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LYSAKARE 25 g/25 g Solution for Infusion

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A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

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 LYSAKARE 25 G/25 G SOLUTION FOR INFUSION

Contents of the leaflet

  1. Introduction
  2. What is LysaKare and what is it used for
  3. What you need to know before you start using LysaKare
  4. How to use LysaKare
  5. Possible side effects
  6. Storage of LysaKare
  7. Contents of the pack and other information

Introduction

Package Leaflet: Information for the Patient

LysaKare 25 g/25 g Solution for Infusion

arginine hydrochloride / lysine hydrochloride

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.
  • If you experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the Package Leaflet

  1. What is LysaKare and what is it used for
  2. What you need to know before you start using LysaKare
  3. How to use LysaKare
  4. Possible side effects
  5. Storage of LysaKare
  6. Contents of the pack and other information

1. What is LysaKare and what is it used for

What is LysaKare

LysaKare contains the active substances arginine and lysine, two different amino acids. It belongs to a group of medicines used to reduce the side effects of an anticancer medicine.

What is LysaKare used for

LysaKare is used in adult patients to protect the kidneys from unnecessary radiation during treatment with Lutathera (lutetium (177Lu) oxodotreotide), a radioactive medicine used to treat certain tumors.

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 start using LysaKare

Follow your doctor's instructions carefully. Since you will be receiving another treatment, Lutathera, with LysaKare, read the package leaflet of Lutathera and this package leaflet carefully.If you have any other questions about the use of this medicine, ask your doctor, nurse, or pharmacist.

Do not receive LysaKare

  • if you are allergic to arginine, lysine, or any of the other ingredients of this medicine (listed in section 6).
  • if you have high levels of potassium in your blood (hyperkalemia).

Warnings and precautions

If any of the following apply to you, inform your doctor before LysaKare is administered to you:

  • if you have swollen feet and ankles, too much or too little urine, itching, or difficulty breathing (signs and symptoms of chronic kidney disease).
  • if you have itching, yellow skin, or if the whites of your eyes turn yellow, if you have nausea or vomiting, fatigue, loss of appetite, pain in the upper right part of your stomach (abdomen), dark or brown urine, or if you bleed or bruise more easily than normal (signs and symptoms of liver disease).
  • if you have difficulty breathing, difficulty breathing when lying down, or swelling of the feet or legs (signs and symptoms of heart failure).

Tell your doctor immediately if you experience any of the following symptoms during treatment with LysaKare:

  • if you feel tired, lose your appetite, notice changes in your heartbeat, and/or have problems thinking clearly (signs and symptoms of metabolic acidosis).
  • if you have difficulty breathing, weakness, numbness, chest pain, palpitations, and/or an abnormal heart rhythm (signs and symptoms of high levels of potassium in the blood (hyperkalemia)).

Follow your doctor's advice on how much to drink on the day of your treatment to stay well-hydrated.

If you are 65 years of age or older, you are more likely to have kidney problems, and your doctor will determine, based on the results of your blood tests, whether you can receive treatment with LysaKare.

Monitoring before and during your treatment with LysaKare

Your doctor will ask you to have an initial blood test to check if you are eligible for this treatment and subsequent periodic blood tests during treatment to detect any side effects as soon as possible. If necessary, your heart's electrical activity will also be checked with a test called an electrocardiogram (ECG). Based on the results, your doctor may decide to stop the treatment.

The doctor will determine your potassium level in the blood and correct it at the start of the infusion if it is too high. The doctor will also determine the function of the kidneys and liver before starting the infusion. To learn about other tests that need to be done before treatment, read the package leaflet of Lutathera.

Children and adolescents

This medicine must not be given to children and adolescents under 18 years of age because it is not known if it is safe and effective in this age group.

Other medicines and LysaKare

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

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, as Lutathera must not be used in pregnant women because radiation is hazardous to the fetus, and breastfeeding should be avoided during treatment with Lutathera.

Driving and using machines

It is considered unlikely that LysaKare will affect your ability to drive or use machines.

3. How to use LysaKare

The recommended dose of LysaKare solution is 1 l (1,000 ml). You must receive the full dose of LysaKare, regardless of any possible adjustments to the dose of Lutathera.

LysaKare is administered by infusion (drip) into a vein. The infusion of LysaKare will start 30 minutes before the administration of Lutathera and will last 4 hours.

Patients who receive amino acid infusions often experience nausea and vomiting. Therefore, you will be given medicines to prevent nausea and vomiting 30 minutes before the infusion of LysaKare.

If you receive more LysaKare than you should

LysaKare will be administered in a controlled clinical setting and is supplied in a single-dose bag. Therefore, it is unlikely that you will receive more infusion than you should, as your doctor will monitor you during treatment. However, in case of overdose, you will receive the appropriate treatment.

If you have any other questions about the use of this medicine, ask your doctor.

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.

Some side effects could be serious

Very common(may affect more than 1 in 10 people):

  • vomiting
  • nausea

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

  • high levels of potassium (seen in blood tests)
  • abdominal pain (stomach pain)
  • dizziness

Other possible side effects

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

  • headache,
  • flushing.

Reporting of side effects

If you experience any side effects, talk to your doctor, even if they are not listed in this package leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of LysaKare

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 label after EXP. The expiry date is the last day of the month shown.

Store below 25°C.

You will not need to store this medicine. The storage, use, and disposal of this medicine in appropriate facilities are the responsibility of the healthcare professional. You will receive LysaKare in a controlled clinical setting.

