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ESPIKUR 50 mg TABLETS

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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 ESPIKUR 50 mg TABLETS

Translated with AI

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

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Introduction

Package Leaflet: Information for the User

Espikur50mg tablets

13C-Urea

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 symptoms are the same as yours.
  • If you experience 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

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

1. What Espikur is and what it is used for

This medicinal product is for diagnostic use only.

Espikur is a breath test. After taking the tablet, the breath test will show if your stomach is infected with the bacteria Helicobacter pylori.

Why do you need to take the Espikur test? You may have a gastric infection caused by a bacterium called Helicobacter pylori. Your doctor has prescribed the test for one of the following reasons:

  • Your doctor wants to confirm if you have a Helicobacter pyloriinfection.
  • You have already been found to be infected with Helicobacter pyloriand have been taking medication to cure the infection. Your doctor will now check if the treatment has been successful.
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 Espikur

Do not takeEspikur:

  • if you are allergic to 13C-urea or any of the other ingredients of this medicinal product (listed in section 6).
  • if you have or suspect you have a stomach infection, as this may cause false results.
  • if you have inflammation of the stomach lining (atrophic gastritis), as this may cause false results.

Warnings and precautions

Talk to your doctor or pharmacist before taking Espikur if you have had all or part of your stomach removed.

TakingEspikur with other medicines

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

The test must not be performed within at least:

  • 4 weeks after taking medicines for a bacterial infection
  • 2 weeks after the last administration of a medicine to reduce stomach acid release.

Both groups of medicines may affect the results of the test. This is especially important after treatment for Helicobacter pyloriinfection.

Pregnancy and breastfeeding

It is not expected that taking the breath test during pregnancy and breastfeeding will have a harmful effect. Espikur can be used during pregnancy and breastfeeding.

Driving and using machines

Espikur has no known effects on the ability to drive or use machines.

3. How to take Espikur

Follow exactly the administration instructions of this medicinal product given by your doctor. If in doubt, consult your doctor or pharmacist again.

You must be fasting for at least 6 hours before performing the breath test. You can drink some water until the test is performed.

Some medicines may affect the result of the test. See the section “Taking Espikur with other medicines”.

The procedure takes approximately 10 minutes.

The recommended dose is one tablet as a single dose. The tablet should be swallowed whole with a glass of water. If the tablet is chewed, the test must be performed again, as this increases the risk of obtaining a false result.

A new test can be performed as soon as the next day.

This medicinal product must not be administered to children under 18 years of age due to lack of data.

In case of doubt, ask your doctor or pharmacist.

If you take more Espikurthan you should

Since only one tablet is provided, overdose is not expected. If in doubt, contact your doctor.

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, this medicinal product can cause side effects, although not everybody gets them.

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

  • stomach pain
  • fatigue
  • altered sense of smell (parosmia)

Tell your doctor or pharmacist if any of the side effects gets serious.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Spanish Medicines Agency's website for adverse reaction reporting: www.notificaRAM.es

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

5. Storage of Espikur

Keep this medicinal product out of the sight and reach of children.

Do not use this medicinal product after the expiry date which is stated on the label and on the carton after “EXP”. The expiry date is the last day of the month shown.

Store in the original package to protect from light.

Do not store above 25°C.

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

6. Contents of the pack and other information

Composition of Espikur

  • The active substance is 13C-urea. Each tablet contains 50 mg of 13C-urea.
  • The other ingredients are: anhydrous citric acid, anhydrous colloidal silica, sodium croscarmellose, microcrystalline cellulose, magnesium stearate and talc.

Appearance and packaging

Espikur is a white, round, convex tablet, 12 mm in diameter.

Pack sizes:

1 tablet (kit) in aluminium blister pack (with sample tubes and disposable straw).

10 x 1 tablets in aluminium blister pack (without sample tubes and disposable straw).

Breath bags are supplied separately.

