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IMIPENEM/CILASTATIN Aurovitas 500 mg/500 mg Powder for Solution for Infusion

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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.

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 Aurovitas 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 User

Imipenem/Cilastatin Aurovitas 500 mg/500 mgpowder 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 or pharmacist.
  • 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 Imipenem/Cilastatin Aurovitas and what is it used for
  2. What you need to know before you use Imipenem/Cilastatin Aurovitas
  3. How to use Imipenem/Cilastatin Aurovitas
  4. Possible side effects
  5. Storage of Imipenem/Cilastatin Aurovitas
  6. Contents of the pack and other information

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

Imipenem/cilastatin belongs to a group of medicines called carbapenem antibiotics. It eliminates a wide variety of bacteria (germs) that cause infections in different parts of the body in adults and children over one year of age.

Antibiotics are used to treat bacterial infections and are not effective against viral infections such as the flu or the common cold.

It is essential that you follow the instructions regarding dosage, administration, and duration of treatment indicated by your doctor.

Do not store or reuse this medication. 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.

Treatment

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 acquired during or after childbirth
  • Complicated urinary tract infections
  • Complicated skin and soft tissue infections

Imipenem/cilastatin can be used to treat patients with low white blood cell counts who have fever and are suspected of having a bacterial infection.

Imipenem/cilastatin can be used to treat blood infections caused by bacteria, which may be associated with one of the aforementioned 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 use Imipenem/Cilastatin Aurovitas

Do not use Imipenem/Cilastatin Aurovitas

  • If you are allergic to imipenem, cilastatin, or any of the other components of this medicine (listed in section 6).
  • If you are allergic to other antibiotics such as penicillins, cephalosporins, or carbapenems.

Warnings and precautions

Tell your doctor about any problems you have or have had, such as:

  • Allergies to any medication, including antibiotics (unexpected allergic reactions that can be life-threatening require immediate medical treatment)
  • Colitis or any other gastrointestinal disease
  • Any disorder of the central nervous system, such as localized tremors or epileptic seizures
  • Liver, kidney, or urine problems

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

Tell your doctor if you are taking valproic acid or sodium valproate (see Using Imipenem/Cilastatin Aurovitas with other medicinesbelow).

Children

Imipenem/cilastatin is not recommended for administration in children under one year of age or children with kidney problems.

Using Imipenem/Cilastatin Aurovitas with other medicines

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

Tell your doctor if you are taking ganciclovir, which is used to treat some viral infections.

Also, tell your doctor if you are taking valproic acid or sodium valproate (used to treat epilepsy, bipolar disorder, migraine, or schizophrenia) or any anticoagulant medication such as warfarin.

Your doctor will decide if you should use imipenem/cilastatin in combination with these medicines.

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 medicine.

Imipenem/cilastatin has not been studied in pregnant women. Imipenem/cilastatin should not be used during pregnancy unless your doctor decides that the potential benefit justifies the potential risk to the fetus.

Small amounts of this medicine may pass into breast milk and may affect the baby. Therefore, your doctor will decide if you should use imipenem/cilastatin during breastfeeding.

Consult your doctor or pharmacist before using any medicine.

Driving and using machines

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

Imipenem/Cilastatin Aurovitas contains sodium

Patients on low-sodium diets should note that this medicine contains 37.6 mg (1.6 mmol) of sodium per dose.

3. How to use Imipenem/Cilastatin Aurovitas

Imipenem/cilastatin will be prepared and administered by a doctor or other healthcare professional. Your doctor will decide how much imipenem/cilastatin you need.

Use in adults and adolescents

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

Use in children

The usual dose in children over one year of age is 15/15 or 25/25 mg/kg/dose every 6 hours. Imipenem/cilastatin is not recommended in children under one year of age and in children with kidney problems.

Method of administration

Imipenem/cilastatin is administered intravenously (into a vein) over 20-30 minutes for a dose of ≤500 mg/500 mg or 40-60 minutes for a dose of >500 mg/500 mg.

