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GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

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5.0 (196)
Doctor

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.

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 GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

Translated with AI

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

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Introduction

Package Leaflet: Information for the User

Ganciclovir Hikma 500 mg powder for concentrate for solution for infusion EFG

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. It may harm them, even if their signs of illness are the same as yours.

? If you get 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 is Ganciclovir Hikma and what is it used for
  2. What you need to know before you use Ganciclovir Hikma
  3. How to use Ganciclovir Hikma
  4. Possible side effects
  5. Storage of Ganciclovir Hikma
  6. Contents of the pack and other information

1. What is Ganciclovir Hikma and what is it used for

What is Ganciclovir Hikma

Ganciclovir Hikma contains the active substance ganciclovir. It belongs to a group of medicines called antivirals.

What is Ganciclovir Hikma used for

Ganciclovir Hikma is used to treat diseases caused by a virus called cytomegalovirus (CMV) in adult patients and adolescents from 12 years of age with a weakened immune system. It is also used to prevent CMV infection after organ transplantation or during chemotherapy in adults and in children from birth.

? The virus can affect any part of the body. Including the retina at the back of the eye – this means the virus can cause vision problems.

? The virus can affect anyone, but it is a particular problem for people with a weakened immune system. In these people, the CMV virus can cause serious illness. A weakened immune system can be caused by other diseases (such as AIDS) or by medicines (such as chemotherapy or immunosuppressants).

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 use Ganciclovir Hikma

Do not use Ganciclovir Hikma:

? if you are allergic to ganciclovir, valganciclovir, or any of the other ingredients of this medicine (listed in section 6).

? if you are breast-feeding (see sub-section “Breast-feeding”).

Do not use ganciclovir if any of the above applies to you. If you are not sure, consult your doctor, pharmacist, or nurse before using this medicine.

Warnings and precautions

Tell your doctor, pharmacist, or nurse before starting to use ganciclovir if:

? you are allergic to aciclovir, valaciclovir, penciclovir, or famciclovir - these are other medicines used to treat viral infections

? you have a low number of white blood cells, red blood cells, or platelets in your blood - your doctor will perform blood tests before starting and during your treatment

? you have had problems with your blood cell count in the past due to medicines

? you have kidney problems - your doctor may prescribe a lower dose and may need to perform blood tests more frequently during your treatment.

? you are receiving radiotherapy.

If any of the above applies to you (or you are not sure), consult your doctor, pharmacist, or nurse before using ganciclovir.

Monitor for side effects

Ganciclovir can cause serious side effects that you need to report to your doctor immediately. Monitor the serious side effects listed in Section 4, and if you experience any while using ganciclovir, tell your doctor - your doctor may tell you to stop using ganciclovir and may need urgent medical treatment.

Tests and checks

Your doctor will perform regular blood tests during treatment with ganciclovir. This is to check that the dose being used is right for you. During the first two weeks, these blood tests will be performed frequently. After that, the tests will be performed less frequently.

Children and adolescents

There is limited information on the safety and efficacy of ganciclovir in the treatment of CMV disease in children under 12 years of age. Periodic blood tests will be performed on newborns and infants treated with ganciclovir for the prevention of CMV disease.

Other medicines and Ganciclovir Hikma

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

In particular, tell your doctor or pharmacist if you are taking any of the following medicines:

? imipenem/cilastatin - used for bacterial infections,

? pentamidine - used for infections caused by parasites or in the lungs,

? flucytosine, amphotericin B - used for fungal infections,

? trimethoprim, trimethoprim/sulfamethoxazole, dapsone - used for bacterial infections,

? probenecid - used for gout,

? mycophenolate mofetil, cyclosporine, tacrolimus - used after organ transplantation,

? vincristine, vinblastine, doxorubicin - used for cancer,

? hydroxyurea - used for a condition called ‘polycythemia’, sickle cell disease, and cancer,

? didanosine, stavudine, zidovudine, tenofovir, or other medicines used for HIV,

? adefovir or any other medicine used for the treatment of Hepatitis B.

If any of the above applies to you (or you are not sure), consult your doctor or pharmacist before using ganciclovir.

