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ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution

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Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

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 ORGALUTRAN 0.25 mg/0.5 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.

Show original

Introduction

Package Leaflet: Information for the User

Orgalutran 0.25 mg/0.5 ml solution for injection

ganirelix

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, pharmacist, or nurse.
  • 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 get 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 Orgalutran and what is it used for
  2. What you need to know before you use Orgalutran
  3. How to use Orgalutran
  4. Possible side effects
  5. Storage of Orgalutran
  6. Contents of the pack and other information

1. What is Orgalutran and what is it used for

Orgalutran contains the active substance ganirelix and belongs to a group of medicines called gonadotropin-releasing hormone (GnRH) antagonists. It works by blocking the action of GnRH, which regulates the release of gonadotropins (luteinizing hormone (LH) and follicle-stimulating hormone (FSH)). Gonadotropins play an important role in human fertility and reproduction. FSH is necessary in women for the growth and development of follicles in the ovaries. The follicles are small, rounded sacs that contain the eggs. LH is necessary for the release of mature eggs from the follicles in the ovaries (i.e., ovulation). Orgalutran suppresses the release of LH.

What Orgalutran is used for

In women undergoing assisted reproduction techniques, such as in-vitro fertilization (IVF) and other methods, premature ovulation may occasionally occur, resulting in a significant reduction in the likelihood of becoming pregnant. Orgalutran is used to prevent premature release of LH, which can cause premature ovulation.

In clinical studies, Orgalutran was used with recombinant follicle-stimulating hormone (FSH) or corifollitropin alfa, a long-acting follicular stimulant.

Doctor consultation

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2. What you need to know before you use Orgalutran

Do not use Orgalutran

  • if you are allergic to ganirelix or any of the other ingredients of this medicine (listed in section 6);
  • if you are hypersensitive to gonadotropin-releasing hormone (GnRH) or its analogues;
  • if you have moderate or severe kidney or liver disease;
  • if you are pregnant or breastfeeding.

Warnings and precautions

Tell your doctor, pharmacist, or nurse before you start using Orgalutran

Allergic reactions

If you have an active allergy, inform your doctor. Your doctor will decide, depending on the severity, if additional monitoring is needed during treatment. Allergic reactions have been observed, even after the first dose.

Allergic reactions, both generalized and localized, including hives (urticaria), swelling of the face, lips, tongue, and/or throat, which can cause difficulty breathing and/or swallowing (angioedema and/or anaphylaxis) (see also section 4), have been reported. If you experience an allergic reaction, stop using Orgalutran and seek medical attention immediately.

Ovarian Hyperstimulation Syndrome (OHSS)

During or after hormonal stimulation of the ovaries, OHSS may develop. This syndrome is related to the gonadotropin stimulation procedure. We recommend that you read the package leaflet of the gonadotropin medicine that you have been prescribed.

Multiple births or birth defects

The incidence of congenital malformations after the use of assisted reproduction techniques may be slightly higher than after spontaneous conceptions. This slightly higher incidence is considered to be related to the characteristics of patients undergoing fertility treatments (e.g., woman's age, semen characteristics) and the higher incidence of multiple pregnancies reported after the use of assisted reproduction techniques. The incidence of congenital malformations after the use of assisted reproduction techniques with Orgalutran is not different from the incidence with the use of other GnRH analogues in assisted reproduction techniques.

Pregnancy complications

There is a slight increase in the risk of an ectopic pregnancy (a pregnancy outside the uterus) in women with damaged Fallopian tubes.

Women weighing less than 50 kg or more than 90 kg

The efficacy and safety of Orgalutran have not been established in women weighing less than 50 kg or more than 90 kg. Consult your doctor for more information.

Children and adolescents

Orgalutran is not intended for use in children or adolescents.

Using Orgalutran with other medicines

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

Pregnancy, breastfeeding, and fertility

Orgalutran should be used during controlled ovarian stimulation for assisted reproduction techniques (ART). Do not use Orgalutran during pregnancy and breastfeeding.

Consult your doctor or pharmacist before using this medicine.

Driving and using machines

No studies on the effects on the ability to drive and use machines have been performed.

Orgalutran contains sodium

This medicine contains less than 23 mg of sodium (1 mmol) per injection; it is essentially "sodium-free".

3. How to use Orgalutran

Follow the instructions for administration of this medicine exactly as prescribed by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.

Orgalutran is used as part of the treatment in assisted reproduction techniques (ART), including in-vitro fertilization (IVF).

Ovarian stimulation with follicle-stimulating hormone (FSH) or corifollitropin alfa may start on the second or third day of your menstrual period. You should inject Orgalutran (0.25 mg) once daily just under the skin, starting on the fifth or sixth day of stimulation. Depending on your ovarian response, your doctor may decide to start on another day.

Preparations of Orgalutran and FSH should not be mixed, although they should be administered approximately at the same time, injected in different locations.

