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IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION

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 Patient

Imipenem/Cilastatin Steriscience 500mg/500mg Powder for Solution for Infusion EFG

imipenem/cilastatin

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 or nurse.
  • 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 Imipenem/Cilastatin Steriscience is and what it is used for
  2. What you need to know before you are given Imipenem/Cilastatin Steriscience
  3. How Imipenem/Cilastatin Steriscience is given
  4. Possible side effects
  5. Storage of Imipenem/Cilastatin Steriscience
  6. Contents of the pack and other information

1. What Imipenem/Cilastatin Steriscience is and what it is used for

Imipenem/Cilastatin Steriscience contains the active substances imipenem and cilastatin. It belongs to a group of medicines called carbapenem antibiotics. It kills a wide variety of bacteria (germs) that cause infections in different parts of the body in adults and children one year of age and older.

Antibiotics are used to treat bacterial infections and will not work for viral infections such as the common cold or flu.

It is important that you follow the instructions regarding dose, administration interval, and duration of treatment as indicated by your doctor.

Do not store or reuse this medicine. If you have any leftover antibiotic after completing treatment, return it to the pharmacy for proper disposal. Do not throw medicines down the drain or into the trash.

Your doctor has prescribed Imipenem/Cilastatin because you have one (or more) of the following types of infections:

  • Complicated infections in the abdomen
  • Infection affecting the lungs (pneumonia)
  • Infections that can be contracted during or after childbirth
  • Complicated urinary tract infections
  • Complicated infections of the soft tissues and skin

Imipenem/Cilastatin may be used in the care of patients with low white blood cell counts with fever presumably due to a bacterial infection.

Imipenem/Cilastatin may be used to treat a bacterial infection of the blood that may be associated with any of the above-mentioned types of infections.

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 are given Imipenem/Cilastatin Steriscience

You should not be given Imipenem/Cilastatin Steriscience

  • if you are allergic to imipenem, cilastatin, or any of the other ingredients of this medicine (listed in section 6)
  • if you are allergic to any other carbapenem antibacterial medicine
  • if you have a severe hypersensitivity (e.g., anaphylactic reaction, extensive skin rash) to any other type of beta-lactam antibacterial medicine (e.g., penicillins or cephalosporins).

Warnings and precautions

Talk to your doctor or nurse before you start using Imipenem/Cilastatin Steriscience.

Tell your doctor about any medical condition you have or have had, including:

  • allergies to any other medicine, including antibiotics (sudden, potentially life-threatening allergic reactions that require immediate medical treatment)
  • colitis or any other gastrointestinal disease
  • any central nervous system disorder such as localized tremors or seizure (convulsions)
  • liver, kidney, or urinary problems

Blood tests

You may have a positive test (Coombs test), which indicates the presence of antibodies that can destroy red blood cells. Your doctor will discuss this with you.

Children

Imipenem/Cilastatin Steriscience is not recommended for use in children under one year of age or in children with kidney problems.

Other medicines and Imipenem/Cilastatin Steriscience

Tell your doctor or nurse if you are taking, have recently taken, or might take any other medicines.

Tell your doctor if you are taking:

  • ganciclovir (used to treat some viral infections)
  • valproic acid or sodium valproate (used to treat epilepsy, bipolar disorder, migraines, or schizophrenia)
  • medicines used to prevent blood clotting, such as warfarin
  • Probenecid (minimal increase in imipenem plasma half-life)

Your doctor will decide whether you should use Imipenem/Cilastatin Steriscience in combination with these medicines.

Pregnancy and breastfeeding

Pregnancy

If you are pregnant, think you may be pregnant, or plan to become pregnant, consult your doctor before receiving this medicine. Imipenem/Cilastatin Steriscience has not been studied in pregnant women. This medicine should not be used during pregnancy unless your doctor decides that the potential benefit justifies the potential risk to the developing baby.

Breastfeeding

Tell your doctor if you are breastfeeding or plan to breastfeed before receiving Imipenem/Cilastatin Steriscience. Small amounts of this medicine may be excreted in breast milk and affect your baby. Therefore, your doctor will decide whether you should use this medicine during breastfeeding.

Driving and using machines

There are some side effects associated with this medicine (such as seeing, hearing, or feeling things that are not there, dizziness, drowsiness, and a spinning sensation) that may affect some patients' ability to drive or operate machinery (see section 4).

Imipenem/Cilastatin Steriscience contains sodium

This medicine contains 36.1 mg/1.245 mmol of sodium per vial, equivalent to 9.23% of the maximum daily intake of 2 g of sodium recommended by the WHO for an adult, which should be taken into account if you are on a low-sodium diet.

