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FORTACIN 150 mg /Ml + 50 Mg/Ml Cutaneous Spray Solution

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Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
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 FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION

Contents of the leaflet

  1. Introduction
  2. What is Fortacin and what is it used for
  3. What you need to know before you start using Fortacin
  4. How to use Fortacin
  5. Possible side effects
  6. Storage of Fortacin
  7. Container contents and additional information

Introduction

Package Leaflet: Information for the User

Fortacin 150 mg/ml + 50 mg/ml solution for cutaneous spray

lidocaine/prilocaine

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if it is a side effect not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve.

Contents of the Package Leaflet

  1. What is Fortacin and what is it used for
  1. What you need to know before you start using Fortacin
  2. How to use Fortacin
  1. Possible side effects
  2. Storage of Fortacin
  3. Contents of the pack and further information

1. What is Fortacin and what is it used for

Fortacin is a combination of two medicines: lidocaine and prilocaine. These belong to a group of medicines called local anesthetics.

Fortacin is indicated for the treatment of premature ejaculation from the first sexual intercourse, in adult men (over 18 years). This occurs when ejaculation always or almost always occurs within the first minute of sexual intercourse, causing a negative emotional impact. Fortacin works by reducing the sensitivity of the head of the penis to prolong the time until ejaculation.

Doctor consultation

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2. What you need to know before you start using Fortacin

Do not use Fortacin

  • if you or your partner are allergic to lidocaine or prilocaine or to any of the other components of this medicine (listed in section 6);
  • if you or your partner have a history of allergy or sensitivity to other local anesthetics of similar structure (known as amide-type local anesthetics).

Warnings and precautions

Consult your doctor or pharmacist before starting to use Fortacin

  • if you or your partner have been diagnosed with a genetic disease or other disorder that affects red blood cells (glucose-6-phosphate dehydrogenase deficiency, anemia, or methemoglobinemia);
  • if you have a history of sensitivity to medicines, especially if you are not sure which medicines cause sensitivity;
  • if you have severe liver problems.

Premature ejaculation may be due to a disease that requires medical supervision. If this product used directly does not provide relief, consult a doctor.

Use with condoms

  • Fortacin should not be used with female and male condoms made of polyurethane without latex, as deterioration has been observed when used with Fortacin, and protection against sexually transmitted diseases or pregnancy may be reduced. Fortacin can be used with latex, polyisoprene, nitrile, and silicone contraceptives, as no deterioration has been observed. Check carefully the material with which your contraceptives or those of your partner are made before using this product. Consult your pharmacist if you have any doubts.
  • If you use Fortacin with condoms, there is a greater chance that you will not be able to develop or maintain an erection. It is also more likely that you will experience reduced sensitivity in the penis and surrounding areas.

Avoid accidental contact:

  • When using this medicine, especially when loading the container, point it away from your face to avoid accidental contact with the ears, eyes, nose, and mouth.
  • If the medicine accidentally comes into contact with your eyes or those of your partner, rinse them immediately with cold water or saline solution and keep them closed as much as possible until the effects, such as numbness, disappear. Note that normal protective mechanisms, such as blinking or the sensation of a foreign body in the eye, may disappear until the numbness passes.
  • Fortacin should not come into contact with a damaged eardrum.

Contact with other mucous membranes:

  • Fortacin can also come into contact with other mucous membranes, such as those of the mouth, nose, and throat, yours or your partner's, producing a slight numbness for a short time. As this numbness reduces the ability to feel pain in these areas, you should be especially careful not to injure them until the numbness has disappeared.

Possible transfer to the partner, e.g., to the vagina or anus:

  • During sexual intercourse, a small part of this medicine may pass, for example, to the vagina or anus. Therefore, both you and your partner may feel numbness for a short time and should be careful not to hurt themselves, especially during sexual activity. For more information on possible side effects in sexual partners, see section 4.

In case the patient or their partner develop skin rashes or irritation, treatment with Fortacin should be discontinued. If symptoms persist, consult a doctor.

Children and adolescents

This medicine should not be administered to children or adolescents under 18 years of age.

Other medicines and Fortacin

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. It is especially important that you inform a doctor before using Fortacin if you are taking any of the following medicines that may interact with Fortacin:

  • Other local anesthetics
  • Heart medicines (antiarrhythmics)
  • Medicines that increase the risk of a disorder that reduces the amount of oxygen in the blood (methemoglobinemia), such as those listed below:
  • Benzocaine, a local anesthetic used to treat pain and itching
  • Chloroquine, pamaquine, primaquine, quinine, used to treat malaria
  • Metoclopramide, used to treat nausea (nausea) and vomiting, also in patients with migraine
  • Glyceryl trinitrate (GTN, nitroglycerin), isosorbide mononitrate, erythritol tetranitrate, pentaerythritol tetranitrate, and other medicines with nitrates and nitrites used to treat angina pectoris (chest pain caused by the heart)
  • Sodium nitroprusside, isosorbide dinitrate, used to treat arterial hypertension and heart failure
  • Nitrofurantoin, an antibiotic used to treat urinary and kidney infections
  • Sulfonamides, for example, sulfamethoxazole, an antibiotic used to treat urinary and kidney infections, and sulfasalazine, used to treat Crohn's disease, ulcerative colitis, and rheumatoid arthritis
  • Dapsone, used to treat skin conditions such as leprosy and dermatitis, and also to prevent malaria and pneumonia in patients at risk
  • Phenobarbital, phenytoin, used to treat epilepsy
  • Para-aminosalicylic acid (PAS), used to treat tuberculosis

