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ESPIKUR 50 mg TABLETS

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5.0 (195)
Doctor

Taisiia Proida

Family medicine 7 years exp.

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.

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.

Show original

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.

0.0 (0)
Doctor

Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

5.0 (194)
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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.

5.0 (43)
Doctor

Dmytro Horobets

Family medicine 7 years exp.

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.

5.0 (924)
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.

5.0 (195)
Doctor

Taisiia Proida

Family medicine 7 years exp.

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.

5.0 (2)
Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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€55
5.0 (5)
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

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.

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