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IBEROGAST ORAL DROPS IN SOLUTION

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About the medicine

How to use IBEROGAST ORAL DROPS IN SOLUTION

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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 PATIENT

Iberogast

Oral drops in solution

Liquid ethanol extracts of white hawthorn, angelica roots, chamomile flowers, caraway fruits, milk thistle fruits, lemon balm leaves, peppermint leaves, celandine, and licorice root.

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

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

  • Keep this package leaflet, as 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, pharmacist, or nurse, even if they are side effects not listed in this package leaflet. See section 4.
  • You should consult a doctor if your symptoms worsen or do not improve after 7 days of treatment.

Contents of the package leaflet

  1. What is Iberogast and what is it used for
  2. What you need to know before taking Iberogast
  3. How to take Iberogast
  4. Possible side effects
  5. Storage of Iberogast
  6. Package contents and additional information

1. What is Iberogast and what is it used for

Iberogast is a plant-based medication that contains liquid ethanol extracts of white hawthorn, angelica roots, chamomile flowers, caraway fruits, milk thistle fruits, lemon balm leaves, peppermint leaves, celandine, and licorice root.

This medication is indicated for the treatment of gastrointestinal disorders such as dyspepsia (digestive disorder) and gastritis (stomach inflammation), as well as for the relief of associated symptoms, stomach pain, abdominal bloating, flatulence, gastrointestinal colic, nausea, and heartburn.

Iberogast is indicated for adults and adolescents over 12 years of age.

You should consult a doctor if your symptoms worsen or do not improve after 7 days of treatment.

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 taking Iberogast

Do not take Iberogast

If you are allergic to the active substances or to any other component of this medication (listed in section 6).

If you have or have had liver disease or if you are taking medications that include liver damage as a side effect in the package leaflet. In case of doubt, consult your doctor or pharmacist.

Warnings and precautions

Consult your doctor, pharmacist, or nurse if symptoms persist or if the expected results are not obtained despite treatment.

Be aware of signs and symptoms that may indicate that your liver is not functioning properly.

If you notice that your skin or eyes are yellowish, your urine is dark, your stools are discolored, or you have pain in the upper abdomen, stop taking Iberogast immediately and consult your doctor. These may be symptoms of liver damage.

Children and Adolescents

Children under 12 years of age should not use this medication, as there is not enough clinical information available.

If your symptoms do not improve within 7 days or worsen, consult your doctor so that they can rule out other serious diseases.

Other medications and Iberogast

No interactions with other medications are known to date.

Inform your doctor or pharmacist if you are taking, have recently taken, or may take any other medication.

Taking Iberogast with food and drinks

No interactions with food and drinks are known.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

No studies have been conducted to establish the safety of using this medication during pregnancy or breastfeeding, so it should not be administered in these circumstances.

Driving and using machines

Iberogast contains ethanol (alcohol). At the recommended doses of the medication, the amounts of alcohol ingested are not expected to affect driving ability or machine operation. However, it may decrease reaction time, so it is not recommended to drive vehicles or operate machinery that requires special attention until it is verified that the ability to perform these tasks is not affected.

Important information about certain ingredients of Iberogast

Iberogast contains 31% (V/V) ethanol (alcohol), which corresponds to 240 mg of ethanol in 20 drops (per unit dose), equivalent to 6.2 ml of beer or 2.6 ml of wine. This medication is harmful to people with alcoholism. The alcohol content should be taken into account in the case of pregnant or breastfeeding women, children, and high-risk populations, such as patients with liver disease or epilepsy.

Iberogast contains less than 0.1 IU per 20 drops (unit dose).

3. How to take Iberogast

Follow exactly the administration instructions of this medication contained in this package leaflet or as indicated by your doctor, pharmacist, or nurse. In case of doubt, ask your doctor, pharmacist, or nurse.

The normal recommended dose is:

Adults and adolescents over 12 years of age: take 20 drops of Iberogast, 3 times a day before or during meals, with a little liquid. The bottle should be tilted during dripping (at a 45-degree angle).

If symptoms persist or worsen after 7 days of treatment, consult your doctor.

After 2 months of using the medication, consult your doctor about the possibility of continuing treatment. The duration of treatment depends on the type, severity, and evolution of the disease.

Remember to shake the medication before use.

Use in children and adolescents:

Administration of this medication is not recommended for children under 12 years of age.

If you take more Iberogast than you should

To date, there have been no cases of acute overdose. However, the alcohol content present in the product should be considered.

