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LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED

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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 LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED

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

Leaflet: information for the user

Lebersal orange-flavored effervescent granules

Sodium hydrogen carbonate (Sodium bicarbonate) / Anhydrous disodium phosphate

Anhydrous sodium sulfate / Anhydrous magnesium sulfate

Read the entire leaflet carefully before starting to take the medicine because it contains important information for you.

  • Follow the administration instructions for 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 leaflet

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

1. What Lebersal is and what it is used for

Lebersal is indicated for the relief and treatment of symptoms related to digestive disorders such as:

  • Chronic or accidental constipation
  • Heartburn
  • Heavy digestion
  • Digestive disorders due to excess alcohol or food consumption.
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2. What you need to know before taking Lebersal

Do not takeLebersal:

  • If you are allergic to sodium bicarbonate, anhydrous disodium phosphate, anhydrous sodium sulfate, anhydrous magnesium sulfate, or any of the other components of this medicine (listed in section 6).
  • If you have an electrolyte imbalance (alteration of water or electrolyte content), hypernatremia (elevated sodium levels in the blood), or diarrheal processes.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Lebersal:

  • If you have heart failure.
  • If you have kidney failure (kidney disease).
  • If you are prone to water retention (edema).
  • If you are on a low-sodium diet.
  • If you have high blood pressure.
  • During treatment with diuretics (medicines that increase urine elimination).
  • If you are pregnant or breastfeeding.

Taking Lebersal with other medicines:

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

It should not be administered concurrently with other oral medicines, as it may affect their absorption, such as tetracyclines, ketoconazole, cimetidine, ranitidine, famotidine, mecamylamine, methenamine, bisphosphonates, digoxin, indomethacin, iron salts, lithium, salicylates, and naproxen.

As it contains sodium bicarbonate and magnesium sulfate, it may decrease the urinary elimination of amphetamines and quinidine.

Aluminum, calcium, or magnesium salts may decrease the absorption of Lebersal due to their phosphate content. On the other hand, vitamin D increases phosphate absorption, which could lead to hyperphosphatemia (excess phosphate in the blood).

Administration with medicines that affect serum electrolytes (minerals found in blood), such as diuretics, calcium channel blockers, lithium treatment, may lead to elevated blood levels of phosphate (hyperphosphatemia), sodium (hypernatremia), magnesium (hypermagnesemia), and low calcium levels (hypocalcemia).

Additionally, if taken with calcium supplements, it may increase the risk of ectopic calcification (calcium salt deposits in extra-skeletal tissues).

In any case, if it is necessary to take these medicines, the doses should be separated by at least two hours.

Taking Lebersal with food and drinks

Do not take with a very full stomach, as it may cause an increase in carbon dioxide production, leading to gastric distension, and in rare cases, may perforate the stomach walls.

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.

Its use is not recommended during pregnancy. The presence of sodium bicarbonate in Lebersal may induce metabolic alkalosis (disorder of water and mineral salt balance in the blood), water retention, and weight gain, both in the mother and the fetus.

Its use is not recommended during breastfeeding, as it is unknown whether Lebersal is excreted in breast milk.

Driving and using machines

No effects of Lebersal on the ability to drive vehicles or operate machinery have been described.

Lebersal contains sodium

This medicine contains 470 mg of sodium (main component of table/cooking salt) per 2.5 grams. This is equivalent to 24% of the maximum daily recommended sodium intake for an adult.

Consult your doctor or pharmacist if you need a spoonful or more per day for a prolonged period, especially if you have been advised to follow a low-sodium diet.

3. How to take Lebersal

Follow the administration instructions for the medicine contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

Lebersal is administered orally.

The recommended dose is 1 or 2 spoonfuls (2.5 or 5 g) on an empty stomach or before main meals. The granules are poured into a half-glass of water.

It can be taken before or after effervescence.

It is recommended not to take more than 4 spoonfuls per day.

If you take moreLebersalthan you should

Consult your doctor or pharmacist immediately. Doses above the recommended dose of Lebersal may cause diarrhea, headaches, nausea, vomiting, abdominal cramps, weakness, and loss of appetite. At very high doses, in prolonged treatments, it may lead to metabolic alkalosis.

The treatment will be aimed at alleviating the symptoms and recovering the balance of water and electrolytes in the blood.

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 used/ingested.

If you forget to takeLebersal

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

Medicine questions

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4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone will experience them.

When used at the recommended dosage, no side effects have been described.

In case of kidney failure, high blood levels of phosphate (hyperphosphatemia), sodium (hypernatremia), magnesium (hypermagnesemia), and low calcium levels (hypocalcemia) may occur. The frequency of these side effects is unknown.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Health Products Agency (AEMPS) website: http://www.aemps.gob.es/

5. Storage of Lebersal

Keep Lebersal out of the sight and reach of children.

Keep the bottle perfectly closed to protect it from moisture.

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

Medicines should not be disposed of through wastewater or household waste. Deposit the packaging and unused medicines in the pharmacy's SIGRE point. If in doubt, ask your pharmacist how to dispose of the packaging and unused medicines. This will help protect the environment.

6. Package contents and additional information

Composition ofLebersal

  • The active ingredients are: Sodium hydrogen carbonate (Sodium bicarbonate) (39.30 g), anhydrous disodium phosphate (8.28 g), anhydrous sodium sulfate (3.15 g), and anhydrous magnesium sulfate (0.99 g).
  • The other ingredients are: Tartaric acid, sodium carbonate, orange flavor, and saccharin.

Appearance of the product and package contents

Lebersal is an effervescent granule for oral use. It is presented in a bottle containing 100 g of white effervescent granules with an orange flavor.

Marketing authorization holder

LABORATORIOS ERN, S.A.

Perú, 228 - 08020 Barcelona, Spain.

Manufacturer

LABORATORIOS ERN, S.A.

Gorgs LLadó, 188 – 08210 Barberá del Vallés, Barcelona, Spain.

Date of the last revision of thisleaflet:June 2021

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 LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED

Discuss questions about LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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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
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  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
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  • 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.

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Dr. Lokchiri’s professional training includes:

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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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Doctor

Lina Travkina

Family medicine 13 years exp.

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.
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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.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
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  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
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  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
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  • IMT medical certificates for driving licence exchange in Portugal.
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Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Frequently Asked Questions

Is a prescription required for LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED?
LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
Who manufactures LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED?
LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED is manufactured by Laboratorios Ern S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED 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 LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED?
Other medicines with the same active substance () include AMMONAPS 500 mg TABLETS, AMMONAPS 940 mg/g GRANULES, CERDELGA 84 mg HARD CAPSULES. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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