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NOVOEIGHT 250 IU Injectable solution

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

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use NOVOEIGHT 250 IU POWDER AND SOLVENT FOR INJECTABLE SOLUTION

Contents of the leaflet

  1. Introduction
  2. What is NovoEight and what is it used for
  3. What you need to know before you use NovoEight
  4. How to use NovoEight
  5. Possible side effects
  6. Storage of NovoEight
  7. Container Contents and Additional Information

Introduction

Package Leaflet: Information for the User

NovoEight250UI powder and solvent for solution for injection

NovoEight500UI powder and solvent for solution for injection

NovoEight1000UI powder and solvent for solution for injection

NovoEight1500UI powder and solvent for solution for injection

NovoEight2000UI powder and solvent for solution for injection

NovoEight3000UI powder and solvent for solution for injection

turoctocog alfa (human coagulation factor VIII (rDNA))

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

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

1. What is NovoEight and what is it used for

NovoEight contains the active substance turoctocog alfa, human coagulation factor VIII. Factor VIII is a protein that is naturally found in the blood and helps it to clot.

NovoEight is used to treat and prevent bleeding episodes in patients with haemophilia A (congenital factor VIII deficiency) and can be used in all age groups.

In patients with haemophilia A, factor VIII is missing or does not work properly. NovoEight replaces the missing or non-functioning factor VIII and helps the blood to form clots at the site of bleeding.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use NovoEight

Do not use NovoEight:

  • if you are allergic to the active substance or any of the other ingredients of this medicine (listed in section 6)
  • if you are allergic to hamster proteins.

Do not use NovoEight in any of the above cases. If you are not sure, talk to your doctor before using this medicine.

Warnings and precautions

Talk to your doctor before using NovoEight.

There is a small chance that an anaphylactic reaction (a sudden and severe allergic reaction) to NovoEight may occur. The first signs of an allergic reaction are rash, hives, itching, swelling of the face, lips, tongue or throat, difficulty breathing, wheezing, chest tightness, and dizziness.

If any of these symptoms occur, stop the injection immediately and contact your doctor.

Talk to your doctor if you think that bleeding is not being controlled with the dose you are given, as there may be different reasons for this. Some people using this medicine may develop antibodies against factor VIII (also known as factor VIII inhibitors). Factor VIII inhibitors reduce the effectiveness of NovoEight in preventing or controlling bleeding. If this happens, you may need a higher dose of NovoEight or another medicine to control bleeding. Do not increase the total dose of NovoEight to control bleeding without talking to your doctor. You should tell your doctor if you have been previously treated with factor VIII medicines, especially if you have developed inhibitors, as the risk of this happening again is higher.

The formation of inhibitors (antibodies) is a known complication that can occur during treatment with all factor VIII medicines. These inhibitors, especially in large amounts, prevent the treatment from working properly, so you and your child will be carefully monitored for the development of such inhibitors. If you or your child's bleeding is not being controlled with NovoEight, contact your doctor immediately.

Other medicines and NovoEight

Tell your doctor if you are using, have recently used or might use any other medicines.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before using this medicine.

Driving and using machines

NovoEight has no influence on the ability to drive and use machines.

NovoEight contains sodium

This medicine contains 30.5 mg of sodium (a major component of cooking/table salt) per reconstituted vial. This is equivalent to 1.5% of the maximum recommended daily intake of sodium for an adult.

If you are on a low-sodium diet, talk to your doctor.

3. How to use NovoEight

A doctor experienced in the treatment of patients with haemophilia A will start treatment with NovoEight. Follow the instructions for administration of this medicine exactly as told by your doctor. If you are not sure, talk to your doctor again.

Your doctor will calculate the dose for you based on your weight and what the medicine is being used for.

Prevention of bleeding

The usual dose of NovoEight is 20 to 50 international units (IU) per kg body weight. The injection is given every 2 or 3 days. In some cases, especially in younger patients, more frequent injections or higher doses may be needed.

Treatment of bleeding

The dose of NovoEight is calculated based on body weight and the desired factor VIII levels. The desired level of factor VIII depends on the severity and location of the bleeding.

Use in children and adolescents

NovoEight can be used in children of all ages. In children (under 12 years) higher doses or more frequent injections may be needed. Adolescents (over 12 years) can use the same dose as adults.

How NovoEight is given

NovoEight must be injected into a vein. See “Instructions for use of NovoEight” for further information.

If you use more NovoEight than you should

If you use more NovoEight than you should, contact your doctor or go to a hospital immediately.

If you forget to use NovoEight

If you have missed a dose and do not know how to make up for it, contact your doctor.

If you stop using NovoEight

If you stop using NovoEight, you will no longer be protected against bleeding or an existing bleed may not stop. Do not stop using NovoEight without talking to your doctor first.

