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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 KETOSTERIL FILM-COATED TABLETS

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

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Introducción

Prospecto: información para el paciente

Ketosteril comprimidos recubiertos con película EFG

Sales de calcio de cetoanálogos de aminoácidos y aminoácidos

Lea todo el prospecto detenidamente antes de empezar a tomar este medicamento, porque contiene información importante para usted.

  • Conserve este prospecto, ya que puede tener que volver a leerlo.
  • Si tiene alguna duda, consulte a su médico o farmacéutico.
  • Este medicamento se le ha recetado solamente a usted, y no debe dárselo a otras personas aunque tengan los mismos síntomas que usted, ya que puede perjudicarles.
  • Si experimenta efectos adversos, consulte a su médico o farmacéutico, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Contenido del prospecto

  1. Qué es Ketosteril y para qué se utiliza
  2. Qué necesita saber antes de empezar a tomar Ketosteril
  3. Cómo tomar Ketosteril
  4. Posibles efectos adversos
    1. Conservación de Ketosteril
  1. Contenido del envase e información adicional

1. Qué es Ketosteril y para qué se utiliza

Ketosteril es un medicamento para tratamiento nutricional en pacientes con alteración de la función renal (insuficiencia renal).

Este medicamento se utiliza para la prevención y el tratamiento de los daños ocasionados por un metabolismo incorrecto o deficiente de proteínas en adultos con insuficiencia renal crónica. Se emplea conjuntamente con un aporte limitado de proteínas alimentarias de 40 g/día o menos. Esto es así en pacientes cuya filtración glomerular (FG) (volumen de sangre filtrado por el riñón cada minuto) es menor de 25 ml/min.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Qué necesita saber antes de empezar a tomar Ketosteril

No tome Ketosteril

  • si es alérgico a los principios activos o a alguno de los demás componentes de este medicamento (incluidos en la sección 6),
- si tiene demasiado calcio en la sangre (hipercalcemia),
- si padece de alteraciones en el metabolismo de los aminoácidos.

Advertencias y precauciones

Consulte a su médico o farmacéutico antes de empezar a tomar Ketosteril si sufre fenilcetonuria, un trastorno hereditario del metabolismo. En tal caso, debe tener en cuenta que este medicamento contiene fenilalanina.

Los niveles de calcio en sangre deben controlarse periódicamente.

Si también está tomando hidróxido de aluminio, deben controlarse las concentraciones séricas de fosfato (ver «Otros medicamentos y Ketosteril»).

Debe garantizarse un aporte calórico suficiente.

Niños y adolescentes

No se dispone de experiencia suficiente hasta la fecha sobre la administración de este medicamento a pacientes pediátricos, incluidos niños y adolescentes.

Otros medicamentos y Ketosteril

Informe a su médico o farmacéutico si está tomando, ha tomado recientemente o pudiera tener que tomar cualquier otro medicamento, incluidos medicamentos obtenidos sin una receta.

  • Tomar este medicamento al mismo tiempo que medicamentos que contienen calciopuede causar unos niveles altos de calcio en la sangre o aumentar esos niveles.
  • No tome este medicamento al mismo tiempo que medicamentos que forma compuestos difícilmente solubles con calcio (por ejemplo, tetraciclinas, quinolinas como ciprofloxacino y norfloxacino, así como medicamentos que contengan hierro, flúor o estramustina). Puede alterar la absorción de los principios activos. Espere al menos dos horas después de tomar este medicamento para tomar cualquiera de esos medicamentos.
  • Los niveles de calcio en su sangre podrían aumentar al tomar este medicamento. Esto puede potenciar el efecto de determinados medicamentos para el corazón(como glucósidos cardioactivos) y, por lo tanto, aumentará el riesgo de arritmias.
  • Tomar este medicamento mejora los síntomas urémicos (exceso de urea —un producto de desecho— en la sangre por insuficiencia renal). Por tanto, en caso de que esté tomando hidróxido de aluminio, debe reducirse la dosis de este medicamento si es necesario. Debe vigilarse una posible disminución de las concentraciones séricas de fosfato.

Embarazo y lactancia

Si está embarazada o en periodo de lactancia, cree que podría estar embarazada o tiene intención de quedarse embarazada, consulte a su médico antes de utilizar este medicamento

No se dispone de experiencia con el uso de este medicamento durante el embarazo y la lactancia.

Conducción y uso de máquinas

No se requieren precauciones especiales.

3. Cómo tomar Ketosteril

Siga exactamente las instrucciones de administración de este medicamento indicadas por su médico. En caso de duda, consulte de nuevo a su médico o farmacéutico.

Si su médico no le ha recetado otra dosis, la dosis recomendada es

Adultos (70 kg de peso corporal)

Tome de 4 a 8 comprimidos 3 veces al día durante las comidas.

Forma de administración:

  • Vía oral.
  • Trague los comprimidos con suficiente cantidad de líquido.
  • No mastique los comprimidos; su contenido huele mal.

Duración del tratamiento:

Este medicamento se administra mientras la filtración glomerular (FG) (volumen de sangre filtrado por el riñón cada minuto) es inferior a 25 ml/min y, al mismo tiempo, el aporte de proteínas en la alimentación está restringido a 40 g/día o menos (adultos).

Si tiene la impresión de que el efecto de este medicamento es demasiado fuerte o demasiado débil, hable con su médico o farmacéutico.

Si olvidó tomar Ketosteril

No tome una dosis doble para compensar las dosis olvidadas.

Si interrumpe el tratamiento con Ketosteril

No deje de tomar este medicamento sin consultarlo antes con su médico.