The risk of methemoglobinemia may also increase due to the use of certain dyes (aniline dyes) or the pesticide naphthalene, so you should inform your doctor if you work with dyes or chemical pesticides.

Pregnancy, breastfeeding, and fertility

Fortacin is not authorized for use in women.

Ask your doctor or pharmacist for advice before taking any medicine.

Pregnancy

Fortacin should not be used while your partner is pregnant unless you use an effective male condom, as indicated earlier in section 2 "Use with condoms", to avoid fetal exposure.

Breastfeeding

This medicine can be used while your partner is breastfeeding.

Fertility

Fortacin may reduce the possibility of pregnancy. Therefore, patients who wish to conceive should avoid using Fortacin, or if the medicine is essential to achieve penetration, they should wash the glans of the penis as thoroughly as possible five minutes after applying Fortacin but before sexual intercourse.

3. How to use Fortacin

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

Follow exactly the administration instructions of this medicine contained in this leaflet. In case of doubt, ask your doctor or pharmacist.

The recommended dose of Fortacin is 3 sprays (3 sprays = 1 dose) on the head of the penis at least 5 minutes before sexual intercourse. A maximum of 3 doses can be administered within 24 hours with an interval of at least 4 hours between doses.

Do not exceed the maximum recommended dose (3 doses in 24 hours).

Instructions for use

  • Before the first use, briefly shake the spray container and then load the pump mechanism by spraying the valve three times into the air. Point the container away from your face to avoid contact with the eyes, nose, mouth, and ears.
  • Before each subsequent dose, briefly shake the spray container and then reload the pump mechanism by spraying the valve once into the air.
  • Retract the foreskin of the penis. Hold the container in a vertical position (with the valve upwards), apply 1 dose (3 sprays) of Fortacin to the entire head of the penis, covering one-third with each spray.
  • Wait 5 minutes, then clean the excess spray before engaging in sexual intercourse. It is important to remove any excess spray, even if you use a condom (also see section 2 for important information on use with condoms).

If you use more Fortacin than you should

If you apply too much, wipe it off.

The following symptoms may occur when too much Fortacin is used. Contact your doctor or pharmacist if you experience any of them. It is very unlikely to happen if used according to the instructions:

  • Dizziness or lightheadedness
  • Tingling sensation on the skin around the mouth and numbness of the tongue
  • Dysgeusia (abnormality of taste)
  • Blurred vision
  • Ringing in the ears
  • There is also a risk of a disorder that reduces the amount of oxygen in the blood (methemoglobinemia), which is more likely when certain medicines are taken at the same time. When it occurs, the skin turns gray-blue due to lack of oxygen.

In severe cases of overdose, symptoms may include seizures, hypotension, slowed breathing, respiratory arrest, and cardiac arrhythmia. The effects can be potentially fatal.

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

4. Possible side effects

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

The following side effects have been reported with Fortacin in male patients:

Common (may affect up to 1 in 10 people)

  • Difficulty getting or maintaining an erection
  • Reduced sensitivity in the penis and surrounding areas
  • Burning sensation in the penis and surrounding areas

Uncommon (may affect up to 1 in 100 people)

  • Headache
  • Local irritation of the throat (if inhaled)
  • Skin irritation
  • Redness of the penis and surrounding areas
  • Difficulty ejaculating during sexual intercourse
  • Abnormal orgasm
  • Tingling sensation in the penis and surrounding areas
  • Pain or discomfort in the penis and surrounding areas
  • Itching in the penis and surrounding areas
  • High temperature

The following side effects have been reported with Fortacin in sexual partners:

Common (may affect up to 1 in 10 people)

  • Burning sensation in the vagina and surrounding areas
  • Reduced sensitivity in the vagina and surrounding areas

Uncommon (may affect up to 1 in 100 people)

  • Headache
  • Local irritation of the throat (if inhaled)
  • Vaginal candidiasis
  • Discomfort in the anus and rectum
  • Numbness in the mouth
  • Difficulty or pain when urinating
  • Vaginal pain
  • Discomfort or itching in the vulva and vagina

Reporting of side effects

If you experience any side effects, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the national reporting system included in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Fortacin

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the label of the spray container and on the carton after "EXP". The expiry date is the last day of the month stated.

Store below 25 °C. Do not freeze. The container should be discarded 12 weeks after the first use.

The metal container is pressurized. Do not pierce, break, or burn, even if it appears to be empty. A residual volume of unusable fluid will remain in the container after all doses have been administered.