3. How Imipenem/Cilastatin Steriscience is given

A doctor or other healthcare professional will prepare and administer Imipenem/Cilastatin. Your doctor will decide how much Imipenem/Cilastatin you need.

Adults and adolescents

The usual dose for adults and adolescents is 500 mg of imipenem/500 mg of cilastatin every 6 hours, or 1,000 mg of imipenem/1,000 mg of cilastatin every 6 or 8 hours. If you have kidney problems or weigh less than 70 kg, your doctor may reduce your dose.

Children

The usual dose for children one year of age or older is 15 mg/15 mg per kg per dose every 6 hours. This medicine is not recommended for use in children under one year of age or with kidney problems.

Method of administration

After reconstitution/dilution, Imipenem/Cilastatin Steriscience is administered intravenously (into a vein) over 20 to 30 minutes for doses of ≤500 mg/500 mg or over 40 to 60 minutes for doses of >500 mg/500 mg. The infusion rate may be reduced in patients who develop nausea during infusion.

If you receive more Imipenem/Cilastatin than you should

Symptoms of overdose may include seizures, confusion, tremors, nausea, vomiting, low blood pressure, and decreased heart rate. If you are concerned that you have received too much Imipenem/Cilastatin, consult your doctor or another healthcare professional immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.

If you miss a dose of Imipenem/Cilastatin Steriscience

If you are concerned that you have missed a dose, consult your doctor or another healthcare professional immediately.

Do not take a double dose to make up for missed doses.

If you stop treatment with Imipenem/Cilastatin Steriscience

Do not stop treatment with Imipenem/Cilastatin until your doctor tells you to.

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

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

The following side effects may occur rarely:

  • Allergic reactions including rash, swelling of the face, lips, tongue, and/or throat (with difficulty breathing or swallowing), and/or low blood pressure. If these side effects occur while you are receiving or after receiving Imipenem/Cilastatin Steriscience, the administration of the medicine should be stopped immediately and your doctor should be informed immediately.
  • Severe skin reactions (Stevens-Johnson syndrome and erythema multiforme)

Exfoliative dermatitis

Other side effects

Common (may affect up to 1 in 10 people)

  • Nausea, vomiting, diarrhea. Nausea and vomiting are more frequent in patients with a reduced number of white blood cells
  • Swelling and redness along a vein, extremely painful to the touch
  • Rash
  • Abnormal liver function detected in blood tests
  • Increased white blood cell count

Uncommon (may affect up to 1 in 100 people)

  • Local skin redness
  • Pain and formation of a firm nodule at the injection site
  • Itching of the skin
  • Hives
  • Fever
  • Blood disorders that affect the cellular components of the blood and are usually detected in blood tests (symptoms may include fatigue, pale skin, and prolonged bruising after injury)
  • Abnormal kidney, liver, and blood function detected in blood tests
  • Tremors and uncontrolled muscle twitching
  • Seizures (convulsions)
  • Psychiatric disorders (such as mood changes and altered mental faculties)
  • Seeing, hearing, or feeling things that are not there (hallucinations)
  • Confusion
  • Dizziness, drowsiness
  • Low blood pressure

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

  • Peeling of the skin (toxic epidermal necrolysis)
  • Severe skin rash with skin and hair loss
  • Fungal infection (candidiasis)
  • Discoloration of teeth and/or tongue
  • Inflammation of the colon with severe diarrhea
  • Taste disorders
  • Failure of the liver to perform its normal function
  • Inflammation of the liver
  • Failure of the kidney to perform its normal function
  • Changes in urine quantity, changes in urine color
  • Brain disease, tingling sensation (numbness), localized tremor
  • Hearing loss

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

  • Severe liver failure due to inflammation (fulminant hepatitis)
  • Inflammation of the stomach or intestine (gastroenteritis)
  • Inflammation of the intestine with bloody diarrhea (hemorrhagic colitis)
  • Swelling and redness of the tongue, overgrowth of the normal projections of the tongue that give it a hairy appearance, heartburn, sore throat, increased saliva production
  • Stomach pain
  • Spinning sensation (vertigo), headache
  • Ringing in the ears (tinnitus)
  • Pain in several joints, weakness
  • Irregular heartbeat, heartbeat is forceful or rapid
  • Chest discomfort, difficulty breathing, abnormally rapid and shallow breathing, pain in the upper back
  • Flushing, bluish discoloration of the face and lips, changes in skin texture, excessive sweating
  • Vulvar itching in women
  • Changes in blood cell counts
  • Worsening of a rare disease associated with muscle weakness (worsening of myasthenia gravis)

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Imipenem/Cilastatin Steriscience

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

Do not store above 25°C.

