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FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation

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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.
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 FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation

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

Flixotide Accuhaler 500 micrograms/inhalation, powder for inhalation

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

fluticasone propionate

Read all of this leaflet carefully before you start using 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, pharmacist or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others, as it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What Flixotide Accuhaler 500 micrograms/inhalation is and what it is used for
  2. What you need to know before you use Flixotide Accuhaler 500 micrograms/inhalation
  3. How to use Flixotide Accuhaler 500 micrograms/inhalation
  4. Possible side effects
  5. Storing Flixotide Accuhaler 500 micrograms/inhalation
  6. Contents of the pack and other information

1. What Flixotide Accuhaler 500 micrograms/inhalation is and what it is used for

Fluticasone propionate belongs to a group of medicines called corticosteroids. Corticosteroids are used to treat asthma because of their anti-inflammatory action. They reduce inflammation and irritation in the walls of the small airways in the lungs and so help to control asthma symptoms. Corticosteroids also help to prevent asthma attacks.

Flixotide Accuhaler 500 micrograms/inhalation is recommended for the treatment of adults with moderate to severe asthma and chronic obstructive pulmonary disease (COPD).

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use Flixotide Accuhaler 500 micrograms/inhalation

Do not useFlixotide Accuhaler 500 micrograms/inhalation

  • if you are allergic (hypersensitive) to fluticasone propionate or any of the other ingredients of this medicine listed in section 6.

Warnings and precautions

Talk to your doctor, pharmacist or nurse before you start using Flixotide Accuhaler 500 micrograms/inhalation:

  • if you have ever had to stop using this or any other medicine for your condition because of side effects
  • if you notice that you are becoming increasingly wheezy or short of breath
  • if you have ever had pulmonary tuberculosis
  • if you are taking or have recently taken other corticosteroid medicines by mouth or by inhalation
  • if you have an infection
  • if you are under stress, such as due to a severe illness, surgical procedure, or injury, your dose of Flixotide may need to be increased
  • if you have diabetes mellitus (Flixotide may increase blood sugar levels)
  • if your breathing worsens after using this medicine, stop using it immediately and tell your doctor as soon as possible

Flixotide should not be used to relieve acute asthma attacks, but only as a long-term treatment to control symptoms. The treatment should not be stopped abruptly.

Contact your doctor if you experience blurred vision or other visual disturbances.

Children and adolescents

Flixotide Accuhaler 500 micrograms/inhalation is not indicated for use in children. Other forms of Flixotide are more suitable for children and adolescents under 16 years of age.

Using Flixotide Accuhaler 500 micrograms/inhalation with other medicines

Tell your doctor or pharmacist if you are using or have recently used any other medicines, including those obtained without a prescription.

Some medicines may increase the effects of Flixotide Accuhaler 500 micrograms/inhalation, and your doctor may wish to monitor you closely if you are using these medicines (including some medicines for HIV: ritonavir, cobicistat).

Oral medicines for the treatment of fungal infections (ketoconazole).

No interactions with other medicines have been reported. However, you should tell your doctor or pharmacist if you are taking or have taken medicines for the treatment of tuberculosis.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

Driving and using machines

Flixotide is unlikely to affect your ability to drive or use machines.

Flixotide Accuhaler 500 micrograms/inhalation contains lactose. This may cause an allergic reaction in patients with a cow's milk protein allergy. If your doctor has told you that you have an intolerance to some sugars, contact them before using this medicine.

Warning for athletes

Athletes should note that this medicine contains an active substance that may cause a positive result in doping tests.

3. How to use Flixotide Accuhaler 500 micrograms/inhalation

Use Flixotide Accuhaler 500 micrograms/inhalation exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.

Remember to use your medicine.

Your doctor will tell you how long to use Flixotide Accuhaler 500 micrograms/inhalation. Do not stop using Flixotide Accuhaler 500 micrograms/inhalation without talking to your doctor first.

It is very important to inhale each dose exactly as your doctor has told you. The usual dose is:

  • ASTHMA

Adults and adolescents over 16 years of age: 1-2 inhalations twice daily (500-1000 micrograms twice daily).

  • COPD

Adults: 1 inhalation twice daily (500 micrograms twice daily).

The contents of the inhalations should not be swallowed, but inhaled to reach the lungs. You may not be able to taste or feel the powder in your mouth, even if you have used the Accuhaler correctly. If you have any doubts, ask your doctor or pharmacist.

Do not inhale more doses or use Flixotide Accuhaler 500 micrograms/inhalation more often than your doctor has told you.