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

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects can occur with this medicine.

If anaphylactic reactions (sudden and severe allergic reactions) occur (rarely), the injection must be stopped immediately. If you experience any of the following symptoms, contact your doctor immediately:

  • difficulty breathing, breathlessness or wheezing
  • chest tightness
  • swelling of the lips and tongue
  • rash, hives, itching or generalised itching
  • feeling of dizziness or loss of consciousness
  • low blood pressure (pale and cold skin, palpitations).

Severe symptoms, including difficulty swallowing or breathing and redness and swelling of the face or hands, require urgent treatment.

If you have a severe allergic reaction, your doctor may change your medicine.

In previously untreated children with factor VIII medicines, inhibitor antibodies (see section 2) may be formed very commonly (more than 1 in 10 patients); however, in patients who have received previous treatment with factor VIII (more than 150 days of treatment), the risk is uncommon (less than 1 in 100 patients). If this happens to you or your child, the treatment may stop working properly and you or your child may experience persistent bleeding. If this happens, contact your doctor immediately.

Common side effects (may affect up to 1 in 10 people)

  • blood tests showing changes in liver function
  • reactions (redness and itching) at the injection site.

Common side effects (may affect up to 1 in 10 people) in previously untreated patients with factor VIII medicines

  • redness of the skin
  • vein inflammation
  • bleeding into the joints
  • bleeding into the muscle tissue
  • cough
  • redness around the infusion site
  • vomiting.

Uncommon side effects (may affect up to 1 in 100 people)

  • feeling tired
  • headache
  • feeling dizzy
  • difficulty sleeping (insomnia)
  • palpitations
  • high blood pressure
  • rash
  • fever
  • feeling hot
  • muscle stiffness
  • muscle pain
  • pain in arms and legs
  • swelling of arms and legs
  • joint disease
  • bruising
  • heart attack.

Side effects in children and adolescents

The side effects seen in children and adolescents are the same as those seen in adults.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of NovoEight

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and on the label of the vial and the pre-filled syringe after EXP. The expiry date is the last day of the month stated.

Store in a refrigerator (2°C to 8°C).

Do not freeze.

Keep the vial in the outer carton in order to protect from light.

Before reconstitution, the NovoEight powder can be stored for:

  • up to 9 months at room temperature (≤30°C)

or

  • up to 3 months above room temperature (30°C to 40°C).

Once the product is removed from the refrigerator, it must not be refrigerated again.

Please note the start date and storage temperature on the product carton.

Once reconstituted, NovoEight should be used immediately. If you cannot use the reconstituted NovoEight solution immediately, you can store it for:

  • 24 hours when stored in a refrigerator (2°C to 8°C)
  • 4 hours when stored at ≤30°C, for the product that has been stored for a single period of up to 9 months at room temperature (≤30°C).
  • 4 hours when stored up to 40°C, for the product that has been stored for a single period of up to 3 months above room temperature (30°C to 40°C).

If you are not going to use the reconstituted medicine immediately, store it in the vial. Otherwise, it will no longer be sterile and may cause an infection. Do not store the solution unless you follow the advice of your doctor.

The powder in the vial is a white or slightly yellow powder. If the colour of the powder has changed, do not use it.

The reconstituted solution will be clear to slightly opalescent. Do not use this medicine if you notice it is cloudy or contains visible particles.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Container Contents and Additional Information

Composition of NovoEight

  • The active substance is turoctocog alfa (human coagulation factor VIII (rDNA)). Each vial of NovoEight contains 250, 500, 1000, 1500, 2000 or 3000 IU of turoctocog alfa.
  • The other components are L-histidine, sucrose, polysorbate 80, sodium chloride, L-methionine, calcium chloride dihydrate, sodium hydroxide, and hydrochloric acid.
  • The components of the solvent are sodium chloride and water for injections.

After reconstitution with the supplied solvent (sodium chloride 9 mg/ml (0.9%) injection solution), the prepared injection solution contains 62.5, 125, 250, 375, 500 or 750 IU of turoctocog alfa per ml respectively (based on the turoctocog alfa concentration, i.e., 250, 500, 1000, 1500, 2000 or 3000 IU).

Appearance and Container Contents of the Product

NovoEight is a powder and solvent for solution for injection. Each NovoEight container contains a vial with white or slightly yellow powder, a pre-filled syringe with 4 ml of a colorless and transparent solution, a plunger rod, and a vial adapter.

Marketing Authorisation Holder and Manufacturer

Novo Nordisk A/S

Novo Allé

DK-2880 Bagsværd, Denmark

Date of Last Revision of this Leaflet:

Other Sources of Information

Detailed information on this medicinal product is available on the European Medicines Agency website: http://www.ema.europa.eu.