Daily treatment with Orgalutran should continue until there are sufficient follicles of adequate size. Final maturation of the eggs in the follicles can be induced by administering human chorionic gonadotropin (hCG). The time between two Orgalutran injections and between the last Orgalutran injection and the hCG injection should not exceed 30 hours; otherwise, premature ovulation may occur (i.e., release of the eggs). Therefore, if the Orgalutran injection is given in the morning, treatment with Orgalutran should be maintained throughout the entire gonadotropin treatment period, including the day of ovulation induction. If the Orgalutran injection is given in the evening, the last Orgalutran injection should be administered on the evening before the day of ovulation induction.

Instructions for use

Injection site

Orgalutran is presented in pre-filled syringes and should be injected slowly just under the skin, preferably in the thigh. Check the solution before use. Do not use the solution if it contains particles or is not transparent. You may notice air bubbles in the pre-filled syringe. This is to be expected and does not require removal of the air bubbles. If you or your partner administer the injections, follow the instructions carefully. Do not mix Orgalutran with other medicines.

Preparing the injection site

Wash your hands thoroughly with soap and water. The injection site should be cleaned with a disinfectant (e.g., alcohol) to remove bacteria from the surface. Clean an area of about 5 cm around the injection site and let the disinfectant dry for at least one minute before injecting.

Inserting the needle

Remove the needle protector. Pinch a large area of skin between your thumb and index finger. Insert the needle into the skin at the base of the pinched area at an angle of 45 degrees to the skin surface. The injection site should be varied for each injection.

Checking the correct position of the needle

Gently pull back the plunger to check if the needle is correctly placed. If blood enters the syringe, it means that the needle tip has entered a blood vessel. If this happens, do not inject Orgalutran; instead, remove the syringe, cover the injection site with a swab with disinfectant, and press; it should stop bleeding within one or two minutes. Do not use this syringe and dispose of it properly. Start again with a new syringe.

Injecting the solution

Once the needle is correctly placed, press the plunger slowly and steadily to inject the solution correctly and avoid damaging the skin tissues.

Removing the syringe

Remove the syringe quickly and press on the injection site with a swab with disinfectant.

Use the pre-filled syringe only once.

If you use more Orgalutran than you should

Consult your doctor.

If you forget to use Orgalutran

If you realize you have forgotten to inject a dose, administer it as soon as possible.

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

If you delay for more than 6 hours (i.e., the interval between two injections is extended by more than 30 hours), administer the dose as soon as possible andconsult your doctor for advice.

If you stop using Orgalutran

Do not stop using Orgalutran unless your doctor tells you to, as this may affect the outcome of your treatment.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist, or nurse.

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 likelihood of experiencing a side effect is classified as follows:

Very common: may affect more than 1 in 10 women

  • Local reactions at the injection site (mainly redness, with or without swelling). The local reaction usually disappears within 4 hours after administration.

Uncommon: may affect up to 1 in 100 women

  • Headache
  • Nausea
  • Discomfort

Rare: may affect up to 1 in 10,000 women

  • Allergic reactions have been observed, even after the first dose.
  • Rash
  • Facial swelling
  • Difficulty breathing (dyspnea)
  • Swelling of the face, lips, tongue, and/or throat, which can cause difficulty breathing and/or swallowing (angioedema and/or anaphylaxis)
  • Hives (urticaria)
  • Worsening of a pre-existing eczema has been reported after the first dose of Orgalutran.

Additionally, side effects related to controlled ovarian hyperstimulation treatment (such as abdominal pain, ovarian hyperstimulation syndrome (OHSS), ectopic pregnancy (when the embryo develops outside the uterus), and miscarriage (see the package leaflet of the FSH medicine you are using)) have been observed.

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 national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Orgalutran

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 after ‘EXP’. The expiry date is the last day of the month shown.

Do not freeze.

Store in the original package to protect from light.

Inspect the syringe before use. The syringe should only be used if the solution is transparent and particle-free and the packaging is not damaged.

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

6. Contents of the pack and other information

Composition of Orgalutran

  • The active substance is ganirelix (0.25 mg in 0.5 ml solution).
  • The other ingredients are acetic acid, mannitol, water for injections. The pH (a measure of acidity) may have been adjusted with sodium hydroxide and acetic acid.

Appearance and packaging of Orgalutran

Orgalutran is a clear and colorless aqueous solution for injection. The solution is ready to use and is administered subcutaneously.

Orgalutran is available in packs of 1 or 5 pre-filled syringes.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Marketing authorisation holder

N.V. Organon

Kloosterstraat 6

5349 AB Oss

Netherlands

Manufacturer

N.V. Organon

Kloosterstraat 6

Postbus 20

5340 BH Oss

Netherlands

You can request more information about this medicine from the local representative of the marketing authorisation holder:

Belgium

Organon Belgium

Tel: 0080066550123 (+32 2 2418100)

[email protected]

Lithuania

Organon Pharma B.V. Lithuania branch

Tel: +370 52041693

[email protected]

Bulgaria

Organon Bulgaria EOOD

Tel: +359 2 806 3030

[email protected]

Luxembourg

Organon Belgium

Tel: 0080066550123 (+32 2 2418100)

[email protected]

Czech Republic

Organon Czech Republic s.r.o.