The following information is intended for the healthcare professional responsible for your care.

Do not use this medicine:

  • if you notice that the solution is cloudy or contains sediment.
  • if the packaging has been previously opened or is damaged.
  • if the infusion bag is damaged or leaking

6. Contents of the pack and other information

Composition of LysaKare

  • The active substances are arginine and lysine.

A 25 ml bag contains 20.7 g of L-arginine hydrochloride and 25 g of L-lysine hydrochloride.

  • The other ingredient is water for injections.

Appearance and packaging of the product

LysaKare 25 g/25 g solution for infusion is a clear and colorless solution, free from visible particles, and is supplied in a single-use flexible plastic bag.

Each infusion bag contains 1 l of LysaKare solution.

Marketing authorisation holder

Advanced Accelerator Applications

8-10 Rue Henri Sainte-Claire Deville

92500 Rueil-Malmaison

France

Manufacturer

Laboratoire Bioluz

Zone Industrielle de Jalday

64500 Saint Jean de Luz

France

You can request more information about this medicine from the local representative of the marketing authorisation holder:

België/Belgique/Belgien

Novartis Pharma N.V.

Tel: +32 2 246 16 11

Lietuva

SIA Novartis Baltics Lietuvos filialas

Tel: +370 5 269 16 50

Text in Bulgarian language with contact information of Novartis Bulgaria Eood including phone number

Luxembourg/Luxemburg

Novartis Pharma N.V.

Tel: +32 2 246 16 11

Ceská republika

Novartis s.r.o.

Tel: +420 225 775 111

Magyarország

Novartis Hungária Kft.

Tel.: +36 1 457 65 00

Danmark

Novartis Sverige AB

Tlf.: +46 8 732 32 00

Malta

Novartis Pharma Services Inc.

Tel: +356 2122 2872

Deutschland

Novartis Pharma GmbH

Tel: +49 911 2730

Nederland

Novartis Pharma B.V.

Tel: +31 88 04 52 111

Eesti

SIA Novartis Baltics Eesti filiaal

Tel: +372 66 30 810

Norge

Novartis Sverige AB

Tlf: +46 8 732 32 00

Ελλάδα

ΒΙΟΚΟΣΜΟΣ ΑΕΒΕ

Τηλ: +30 22920 63900

?

Novartis (Hellas) A.E.B.E.

Τηλ: +30 210 281 17 12

Österreich

Novartis Pharma GmbH

Tel: +43 1 86 6570

España

Advanced Accelerator Applications Ibérica, S.L.U.

Tel: +34 97 6600 126

Polska

Advanced Accelerator Applications Polska Sp. z o.o.

Tel.: +48 22 275 56 47

France

Advanced Accelerator Applications

Tél: +33 1 55 47 63 00

Portugal

Novartis Farma - Produtos Farmacêuticos, S.A.

Tel: +351 21 000 8600

Hrvatska

Novartis Hrvatska d.o.o.

Tel. +385 1 6274 220

România

Novartis Pharma Services Romania SRL

Tel: +40 21 31299 01

Ireland

Novartis Ireland Limited

Tel: +353 1 260 12 55

Slovenija

Novartis Pharma Services Inc.

Tel: +386 1 300 75 50

Ísland

Novartis Sverige AB

Sími: +46 8 732 32 00

Slovenská republika

Novartis Slovakia s.r.o.

Tel: +421 2 5542 5439

Italia

Novartis Farma S.p.A.

Tel: +39 02 96 54 1

Suomi/Finland

Novartis Sverige AB

Puh/Tel: +46 8 732 32 00

Κύπρος

ΒΙΟΚΟΣΜΟΣ ΑΕΒΕ

Τηλ: +30 22920 63900

?

Novartis Pharma Services Inc.

Τηλ: +357 22 690 690

Sverige

Novartis Sverige AB

Tel: +46 8 732 32 00

Latvija

SIA Novartis Baltics

Tel: +371 67 887 070

Date of last revision of this package leaflet

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: https://www.ema.europa.eu.

Online doctors for LYSAKARE 25 G/25 G SOLUTION FOR INFUSION

Discuss questions about LYSAKARE 25 G/25 G SOLUTION FOR INFUSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General 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

General 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(20)

Nuno Tavares Lopes

General 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
Doctor
0.0(0)

Hocine Lokchiri

General medicine21 years of experience

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.
Book a video appointment
€64

Get LYSAKARE 25 G/25 G SOLUTION FOR INFUSION Prescription Online

1

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

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

LYSAKARE 25 G/25 G SOLUTION FOR INFUSION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in LYSAKARE 25 G/25 G SOLUTION FOR INFUSION is arginine and lysine. This information helps identify medicines with the same composition but different brand names.

LYSAKARE 25 G/25 G SOLUTION FOR INFUSION is manufactured by Advanced Accelerator Applications. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether LYSAKARE 25 G/25 G 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.

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 LYSAKARE 25 G/25 G 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:

Other medicines with the same active substance (arginine and lysine) include CARDIOXANE 500 mg POWDER FOR SOLUTION FOR INFUSION, FASTURTEC 1.5 mg/ml POWDER AND SOLVENT FOR CONCENTRATE FOR INFUSION SOLUTION, FASTURTEC 1.5 mg/ml POWDER AND SOLVENT FOR CONCENTRATE FOR PERFUSION SOLUTION. 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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