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MULTIHANCE 529 mg/ml INJECTABLE SOLUTION

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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.

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 MULTIHANCE 529 mg/ml INJECTABLE SOLUTION

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

MultiHance 529 mg/ml solución inyectable

Gadobenato de dimeglumina

Lea todo el prospecto detenidamente antes de empezar a usar 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.
  • 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, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Contenido del prospecto:

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

1. Qué es MultiHance y para qué se utliza y para qué se utiliza

MultiHance es un colorante especial (o medio de contraste) que contiene el metal gadolinio y mejora las imágenes de hígado en exploraciones por Resonancia Magnética (RM). Esto ayuda a su médico a identificar alteraciones en su hígado.

Este medicamento es únicamente para uso diagnóstico.

MultiHance está aprobado para uso en niños mayores de 2 años.

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 usar MultiHance

MultiHance sólo debe ser administrado en hospitales o clínicas donde haya equipos y personal médico formado para tratar reacciones alérgicas.

Acumulación en el organismo

MultiHance funciona porque contiene un metal llamado gadolinio. Los estudios han demostrado que se pueden acumular pequeñas cantidades de gadolinio en el organismo, incluyendo el cerebro. No se han observado efectos adversos debidos a la acumulación de gadolinio en el cerebro.

No use MultiHance

  • si es alérgico al gadobenato de dimeglumina o a cualquiera de los demás componentes de este medicamento (incluidos en la sección 6).
  • si ha tenido anteriormente cualquier reacción alérgica (reacción de hipersensibilidad), tales como erupción, picores, urticaria o dificultad al respirar después de la inyección de cualquier medio de contraste para exploración por RM.

Consulte a su médico si cree que se encuentra en alguno de estos casos.

Niños

MultiHance no debe ser administrado a niños menores de 2 años.

Advertencias y precauciones

Consulte a su médico antes de empezar a usar MultiHance si:

  • sufre un problema de corazóno tiene la presión sanguínea alta
  • tiene antecedentes de epilepsia o lesiones cerebrales
  • tiene un marcapasoso cualquier otro objeto metálico como clips, tornillos o placas en su cuerpo, ya que pueden interferir con el imán del escáner de RM
  • sus riñones no funcionan correctamente
  • si recientemente se le ha realizado, o pronto se le va a realizar, un trasplante de hígado.

Su médico puede decidir realizarle un análisis de sangre para comprobar el funcionamiento correcto de sus riñones antes de decidir el uso de MultiHance, especialmente si usted tiene 65 años o es mayor.

Uso de MultiHance con otros medicamentos

No hay datos de interacciones de MultiHance con otros medicamentos.

Comunique a su médico si está utilizando, ha utilizado recientemente o podría tener que utilizar cualquier otro medicamento.

Embarazo y lactancia

Consulte a su médico antes de utilizar cualquier medicamento.

Embarazo:

El ácido gadobénico atraviesa la placenta. Se desconoce si afecta al feto. Debe informar a su médico si está embarazada o cree que pudiera estarlo o tiene intención de quedarse embarazada ya que MultiHance no debe utilizarse durante el embarazo a menos que sea estrictamente necesario.

Lactancia:

Informe a su médico si está dando el pecho o a punto de empezar. Su médico valorará si usted debe continuar la lactancia o si debe interrumpirla 24 horas después de la administración de MultiHance.

Conducción y uso de máquinas

No se conocen efectos de MultiHance en la conducción o utilización de herramientas o máquinas. Pregunte a su médico si puede conducir y si es segura la utilización de cualquier herramienta o máquina.

Información importante sobre algunos de los componentes de MultiHance

Durante su almacenamiento, la solución de MultiHance puede liberar pequeñas cantidades de alcohol bencílico (un derivado de alcohol).

Por favor, informe a su médico si es alérgico al alcohol bencílico.

3. Cómo usar MultiHance

MultiHance se inyecta en una vena, normalmente en el brazo, antes de la exploración por RM. La cantidad en mililitros que se inyecte depende de cuantos kilogramos pese.

Ladosisrecomendada es:

RM de hígado:0,1 ml por kilogramo de peso corporal

El personal médico responsable de la exploración le administrará la inyección de MultiHance. Deben asegurarse de que la aguja esté colocada correctamente: infórmeles si siente dolor o sensación de quemazón en el lugar de la inyección durante su administración.

Debe permanecer en el hospital la hora siguiente a la administración de la inyección.

Posología en poblaciones especiales

Insuficiencia renal

El uso de MultiHance no está recomendado en pacientes con problemas renales graves o en pacientes a los que recientemente se les haya o pronto se les va a realizar un trasplante de hígado. Sin embargo, si se requiere el uso, durante una exploración sólo debe administrársele una dosis de MultiHance y no debe administrársele una segunda inyección hasta que hayan transcurrido al menos 7 días.

Pacientes de edad avanzada

Si usted tiene 65 años o es mayor no es necesario que se le ajuste la dosis pero podría realizársele un análisis de sangre para comprobar el funcionamiento correcto de sus riñones.

Si usa más MultiHance del que debe

En caso de sobredosificación, se le monitorizará cuidadosamente y se le aplicará tratamiento sintomático.

