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Actair

Actair

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

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

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

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

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

Patients commonly seek his care for:

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

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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 Actair

PATIENT INFORMATION LEAFLET

Leaflet included in the packaging: Information for the patient

ACTAIR, 100 IR, sublingual tablets

For use in adolescents and adults (aged 12 to 65 years)

Standardized extracts of house dust mite allergens
Dermatophagoides pteronyssinusand Dermatophagoides farinae
This medicinal product will be subject to additional monitoring. This will allow for the quick identification of new
safety information. The user of the medicinal product can also help by reporting any adverse reactions that occurred after taking the medicinal product. To find out how to report adverse reactions, see section 4.

Read the leaflet carefully before taking the medicinal product, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • In case of any doubts, consult a doctor or pharmacist.
  • This medicinal product has been prescribed specifically for you. Do not pass it on to others. The medicinal product may harm another person, even if their symptoms are the same.
  • If the patient experiences any adverse reactions, including any adverse reactions not listed in this leaflet, they should inform their doctor or pharmacist. See section 4.

Table of contents of the leaflet

  • 1. What is ACTAIR and what is it used for
  • 2. Important information before taking ACTAIR
  • 3. How to take ACTAIR
  • 4. Possible adverse reactions
  • 5. How to store ACTAIR
  • 6. Contents of the packaging and other information

1. What is ACTAIR and what is it used for

ACTAIR contains extracts of house dust mite allergens.
ACTAIR is used to treat allergic rhinitis (inflammation of the nasal mucosa)
in adolescents (aged 12 to 17 years) and adults. ACTAIR works by increasing
immunological tolerance (the body's ability to fight) to house dust mites.
It may be necessary to take the medicinal product for 3 months before an improvement is seen.
Actair 100 IR is intended for use during the dose escalation period, not for continuation
of treatment.
Before starting treatment, the doctor will diagnose the patient's allergy by performing appropriate skin tests and/or blood tests.
The first dose of ACTAIR should be taken under the supervision of a doctor. The patient should remain under
the doctor's observation for at least half an hour after taking the first dose. This is a precautionary measure to monitor sensitivity to the medicinal product. It also provides an opportunity to discuss any adverse reactions with the doctor.
ACTAIR is prescribed by doctors with experience in treating allergies.

2. Important information before taking ACTAIR

When not to take ACTAIR:

  • if the patient is allergic to any of the other ingredients of this medicinal product (listed in section 6),
  • if the patient has severe and/or unstable asthma or if there has been a severe exacerbation of asthma in the last 3 months,
  • if, according to the doctor's assessment, the patient's forced expiratory volume in one second (FEV1) is below 80%,
  • in patients with diseases affecting the immune system, patients taking immunosuppressive drugs or patients with cancer,
  • in patients with oral ulcers or infections. The doctor may recommend delaying the start of treatment or interrupting it until the oral lesions have healed. Women who are pregnant should not start treatment with ACTAIR.

Warnings and precautions

Before starting to take ACTAIR, the patient should discuss the following with their doctor:

  • The occurrence of severe allergic symptoms, such as difficulty swallowing or breathing, changes in voice, hypotension (low blood pressure) or a feeling of a lump in the throat. Treatment should be discontinued and the doctor contacted immediately.
  • The occurrence of a previous severe allergic reaction to a medicinal product containing allergen extracts.
  • A significant worsening of asthma symptoms. Treatment should be discontinued and the doctor contacted immediately.
  • The occurrence of cardiovascular diseases.
  • Taking beta-blockers (a class of drugs often prescribed for heart diseases and high blood pressure, but also found in some eye drops and ointments).
  • Treatment of depression with tricyclic antidepressants or monoamine oxidase inhibitors (MAOIs) or treatment of Parkinson's disease with catechol-O-methyltransferase (COMT) inhibitors.
  • Patients awaiting oral surgery or tooth extraction should discontinue treatment with ACTAIR until complete healing.
  • Patients suffering from persistent heartburn or difficulty swallowing should contact their doctor.
  • Autoimmune diseases in remission.

