JUANOLTUS 7 mg /Ml Oral Solution/Suspension

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Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

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.

Book a video appointment
€86
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 JUANOLTUS EXPECTORANT SYRUP

Contents of the leaflet

  1. Introduction
  2. What is Juanoltus and what is it used for
  3. What you need to know before taking Juanoltus
  4. How to Take Juanoltus
  5. Possible Side Effects
  6. Storage of Juanoltus
  7. Contents of the Pack and Further Information

Introduction

Package Leaflet: Information for the User

Juanoltus Expectorant Syrup

Extract of Hedera helix L

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

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

  • Keep this leaflet, 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 or pharmacist, even if they are side effects not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days.

Contents of the Package Leaflet

  1. What is Juanoltus and what is it used for
  2. What you need to know before taking Juanoltus
  3. How to take Juanoltus
  4. Possible side effects
  5. Storage of Juanoltus
  6. Contents of the pack and further information

1. What is Juanoltus and what is it used for

Juanoltus is a herbal medicine used as an expectorant for productive cough in adults, adolescents, and children over 2 years of age.

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 Juanoltus

Do not take Juanoltus

  • If you are allergic to ivy leaves, to plants of the Araliaceae family, or to any of the other components of this medicine (listed in section 6).
  • Do not administer this medicine to children under 2 years of age, as there is a risk, in general, in this patient group, that respiratory symptoms may worsen due to the action of secretolytic medicines (disease signs may worsen).

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Juanoltus.

You should consult your doctor or pharmacist immediately in cases of dyspnea (difficulty breathing), fever, or purulent sputum.

If you have stomach problems such as gastritis or gastric ulcers, you should consult your doctor before taking Juanoltus.

Children

In children from 2 to 4 years of age with persistent or recurrent cough, a medical diagnosis is required before starting treatment.

Other Medicines and Juanoltus

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

No interactions of Juanoltus with other medicines or other forms of interaction have been reported.

Taking Juanoltus with Food, Drinks, and Alcohol

No special precautions are required.

Pregnancy, Breastfeeding, and Fertility

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

Pregnancy

Due to the lack of sufficient data on safety, the use of Juanoltus is not recommended during pregnancy.

Breastfeeding

Due to the lack of sufficient data on safety, the use of Juanoltus is not recommended during breastfeeding.

Fertility

No data are available on fertility.

Driving and Using Machines

No studies have been conducted on the effects on the ability to drive and use machines.

Juanoltus contains Maltitol and Glucose

This medicine contains liquid maltitol (E-965). If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

This medicine contains glucose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine. It may cause tooth decay.

This medicine contains less than 23 mg of sodium (1 mmol) per dose (5 ml); it is essentially "sodium-free".

3. How to Take Juanoltus

Follow exactly the administration instructions of this medicine as indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

The recommended dose is:

Adolescents, Adults, and Elderly

5 ml of Juanoltus, three times a day (105 mg of dry extract of ivy leaves per day).

Children from 6 to 11 years

5 ml of Juanoltus, twice a day (70 mg of dry extract of ivy leaves per day).

Children from 2 to 5 years

2.5 ml of Juanoltus, twice a day (35 mg of dry extract of ivy leaves per day).

Children under 2 years

Do not administer this medicine to children under 2 years of age (see section 2. What you need to know before taking Juanoltus).

Patients with Kidney or Liver Problems

There are no special administration instructions for patients with kidney or liver problems due to the lack of data.

Instructions for Use

Juanoltus is taken orally. Shake the bottle well before use.

To take the correct dose (ensure the intake of the recommended amount of syrup), a dosing syringe is included.

How to use the dosing syringe:

The dosing syringe has a measurement scale printed on it, to extract the recommended amount of syrup for each intake.

  1. Place the syringe in the opening of the open bottle. Push gently until it is fixed. The plunger should be inside the syringe.
  2. Turn the bottle carefully upside down and extract the liquid gently by pulling the plunger to the selected dosing mark.
  3. Invert the bottle and extract the syringe with a gentle rotation. Close the bottle after taking the dose.
  4. The syrup can be taken by emptying the syringe directly into the mouth or using a spoon.
  5. After taking the dose, clean the individual parts of the syringe and dry them.

