OCTOSTIM 1.5 mg/ml NASAL SPRAY SOLUTION

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. 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.

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

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

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

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.

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 Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

• interpretation of test results and personalised treatment planning
• menstrual irregularities, PCOS, endometriosis
• abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
• care during perimenopause and menopause, hormonal balance, cancer prevention
• breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
• support during the postpartum and lactation period

Dr Andreea Mateescu is a board-certified paediatrician with 7 years of clinical experience. She graduated from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed her paediatric residency at INSMC Alessandrescu-Rusescu. She also holds additional training in general ultrasound diagnostics.

Dr Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

• preventive check-ups and monitoring of growth and development;
• vaccination planning, including personalised and catch-up schedules;
• assessment of psychomotor, emotional, and physical development;
• diagnosis and management of acute and chronic paediatric conditions;
• nutritional guidance for infants and children, including formula selection when medically indicated;
• care for children with complex or rare conditions;
• practical guidance and ongoing support for parents.

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

• Fever, infections, cough, sore throat, and digestive issues.
• Preventive care – vaccinations, regular check-ups, and health monitoring.
• Allergies, asthma, and skin conditions.
• Nutritional advice and healthy development support.
• Sleep difficulties, fatigue, and behavioural concerns.
• Ongoing care for chronic or complex health conditions.
• Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

• Respiratory infections (cold, flu, bronchitis, pneumonia).
• ENT conditions such as sinusitis, ear infections, and tonsillitis.
• Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
• Urinary tract infections and other common infections.
• Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
• Acute conditions requiring urgent medical attention.
• Headaches, migraines, and minor injuries.
• Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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;
• muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
• chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
• 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 Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

• High blood pressure, type 2 diabetes, cholesterol management
• Cold and flu symptoms: fever, cough, sore throat
• Fatigue, sleep problems, headaches, general discomfort
• Ongoing care for chronic conditions and medication review
• Help interpreting test results and lab reports
• Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.