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NEURAPAS Coated Tablets

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About the medicine

How to use NEURAPAS Coated Tablets

Translated with AI

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

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Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

NEURAPAS coated tablets

Dry extract of St. John's Wort, Valerian and Passionflower

Follow the instructions for administration of the medicine contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.
  • You should consult a doctor if your symptoms worsen or do not improve after 4 weeks.

Contents of the package leaflet:

  1. What is NEURAPAS and what is it used for
  2. What you need to know before taking NEURAPAS
  3. How to take NEURAPAS
  4. Possible side effects
  5. Storage of NEURAPAS
  6. Contents of the pack and further information

1. What is NEURAPAS and what is it used for

NEURAPAS is presented in the form of coated tablets, for oral administration.

NEURAPAS is a herbal medicine, traditionally used for the relief of states of exhaustion that occur with loss of interest and sleep disturbances.

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 taking NEURAPAS

Do not take NEURAPAS

  • if you are already taking certain medicines (see Taking other medicines)
  • if you are allergic (hypersensitive) to the active ingredients or to any of the other components of this medicine (listed in section 6).
  • if you have hypersensitivity to light
  • if you are under 18 years old.

Warnings and precautions

Consult your doctor or pharmacist before starting to take NEURAPAS

If you are being treated with other medicines, consult your doctor or pharmacist before taking this St. John's Wort preparation (see Use of NEURAPAS with other medicines)

If you are already taking NEURAPAS at the same time as other medicines, do not stop taking NEURAPAS without consulting your doctor first. If you stop taking the St. John's Wort preparation, some adverse reactions to the other medicines may occur, especially in the case of ciclosporin, theophylline, digoxin, or oral anticoagulants (warfarin, acenocoumarol) (see Use of NEURAPAS with other medicines).

If you are taking NEURAPAS, avoid intense exposure to UV rays (long exposures to the sun, UVA ray baths).

If your symptoms worsen or persist after 4 weeks, despite taking the recommended dose regularly, you should consult your doctor. On the other hand, improvement usually does not occur until 10 to 14 days after starting treatment.

Use of NEURAPAS with other medicines

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medicine.

Patients who are taking the following medicines:

  • for AIDS (antiretrovirals)
  • for cancer (irinotecan)
  • for transplant rejection (ciclosporin, tacrolimus)
  • for epilepsy
  • for the heart (digoxin)
  • for cholesterol (simvastatin)
  • for the treatment of asthma or chronic bronchitis (theophylline)
  • for migraine
  • for chronic idiopathic urticaria (fexofenadine)
  • for benign prostatic hyperplasia (finasteride)
  • for anxiety (buspirone)
  • for depression
  • to treat addiction to drugs such as morphine or heroin, opioids (methadone)
  • oral anticoagulants
  • oral contraceptives

should not start using St. John's Wort preparations without consulting their doctor or pharmacist first (see Warnings and precautions).

Also, inform your doctor or pharmacist of any suspected change in the effects of the medicines you are taking at the same time as NEURAPAS.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist.

Do not take this medicine during pregnancy.

Driving and using machines

This medicine may cause drowsiness. Do not drive or use machines if you feel drowsy or if you notice that your attention and reaction capacity are reduced.

NEURAPAS contains lactose, glucose, and glycerol

  • This medicine contains lactose and glucose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.
  • This medicine may cause headache, stomach upset, and diarrhea because it contains glycerol.

3. How to take NEURAPAS

NEURAPAS is a medicine that is taken orally.

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

The recommended dose is

Adults and children over 18 years:

Administer a dose of 2 tablets three times a day.

The normal duration of treatment is 3 to 4 weeks. If improvement occurs, treatment can be continued for up to 8 weeks, always under medical advice.

It is advisable to take the doses at the same time every day.

It is recommended to drink a glass of water with each dose.

If you think the effect of NEURAPAS is too strong or too weak, tell your doctor or pharmacist.

If you take more NEURAPAS than you should

The adverse effects of this medicine may be intensified. If the following symptoms appear: redness, itching, and rash on the skin, you should avoid exposure of the skin to UV rays (long exposures to the sun, UVA ray baths), even for a week after.

In cases of overdose or accidental ingestion of large quantities of NEURAPAS, go immediately to a medical center or call the Toxicology Information Service, phone: 915.620.420, indicating the medicine and the amount ingested.

If you forget to take NEURAPAS

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

If you have any other doubts about the use of this product, ask your doctor or pharmacist.

Medicine questions

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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.

NEURAPAS may cause, in people with fair skin, reactions similar to sunburn in areas of the body exposed to intense sunlight. In these cases, you should avoid intense exposure to UV rays (long exposures to the sun, UVA ray baths), even for a week after.

Rarely, gastrointestinal disorders, allergic reactions (redness, itching, and rash on the skin), and agitation may occur.

Reporting of side effects:

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of NEURAPAS

Keep out of the sight and reach of children.

Do not store above 25°C.

Do not use this medicine after the expiry date stated on the packaging after EXP. The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicines in the SIGRE Circular green symbol with a white cross in the center and curved arrows indicating a continuous cycle collection point at your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Contents of the pack and further information

Composition of NEURAPAS

Each coated tablet contains, as active ingredients:

  • 60 mg of dry extract of flowering tops of Hypericum perforatum (St. John's Wort), equivalent to 276-390 mg of flowering tops, and with a content of 0.08 mg of total hypericins.
  • 28 mg of dry extract of root of Valeriana officinalis (Valerian), equivalent to 106-156 mg of root.
  • 32 mg of dry extract of flowering tops of Passiflora incarnata (Passionflower), equivalent to 200-227 mg of flowering tops.

Solvent used for extraction: ethanol

The other ingredients are:

povidone K30, lactose, glycerol, spray-dried glucose syrup, colloidal anhydrous silica, croscarmellose, maltodextrin, talc, sodium croscarmellose, magnesium stearate, Eudragit E, Macrogol 6000, indigo carmine (E132).

Appearance and packaging of the product

This medicine is presented in packs containing 60 or 100 tablets, in blister packs of aluminum/PVC/Aclar, 20 tablets per blister.

Not all pack sizes may be marketed.

Marketing authorization holder:

PASCOE Pharmazeutische Präparate GmbH

Schiffenberger Weg 55

D-35394 Giessen (Germany)

[email protected]

Manufacturer:

PASCOE Pharmazeutische Präparate GmbH

Europastrasse 2

D-35394 Giessen (Germany)

This leaflet was approved in

July 2017

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for NEURAPAS Coated Tablets

Discuss questions about NEURAPAS Coated Tablets, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (69)
Doctor

Tarek Agami

General medicine 11 years exp.

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

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

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

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

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5.0 (63)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Doctor

Anastasiia Hladkykh

Psychiatry 15 years exp.

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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€130
5.0 (17)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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€50
5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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€80

Frequently Asked Questions

Is a prescription required for NEURAPAS Coated Tablets?
NEURAPAS Coated Tablets does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
Who manufactures NEURAPAS Coated Tablets?
NEURAPAS Coated Tablets is manufactured by Pascoe Pharmazeutische Praeparate Gmbh. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of NEURAPAS Coated Tablets online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether NEURAPAS Coated Tablets is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to NEURAPAS Coated Tablets?
Other medicines with the same active substance () include AFLOYAN 15 mg FILM-COATED TABLETS, AFLOYAN 30 mg FILM-COATED TABLETS, AGOMELATINE AUROVITAS SPAIN 25 mg FILM-COATED TABLETS. 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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