This medicine may take some time to work. It is very important to use it regularly. If your breathing or wheezing gets worse after using Flixotide Accuhaler 500 micrograms/inhalation, stop using it and tell your doctor immediately. If your symptoms do not improve or get worse after 7 days, tell your doctor.

Do not use this medicine to treat a sudden attack of wheezing or shortness of breath. You will need a different medicine to treat such attacks. If you are using more than one medicine, be careful not to confuse them.

If you think that Flixotide Accuhaler 500 micrograms/inhalation is too strong or too weak, tell your doctor or pharmacist.

Instructions for the correct use of Flixotide Accuhaler 500 micrograms/inhalation

The device is wrapped in a foil wrapper to keep it clean and dry. This should only be opened when you are ready to use it for the first time. Once opened, the wrapper should be discarded. The device has two positions: closed and open.

CLOSED

When you open the case and take the device out of the foil wrapper for the first time, it will be in the closed position.

Oval-shaped inhaler with arrow indicating direction of opening and finger placement area labeled

OPEN

The device contains 60 individual doses of the medicine in powder form. The dose counter shows how many doses are left.

Inhaler device with outer casing, dose counter, finger hole, and lever, showing full and empty levels

Each dose is precisely measured and hygienically protected. No maintenance or refilling is required.

The dose counter, located on the top of the device, shows how many doses are left. The numbers from 5 to 0 will appear in red to warn you that there are only a few doses left.

Using the device is easy. When you need a dose, follow these five simple steps:

  1. Open.
  2. Slide.
  3. Inhale.
  4. Close.
  5. Rinse.

Device operation

When you slide the lever on the device, a small hole in the mouthpiece opens and a dose is prepared for inhalation. When you close the device, the lever automatically returns to its original position, ready for the next dose. The outer casing protects the device when not in use.

  1. Open:

To open the device, hold the outer casing with one hand and place your thumb in the thumb grip with your other hand. Push your thumb away from you as far as it will go.

Hand holding a vaginal applicator with a white arrow indicating the direction of insertion

  1. Slide:

Hold the device with the mouthpiece towards you. Slide the lever away from you as far as it will go – you will hear a click. The device is now ready for use. Each time the lever is pulled back, a dose is prepared for inhalation, as shown by the dose counter. Do not play with the lever, as this will prepare doses that will be wasted.

Hands holding an auto-injector device with a white arrow indicating the direction of rotation

  1. Inhale:
  • Before you start to inhale a dose, read this section carefully.
  • Hold the device away from your mouth. Breathe out gently – do not breathe out into the device.
  • Put the mouthpiece in your mouth. Take a steady, deep breath in through the device – do not breathe in through your nose.
  • Take the device out of your mouth and hold your breath for 10 seconds or as long as you comfortably can.
  • Breathe out slowly.

Patient holding an inhaler device with both hands and applying lips around the mouthpiece

  1. Close:

To close the device, put your thumb in the thumb grip and slide it back towards you as far as it will go.

When you close the device, you will hear a click. The lever will automatically return to its original position, ready for the next dose.

Hand holding an auto-injector device with a white arrow indicating the direction of application on the skin

  1. Rinse:

After use, rinse your mouth with water and spit it out.

If your doctor has prescribed two inhalations, close the device and repeat steps A to E.

Remember

Keep the device dry.

Keep the device closed when not in use.

Do not breathe out into the device.

Slide the lever only when you are ready to inhale a dose.

Ask your doctor or pharmacist if you have any doubts.

If you use more Flixotide Accuhaler 500 micrograms/inhalation than you should

If you have used more Flixotide Accuhaler 500 micrograms/inhalation than you should, contact the Poisons Information Service (telephone 91 562 04 20) or talk to your doctor or pharmacist immediately. Take this leaflet with you.

If you forget to use Flixotide Accuhaler 500 micrograms/inhalation

Do not inhale a double dose to make up for a forgotten dose. If you forget a dose, just take the next dose at the usual time.

If you stop using Flixotide Accuhaler 500 micrograms/inhalation

It is very important that you use Flixotide Accuhaler 500 micrograms/inhalation every day as prescribed by your doctor. Do not stop using Flixotide Accuhaler 500 micrograms/inhalation without talking to your doctor first, as your symptoms may get worse. Do not stop using Flixotide Accuhaler 500 micrograms/inhalation suddenly.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Some people may develop a fungal infection in the mouth and throat (candidiasis) and experience soreness in the throat or hoarseness after inhaling this medicine. To avoid this, it is recommended to brush your teeth or rinse your mouth or gargle with water after each dose. If you notice any of these symptoms, tell your doctor but do not stop using Flixotide Accuhaler 500 micrograms/inhalation unless your doctor tells you to.

