your oesophagus has not been damaged, the recommended dose is one 20 mg capsule per day.
  • If you have serious liver problems, your doctor may give you a lower dose.

For stomach ulcers caused by Helicobacter pyloriand to stop them coming back:

  • The recommended dose is one 20 mg capsule twice a day for one week. Your doctor will also prescribe two antibiotics called amoxicillin and clarithromycin to be taken in combination with Esomeprazol Krka.

Taking this medicine

  • You can take the capsules at any time of the day.
  • You can take the capsules with or without food.
  • Swallow the capsules whole with a glass of water. Do not chew or crush the capsules. This is because the capsules contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets.

What to do if you have trouble swallowing the capsules

  • If you have trouble swallowing the capsules:
  1. Open the capsule and swallow the contents (pellets) directly with half a glass of water. Do not use other liquids.
  2. Always stir the pellet/liquid mixture well before drinking it. Drink the mixture within 30 minutes.
  3. To make sure that you have taken all of the medicine, rinse the glass with half a glass of water and drink it.
  • If you cannot swallow at all, the capsule can be opened and the contents (pellets) mixed with some water, and the mixture can be administered through a gastric tube.

Use in children under 12 years of age

Esomeprazol Krka is not recommended for use in children under the age of 1 year. For children aged 1-11 years, the capsules are not suitable and you should talk to your doctor.

Elderly

No dose adjustment is necessary in patients over 65 years of age.

If you take more Esomeprazol Krka than you should

If you have taken more Esomeprazol Krka than you should, talk to your doctor or pharmacist straight away.

If you forget to take Esomeprazol Krka

  • If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue as usual. Do not take a double dose (two doses at the same time) to make up for a forgotten dose.

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

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible Adverse Effects

Like all medicines, Esomeprazol Krka can cause adverse effects, although not all people suffer from them.

If you observe any of the following serious adverse effects, stop taking Esomeprazol Krka and contact a doctor immediately:

  • Yellow skin, dark urine, and fatigue that can be symptoms of liver problems.

These effects are rare and may affect up to 1 in 1,000 people.

  • Widespread rash, high body temperature, and enlargement of lymph nodes (DRESS syndrome or drug hypersensitivity syndrome), which is very rare.
  • Sudden difficulty breathing, swelling of lips, tongue, throat, or body in general, skin rash, fainting, or difficulty swallowing (severe allergic reaction).

These effects are rare and may affect up to 1 in 1,000 people.

  • Sudden appearance of a skin rash or redness of the skin with blisters or peeling. Important blisters and bleeding of the lips, eyes, mouth, nose, and genitals may also appear. Skin rashes can become serious and widespread skin damage (exfoliation of the epidermis and superficial mucous membranes) with potentially fatal consequences. It could be a case of "erythema multiforme", "Stevens-Johnson syndrome", "toxic epidermal necrolysis", or "drug reaction with eosinophilia and systemic symptoms".

These effects are very rare and may affect up to 1 in 10,000 people.

Other adverse effects include:

Frequent (may affect up to 1 in 10 people)

  • Headache.
  • Effects on the stomach or intestine: stomach pain, constipation, diarrhea, gas (flatulence).
  • Nausea or vomiting.
  • Benign polyps in the stomach.

Infrequent (may affect up to 1 in 100 people)

  • Swelling of feet and ankles.
  • Disruption of sleep (insomnia).
  • Dizziness, tingling sensation, and numbness, drowsiness.
  • Feeling of vertigo.
  • Dry mouth.
  • Alteration of blood tests that determine liver function.
  • Skin rash, hives, itching of the skin.
  • Fracture of the hip, wrist, or spine.

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

  • Blood disorders such as a decrease in the number of white blood cells or platelets. This can cause weakness, bruising, or increase the likelihood of infections.
  • Low sodium levels in the blood. This can cause vomiting and cramps.
  • Agitation, confusion, or depression.
  • Alteration of taste.
  • Eye disorders such as blurred vision.
  • Sudden feeling of shortness of breath or difficulty breathing (bronchospasm).
  • Inflammation inside the mouth.
  • An infection known as "candidiasis" that can affect the esophagus and is caused by a fungus.
  • Liver problems including jaundice that can cause yellow skin, dark urine, and fatigue.
  • Hair loss (alopecia).
  • Dermatitis due to sun exposure.
  • Pain in the joints (arthralgia) or muscle pain (myalgia).
  • General feeling of discomfort and lack of energy.
  • Increased sweating.