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

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

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, MultiHance puede producir efectos adversos, aunque no todas las personas los sufran. La mayoría de los efectos adversos registrados con MultiHance han sido leves, no prolongados y se han resuelto espontáneamente sin efectos residuales. Sin embargo, se han notificado reacciones graves y potencialmente mortales que a veces conducen a la muerte.

Posibles efectos adversos

Frecuentes:

(Más de 1 de cada 100 personas y menos de 1 de cada 10 personas)

  • Dolor de cabeza
  • Náuseas

Poco frecuentes:

(Más de 1 de cada 1.000 personas y menos de 1 de cada 100 personas)

  • Mareo, hormigueo, alteraciones del gusto
  • Cambios en la presión sanguínea, y en el ritmo cardíaco, enrojecimiento
  • Vómitos, diarrea, boca seca
  • Picores, erupción en la piel, urticaria (ronchas)
  • Sensación de calor, fiebre, reacciones locales en el lugar de inyección, como: dolor, ardor, sensación de frío o calor, enrojecimiento, picor o malestar en el lugar de inyección
  • Pruebas de laboratorio anómalas, como:
  • electrocardiograma (prueba que registra cambios en su ritmo cardíaco) anormal
  • cambios en pruebas de hígado
  • pruebas anómalas de sangre y orina

Raras:

(Más de 1 de cada 10.000 personas y menos de 1 de cada 1.000 personas)

  • Reacciones alérgicas graves que causan dificultades en la respiración o mareo
  • Debilidad, temblor, convulsiones, alteración del olfato
  • Disminución de la sensación al tacto/dolor/ u otros estímulos
  • Visión anormal
  • Suministro insuficiente de sangre al corazón, ritmo cardiaco lento
  • Líquido en los pulmones (edema pulmonar), dificultad respiratoria, respiración sibilante, opresión de garganta, inflamación e irritación dentro de la nariz, tos
  • Salivación excesiva, dolor abdominal
  • Hinchazón en cara, sudoración
  • Dolor muscular
  • Dolor en el pecho, sensación de debilidad, escalofríos, malestar general
  • Cambio en los análisis de sangre de laboratorio

Frecuencia no conocida

(no puede estimarse a partir de los datos disponibles)

  • Dolor de pecho, que se extiende hasta el cuello o al brazo izquierdo, ya que podría ser síntoma de una reacción alérgica potencialmente grave llamada Síndrome de Kounis
  • Shock alérgico grave
  • Pérdida de consciencia
  • Inflamación de ojos
  • Parada cardiaca, coloración azulada de la piel y membranas mucosas
  • Dificultades o suspensión de la respiración, inflamación de la garganta, falta de oxígeno, dificultades en la respiración o sibilancias
  • Inflamación dentro de la boca
  • Reacción alérgica grave que causa inflamación de la cara o garganta
  • Inflamación en el lugar de la inyección, ampollas en el lugar de inyección
  • Inflamación de las venas debido a coágulos de sangre

Se han notificado casos de fibrosis nefrogénica sistémica (que provoca un endurecimiento de la piel y puede afectar también a los tejidos blandos y los órganos internos), en pacientes a los que se les administró MultiHance conjuntamente con otros medios de contraste de gadolinio.

Si piensa que siente algún efecto adverso después de la inyección de MultiHance, informe inmediatamente al personal médico responsable de su exploración.

Si después de leer este prospecto le queda alguna duda por favor pregunte al personal médico responsable de su exploración.

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, consulte a su médico,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 para Medicamentos de Uso Humano: 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 MultiHance

  • 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.
  • No congelar.
  • MultiHance debe ser administrado inmediatamente después de cargarlo en la jeringa.
  • No utilice MultiHance si nota que el envase y el cierre han sido dañados, la solución se ha decolorado o existe cualquier otro problema.
  • Los medicamentos no se deben tirar por los desagües ni a la basura. La farmacia del hospital se deshará del producto no utilizado o material de desecho. De esta forma ayuda a proteger el medio ambiente.

6. Contenido del envase e información adicional

Composición deMultiHance

  • El principio activo es ácido gadobénico en forma de gadobenato de dimeglumina
  • 1 ml de solución inyectable contiene: 334 mg de ácido gadobénico (0,5 mmol) como gadobenato de dimeglumina (529 mg).
  • El otro componente (excipiente) es agua para preparaciones inyectables.

Aspecto del producto y contenido del envase

MultiHance es una solución acuosa estéril (sin partículas, transparente o con color ligeramente amarillento) para inyección intravenosa.

MultiHance se suministra a los hospitales en viales monodosis de vidrio que contienen 5 ml, 10 ml, 15 ml o 20 ml de solución.

MultiHance también se suministra en equipos con dispositivos de administración: viales de 15 y 20 ml, jeringa para inyector automático de Resonancia Magnética (jeringa de 65 ml (tereftalato de polietileno/policarbonato), jeringa de 115 ml (tereftalato de polietileno/policarbonato), conector (PVC/policarbonato/polipropileno/silicona), 2 puntas (ABS)), catéter de seguridad 20 G.