Pregnancy, breast-feeding, and fertility

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

Pregnancy

Ganciclovir should not be used by pregnant women unless the benefits to the mother outweigh the potential risks to the fetus. If you are pregnant or think you may be pregnant, do not take this medicine unless your doctor tells you to. This is because ganciclovir may harm the fetus.

If you or your partner become pregnant while using ganciclovir, talk to your doctor immediately.

Contraception - Women

You must not become pregnant while using this medicine. This is because it may affect the fetus. If you are a woman of childbearing age, you must use a contraceptive method while using ganciclovir. You must also use it for at least 28 days after finishing treatment with ganciclovir.

Contraception - Men

If you are a man, whose female partner could become pregnant, use condoms plus an additional contraceptive method while using ganciclovir. Continue to use it for at least 95 days after finishing treatment with ganciclovir.

Breast-feeding

Do not use ganciclovir if you are breast-feeding. If your doctor wants to start treating you with ganciclovir, you must stop breast-feeding before starting to use this medicine. This is because ganciclovir may pass into breast milk.

Fertility

Ganciclovir may affect fertility. Ganciclovir may temporarily or permanently stop sperm production in men. If you are planning to have a child, consult your doctor or pharmacist before using ganciclovir.

Driving and using machines

You may feel drowsy, dizzy, confused, or agitated, or you may lose your balance or have seizures while using ganciclovir. If this happens, do not drive or use tools or machinery.

Ganciclovir Hikma contains sodium

This medicine contains 43 mg of sodium (the main component of cooking/table salt) in each 500 mg vial. This is equivalent to 2% of the maximum recommended daily intake of sodium for an adult.

3. How to use Ganciclovir Hikma

Use of this medicine

Your doctor or nurse will give you ganciclovir. It will be given to you through a tube in your vein. This is called “intravenous infusion” and will take about one hour.

The dose of ganciclovir varies from person to person. Your doctor will calculate the dose you need. This dose will depend on:

? your weight (in children, height is also taken into account),

? your age,

? how well your kidneys are working,

? your blood cell count,

? what you are using the medicine for.

The frequency at which you will be given ganciclovir and the length of time you will need to use it may also vary.

? You will usually start by receiving one or two infusions a day.

? If you receive two infusions a day, you will continue like this for 21 days.

? After that, your doctor may prescribe one infusion a day.

People with kidney or blood problems

If you have any kidney or blood problems, your doctor may recommend a lower dose of ganciclovir and check your blood cell count more frequently during treatment.

If you use more Ganciclovir Hikma than you should

If you think you have been given too much ganciclovir, talk to your doctor or go to the hospital immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, telephone 91 562 04 20, stating the medicine and the amount taken.

You may have the following symptoms if you use too much:

? stomach pain, diarrhea, or nausea

? tremors or seizures

? blood in your urine

? liver or kidney problems

? changes in your blood cell count.

If you stop using Ganciclovir Hikma

Do not stop using ganciclovir without talking to your doctor.

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

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 medicine can cause side effects, although not everybody gets them.

Serious side effects

Tell your doctor immediately if you get any of the following serious side effects - your doctor may tell you to stop using ganciclovir and may need urgent medical treatment:

Very common:may affect more than 1 in 10 people

? decrease in the number of white blood cells - with signs of infection such as sore throat, mouth ulcers, or fever

? decrease in the number of red blood cells - symptoms include feeling short of breath or tired, palpitations, or pale skin.

Common:may affect up to 1 in 10 people

? blood infection (sepsis) - with signs that include fever, chills, palpitations, confusion, and difficulty speaking

? decrease in the number of platelets - symptoms include bleeding and bruising more easily than normal, blood in urine or stools, or bleeding gums, these bleeding events can be serious

? severe decrease in the number of blood cells

? pancreatitis with signs such as severe stomach pain that radiates to the back

? seizures.

Uncommon:may affect up to 1 in 100 people

? inability of the bone marrow to produce blood cells

? hallucinations - seeing or hearing things that are not real

? disturbed thinking or feelings, loss of contact with reality

? kidney failure.