Instructions for Use of NovoEight

READ THESE INSTRUCTIONS CAREFULLY BEFORE USING NOVOEIGHT.

NovoEight is supplied as a powder. Before injection (administration), it must be reconstituted with the supplied solvent in the syringe. The solvent is a sodium chloride 9 mg/ml (0.9%) solution. Reconstituted NovoEight must be injected into a vein (intravenous injection). The components of this container are designed to reconstitute and inject NovoEight.

You will also need an infusion set (tubing and butterfly needle), sterile alcohol swabs, gauze, and bandages. These devices are not included in the NovoEight container.

Do not use the equipment without having received proper training from your doctor or nurse.

Always wash your hands and ensure the area around you is clean.

When preparing and injecting the medicine directly into the veins, it is essential to use a clean and germ-free (aseptic) technique.Inadequate technique can introduce germs that can infect the blood.

Do not open the equipment until you are ready to use it.

Do not use the equipment if it has been dropped or damaged.Use a new container instead.

Do not use the equipment if it has expired.Use a new container instead. The expiration date is printed on the outer packaging, the vial, the vial adapter, and the pre-filled syringe after EXP.

Do not use the equipment if you suspect it is contaminated.Use a new container instead.

Do not discard any component until the reconstituted solution has been injected.

The equipment is for single use only.

Contents

The container contains:

  • 1 vial with NovoEight powder
  • 1 vial adapter
  • 1 pre-filled syringe with solvent
  • 1 plunger rod (located under the syringe)

Clear glass vial with white NovoEight powder, rubber stopper covered by a light blue plastic capVial adapter with transparent protective cover and visible spike under the protective paper

Transparent syringe with plunger and stopper, labeled tip, visible graduation scale and solvent inside the cylinderLong rod with thread at one end and wide end at the other, labeled with arrows and explanatory text

  1. Prepare the vial and syringe
  • Prepare the required number of NovoEight containers.
  • Check the expiration date.
  • Check the name, concentration, and color of the container to ensure it contains the correct product.
  • Wash your hands and dry them properly with a clean towel or air.
  • Remove the vial, vial adapter, and pre-filled syringe from the container. Leave the plunger rod untouched in the container.
  • Bring the vial and pre-filled syringe to room temperature. You can do this by holding both in your hands until you feel they are at the same temperature as your hands.
  • Do not use any other system to heat the vial and pre-filled syringe.

Two hands holding a white cylinder and a blue cap preparing for injection

  • Remove the plastic cap from the vial. If the plastic cap is loose or missing, do not use the vial.
  • Clean the rubber stopper with a sterile alcohol swab and let it air dry for a few seconds before using it to ensure it is as germ-free as possible.
  • Do not touch the rubber stopper with your fingers, as this can transfer germs.

Hand holding a medicine vial with a needle inserted into the top stopper and an arrow indicating direction

  1. Attach the vial adapter
  • Remove the protective paper from the vial adapter.

If the protective paperis not fully sealed or is broken, do not use the vial adapter.

Do not remove the vial adapter from the protective cover with your fingers.If you touch the spike of the vial adapter, you can transfer germs from your fingers.

Hands holding a medicine vial with a needle inserted and an arrow indicating the direction of withdrawal

  • Place the vial on a flat, hard surface.
  • Place the protective cover of the vial adapter upside down and attach the vial adapter to the vial by pressing.

Once attached, do not remove the vial adapter from the vial.

Hand holding a pre-filled injection device with a blue arrow pointing down and a vial below

  • Slightly compress the protective cover between your thumb and index finger as shown.

Remove the protective coverfrom the vial adapter.

Do not remove the vial adapterwhen removing the protective cover.

Hand holding an applicator with a needle over a medicine vial and an arrow indicating direction upwards

  1. Attach the plunger rod and syringe
  • Hold the plunger rod by the wide end and remove it from the container. Do not touch the sides or thread of the plunger rod. If you touch the sides or thread, you can transfer germs from your fingers.
  • Immediately attach the plunger rod to the syringe by turning it to the right inside the plunger in the pre-filled syringe until you feel resistance.

Hands holding an auto-injector with a curved blue arrow indicating the direction of rotation

  • Remove the cap from the pre-filled syringe by folding it downwards until the perforation breaks.
  • Do not touch the tip of the pre-filled syringe under the syringe cap. If you touch the tip of the pre-filled syringe, you can transfer germs from your fingers.

If the syringe cap is loose or missing, do not use the pre-filled syringe.

Hands holding a pre-filled injection device and a needle connecting with an arrow indicating direction

  • Tightly screw the pre-filled syringe onto the vial adapter until you feel resistance.

Hands holding two connected medicine cartridges with a blue arrow indicating rotation

  1. Reconstitute the powder with the solvent
  • Hold the pre-filled syringe slightly inclined with the vial pointing downwards.
  • Press the plunger rod to inject all the solvent into the vial.

