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Pentasa 1 g rectal suspensión

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Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience
Licence no. 35/35/09707

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
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 PENTASA 1 g RECTAL SUSPENSION

Contents of the leaflet

  1. Introduction
  2. What is Pentasa rectal suspension and what is it used for
  3. What you need to know before you use Pentasa rectal suspension
  4. Pentasa 1 gram rectal suspension with food and drinks
  5. How to use Pentasa 1 gram rectal suspension
  6. If you use more PENTASA rectal suspension than you should
  7. Possible side effects
  8. Storing Pentasa rectal suspension
  9. Contents of the pack and other information
  10. Marketing authorization holder and manufacturer

Introduction

Package Leaflet: Information for theuser

PENTASA1 gramsuspensionrectal

Mesalazine

Read all of this leaflet carefully before you start usingthis 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 or pharmacist.
  • 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 or pharmacist. This includes any possible side effects not listed in this leaflet.

Contents of the pack

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

1. What is Pentasa rectal suspension and what is it used for

PENTASA rectal suspension is indicated for the treatment of ulcerative colitis localized in the rectum and sigmoid colon.

Ulcerative colitis is an inflammatory bowel disease in which the lining of the intestine is inflamed and develops many small breaks in its surface (ulcers) that can bleed.

Pentasa contains the active ingredient mesalazine, which belongs to the group of medicines called intestinal anti-inflammatory agents that help reduce inflammation and painful symptoms.

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 Pentasa rectal suspension

Do not use PENTASA rectal suspension:

  • if you are allergic to the active ingredient or to any of the other ingredients of this medicine (listed in section 6)
  • if you are allergic to salicylates, for example aspirin
  • if you have severe kidney and/or liver problems

Warnings and precautions

Consult your doctor or pharmacist before starting to use Pentasa rectal suspension:

  • if you are allergic to sulfasalazine (risk of allergy to salicylates)
  • if you currently have or have had liver or kidney function impairment
  • if you have a disease that may make you prone to bleeding
  • if you are undergoing treatment that may affect kidney function, for example non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin
  • if you have respiratory problems, in particular asthma
  • treatment should be discontinued immediately in case of acute symptoms of intolerance, such as cramps, abdominal pain, fever, severe headache, and rash.
  • Kidney stones may occur with the use of mesalazine. Symptoms include pain in the sides of the abdomen and blood in the urine. Make sure to drink a sufficient amount of liquid during treatment with mesalazine.
  • If you have ever suffered from a severe skin rash or skin peeling, blisters, or sores in the mouth after using mesalazine

Mesalazine may cause a discoloration of the urine to a reddish-brown color after contact with sodium hypochlorite bleach in the toilet water. This is a chemical reaction between mesalazine and bleach and is harmless.

Be careful with mesalazine:

Severe skin reactions, such as drug reaction with eosinophilia and systemic symptoms (DRESS), Stevens-Johnson syndrome (SSJ), and toxic epidermal necrolysis (NET), have been observed with mesalazine treatment. Stop taking mesalazine and seek medical attention immediately if you observe any of the symptoms related to these severe skin reactions described in section 4.

If you experience severe or recurrent headache, vision changes, or ringing or buzzing in the ears, contact your doctor immediately.

While you are being treated with this medicine, your doctor will perform blood and urine tests to monitor your kidney function, especially at the start of treatment.

Use in children:

There is limited documentation on the effect in children (6-18 years).

Use in elderly:

It should be used with caution in the elderly and only in patients with normal kidney function.

Use of Pentasa with other medicines:

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

This is especially important if you are taking any of the following medicines:

  • azathioprine (used after transplants or to treat autoimmune diseases)
  • 6-mercaptopurine or thioguanine (chemotherapy, used to treat leukemia)
  • certain drugs that inhibit blood coagulation (medicines for thrombosis or to thin your blood)

Pentasa 1 gram rectal suspension with food and drinks

This is not applicable.

Pregnancy, breast-feeding, and fertility

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

There is limited experience with the use of mesalazine during pregnancy and breast-feeding.

Blood disorders have been observed in newborns of mothers treated with this medicine.

Newborns may develop allergic reactions after breast-feeding, for example diarrhea. If the newborn presents with diarrhea, breast-feeding should be discontinued.

Fertility:

Mesalazine data in animals show that it has no effect on male or female fertility.

