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MIGLUSTAT ACCORD 100 mg HARD CAPSULES

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

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

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Doctor

Antonio Cayatte

General medicine 44 years exp.

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

  • Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
  • Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning
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 MIGLUSTAT ACCORD 100 mg HARD CAPSULES

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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Introducción

Prospecto: información para el usuario

Miglustat Accord 100 mg cápsulas duras EFG

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

1. Qué es Miglustat Accord y para qué se utiliza

Miglustat contiene la sustancia activa miglustat que pertenece a un grupo de medicamentos que tienen efecto sobre el metabolismo. Se usa para tratar dos trastornos:

  • Miglustat se usa para tratar la enfermedad de Gaucher tipo 1 leve-moderada en adultos.

En la enfermedad de Gaucher tipo 1, su cuerpo no puede eliminar una sustancia denominada glucosilceramida. Debido a ello se acumula en algunas células de su sistema inmunitario. Esto puede dar lugar a que le aumente de tamaño el hígado y el bazo, se produzcan cambios en la sangre y le afecte a los huesos.

El tratamiento habitual para la enfermedad de Gaucher tipo 1 consiste en la terapia enzimática de sustitución (TES). Miglustat solo se utilizará en aquellos casos en los que se considere que la terapia enzimática de sustitución no es adecuada para el paciente.

  • Miglustat también se usa para el tratamiento de los síntomas neurológicos progresivos de la enfermedad de Niemann-Pick tipo C en adultos y en niños.

Si usted tiene la enfermedad de Niemann-Pick tipo C, se pueden acumular en las células de su cerebro lípidos como los glicoesfingolípidos. Esto puede conllevar una alteración de las funciones neurológicas como lentitud de los movimientos oculares, el equilibrio, la deglución, la memoria o las convulsiones.

Miglustat actúa inhibiendo la enzima denominada glucosilceramida sintasa, responsable del primer paso en la síntesis de la mayoría de glucoesfingolípidos.

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 Miglustat Accord

No tome miglustat

  • Si es alérgico al miglustat o a cualquiera de los demás componentes de este medicamento (incluidos en la sección 6).

Advertencias y precauciones

Consulte a su médico o farmacéutico antes de empezar a tomar miglustat

  • Si padece enfermedad renal.
  • Si padece enfermedad hepática.

Su médico realizará las siguientes pruebas antes y durante su tratamiento con este medicamento:

  • Exploración física de los nervios de los brazos y piernas.
  • Medición de los niveles de vitamina B12.
  • Monitorización del crecimiento en niños o adolescentes con enfermedad de Niemann-Pick tipo C.
  • Monitorización del recuento de plaquetas en sangre.

Estas pruebas son necesarias debido a que algunos pacientes han comunicado síntomas como hormigueo o entumecimiento en manos y pies, o una reducción del peso corporal durante el tratamiento con miglustat. Las pruebas ayudarán al médico a determinar si estos efectos se deben a su enfermedad o a condiciones ya existentes o son efectos adversos de miglustat(ver sección 4 para más detalles).

Si usted padece diarrea, su médico puede solicitarle que modifique su dieta para reducir la ingesta de lactosa e hidratos de carbono tales como la sacarosa (azúcar de caña), o no tomar miglustat junto con los alimentos, o reducir temporalmente la dosis. En algunos casos el médico puede recetarle medicamentos para tratar la diarrea, como la loperamida. Se han notificado casos de enfermedad de Crohn (una enfermedad inflamatoria que afecta al intestino) en pacientes con enfermedad de Niemann-Pick tipo C tratados con miglustat. Consulte a su médico si la diarrea no responde a estas medidas o si presenta cualquier otra molestia abdominal. En dicho caso, su médico puede decidir realizar exploraciones adicionales.

Se aconseja a los pacientes varones que empleen métodos anticonceptivos fiables durante el tratamiento con miglustat y hasta tres meses después de finalizar el mismo.

Niños y adolescentes

No administre este medicamento a niños y adolescentes (menores de 18 años de edad) con enfermedad de Gaucher tipo1 porque se desconoce si funciona en esta enfermedad.

Otros medicamentos y Miglustat Accord

Informe a su médico o farmacéutico si está tomando o ha tomado recientemente o pudiera tener que tomar cualquier otro medicamento.