Tel: +420 233 010 300

[email protected]

Hungary

Organon Hungary Kft.

Tel: +36 1 766 1963

[email protected]

Denmark

Organon Denmark ApS

Tel: +45 4484 6800

[email protected]

Malta

Organon Pharma B.V., Cyprus branch

Tel: +356 2277 8116

[email protected]

Germany

Organon Healthcare GmbH

Tel: 0800 3384 726 (+49 (0) 89 2040022 10)

[email protected]

Netherlands

N.V. Organon

Tel: 00800 66550123 (+32 2 2418100)

[email protected]

Estonia

Organon Pharma B.V. Estonian branch

Tel: +372 66 61 300

[email protected]

Norway

Organon Norway AS

Tel: +47 24 14 56 60

[email protected]

Greece

ΒΙΑΝΕΞ Α.Ε.

Tel: +30 210 80091 11

[email protected]

Austria

Organon Healthcare GmbH

Tel: +49 (0) 89 2040022 10

[email protected]

Spain

Organon Salud, S.L.

Tel: +34 91 591 12 79

[email protected]

Poland

Organon Polska Sp. z o.o.

Tel: +48 22 105 50 01

[email protected]

France

Organon France

Tel: +33 (0) 1 57 77 32 00

Portugal

Organon Portugal, Sociedade Unipessoal Lda.

Tel: +351 218705500

[email protected]

Croatia

Organon Pharma d.o.o.

Tel: +385 1 638 4530

[email protected]

Romania

Organon Biosciences S.R.L.

Tel: +40 21 527 29 90

[email protected]

Ireland

Organon Pharma (Ireland) Limited

Tel: +353 15828260

[email protected]

Slovenia

Organon Pharma B.V., Oss, Ljubljana branch

Tel: +386 1 300 10 80

[email protected]

Iceland

Vistor hf.

Tel: +354 535 7000

Slovakia

Organon Slovakia s.r.o.

Tel: +421 2 44 88 98 88

[email protected]

Italy

Organon Italia S.r.l.

Tel: +39 06 90259059

[email protected]

Finland

Organon Finland Oy

Tel: +358 (0) 29 170 3520

[email protected]

Cyprus

Organon Pharma B.V., Cyprus branch

Tel: +357 22866730

[email protected]

Sweden

Organon Sweden AB

Tel: +46 8 502 597 00

[email protected]

Latvia

Organon Pharma B.V. branch office

Tel: +371 66968876

[email protected]

United Kingdom (Northern Ireland)

Organon Pharma (UK) Limited

Tel: +44 (0) 208 159 3593

[email protected]

Date of last revision of this leaflet:{month YYYY}.

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

Online doctors for ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution

Discuss questions about ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (188)
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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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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Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

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Andreea Mateescu

Paediatrics 8 years exp.

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 Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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Lisa Drigo

Paediatrics 34 years exp.

Dr Lisa Drigo is an experienced paediatrician based in Italy with over 30 years of clinical practice. She graduated from Università Cattolica del Sacro Cuore in Rome and has spent decades working within the Italian healthcare system, supporting children and families with both acute care and long-term prevention.

She is well familiar with Italian paediatric standards, including local vaccination schedules, preventive check-ups, growth monitoring, and everyday medical issues faced by families living in Italy. This makes her consultations especially valuable for parents who want guidance that aligns with local medical practice.

Her primary focus is paediatrics, with additional support in family medicine when a child’s health needs to be assessed in a broader family or preventive context.

Patients most often consult her for:

  • Acute infections in children (fever, cough, sore throat, runny nose).
  • Viral and bacterial illnesses, frequent colds.
  • Digestive symptoms such as abdominal pain, nausea, diarrhoea or constipation.
  • Monitoring of growth, weight, and developmental milestones.
  • Vaccination advice according to Italian schedules.
  • Allergic reactions, skin rashes, food sensitivities.
  • General health concerns and everyday questions from parents.
  • Preventive care, nutrition advice, and healthy lifestyle guidance.

Dr Drigo communicates in a clear, calm, and reassuring way, helping parents understand what is happening and what steps to take next. Online consultations allow families to receive reliable paediatric guidance aligned with Italian medical practice, without unnecessary stress or waiting.

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Doctor

Joao Silva

General medicine 6 years exp.

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

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

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

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

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

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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.

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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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Frequently Asked Questions

Is a prescription required for ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution?

ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution?

The active ingredient in ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution is ganirelix. This information helps identify medicines with the same composition but different brand names.

Who manufactures ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution?

ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution is manufactured by Organon N.V.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution 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 ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to ORGALUTRAN 0.25 mg/0.5 mL Injectable Solution?

Other medicines with the same active substance (ganirelix) include ASTARTE 0.25 mg/0.5 mL Injectable Solution in Pre-filled Syringe, FYREMADEL 0.25 MG / 0.5 ML INJECTABLE SOLUTION IN PRE-FILLED SYRINGE EFG, GANIRELIX GEDEON RICHTER 0.25 mg/0.5 ml Injectable Solution in Pre-filled Syringe EFG. 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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