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:

Bracco Imaging s.p.a.

Via Egidio Folli, 50

20134 Milán (Italia)

Responsable de la fabricación:

Patheon Italia s.p.a.

2º Trav. SX Vía Morolense, 5

03013 Ferentino (Italia)

BIPSO GmbH

Robert-Gerwig-Strasse 4

78224 Singen (Alemania)

Bracco Imaging S.p.A.

Bioindustry Park - Via Ribes, 5

10010 Colleretto Giacosa (TO) (Italia)

Puede solicitar más información respecto a este medicamento dirigiéndose al representante local del titular de la autorización de comercialización:

Laboratorios Farmacéuticos ROVI, S.A.

Julián Camarillo, 35

28037 Madrid

Tel: 913756230

Fecha de la última revisión de este prospecto: mayo 2024

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

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Esta información está destinada únicamente a médicos o profesionales del sector sanitario.

Forma de administración

MultiHance debe aspirarse con una jeringa inmediatamente antes de su uso y no se debe diluir. Debe desecharse el producto no utilizado y no se debe utilizar para otras exploraciones de RM.

Para minimizar el posible riesgo de extravasación de MultiHance en los tejidos blandos es importante comprobar que la cánula o aguja intravenosa se inserta correctamente en una vena.

El producto debe ser administrado por vía intravenosa en bolo o mediante inyección lenta (10 ml/min). Ver tabla para obtención de imágenes post-contraste.

Después de la inyección debe realizarse perfusión con una solución inyectable de cloruro sódico 9 mg/ml (0,9%).

Obtención de imágenes post-contraste:

Hígado

Imagen dinámica

Inmediatamente después de la inyección.

Imagen retardada

Entre 40 y 120 minutos después de la inyección, dependiendo del tipo de imagen diagnóstica requerida.

Antes de la administración de MultiHance, se recomienda evaluar a todos los pacientes para detectar una posible disfunción renal mediante pruebas de laboratorio.

Se han notificado casos de fibrosis nefrogénica sistémica (FNS) asociados a la utilización de algunos medios de contraste de gadolinio en pacientes con insuficiencia renal grave aguda o crónica (TFG o tasa de filtración glomerular < 30 ml/min/1,73 m2). Los pacientes sometidos a trasplante hepático tienen un riesgo especial ya que la incidencia de un fallo renal es elevada en este grupo. Puesto que existe la posibilidad de que pueda ocurrir una FNS con MultiHance, éste debe evitarse en pacientes con insuficiencia renal grave y en pacientes en el periodo perioperatorio de un trasplante hepático a no ser que la información diagnóstica sea imprescindible y no pueda obtenerse mediante resonancia magnética (RM) sin contraste.

Si el uso de MultiHance no puede evitarse, la dosis no debe exceder de 0,05 mmol/kg de peso corporal. Debido a la ausencia de información sobre la administración repetida, la administración de MultiHance no debe repetirse a no ser que haya transcurrido un intervalo entre inyecciones de al menos 7 días.

Dado que la eliminación renal de gadobenato de dimeglumina puede estar reducida en los pacientes de edad avanzada, es especialmente importante evaluar a los pacientes de 65 años y mayores para detectar una posible disfunción renal.

La hemodiálisis poco después de la administración de MultiHance puede resultar útil para la eliminación corporal de MultiHance. No hay evidencia que apoye el inicio de la hemodiálisis para la prevención o tratamiento de la FNS en pacientes que no están sometidos a hemodiálisis.

No debe utilizarse MultiHance durante el embarazo a no ser que la situación clínica de la mujer requiera tratamiento con gadobenato de dimeglumina.

La continuación o la interrupción de la lactancia 24 horas después de la administración de gadobenato de dimeglumina, quedarán a discreción del médico y de la madre en periodo de lactancia.

La etiqueta separable de los viales debe pegarse en la historia del paciente a fin de permitir un registro preciso del medio de contraste de gadolinio utilizado. También debería registrarse la dosis utilizada. Si se usan registros electrónicos de pacientes, debe introducirse el nombre del producto, el número de lote y la dosis en la historia del paciente.

Online doctors for MULTIHANCE 529 mg/ml INJECTABLE SOLUTION

Discuss questions about MULTIHANCE 529 mg/ml INJECTABLE SOLUTION, 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.
5.0 (195)
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.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

5.0 (80)
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.
  • 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.

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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.

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.

0.0 (16)
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
0.0 (0)
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 (54)
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.

Get MULTIHANCE 529 mg/ml INJECTABLE SOLUTION Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

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MULTIHANCE 529 mg/ml INJECTABLE SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

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The active ingredient in MULTIHANCE 529 mg/ml INJECTABLE SOLUTION is gadobenic acid. This information helps identify medicines with the same composition but different brand names.

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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.

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What are the alternatives to MULTIHANCE 529 mg/ml INJECTABLE SOLUTION?

Other medicines with the same active substance (gadobenic acid) include CLARISCAN 0.5 mmol/mL Injectable Solution, CLARISCAN 0.5 mmol/mL Injectable Solution in Pre-filled Syringe, CYCLOLUX 0.5 mmol/ml INJECTABLE 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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