Patients should discuss the following with their doctor:

  • any recent illnesses;
  • the occurrence of any diseases in the patient or their family that may affect the immune system;
  • a recent worsening of allergy symptoms.

If the patient is taking asthma-controlling medications and/or symptom-relieving medications, they should not stop taking them without consulting their doctor, as this may lead to an exacerbation of asthma symptoms.
During treatment, mild or moderate local allergic reactions may occur.
In the case of severe allergic reactions, the patient should discuss with their doctor whether it is necessary to use anti-allergic medications, such as antihistamines.

Children and adolescents

ACTAIR is used to treat allergic rhinitis in adolescents (aged 12 to 17 years). ACTAIR is not indicated for use in children under 12 years of age.

ACTAIR and other medicinal products

The patient should inform their doctor or pharmacist about all medicinal products they are currently taking or have recently taken, as well as any medicinal products they plan to take, including those available without a prescription. Patients taking other anti-allergic medicinal products, such as antihistamines, asthma medications, steroids or medications that block the substance called immunoglobulin E (IgE), e.g. omalizumab, should discuss their continued use with their doctor. Discontinuing these anti-allergic medicinal products may cause further adverse reactions during treatment with ACTAIR.

ACTAIR with food and drink

The patient should not eat or drink for 5 minutes after taking this medicinal product.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant or plans to have a child, they should consult their doctor or pharmacist before taking this medicinal product.
There is no experience with the use of ACTAIR during pregnancy. Therefore, treatment with ACTAIR should not be started during pregnancy. Patients who become pregnant during treatment should discuss continuation of treatment with their doctor.
There is no experience with the use of ACTAIR during breastfeeding. However, no effects on breastfed infants are expected. The patient should consult their doctor and make sure it is safe to continue taking ACTAIR while breastfeeding.

Driving and using machines

No effects of ACTAIR on the ability to drive and use machines have been observed.

ACTAIR contains lactose

Patients with intolerance to some sugars should consult their doctor before starting treatment with this medicinal product.

3. How to take ACTAIR

This medicinal product should always be taken according to the doctor's instructions. In case of doubts, the patient should consult their doctor or pharmacist.
Treatment with ACTAIR should be started with a dose of 100 IR and gradually increased to a maintenance dose of 300 IR. IR (Reactivity Index) indicates activity.
Actair 100 IR is intended for use during the dose escalation period, not for continuation of treatment.
The first tablet should be taken under the supervision of a doctor. The doctor will provide advice on the scheme and duration of dose escalation.

Use in adolescents

The dose for adolescents is the same as for adults.
ACTAIR should be taken as follows:

  • 1. Remove one tablet (or 2 tablets) from the packaging by pushing it through the foil.
  • 2. At the time of administration, the patient should not have anything in their mouth.
  • 3. Place the tablet under the tongue and keep it there until it dissolves, then swallow.
Black, curved line resembling the shape of the letter C, with pronounced rounded edges and sharp ends
  • 4. Do not eat or drink for at least 5 minutes.
  • 5. After touching the tablet, wash your hands.

In case of overdose of ACTAIR

In case of overdose of ACTAIR, allergic symptoms may occur, including local symptoms in the mouth and throat. In case of severe symptoms, the patient should contact their doctor or hospital immediately.

Missed dose of ACTAIR

A missed dose of ACTAIR can be taken later the same day. The patient should not take a double dose to make up for the missed dose. If the break in treatment with ACTAIR was longer than 7 days, the patient should consult their doctor before taking ACTAIR again.

Discontinuation of ACTAIR

Not taking the medicinal product as instructed may result in a lack of therapeutic effect.
In case of any doubts about the use of this medicinal product, the patient should consult their doctor or pharmacist.