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

6. Container contents and additional information

Composition of Fortacin

  • The active ingredients are lidocaine and prilocaine.
  • Each ml of solution contains 150 mg of lidocaine and 50 mg of prilocaine.
  • Each spray discharge contains 50 microliters which contain 7.5 mg of lidocaine and 2.5 mg of prilocaine.
  • 1 dose is equivalent to 3 sprays.
  • The other component is norflurane.

Appearance of Fortacin and container contents

Fortacin is a colorless or light yellow solution for cutaneous spray, in an aluminum spray container with a dosing valve.

Each box contains 1 spray container with 6.5 ml or 5 ml of solution.

  • Each 6.5 ml spray container provides a minimum of 20 doses.
  • Each 5 ml spray container provides a minimum of 12 doses.

Marketing authorization holder

Recordati Ireland Ltd.

Raheens East

Ringaskiddy Co. Cork

Ireland

Manufacturer

Pharmaserve (North West) Ltd

9 Arkwright Road

Astmoor Industrial Estate

Runcorn WA7 1NU

United Kingdom

Recordati Industria Chimica e Farmaceutica S.p.A.

Via Matteo Civitali 1

20148 Milano

Italy

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

BelgiumLithuania

Recordati Ireland Ltd. Recordati Ireland Ltd.

Tel: + 353 21 4379400 Tel: + 353 21 4379400

GreeceLuxembourg

Recordati Ireland Ltd. Recordati Ireland Ltd.

Tel: + 353 21 4379400 Tel: + 353 21 4379400

Czech RepublicHungary

Herbacos Recordati s.r.o. Recordati Ireland Ltd.

Tel: + 420 466 741 915 Tel: + 353 21 4379400

DenmarkMalta

Recordati Ireland Ltd. Recordati Ireland Ltd.

Tel: + 353 21 4379400 Tel: + 353 21 4379400

GermanyNetherlands

Recordati Pharma GmbH Recordati Ireland Ltd.

Tel: + 49 (0) 731 7047 0 Tel: + 353 21 4379400

EstoniaNorway

Recordati Ireland Ltd. Recordati Ireland Ltd.

Tel: + 353 21 4379400 Tel: + 353 21 4379400

GreeceAustria

Recordati Hellas Pharmaceuticals A.E. Recordati Ireland Ltd.

Tel: + 30 210-6773822 Tel: + 353 21 4379400

SpainPoland

Casen Recordati, S.L. RECORDATI POLSKA sp. z o.o.

Tel: + 34 91 659 15 50 Tel: + 48 22 206 84 50

FrancePortugal

Laboratoires BOUCHARA-RECORDATI Jaba Recordati, S.A.

Tel: + 33 1 45 19 10 00 Tel: + 351 21 432 95 00

CroatiaRomania

Recordati Ireland Ltd. Recordati România S.R.L.

Tel: + 353 21 4379400 Tel: + 40 21 667 17 41

IrelandSlovenia

Recordati Ireland Ltd. Recordati Ireland Ltd.

Tel: + 353 21 4379400 Tel: + 353 21 4379400

IcelandSlovakia

Recordati Ireland Ltd. Herbacos Recordati s.r.o.

Tel: + 353 21 4379400 Tel: + 420 466 741 915

ItalyFinland

Recordati Industria Chimica e Farmaceutica S.p.A. Recordati Ireland Ltd.

Tel: + 39 02 487871 Tel: + 353 21 4379400

CyprusSweden

Recordati Ireland Ltd. Recordati Ireland Ltd.

Tel: + 353 21 4379400 Tel: + 353 21 4379400

LatviaUnited Kingdom

Recordati Ireland Ltd. Recordati Pharmaceuticals Ltd.

Tel: + 353 21 4379400 Tel: + 44 (0) 1491 576 336

Date of the last revision of this leaflet:{MM/AAAA} Other sources of information

Detailed and updated information about this medication is available by scanning the QR code below and on the packaging with a smartphone.

This same information is available at the following URL: www.fortacin.eu QR code www.fortacin.eu

Detailed information about this medication is available on the website of the European Medicines Agency: http://www.ema.europa.eu.

Online doctors for FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION

Discuss questions about FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General 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(24)

Taisiia Proida

Psychiatry7 years of experience

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.

Book a video appointment
€156
Doctor
5.0(3)

Lina Travkina

General 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(20)

Nuno Tavares Lopes

General 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 FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION Prescription Online

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Frequently Asked Questions

FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION is combinations. This information helps identify medicines with the same composition but different brand names.

FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION is manufactured by Recordati Ireland Limited. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

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 FORTACIN 150 mg/mL + 50 mg/mL CUTANEOUS SPRAY SOLUTION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (combinations) include ANAMAP 25 mg/g + 25 mg/g CREAM, ANESTDERMA 25 mg/g + 25 mg/g CREAM, ANESTOPIC 25 mg/g + 25 mg/g CREAM. 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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