Rare:may affect up to 1 in 1,000 people

? severe allergic reaction - symptoms can include redness and itching of the skin, swelling of the throat, face, lips, or mouth, difficulty swallowing or breathing.

Tell your doctor immediately if you notice any of the above side effects.

Other side effects

If you get any of the following side effects, tell your doctor, pharmacist, or nurse.

Very common:may affect more than 1 in 10 people

? candidiasis and oral candidiasis

? upper respiratory tract infection (e.g., sinusitis, tonsillitis)

? loss of appetite

? headache

  • cough

? shortness of breath

? diarrhea

? nausea and vomiting

? abdominal pain

? eczema

? fatigue

? fever.

Common:may affect up to 1 in 10 people

? flu

  • urinary tract infection, with signs that include fever, frequent urination, pain when urinating
  • skin and subcutaneous tissue infections
  • mild allergic reactions, with signs that include redness and swelling of the skin
  • weight loss
  • feeling depressed, anxious, or confused

? difficulty sleeping

  • numbness or weakness in hands and feet, which can affect your balance
  • changes in sense of touch, tingling, prickling, or burning sensations
  • changes in taste
  • chills
  • eye inflammation (conjunctivitis), eye pain, or vision problems
  • ear pain
  • low blood pressure, which can make you feel dizzy or have blurred vision
  • difficulty swallowing
  • constipation, gas, indigestion, stomach pain, abdominal distension
  • mouth ulcers
  • abnormal liver and kidney laboratory test results

? night sweats

  • itching, rash
  • hair loss
  • back pain, muscle or joint pain, muscle spasms

? feeling dizzy, weak, or unwell

? skin reaction at the injection site - such as inflammation, pain, and swelling.

Uncommon:may affect up to 1 in 100 people

? agitation

  • tremors

? deafness

  • irregular heartbeat

? hives, dry skin

? blood in the urine

? infertility in men - see section “Fertility”

  • chest pain

Other side effects in children and adolescents

A decrease in the number of blood cells is more likely in children, especially in babies and infants.

Reporting of side effects

If you get 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 Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Ganciclovir Hikma

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 carton after EXP. The expiry date refers to the last day of the month shown.

Powder:

No special storage conditions are required.

After reconstitution:

Do not refrigerate or freeze.

The chemical and physical stability during handling has been demonstrated for the reconstituted product for 12 hours at 25 ºC after dissolving with water for injection.

From a microbiological point of view, the reconstituted solution should be used immediately. If not used immediately, the storage times and conditions before use are the responsibility of the user.

After dilution:

Do not freeze.

The chemical and physical stability during use has been demonstrated for 24 hours at 2 – 8 ºC.

From a microbiological point of view, the ganciclovir infusion solution should be used immediately. If not used immediately, the storage times and conditions before use are the responsibility of the user.

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 ofGanciclovir Hikma

The active ingredient is ganciclovir. Each glass vial contains 500 mg of ganciclovir (as ganciclovir sodium). After reconstitution of the powder with 10 mL, each mL of solution contains 50 mg of ganciclovir.

The other components (excipients) are sodium hydroxide and hydrochloric acid for pH adjustment.

Appearance of the Product and Container Contents

Ganciclovir Hikma is a white to off-white powder for concentrate for solution for infusion, packaged in a single-dose glass vial with a rubber stopper and flip-off cap. The color of the reconstituted Ganciclovir Hikma solution ranges from colorless to light yellow.

The vials of Ganciclovir Hikma are presented in packs of 1 or 5 vials.

Only certain pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Hikma Farmacêutica (Portugal), S.A.

Estrada do Rio da Mó 8, 8A e 8B

Fervença

2705-906 Terrugem SNT

Portugal

Manufacturer

Thymoorgan Pharmazie GmbH

Schiffgraben 23

38690 Goslar

Germany

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

Hikma España, S.L.U.