Duration of Use

You should consult a doctor if it worsens or does not improve after one week of treatment.

If you take more Juanoltus than you should

Overdose may cause nausea, vomiting, diarrhea, and restlessness.

If you take more Juanoltus than you should, talk to your doctor, who will decide what measures are necessary.

If you forget to take Juanoltus

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

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.

  • May occur

gastrointestinal reactions (nausea, vomiting, diarrhea), allergic reactions such as hives, skin rashes, dyspnea (difficulty breathing), anaphylactic reactions, although the frequency of occurrence of these is unknown (cannot be estimated from the available data).

If you experience any of the above-mentioned side effects, consult your doctor or pharmacist.

If you notice symptoms of allergy (hypersensitivity), stop taking the medicine and consult your doctor.

Reporting of Side Effects

If you experience any side effects, consult your doctor or pharmacist, even if they are possible side effects not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Juanoltus

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

Do not use this medicine after the expiry date stated on the carton and on the bottle after EXP. The expiry date is the last day of the month indicated.

This medicine does not require any special storage conditions.

Juanoltus should not be used for more than 6 months after the first opening of the bottle. Remember to note the opening date on the medicine packaging.

Once opened, it does not require any special storage conditions. Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicines in the SIGRE collection point at your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Contents of the Pack and Further Information

Contents of Juanoltus

The active substance is dry extract of ivy (Hedera helixL.)

1 ml of syrup contains 7 mg of dry extract of ivy leaves (Hedera helixL.) (4-8:1), extraction solvent: ethanol 30% m/m

The other ingredients are:

liquid maltitol (E-965), potassium sorbate, xanthan gum, anhydrous citric acid, cherry flavor, raspberry flavor (containing glucose and sodium), purified water.

Appearance of Juanoltus and Contents of the Pack

Juanoltus is a yellowish-brown opalescent liquid with a fruity odor, presented in 100 ml amber glass bottles. A dosing syringe is included.

Turbidity may appear in the solution. In this case, shake the bottle well until it is homogeneous.

Marketing Authorization Holder

ANGELINI PHARMA ESPAÑA, S.L.

c/ Antonio Machado, 78-80

3rd floor, module A-Australia Building

08840 Viladecans, Barcelona (Spain)

Manufacturer

Krewel Meuselbach GmbH

Krewelstr. 2

53783 Eitorf

Germany

This leaflet was last revised in:July 2025

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

Online doctors for JUANOLTUS EXPECTORANT SYRUP

Discuss questions about JUANOLTUS EXPECTORANT SYRUP, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

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.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

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

Areas of medical expertise:

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

Experience and qualifications:

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

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

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

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

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.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get JUANOLTUS EXPECTORANT SYRUP Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for JUANOLTUS EXPECTORANT SYRUP?

JUANOLTUS EXPECTORANT SYRUP does not require 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 JUANOLTUS EXPECTORANT SYRUP?

The active ingredient in JUANOLTUS EXPECTORANT SYRUP is Hederae helicis folium. This information helps identify medicines with the same composition but different brand names.

Who manufactures JUANOLTUS EXPECTORANT SYRUP?

JUANOLTUS EXPECTORANT SYRUP is manufactured by Angelini Pharma Espana S.L.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of JUANOLTUS EXPECTORANT SYRUP 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 JUANOLTUS EXPECTORANT SYRUP 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 JUANOLTUS EXPECTORANT SYRUP 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 JUANOLTUS EXPECTORANT SYRUP 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 JUANOLTUS EXPECTORANT SYRUP?

Other medicines with the same active substance (Hederae helicis folium) include ABRILAR SYRUP, ACTUATOS 35 mg ORAL SOLUTION IN SACHETS, ACTUATOS 7 mg/ml SYRUP. 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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