Shelf-life after reconstitution and dilution:

The diluted solutions should be used immediately. The time between the start of reconstitution and the end of intravenous infusion should not exceed two hours.

Do not refrigerate or freeze.

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. Contents of the pack and other information

Composition of Imipenem/Cilastatin Steriscience

  • The active substances are imipenem and cilastatin.

Each vial contains imipenem monohydrate equivalent to 500 mg of imipenem and cilastatin sodium equivalent to 500 mg of cilastatin.

  • The other ingredient is sodium hydrogencarbonate.

Appearance and pack size

Imipenem/Cilastatin Steriscience is a white or almost white powder for solution for infusion, which comes in a 20 ml Type I glass vial with a bromobutyl rubber stopper and an aluminum flip-off seal.

Pack sizes: 1 and 10 vials.

Not all pack sizes may be marketed.

Marketing authorization holder

Steriscience B.V.

Kranenburgweg 135-A

2583 ER The Hague

Netherlands

Manufacturer

Pharma Revolta s.r.o.

Rybné námestie 1

811 02 Bratislava

Slovakia

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

Germany:

Imipenem/Cilastatin Steriscience 500 mg/500 mg Powder for Solution for Infusion

France:

IMIPENEM/CILASTATINE STERISCIENCE 500 mg/500 mg, powder for solution for infusion

Hungary:

Imipenem/Cilastatin 500mg/500mg por oldathoz Injekció

Poland:

Imipenem + Cilastatin Steriscience

Romania:

Imipenem/Cilastatin Steriscience 500 mg/500 mg Pulbere pentru solutie perfuzabila

Spain:

Imipenem/Cilastatina Steriscience 500 mg/500 mg polvo para solución para perfusión

Italy:

Imipenem e Cilastatina Steriscience

Sweden:

Imipenem/Cilastatin Steriscience 500 mg/500 mg Pulver till infusionsvätska, lösning

This leaflet was approved in {June/2023}.

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

---------------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

Each vial is for single use.

Reconstitution/dilution

The contents of each vial should be transferred to 100 ml of a suitable solution for infusion (see "Incompatibilities" below and "Shelf-life after reconstitution and dilution" in section 5 above): sodium chloride 9 mg/ml (0.9%) injection solution. In exceptional circumstances where a 9 mg/ml (0.9%) sodium chloride injection solution cannot be used for clinical reasons, 5% glucose may be used instead.

A suggested procedure is to add approximately 10 ml of the infusion solution to the vial.

Shake well and transfer the resulting mixture to the infusion solution container.

CAUTION: THE MIXTURE IS NOT FOR DIRECT INFUSION.

Repeat with another 10 ml of infusion solution to ensure complete transfer of the vial contents to the infusion solution. The resulting mixture should be shaken until a clear solution is obtained.

The concentration of the reconstituted solution using the above method is approximately 5 mg/ml of both imipenem and cilastatin.

The solution should only be used if it is clear and free of particles.

The infusion solution should be visually inspected before administration. The solid should be completely dissolved without visible particles. Only clear solutions without particles should be used.

Color variations, from colorless to yellow, do not affect the efficacy of the medicine.

This medicine should not be mixed with other medicines except those mentioned in the "Reconstitution/dilution" section above.

The disposal of unused medicine and all materials that have come into contact with it will be carried out in accordance with local regulations.

Incompatibilities

This medicine is chemically incompatible with lactate and should not be reconstituted with diluents containing lactate. However, it may be administered with an intravenous system through which a lactate solution is infused.

Online doctors for IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION

Discuss questions about IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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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.

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Doctor

Rita Isabel Calero Garcia

General medicine 2 years exp.

Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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Antonio Cayatte

General medicine 44 years exp.

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

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

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

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

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

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Anna Biriukova

General medicine 6 years exp.

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

Cardiology – Diagnosis and treatment of:

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

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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 IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION Prescription Online

1

Fill in a 2-min form

Tell us your symptoms, history, and what medicine you're requesting.

2

Pick a doctor or let us assign

Choose a specialist or we'll match you with the next available doctor.

3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

Collect from any pharmacy

Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION?

IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION?

The active ingredient in IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION is imipenem and cilastatin. This information helps identify medicines with the same composition but different brand names.

Who manufactures IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION?

IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION is manufactured by Steriscience B.V.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION 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 IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION?

Other medicines with the same active substance (imipenem and cilastatin) include IMIPENEM/CILASTATIN Aurovitas 500 mg/500 mg Powder for Solution for Infusion, IMIPENEM/CILASTATIN HIKMA 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION, IMIPENEM/CILASTATIN KABI 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION. 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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