Si tiene cualquier otra duda sobre el uso de este medicamento, pregunte a su médico o farmacéutico.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Posibles efectos adversos

Al igual que todos los medicamentos, este medicamento puede producir efectos adversos, aunque no todas las personas los sufran.

Trastornos del metabolismo y de la nutrición

Muy raro (puede afectar a hasta 1 de 10.000 personas):

  • Hipercalcemia (demasiado calcio en la sangre)

Nota:

Si se produce hipercalcemia, reduzca el aporte de vitamina D. En caso de hipercalcemia persistente, su médico reducirá la dosis de este medicamento y usted disminuirá su consumo de otras fuentes de calcio.

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, consulte a su medico, enfermero o farmacéutico, incluso si se trata de posibles efectos adversos que no aparecen en este prospecto. Tambien puede comunicarlo directamente a través del Sistema Español de Farmacovigilancia de Medicamentos de Uso Humano www.noticaRAM.es.

Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Ketosteril

Mantener este medicamento fuera de la vista y del alcance de los niños.

Una vez abierta la bolsa exterior, mantener los blísteres en la bolsa para protegerlos de la humedad.

No utilice este medicamento después de la fecha de caducidad que aparece en la caja y el blíster después de «CAD». La fecha de caducidad es el último día del mes que se indica.

Los medicamentos no se deben tirar por los desagües ni a la basura. Deposite los envases y los medicamentos que no necesita en el Punto SIGRE de la farmacia. En caso de duda pregunte a su farmacéutico cómo deshacerse de los envases y de los medicamentos que no necesita. De esta forma ayudará a proteger el medio ambiente.

6. Contenido del envase e información adicional

Composición de Ketosteril

  • Cada comprimido recubierto con película contiene los principios activos:

α-cetoanálogo de D,L isoleucina, sal de calcio 67 mg

α-cetoanálogo de leucina, sal de calcio 101 mg

α-cetoanálogo de fenilalanina, sal de calcio 68 mg

α-cetoanálogo de valina, sal de calcio 86 mg

α-hidroxianálogo de D,L-metionina, sal de calcio 59 mg

L-lisina acetato 105 mg

(correspondiente a 75 mg de L-lisina)

L-treonina 53 mg

L-triptófano 23 mg

L-histidina 38 mg

L-tirosina 30 mg

Contenido total de nitrógeno por comprimido 36 mg

Contenido total de calcio por comprimido 1,25 mmol = 50 mg

  • Los demás componentes son: almidón de maíz, crospovidona, talco, sílice, coloidal anhidra, estearato de magnesio E470b, macrogol, amarillo de quinolina E104, copolímero de metacrilato butilado básico, triacetina, dióxido de titanio E171, povidona.

Aspecto del producto y contenido del envase

Los comprimidos de Ketosteril son comprimidos recubiertos con película, oblongos y amarillos, con un tamaño aproximado de 17,2 × 6,6 mm (longitud × anchura).

Ketosteril está disponible en los siguientes tamaños de envases:

Caja que contiene 100 o 300 comprimidos recubiertos con película en blísteres acondicionados en una bolsa exterior.

Puede que solamente estén comercializados algunos tamaños de envases.

Titular de la autorización de comercialización y responsable de la fabricación

Titular de la autorización de comercialización

Fresenius Kabi España, S.A.U

Torre Mapfre-Vila Olímpica

Marina 16-18

08005 Barcelona

España

Fabricante:

Labesfal - Laboratórios Almiro, S.A.

Zona Industrial do Lagedo

3465-157 Santiago de Besteiros, Portugal

Este medicamento está autorizado en los Estados miembro del EEE con los siguientes nombres:

Portugal, Croacia: Ketaneril

Bélgica, Dinamarca, Finlandia, Italia, Países Bajos, Noruega, Eslovenia, España, Suecia: Ketosteril

Fecha de la última revisión de este prospecto: diciembre 2020

La información detallada de este medicamento está disponible en la página web de la Agencia Española de Medicamentos y Productos Sanitarios (AEMPS) (http://www.aemps.gob.es)

  • KETOSTERIL FILM-COATED TABLETS
  • Country of registration
  • Dosage form
    TABLET, Not applicable as several active substances
  • ATC code
    V06DD90
  • Active substance
  • Prescription required
    Yes
  • Manufacturer

Online doctors for KETOSTERIL FILM-COATED TABLETS

Discuss questions about KETOSTERIL FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (97)
Doctor

Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
  • gastrointestinal disorders
  • cardiovascular problems
  • endocrine and metabolic diseases
  • musculoskeletal and dermatological conditions
  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

5.0 (100)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

0.0 (10)
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.

5.0 (197)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

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.

4.6 (76)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

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

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

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

5.0 (1223)
Doctor

Andrei Popov

General medicine 7 years exp.

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

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

Pain: how he can help

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

General medicine

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

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

0.0 (0)
Doctor

Hocine Lokchiri

General medicine 21 years exp.

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

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

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

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

Dr. Lokchiri’s professional training includes:

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

Get KETOSTERIL FILM-COATED TABLETS 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 KETOSTERIL FILM-COATED TABLETS?

KETOSTERIL FILM-COATED TABLETS 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 KETOSTERIL FILM-COATED TABLETS?

The active ingredient in KETOSTERIL FILM-COATED TABLETS is Amino acids, incl. combinations with polypeptides. This information helps identify medicines with the same composition but different brand names.

Who manufactures KETOSTERIL FILM-COATED TABLETS?

KETOSTERIL FILM-COATED TABLETS is manufactured by Fresenius Kabi España, S.A.U.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of KETOSTERIL FILM-COATED TABLETS 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 KETOSTERIL FILM-COATED TABLETS 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 KETOSTERIL FILM-COATED TABLETS 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 KETOSTERIL FILM-COATED TABLETS in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

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