ESPIKUR 50 mg Tablets

Prescription review online

Prescription review online

A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

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

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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 ESPIKUR 50 mg TABLETS

Contents of the leaflet

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

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/).

------------------------------------------------------------------------------------------------------------------------

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.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family 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

Family 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(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get ESPIKUR 50 mg TABLETS Prescription Online

1

Fill in a 2-min form

Tell us your symptoms, history, and what medicine you're requesting.

2

Pick a doctor or let us assign

Choose a specialist or we'll match you with the next available doctor.

3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

Collect from any pharmacy

Electronic prescription sent to your email — valid across Spain.

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.

How to buy ESPIKUR 50 mg TABLETS in Spain?

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 ESPIKUR 50 mg TABLETS in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

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.

Stay informed about Oladoctor

News about new services, product updates and useful information for patients.

Follow us on social media