Driving and using machines:

Treatment with Pentasa rectal suspension does not appear to have any influence on the ability to drive or use machines.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to use Pentasa 1 gram rectal suspension

Follow the instructions for administration of this medicine exactly as indicated by your doctor. If you are in doubt, consult your doctor or pharmacist again. Remember to use your medicine.

The rectal suspension sachets are protected by an aluminum bag and should be used immediately after opening.

It is recommended to evacuate before administering the rectal suspension.

Instructions for use

Hand holding an auto-injector with the tip pointing downwards and curved arrows indicating the injection movement

  1. Remove the aluminum bag immediately before use, and shake the plastic container before use.

Hand holding an applicator device with a needle inserted into the skin showing a 360-degree angle

  1. To break the seal, turn the nozzle clockwise once (the nozzle will remain in the same position as at the beginning).

Hand holding a device with a needle inserted into the skin showing the injection technique

  1. Cover your hand with the plastic bag that is attached.

Needle inserted into a rubber vial with a right angle and a protective cap on top

  1. Hold the container as shown in the drawing.

Bent arm showing the injection site with a transparent adhesive patch and needle inserted

  1. To administer the enema, lie on your left side with your left leg straight and your right leg bent forward. Carefully insert the end of the applicator into the rectum. Maintain sufficient and constant pressure while dispersing the contents of the container. The contents of the container should be applied for a maximum of 30-40 seconds.
  1. Once the container is empty, remove the applicator with the container still pressed.

Person lying face down with a patch on their back and a timer showing 10 degrees

  1. The enema should be retained in the intestine. Remain relaxed in the same position for 5-10 minutes or until the urge to defecate has disappeared.

Applicator device with cartridge inserted held by a hand showing the activation button pressed

  1. Wrap the empty container in the plastic bag. Dispose of it and wash your hands.

Note: It is recommended to protect bedding from possible spills, as Pentasa rectal suspension may discolor fabrics. If Pentasa rectal suspension is accidentally spilled on fabric, soak it immediately.

The recommended dose is:

Adults: 1 sachet of rectal suspension of 100 milliliters (1 gram) at bedtime for 2-3 weeks. The dose may be reduced depending on the patient's body weight.

Children (6-18 years): There is limited experience and documentation on the effect in children.

The dosage should be adjusted according to the patient's response.

If you use more PENTASA rectal suspension than you should

No cases of overdose have been reported in humans, but if an overdose is suspected, consult a doctor.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.

If you stop treatment with Pentasa rectal suspension

Your doctor will indicate the duration of your treatment with Pentasa rectal suspension. Do not stop treatment before, even if you feel better, as symptoms may return if treatment is stopped too soon. Follow your doctor's instructions strictly for the maintenance time established.

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

4. Possible side effects

Like all medicines, Pentasa rectal suspension can cause side effects, although not everybody gets them.

Serious side effects:

Very few cases of severe allergic reaction (including severe skin erosion that can affect the skin as a protective barrier of the body) have been reported. The allergic reaction could lead to swelling of the face and neck and/or difficulty breathing or swallowing (angioedema). If this happens, contact your doctor or emergency service immediately.

Tell your doctor immediately if you experience severe or recurrent headache, vision changes, or ringing or buzzing in the ears. These could be symptoms of increased pressure inside your skull (idiopathic intracranial hypertension).

Stop taking mesalazine and seek medical attention immediately if you present any of the following symptoms:

  • reddish patches, or circular or coin-shaped patches on the chest, often with central blisters, skin peeling, ulcers in the mouth, throat, nose, genitals, and eyes, generalized rash, fever, and swollen lymph nodes. These severe skin reactions are often preceded by fever or flu-like symptoms.

The following frequent side effectsaffect between 1 and 10 in every 100 patients treated:

  • headache
  • diarrhea
  • abdominal pain
  • nausea
  • vomiting
  • skin rash
  • flatulence (gas)
  • local reactions such as itching, rectal discomfort, and urge to defecate
  • Anal discomfort and irritation at the site of administration, itching, and feeling of needing to defecate.