In case of overdose, the described side effects may be enhanced. In case of accidental ingestion, consult your pharmacist or doctor immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the product and the amount ingested.

If you forget to take Iberogast

If you have forgotten to take Iberogast, the next dose will be taken as described in the instructions of this package leaflet or according to the dose indicated by your doctor. Do not take a double dose to make up for the forgotten dose.

If you have any other questions about the use of this medication, 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 medications, Iberogast can cause side effects, although not everyone will experience them.

Very rare(may affect up to 1 in 10,000 people): hypersensitivity reactions such as skin rashes, itching, or difficulty breathing.

Frequency not known(cannot be estimated from available data): liver damage (increased liver values, drug-related jaundice, hepatitis, and liver failure) has been reported; if you notice symptoms such as yellowish skin or eyes, dark urine, discolored stools, or pain in the upper abdomen, stop taking Iberogast immediately and consult your doctor. These may be symptoms of liver damage.

In case of a reaction to the medication, stop taking the medication and consult a doctor immediately. They will be able to assess the severity of the reaction and determine any additional necessary measures.

If you experience side effects, consult your doctor, pharmacist, or nurse, even if they are side effects not listed in this package leaflet.

Reporting side effects:

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect not listed in this package leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medications: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Iberogast

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

Do not store at a temperature above 25°C.

Do not use this medication after the expiration date shown on the packaging after EXP. The expiration date is the last day of the month indicated.

Consume Iberogast within 8 weeks after opening the packaging.

Medications should not be thrown down the drain or into the trash. Deposit the packaging and medications you no longer need at the SIGRE collection point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Iberogast

Each ml of oral drops (equivalent to 20 drops) contains:

Liquid ethanol extract (50% (V/V)):

0.15 ml of fresh white hawthorn plants (Iberis amara L) (1:1.5-2.5);

Liquid ethanol extracts (30% (V/V)):

0.2 ml of chamomile flowers (Matricaria recutita L) (1:2-4);

0.1 ml of angelica root (Angelica archangelica L) (1:2.5-3.5);

0.1 ml of caraway fruit (Carum carvi L) (1:2.5-3.5);

0.1 ml of celandine (Chelidonium majus L) (1:2.5-3.5);

0.1 ml of licorice root (Glycyrrhiza glabra L) (1:2.5-3.5);

0.1 ml of lemon balm leaves (Melissa officinalis L) (1:2.5-3.5);

0.1 ml of milk thistle fruit (Silybum marianum L Gaertner) (1:2.5-3.5) and

0.05 ml of peppermint leaves (Mentha piperita L) (1:2.5-3.5)

The other components (excipients) are:

The medication contains 31% (V/V) ethanol.

Appearance of the product and package contents

Dark brown liquid, transparent or slightly turbid with a characteristic odor and bitter taste.

Due to the characteristics of the medication, it may happen that Iberogast presents precipitates or turbidity; if this occurs, it will not affect the efficacy of the preparation.

The medication is presented in a brown glass bottle with a dropper and screw cap. It is available in 3 package sizes: 20 ml, 50 ml, and 100 ml.

Marketing authorization holder

Bayer Hispania, S.L.

Av. Baix Llobregat, 3-5

08970 Sant Joan Despí (Barcelona)

Manufacturer:

Steigerwald Arzneimittelwerk GmbH

Havelstrasse 5

Darmstadt D-64295

Germany

Date of the last revision of this package leaflet: April 2019

"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.es/"

INSTRUCTIONS FOR USING THE DROPPER

Separate the white cap from the green one, screw and tighten the green one to the maximum, and ensure the dropper is well inserted

Online doctors for IBEROGAST ORAL DROPS IN SOLUTION

Discuss questions about IBEROGAST ORAL DROPS IN SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (5)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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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.

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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.
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Frequently Asked Questions

Is a prescription required for IBEROGAST ORAL DROPS IN SOLUTION?
IBEROGAST ORAL DROPS IN SOLUTION does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
Who manufactures IBEROGAST ORAL DROPS IN SOLUTION?
IBEROGAST ORAL DROPS IN SOLUTION is manufactured by Bayer Hispania S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of IBEROGAST ORAL DROPS IN SOLUTION 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 IBEROGAST ORAL DROPS IN SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to IBEROGAST ORAL DROPS IN SOLUTION?
Other medicines with the same active substance () include AERO RED 40 mg CHEWABLE TABLETS, AERO-RED 120 mg CHEWABLE TABLETS, AERO-RED FORTE 240 mg SOFT CAPSULES. 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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