If you experience any of the following symptoms after using Flixotide Accuhaler 500 micrograms/inhalation, stop using it and tell your doctor immediately:

  • sudden onset of wheezing or chest tightness
  • swelling of the eyelids, face, lips, tongue, or throat
  • skin rash or redness (hives) or itching in any part of the body

Other side effects include:

Very common (may affect more than 1 in 10 people)

  • candidiasis (fungal infection) in the mouth and throat

Common (may affect up to 1 in 10 people)

  • pneumonia (infection of the lungs) and bronchitis (inflammation of the airways) in patients with chronic obstructive pulmonary disease (COPD)

Tell your doctorif you have any of the following symptoms while using Flixotide Accuhaler 500 micrograms/inhalation. They could be symptoms of a lung infection:

  • fever or chills
  • increased production of mucus, change in the color of mucus
  • increased coughing or difficulty breathing
  • hoarseness
  • bruising

Uncommon (may affect up to 1 in 100 people)

  • skin hypersensitivity reactions

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

  • oesophageal candidiasis

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

  • angioedema (skin reactions with redness, swelling, and itching), mainly facial and oropharyngeal oedema
  • respiratory symptoms such as dyspnoea (shortness of breath) and/or bronchospasm (narrowing of the airways)
  • anaphylactic reactions (severe allergic reactions that can cause a sudden drop in blood pressure and loss of consciousness)
  • moon face (Cushing's syndrome)
  • suppression of the activity of the adrenal gland, which can cause tiredness, weight loss, nausea, vomiting, headache, low blood pressure, numbness, and convulsions
  • growth retardation in children and adolescents
  • decreased bone density
  • cataracts and glaucoma
  • hyperglycaemia (high blood sugar levels). If you have diabetes, you may need to check your blood sugar levels more often and adjust your usual treatment for controlling your diabetes
  • anxiety, sleep disturbances, and behavioral changes, including hyperactivity and irritability (mainly in children)
  • paradoxical bronchospasm (temporary narrowing of the airways after using the inhaler)

Frequency not known

  • nasal bleeding
  • blurred vision

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 to the Spanish Medicines Agency: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing Flixotide Accuhaler 500 micrograms/inhalation

Do not store above 30°C. Store in the original packaging to protect from moisture.

Keep the device in the foil wrapper until you are ready to use it for the first time. Discard the wrapper once opened.

Keep out of the sight and reach of children.

Do not use Flixotide Accuhaler 500 micrograms/inhalation after the expiry date stated on the packaging after EXP. The expiry date is the last day of the month stated.

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 protect the environment.

6. Packaging Content and Additional Information

Composition ofFlixotide Accuhaler 500 micrograms/inhalation

  • The active ingredient is 500 micrograms of fluticasone propionate per inhalation (alveolus).
  • The other component is lactose monohydrate (contains milk proteins).

Appearance of the Product and Packaging Content

Packaging with a device containing 60 alveoli with powder for oral inhalation. The device is packaged inside an aluminum wrapper.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

GlaxoSmithKline, S.A.

P.T.M. C/ Severo Ochoa, 2

28760 Tres Cantos (Madrid)

Tel: +34 900 202 700

[email protected]

Manufacturer:

Glaxo Wellcome Production

Zone Industrielle Nº2

23 Rue Lavoisier,

27000 Evreux

France

Date of the Last Revision of this Leaflet:January 2022.

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

Online doctors for FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation

Discuss questions about FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (100)
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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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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Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

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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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Andrei Popov

General medicine 7 years exp.

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.

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Antonio Cayatte

General medicine 44 years exp.

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

  • Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
  • Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning
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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.

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Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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.

Get FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation?

FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation 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 FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation?

The active ingredient in FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation is fluticasone. This information helps identify medicines with the same composition but different brand names.

How much does FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation cost in pharmacies?

The average pharmacy price for FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation is around 31.47 EUR. Prices may vary depending on the manufacturer and dosage form.

Who manufactures FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation?

FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation is manufactured by Glaxosmithkline S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation 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 FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation 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 FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation 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 FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation 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 FLIXOTIDE ACCUHALER 500 micrograms/inhalation, powder for inhalation?

Other medicines with the same active substance (fluticasone) include FLIXOTIDE 250 micrograms/inhalation, pressurized inhaler suspension, FLIXOTIDE 50 micrograms/inhalation, pressurized inhaler suspension, FLIXOTIDE ACCUHALER 100 micrograms/inhalation, powder for inhalation. 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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