Hand holding a pre-filled syringe with a blue arrow indicating the direction of needle insertion

  • Keep the plunger rod pressed and gently remove the vial until the powder is dissolved.

Do not shake the vial, as this would create foam.

  • Check the reconstituted solution. It should be transparent or slightly opalescent (slightly less transparent). If it appears cloudy or contains visible particles, do not use it. Use a new container instead.

Hand turning an auto-injector with the needle downwards over a dark surface indicating the injection process

It is recommended to use NovoEight immediately after reconstitution,as, if left, the medicine may lose its sterility and could cause infections.

If you cannot use the reconstituted NovoEight solution immediately,you must use it within 4 hours if stored at room temperature or up to 40°C, or within 24 hours if stored between 2°C and 8°C. Store the reconstituted product in the vial.

Do not freeze the reconstituted NovoEight solution or store it in syringes.

Do not store the solution without the advice of your doctor.

Store the reconstituted NovoEight solution away from direct light.

If your dose requires more than one vial, repeat steps Ato Jwith additional vials, vial adapters, and pre-filled syringes until the required dose is reached.

  • Keep the plunger rod fully pushed in.
  • Hold the syringe with the vial upside down.
  • Stop pressing the plunger rod and let it retract by itself while the reconstituted solution fills the syringe.
  • Pull the plunger rod slightly downwards to draw the reconstituted solution into the syringe.
  • If you only need part of the vial, use the syringe scale to see the amount of reconstituted solution you have withdrawn, as indicated by your doctor or nurse.

If there is too much air in the syringe at any time, inject the air back into the vial.

  • While holding the vial upside down, gently tap the syringe to allow any bubbles to rise to the top.
  • Slowly push the plunger rod until all bubbles have been eliminated.

Hand holding a pre-filled syringe with transparent medicine and descending plunger indicated by a blue arrow

  • Unscrew the adapter with the vial.
  • Do not touch the tip of the syringe. If you touch the tip of the syringe, you can transfer germs from your fingers.

Hands holding an auto-injector with a connected needle and blue arrows indicating the injection movement

  1. Inject the reconstituted solution

NovoEight is now ready to be injected into a vein.

  • Inject the reconstituted solution following the instructions of your doctor or nurse.
  • Inject slowly over 2 to 5 minutes.
  • Do not mix NovoEight with any other infusion or intravenous medication.

Injection of NovoEight through needleless connectors for intravenous (IV) catheters

Precaution:the pre-filled syringe is made of glass and is designed to be compatible with standard luer-lock connections. Some needleless connectors with an internal spike are incompatible with the pre-filled syringe. This incompatibility can prevent the administration of the medicine and/or damage the needleless connector.

Injection of the solution through a central venous access device (CVAD) such as a central venous catheter or a subcutaneous port:

  • Use a clean and germ-free (aseptic) technique. Follow the instructions for the proper use of your connector and CVAD with the advice of your doctor or nurse.
  • Injection into a CVAD may require using a sterile 10 ml plastic syringe to withdraw the reconstituted solution. This should be done immediately after step J.
  • If it is necessary to flush the CVAD line before or after the injection of NovoEight, use a sodium chloride 9 mg/ml injection solution.

Disposal

  • After injection, safely discard any unused NovoEight solution, the syringe with the infusion set, the vial with the vial adapter, and other waste following the instructions of your pharmacist.

Do not dispose of them as ordinary household waste.

Blue vial with cap, needle inserting into a rubber stopper, and small vial with transparent liquid

Do not disassemble the equipment before disposing of it.

Do not reuse the equipment.

Online doctors for NOVOEIGHT 250 IU POWDER AND SOLVENT FOR INJECTABLE SOLUTION

Discuss questions about NOVOEIGHT 250 IU POWDER AND SOLVENT FOR INJECTABLE SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
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Doctor
5.0(1)

Abdullah Alhasan

General medicineCardiology11 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

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

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

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

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Doctor
5.0(1)

Duarte Meneses

Family medicineGeneral medicine5 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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Mar Tabeshadze

EndocrinologyGeneral medicine11 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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€66
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5.0(11)

Sergio Correa

General medicineGeriatrics8 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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€56
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Antonio Cayatte

General medicine44 years of experience

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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Ngozi Precious Okwuosa

General medicine6 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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€56
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Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

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

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€64
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Muhammad Tayyab Altaf

General medicine3 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Policlinico San Matteo Hospital Pavia in Italy, Mount Sinai Hospital in New York, United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity.

His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

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€71
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Get NOVOEIGHT 250 IU POWDER AND SOLVENT FOR INJECTABLE SOLUTION Prescription Online

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