If you use more Imipenem/Cilastatin Aurovitas than you should

Overdose symptoms may include seizures, confusion, tremors, nausea, vomiting, low blood pressure, and slow heart rate. If you are concerned that you may have received too much imipenem/cilastatin, contact your doctor or other healthcare professional immediately.

If you forget to use Imipenem/Cilastatin Aurovitas

If you are concerned that you may have missed a dose, contact your doctor or other healthcare professional immediately.

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

If you stop using Imipenem/Cilastatin Aurovitas

Do not stop using imipenem/cilastatin until your doctor tells you to.

If you have any further questions about 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.

Common(may affect up to 1 in 10 people):

  • Nausea, vomiting, diarrhea. Nausea and vomiting seem to occur more frequently in patients with a low white blood cell count
  • Swelling and redness along a vein, extremely sensitive to touch
  • Rash
  • Liver function changes detected by blood tests
  • Increased number of some white blood cells

Uncommon(may affect up to 1 in 100 people):

  • Local skin redness
  • Localized pain and formation of a firm lump at the injection site
  • Itching of the skin
  • Hives
  • Fever
  • Blood disorders that affect cells and are usually detected by a blood test (symptoms may be fatigue, pale skin, and prolonged bruising after injuries)
  • Kidney, liver, and blood changes detected by a blood test
  • Tremors and uncontrolled muscle contractions
  • Seizures
  • Mental changes (such as mood changes and impairment of mental faculties)
  • Seeing, hearing, or feeling something that is not there (hallucinations)
  • Confusion
  • Dizziness, drowsiness
  • Low blood pressure (hypotension)

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

  • Allergic reactions such as skin rash, swelling of the face, lips, tongue, and/or throat (with difficulty breathing or swallowing) and/or low blood pressure (hypotension). If these side effects occur while receiving or after receiving imipenem/cilastatin, the administration of the medicine should be discontinued, and you should contact your doctor immediately.
  • Peeling of the skin (toxic epidermal necrolysis)
  • Severe skin reactions (Stevens-Johnson syndrome and erythema multiforme)
  • Severe skin rash with skin and hair loss (exfoliative dermatitis)
  • Fungal infection (candidiasis)
  • Discoloration of teeth and/or tongue
  • Inflammation of the colon with severe diarrhea
  • Changes in taste
  • The liver cannot perform its normal function
  • Inflammation of the liver
  • The kidney cannot perform its normal function
  • Changes in urine quantity, changes in urine color
  • Brain disease, tingling sensation (pins and needles), localized tremor
  • Hearing loss (hearing impairment)

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)
  • Redness and swelling of the tongue, excessive growth of the normal projections of the tongue, giving it a hairy appearance, heartburn, sore throat, increased saliva production
  • Stomach pain
  • Sensation of spinning (vertigo), headache
  • Ringing in the ears (tinnitus)
  • Pain in several joints, weakness
  • Irregular heartbeat, the heart beats strongly or rapidly
  • Chest discomfort, difficulty breathing, abnormally rapid and shallow breathing, pain in the upper back
  • Redness of the face (flushing), change in bluish discoloration of the face and lips, changes in skin texture, excessive sweating
  • Itching of the vulva in women
  • Changes in blood cell counts
  • Worsening of a rare disease associated with muscle weakness (increased severity of myasthenia gravis)

Frequency not known(cannot be estimated from the available data):

  • Abnormal movements
  • Agitation

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 Surveillance System for Human Use: www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Imipenem/Cilastatin Aurovitas

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 and on the vials after “EXP”. The expiry date is the last day of the month stated.

Imipenem/Cilastatin Aurovitas dry vials: no special storage conditions are required.

After reconstitution:

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

Do not freeze the reconstituted solution.

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 Aurovitas

  • The active substances are imipenem (as monohydrate) and cilastatin (as sodium salt).