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

  • Changes in the number of cells in the blood, including agranulocytosis (decrease in the number of white blood cells).
  • Aggression.
  • Seeing, feeling, or hearing things that do not exist (hallucinations).
  • Liver disorders that can lead to liver failure or brain inflammation.
  • Sudden appearance of severe skin rash, blisters, or peeling of the skin. These symptoms can be accompanied by high fever and joint pain. (Erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms).
  • Muscle weakness.
  • Severe kidney disorders.
  • Increased breast size in men.

Frequency not known (cannot be estimated from the available data)

  • If you are taking esomeprazol for more than three months, it is possible that your magnesium levels in the blood may decrease. Low magnesium levels can manifest as fatigue, involuntary muscle contractions, disorientation, convulsions, dizziness, or increased heart rate. If you have any of these symptoms, inform your doctor immediately. Low magnesium levels can also lead to a reduction in potassium or calcium levels in the blood. Your doctor may decide to perform periodic blood tests to monitor your magnesium levels.
  • Inflammation of the intestine (can lead to diarrhea).
  • Skin rash, possibly with joint pain.

In very rare cases, Esomeprazol Krka can affect white blood cells, causing an immune deficiency. If you have an infection with symptoms such as fever with a severeworsening of the general condition or fever with symptoms of a local infection such as neck pain, throat, mouth, or difficulty urinating, you should consult your doctor as soon as possible to rule out a decrease in the number of white blood cells (agranulocytosis) through a blood test. It is important that, in this case, you report your medication.

Reporting of Adverse Effects

If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this prospectus. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.

5. Conservation of Esomeprazol Krka

Keep this medicine out of sight and reach of children.

Do not use this medicine after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated.

Do not store at a temperature above 30°C.

Keep in the original packaging to protect it from moisture.

Medicines should not be thrown away through the sewers or in the trash. Deposit the packaging and medicines that you no longer need in the SIGRE point of the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines that you no longer need. This way, you will help protect the environment.

6. Package Contents and Additional Information

Composition of Esomeprazol Krka

  • The active ingredient is esomeprazol. Each capsule contains 20 milligrams of esomeprazol (as esomeprazol magnesium dihydrate salt).
  • The other components (excipients) are sugar spheres (sucrose and cornstarch), povidone, sodium lauryl sulfate, polyvinyl alcohol, titanium dioxide (E171), macrogol, talc (E553b), heavy magnesium carbonate, polysorbate 80, and methacrylic acid - ethyl acrylate copolymer (1:1) dispersion at 30 percent in the capsule content (granules), and gelatin (E441), titanium dioxide (E171), and red iron oxide (E172) in the capsule coating. See section 2 "Esomeprazol contains sodium and sucrose".

Appearance of the Product and Package Contents

The body and cap of the capsule are light pink in color. The capsule contains white or almost white granules.

The capsules are available in blisters of 14 and 28 in a box.

Only some package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

KRKA, d.d., Novo mesto, Šmarješka cesta 6, 8501 Novo mesto, Slovenia

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

KRKA Farmacéutica, S.L., C/ Anabel Segura 10, 28108 Alcobendas, Madrid, Spain

Date of the Last Revision of this Prospectus:June 2025

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

Online doctors for ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES

Discuss questions about ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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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.
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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Frequently Asked Questions

Is a prescription required for ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES?
ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES 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 ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES?
The active ingredient in ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES is esomeprazole. This information helps identify medicines with the same composition but different brand names.
How much does ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES cost in pharmacies?
The average pharmacy price for ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES is around 12.55 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES?
ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES is manufactured by Krka D.D. Novo Mesto. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES 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 ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to ESOMEPRAZOL KRKA 20 mg HARD GASTRO-RESISTANT CAPSULES?
Other medicines with the same active substance (esomeprazole) include AXIAGO 20 mg GASTRO-RESISTANT TABLETS, AXIAGO 40 mg GASTRO-RESISTANT TABLETS, EMANERA 20 mg GASTRO-RESISTANT HARD CAPSULES. 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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