Informe a su médico si está tomando medicamentos que contienen imiglucerasa, que a veces se utilizan al mismo tiempo que miglustat. Pueden disminuir la cantidad de miglustat en su cuerpo.

Embarazo, lactancia y fertilidad

No tome miglustat si está embarazada o tiene intención de quedarse embarazada. Para más información, consulte con su médico o farmacéutico. Deberá emplear un método anticonceptivo eficaz mientras esté tomando miglustat. No debe proseguir con la lactancia mientras tome miglustat.

Los pacientes varones deberán utilizar un método anticonceptivo fiable durante el tratamiento con miglustat, y durante los tres meses siguientes tras finalizar el tratamiento.

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

Conducción y uso de máquinas

Miglustat ede producirle mareos. No conduzca ni maneje herramientas o máquinas si se siente mareado.

Miglustat contiene sodio

Este medicamento contiene menos de 1 mmol de sodio (23 mg) por cápsula; esto es, esencialmente “exento de sodio”.

3. Cómo tomar Miglustat Accord

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.

  • Para la enfermedad de Gaucher tipo 1:en adultos, la dosis recomendada es de una cápsula (100 mg) tres veces al día (mañana, tarde, noche), lo cual supone una dosis máxima diaria de tres cápsulas (300 mg).
  • Para la enfermedad de Niemann-Pick tipo C:
  • En adultos y adolescentes (mayores de 12 años), la dosis recomendada es 2 cápsulas (200 mg) tres veces al día (mañana, tarde y noche). Esto supone un máximo diario de seis cápsulas (600 mg).
  • En niños de menos de 12 años, su médico ajustará la dosis.

En el caso de problemas de riñón, su médico puede indicarle una dosis inicial inferior. Es posible que su médico reduzca la dosis de miglustat a una cápsula (100 mg) una o dos veces al día en el caso de que se presente diarrea durante el tratamiento con miglustat (ver sección 4). Su médico le indicará la duración del tratamiento.

Miglustat puede tomarse con o sin alimentos. Se debe tragar la cápsula entera con un vaso de agua.

Si toma más miglustat del que debe

Si usted toma más cápsulas de las que se le indicó, consulte a su médico inmediatamente. En ensayos clínicos se ha empleado miglustat a dosis de hasta 3000 mg: esto causó una reducción de los leucocitos sanguíneos y otros efectos secundarios similares a los descritos en la sección 4.

En caso de sobredosis o ingestión accidental consulte inmediatamente a su médico o farmacéutico o llame al Servicio de Información Toxicológica, teléfono: 91 562 04 20, indicando medicamento y la cantidad ingerida.

Si olvidó tomar miglustat

Tome la siguiente cápsula cuando corresponda. No tome una dosis doble para compensar las dosis olvidadas.

Si interrumpe el tratamiento con miglustat

No interrumpa el tratamiento con este medicamento sin consultar 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.

Efectos adversos más graves:

Algunos pacientes han presentado hormigueo o entumecimiento de las manos y los pies (se observa con frecuencia).Estos podrían ser signos de neuropatía periférica, debida a efectos secundarios de miglustat o podrían ser debidos a enfermedades ya existentes. Su médico realizará pruebas antes y durante el tratamiento con miglustat para evaluar su caso (ver sección 2).

Si presenta alguno de estos efectos, comuníquelo a su médico lo antes posible.

Si usted experimentaun ligero temblor, habitualmente temblor en las manos, informea su médico lo antes posible. Con frecuencia el temblor se resuelve sin necesidad de interrumpir el tratamiento. En ocasiones su médico necesitará disminuir la dosis e incluso interrumpir el tratamiento con miglustat para controlar el temblor.

Muy frecuentespueden afectar a más de 1 de cada 10 pacientes

Entre los efectos adversos más frecuentes se encuentran diarrea, flatulencia (gases), dolor abdominal (de estómago), pérdida de peso y disminución del apetito.

Si pierde algo de peso al iniciar el tratamiento con miglustat, no se preocupe, por lo general la gente deja de perder peso con la continuación del tratamiento.

Frecuentespueden afectar hasta 1 de cada 10 pacientes

Los efectos adversos frecuentes son dolor de cabeza, mareos, parestesias (hormigueo o entumecimiento), alteraciones de la coordinación, hipoestesias (sensación reducida al tacto), dispepsia (acidez), nauseas (sentirse enfermo), estreñimiento y vómitos, hinchazón o molestia del abdomen (estómago) y trombocitopenia (disminución de los niveles sanguíneos de plaquetas). Los síntomas neurológicos y la trombocitopenia pueden deberse a la enfermedad subyacente.