The following rare side effectsaffect between 1 and 10 in every 10,000 patients treated:

  • inflammation of some areas of the heart (myocarditis and pericarditis) that can cause difficulty breathing and chest pain or palpitations (rapid or irregular heartbeats)
  • inflammation of the pancreas (including symptoms of back and/or stomach pain) and increased amylase
  • dizziness
  • increased sensitivity of the skin to sunlight and ultraviolet light (photosensitivity)

The following very rare side effectsaffect less than 1 in 10,000 patients treated:

  • eosinophilia (as part of an allergic reaction) and blood disorders such as reduction of red blood cells (anemia), white blood cells (leukopenia), or platelets (thrombocytopenia), which can increase the likelihood of having infections or bleeding.
  • liver disorders (hepatitis) characterized by symptoms that include jaundice (yellowing of the skin and/or eyes) and/or pale stools.
  • kidney disorders of an inflammatory nature (nephritis) that include signs and symptoms such as blood in the urine, edema (swelling due to increased fluids), and increased blood pressure
  • peripheral neuropathy (a condition that affects the nerves of the hands and feet, including symptoms of tingling and numbness)
  • pulmonary and fibrotic allergic reactions (symptoms include cough, difficulty breathing, bronchospasm, bloody or excessive sputum)
  • hair loss (this is reversible)
  • muscle or joint pain
  • inflammation that can affect several parts of the body, such as joints, skin, kidneys, heart, etc. (symptoms include painful joints, fatigue, fever, unexplained or abnormal bleeding, bruising, purple discoloration of the skin, spots under the skin, including severe skin erosion and severe burns that can affect the skin as a protective barrier of the body)
  • semen with low sperm concentration (oligospermia) (this is reversible)
  • occasionally, allergic reactions and fever may occur

Frequency not known(cannot be estimated from the available data)

  • kidney stones and associated kidney pain (see also section 2)
  • change in urine color
  • If you experience severe or recurrent headache, vision changes, or ringing or buzzing in the ears. These could be symptoms of increased pressure inside your skull (idiopathic intracranial hypertension).

Some of these adverse reactions may also be attributed to the disease itself.

If these symptoms continue or become more severe, consult your doctor.

Reporting of side effects:

If you experience any side effects, talk to your doctor or pharmacist, even if it is possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: http;//www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing Pentasa rectal suspension

Keep out of the sight and reach of children.

Do not store above 25°C. Do not refrigerate or freeze. Keep in the original container to protect from light.

Do not use this medicine after the expiry date which is stated on the container after “EXP”. The expiry date is the last day of the month shown.

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

6. Contents of the pack and other information

Composition of PENTASA rectal suspension:

  • The active ingredient is mesalazine.

-The other ingredients are: disodium edetate, sodium metabisulfite (E-223), sodium acetate, hydrochloric acid, and purified water c.s.p. 100 milliliters.

Appearance and packaging of the product

PENTASA rectal suspension is a white to slightly yellowish suspension of 100 milliliters for rectal administration.

Each box contains 7 sachets of rectal suspension of 100 milliliters.

Marketing authorization holder and manufacturer

Marketing authorization holder

Ferring S.A.U

C/ del Arquitecto Sánchez Arcas nº3, 1º

28040 Madrid

Spain

Manufacturer:

Ferring Léciva a.s

Address: K Rybníku 475, 252 42

Jesenice near Prague, Czech Republic

Date of last revision of this leaflet: January 2025

Detailed and updated 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 PENTASA 1 g RECTAL SUSPENSION

Discuss questions about PENTASA 1 g RECTAL SUSPENSION, including use, safety considerations and whether a prescription is appropriate, subject to medical assessment and local regulations.

Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience
Licence no. 35/35/09707

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

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.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General 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.

Book a video appointment
€70
Doctor
0.0(0)

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.
Book a video appointment
€64
Doctor
4.7(11)

Anastasiia Shalko

General medicine13 years of experience
Licence no. 52891

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.

Book a video appointment
€56

Frequently Asked Questions

PENTASA 1 g RECTAL SUSPENSION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in PENTASA 1 g RECTAL SUSPENSION is mesalazine. This information helps identify medicines with the same composition but different brand names.

PENTASA 1 g RECTAL SUSPENSION is manufactured by Ferring S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Endocrinologists, Gastroenterologists, Oncologists, Sports medicine specialists, General medicine doctors, Lactation medicine doctors, Intensive care physicians may assess whether PENTASA 1 g RECTAL SUSPENSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, PENTASA 1 g RECTAL SUSPENSION is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request an assessment, you can use Oladoctor:

Other medicines with the same active substance (mesalazine) include ASACOL 1 G SUPPOSITORIES, ASACOL 1600 mg GASTRO-RESISTANT TABLETS, ASACOL 400 mg GASTRO-RESISTANT 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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