Calle Anabel Segura nº11, Edificio A, planta 1ª, oficina 2

28108 - Alcobendas, Madrid

Spain

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Germany: Ganciclovir Hikma 500 mg Powder for concentrate for solution for infusion

Austria: Ganciclovir Hikma 500 mg Powder for concentrate for solution for infusion

France: Ganciclovir Hikma 500 mg, powder for solution for infusion

Italy: Ganciclovir Hikma

Spain: Ganciclovir Hikma 500 mg powder for concentrate for solution for infusion EFG

Portugal: Ganciclovir Hikma

Date of the last revision of thisleaflet: January 2024

Other sources of information

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

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This information is intended only for healthcare professionals:

INSTRUCTIONS FOR USE AND HANDLING

Please consult the product's technical sheet for complete prescribing information.

Precautionsto be takenwhen handlingGanciclovir Hikma:

Since Ganciclovir Hikma is considered potentially teratogenic and carcinogenic in humans, caution should be exercised when handling it. Avoid inhaling or coming into direct contact with the powder in the vials or direct contact with the reconstituted solution on the skin or mucous membranes. Ganciclovir Hikma solutions are alkaline (pH ~ 11). If this occurs, wash the area carefully and thoroughly with soap and water and rinse the eyes completely with plenty of water.

Method of administration

Warning: Ganciclovir must be administered by intravenous infusion over 1 hour, with a concentration that should not exceed 10 mg/mL. It should not be administered as a bolus or rapid intravenous injection because the resulting high plasma levels may increase the toxicity of ganciclovir.

Do not administer by intramuscular or subcutaneous injection, as it may cause intense tissue irritation due to the high pH (~ 11) of the ganciclovir solution.

Do not exceed the recommended dose, frequency, and infusion rate.

Infusion should be performed in veins with adequate blood flow, preferably through a plastic cannula.

Preparation of the reconstituted concentrate

Aseptic technique should be used during the reconstitution of ganciclovir lyophilized powder.

  1. Remove the flip-off cap to expose the central part of the rubber stopper. Withdraw 10 mL of water for injection with a syringe and then slowly inject it through the center of the rubber stopper into the vial with the needle directed towards the vial wall. Do not use bacteriostatic water for injection that contains parabens (para-hydroxybenzoates), as they are incompatible with ganciclovir. Rotate the vial slightly to ensure complete wetting of the product.
  2. Rotate the vial slightly for a few minutes until a clear reconstituted solution is obtained.
  3. The reconstituted solution should be carefully checked to ensure the dissolution of the product and that it is practically free of visible particles before proceeding to dilution with a compatible solvent. The color of the reconstituted ganciclovir solution ranges from colorless to light yellow.

Preparation of the final diluted solution for infusion

Based on the patient's body weight, withdraw the necessary volume from the vial with a syringe and then dilute it in a suitable infusion liquid. Add a volume of 100 mL of the solvent to the reconstituted solution. Concentrations of infusion greater than 10 mg/mL are not recommended.

Sodium chloride, 5% dextrose, Ringer's, and Ringer's lactate solutions for injection have been shown to be chemically or physically compatible with Ganciclovir. Ganciclovir should not be mixed with other intravenous products.

Disposal

It is for single use. The disposal of unused medicinal products and any waste materials should be carried out in accordance with local regulations.

Online doctors for GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

Discuss questions about GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

4.6 (76)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate

Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

0.0 (11)
Doctor

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.

0.0 (0)
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.
5.0 (1235)
Doctor

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.

0.0 (18)
Doctor

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
5.0 (196)
Doctor

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 (55)
Doctor

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.

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.

Get GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION Prescription Online

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Frequently Asked Questions

Is a prescription required for GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION?

GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

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The active ingredient in GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION is ganciclovir. This information helps identify medicines with the same composition but different brand names.

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GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION is manufactured by Hikma Farmaceutica (Portugal) S.A.. Pharmacy brands and packaging may differ depending on the distributor.

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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 GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

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What are the alternatives to GANCICLOVIR HIKMA 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION?

Other medicines with the same active substance (ganciclovir) include CYMEVENE 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION, GANCICLOVIR ACCORD 500 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION, ACICLOVIR ACCORD 25 mg/ml CONCENTRATE FOR INFUSION SOLUTION. 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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