Otros posibles efectos adversos son espasmos musculares o debilidad, fatiga, escalofríos y sensación de malestar, depresión, dificultad para dormir, olvidos y disminución de la libido.

La mayoría de los pacientes notan uno o más efectos secundarios de este tipo, normalmente al iniciar el tratamiento o en distintos momentos durante el mismo. La mayoría son leves y se resuelven con bastante rapidez. Si alguno de estos efectos adversos le causa problemas consulte con su médico. Él o ella puede que reduzca la dosis de miglustat o le recete otros medicamentos para controlar los efectos secundarios.

Comunicación de efectos adversos:

Si experimenta cualquier tipo de efecto adverso, consulte a su médico o farmacéutico, incluso si se trata de posibles efectos adversos que no aparecen en este prospecto. También puede comunicarlos directamente a través del Sistema Español de Farmacovigilancia de medicamentos de Uso Humano: https://www.notificaram.es. Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Miglustat Accord

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

No utilice este medicamento después de la fecha de caducidad que aparece en el envase después de “CAD”. La fecha de caducidad es el último día del mes que se indica.

Este medicamento no requiere condiciones especiales de conservación.

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 Miglustat Accord

El principio activo es miglustat. Cada cápsula dura contiene 100 mg de miglustat.

Los demás componentes son carboximetilalmidón sódico de patata (tipo A), povidona, estearato magnésico, dióxido de titanio (E171), gelatina.

Aspecto del producto y contenido del envase

Cápsula dura de gelatina de color blanco, rellena de un granulado homogéneo de color blanco a blanco pálido en blíster de Aclar-Alu (blíster de PVC/PE/PCTFE-Alu).

Miglustat Accord está disponible en tamaños de envase de 84 cápsulas duras.

Titular de la autorización de comercialización:

Accord Healthcare S.L.U.

World Trade Center

Moll de Barcelona s/n, Edifici Est, 6ª planta,

08039 Barcelona

España

Responsable de la fabricación:

G.L. Pharma GmbH

Schlossplatz 1

8502 Lannach

Austria

Fecha de la última revisión de este prospecto:agosto Febrero 2025

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/.

Online doctors for MIGLUSTAT ACCORD 100 mg HARD CAPSULES

Discuss questions about MIGLUSTAT ACCORD 100 mg HARD CAPSULES, 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
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

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

Dr. Lokchiri’s professional training includes:

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

Rita Isabel Calero Garcia

General medicine 2 years exp.

Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

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Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

5.0 (53)
Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Doctor

Antonio Cayatte

General medicine 44 years exp.

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

  • Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
  • Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning
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Doctor

Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

5.0 (194)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

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

Areas of medical expertise:

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

Experience and qualifications:

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

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

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

Get MIGLUSTAT ACCORD 100 mg HARD CAPSULES Prescription Online

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Frequently Asked Questions

Is a prescription required for MIGLUSTAT ACCORD 100 mg HARD CAPSULES?

MIGLUSTAT ACCORD 100 mg HARD CAPSULES 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 MIGLUSTAT ACCORD 100 mg HARD CAPSULES?

The active ingredient in MIGLUSTAT ACCORD 100 mg HARD CAPSULES is miglustat. This information helps identify medicines with the same composition but different brand names.

Who manufactures MIGLUSTAT ACCORD 100 mg HARD CAPSULES?

MIGLUSTAT ACCORD 100 mg HARD CAPSULES is manufactured by Accord Healthcare S.L.U.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of MIGLUSTAT ACCORD 100 mg HARD CAPSULES 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 MIGLUSTAT ACCORD 100 mg HARD CAPSULES 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 MIGLUSTAT ACCORD 100 mg HARD CAPSULES 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 MIGLUSTAT ACCORD 100 mg HARD CAPSULES 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 MIGLUSTAT ACCORD 100 mg HARD CAPSULES?

Other medicines with the same active substance (miglustat) include MIGLUSTAT DIPHARMA 100 mg HARD CAPSULES, MIGLUSTAT GEN.ORPH 100 mg HARD CAPSULES, OPFOLDA 65 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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