Component

1 tablet (kit)

10 x 1 tablet

Tablet in aluminium blister pack

1

10

Sample tubes for 00-minute breath sample (blue cap)

2

Sample tubes for 10-minute breath sample (red cap)

2

Disposable straw

1

Leaflet

1

1

Bar code labels for sample tubes

4

-

Additional bar code labels

2

Marketing authorisation holder and manufacturer

Marketing authorisation holder:

Laboratoires MAYOLY SPINDLER

6 avenue de l’Europe

78400 Chatou

France

Manufacturer:

Laboratoires MAYOLY SPINDLER

6 avenue de l’Europe

78400 Chatou

France

This medicinal product is authorised in the Member States of theEconomic European Areaunder the following names:

Belgium, Luxembourg, Portugal, Spain, Sweden, Netherlands: Espikur 50 mg

Italy: Helidiag 50 mg

Date of last revision of this leaflet: April 2019

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

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This information is intended only for healthcare professionals:

It is recommended to perform the test with the patient in a resting position.

If the test is to be performed in the morning, the patient should fast overnight and not have breakfast. If the test is to be performed later in the day, or if fasting may cause problems for the patient, then only a light breakfast is allowed, e.g. tea and toast. Additionally, if the patient has had a heavy meal, they will need to fast for six hours before the test.

Breath samples can be collected using either tubes or breath bags.

Procedure for the test using sample tubes (see Figure1).

To perform the test, 4 sample tubes with caps and 1 straw are used.

Keep one of the additional bar code labels as a reference label for the patient's medical history.

  1. The patient must start the procedure with the two 00-MINUTE sample tubes with blue caps.
    • Remove the cap.
    • Place the straw in the bottom of the sample tube.
    • Take a deep breath and exhale slowly into the tube.
    • Remove the straw from the tube and close the tube with the cap immediately.
    • Check that the cap is properly closed.
    • Repeat the test with the second 00-MINUTE sample tube.
  1. Swallow the tablet with a glass of water. Wait 10 minutes in an upright position (standing or sitting).
  1. Exhale into the two 10-MINUTE sample tubes with red caps in the same way as described above.

After collecting the samples, the 4 tubes must be labelled according to the image below, placing a bar code label along each tube.

Two test tubes with caps and bar code labels, one with a blue cap and one with a red cap

Send the 4 labelled sample tubes for analysis to the local diagnostic laboratory.

Handle the tubes with the samples carefully and avoid any damage that may cause leakage.

Figure 1. How to perform the test using sample tubes.

Man applying nasal spray twice, then blowing his nose into a handkerchief and finally using an inhaler with a timer showing 10 minutes

Procedure for the test using breath bags (see Figure2).

To perform the test, 2 individual breath bags or 1 double breath bag and 1 mouthpiece are used.

  1. Remove the screw cap from the flexible tube of the breath bag and connect the mouthpiece to the flexible tube. Exhale through the mouthpiece to obtain the initial sample (00-MINUTE) of the breath bag. Remove the mouthpiece from the breath bag and close the breath bag with the screw cap.
  1. Swallow the tablet with a glass of water. Wait 10 minutes in an upright position (standing or sitting).
  1. Exhale into the unused side of the double breath bag or into another individual breath bag to obtain the test sample (10-MINUTES) of breath bag in the same way as described above.

Mark the breath bags to identify the different samples (e.g. “zero test” and “10-minute test”).

Handle the breath bags with the samples carefully and avoid any damage that may cause leakage.

Man inhaling medication from a nebulizer, holding a container and waiting 10 minutes with a timer

Online doctors for ESPIKUR 50 mg TABLETS

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

5.0 (69)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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5.0 (63)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

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.

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€59
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Doctor

Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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€50
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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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€80

Frequently Asked Questions

Is a prescription required for ESPIKUR 50 mg TABLETS?
ESPIKUR 50 mg TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in ESPIKUR 50 mg TABLETS?
The active ingredient in ESPIKUR 50 mg TABLETS is 13C-urea. This information helps identify medicines with the same composition but different brand names.
Who manufactures ESPIKUR 50 mg TABLETS?
ESPIKUR 50 mg TABLETS is manufactured by Laboratoires Mayoly Spindler. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ESPIKUR 50 mg TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether ESPIKUR 50 mg TABLETS 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 ESPIKUR 50 mg TABLETS?
Other medicines with the same active substance (13C-urea) include HELICOBACTER TEST INFAI 75 mg POWDER FOR ORAL SOLUTION, HELICOBACTER TEST INFAI 45 mg ORAL SOLUTION POWDER for children aged 3 to 11 years, TAU-KIT SOLUBLE TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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