Each vial of Imipenem/Cilastatin Aurovitas 500 mg/500 mg powder for solution for infusion contains 500 mg of imipenem (as 530 mg of imipenem monohydrate) and 500 mg of cilastatin (as 530 mg of cilastatin sodium salt).

  • The other component is sodium hydrogencarbonate.

Appearance of the product and pack size

Imipenem/Cilastatin 500 mg is presented in 20 ml capacity type III colorless glass vials, closed with a 20 mm diameter bromobutyl rubber stopper and a flip-off cap.

Pack sizes:

1 x vial of 500 mg

10 x vial of 500 mg

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Eugia Pharma (Malta) Limited

Vault 14, Level 2, Valletta Waterfront

Floriana, FRN 1914

Malta

Manufacturer

ACS Dobfar S.p.A.

Nucleo Industriale S.Atto, S. Nicolò a Tordino

64100 Teramo

Italy

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

Aurovitas Spain, S.A.U.

Avda. de Burgos, 16-D

28036 Madrid

Spain

Date of last revision of this leaflet: January 2018

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

This information is intended only for healthcare professionals:

Each vial is for single use.

Preparation of the intravenous solution

The following table is provided to facilitate the reconstitution of Imipenem/Cilastatin Aurovitas for intravenous infusion.

Concentration

Recommended volume of diluent added (ml)

Approximate concentration of imipenem (mg/ml)

Imipenem/Cilastatin Aurovitas 500 mg

100

5

Reconstitution of Imipenem/Cilastatin Aurovitas 500 mg:

The contents of the vials should be dissolved and transferred to an appropriate infusion solution to achieve a volume of 100 ml.

A suggested procedure is to add approximately 10 ml of the infusion solution (see “Compatibility and stability”) to the vial. Shake well and transfer the resulting suspension to the infusion solution bottle.

CAUTION: THE SUSPENSION IS NOT FOR DIRECT INFUSION.

Repeat with an additional 10 ml of the infusion solution to ensure complete transfer of the vial contents to the infusion solution bottle. Make up to 100.0 with the same infusion solution. The resulting mixture should be shaken until a clear solution is obtained.

The concentration of the reconstituted solution, following the procedure described above, is approximately 5 mg/ml for both imipenem and cilastatin.

The reconstituted solution should be visually inspected for particles and/or color change before administration. Once reconstituted, the imipenem/cilastatin solution ranges from colorless to yellow. The color variation within this range does not affect the potency of the product.

Compatibility and stability

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

Imipenem/Cilastatin Aurovitas can be reconstituted in water for injection or in a 9 mg/ml (0.9%) sodium chloride infusion solution.

Do not freeze the reconstituted solution.

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

Online doctors for IMIPENEM/CILASTATIN Aurovitas 500 mg/500 mg Powder for Solution for Infusion

Discuss questions about IMIPENEM/CILASTATIN Aurovitas 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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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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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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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 Aurovitas 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 Aurovitas 500 mg/500 mg Powder for Solution for Infusion?

IMIPENEM/CILASTATIN Aurovitas 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 Aurovitas 500 mg/500 mg Powder for Solution for Infusion?

The active ingredient in IMIPENEM/CILASTATIN Aurovitas 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 Aurovitas 500 mg/500 mg Powder for Solution for Infusion?

IMIPENEM/CILASTATIN Aurovitas 500 mg/500 mg Powder for Solution for Infusion is manufactured by Eugia Pharma (Malta) Limited. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of IMIPENEM/CILASTATIN Aurovitas 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 Aurovitas 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 Aurovitas 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 Aurovitas 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 Aurovitas 500 mg/500 mg Powder for Solution for Infusion?

Other medicines with the same active substance (imipenem and cilastatin) include IMIPENEM/CILASTATIN HIKMA 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION, IMIPENEM/CILASTATIN KABI 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION, IMIPENEM/CILASTATIN STERISCIENCE 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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