4. Possible adverse reactions

Like all medicinal products, ACTAIR can cause adverse reactions, although not everybody gets them.
Adverse reactions may be an allergic reaction to the allergen for which the patient is being treated.
Most allergic adverse reactions last from a few minutes to a few hours after taking the medicinal product
and most resolve after 1-3 months of treatment.
The patient should stop taking ACTAIR and contact their doctor or hospital immediately if they experience any of the following symptoms:

  • Sudden swelling of the face, lips, throat or skin
  • Difficulty swallowing
  • Difficulty breathing
  • Changes in voice
  • Hypotension (low blood pressure)
  • Feeling of a lump in the throat
  • Hives and itching of the skin

Other possible adverse reactions:
Very common (may affect more than 1 in 10 patients):

  • Swelling or itching of the mouth
  • Irritation of the throat
  • Itching of the ear

Common (may affect less than 1 in 10 patients):

  • Itching of the eyes
  • Swelling or itching of the lips or tongue
  • Burning or tingling in the mouth, inflammation and pain in the mouth, oral ulcers
  • Altered taste
  • Discomfort or pain in the mouth and/or throat
  • Swelling of the throat, difficulty swallowing
  • Cough
  • Difficulty breathing
  • Chest pain
  • Abdominal pain, nausea, vomiting, diarrhea
  • Itching

Uncommon (may affect less than 1 in 100 patients):

  • Redness of the eyes and conjunctivitis, eye swelling, tearing
  • Ear pain or tingling
  • Dizziness, lightheadedness
  • Headache
  • Malaise or fatigue
  • Rhinitis (sneezing, runny nose, nasal itching, feeling of a blocked nose)
  • Nosebleeds
  • Common cold
  • Inflammation of the lips or tongue
  • Mouth conditions, such as burning, numbness of the mouth, oral thrush, problems with saliva production
  • Swelling of the palate
  • Swelling of the face
  • Dryness of the mouth or throat, thirst
  • Blisters in the mouth and/or throat, swelling of the mouth and throat caused by contact with fruits or vegetables
  • Throat conditions, such as burning/tingling or feeling of pressure in the throat, hoarseness, feeling of a lump in the throat, discomfort or swelling in the back of the throat
  • Asthma, shortness of breath, wheezing
  • Discomfort in the chest
  • Esophageal pain, esophagitis or gastritis, heartburn
  • Vomiting
  • Gastroenteritis
  • Local swelling, subcutaneous swelling
  • Rash, skin irritation, urticaria
  • Anxiety disorders
  • Feeling of tingling or prickling
  • Abnormal blood test results

Rare (may affect less than 1 in 1,000 patients):

  • Inflammation of the eyelids, abnormal eyelid spasms, eye irritation
  • Ear blockage, tinnitus
  • Nasal discomfort, sinus blockage
  • Inflammation of the gums, bleeding from the mouth
  • Unpleasant breath odor, belching
  • Painful swallowing
  • Irritation of the vocal cords
  • Accelerated breathing
  • Numbness of the throat
  • Seasonal allergy
  • Bronchitis
  • Chest pain
  • Palpitations, rapid heartbeat
  • Esophageal swelling
  • Frequent bowel movements, irritable bowel syndrome, gas
  • Irritability, concentration disorders, numbness, drowsiness, speech disorders, tremors
  • Blisters, redness of the skin, acute skin reaction, changes resembling scratches
  • Muscle discomfort or cramps
  • Sudden need to urinate

If the patient experiences any adverse reactions that worry them, they should inform their doctor, who will decide on the use of medications, such as antihistamines, to alleviate them.

Reporting adverse reactions

If the patient experiences any adverse reactions, including any adverse reactions not listed in this leaflet, they should inform their doctor or pharmacist.
Adverse reactions can be reported directly to the Department of Post-Marketing Surveillance of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices and Biocidal Products
Aleje Jerozolimskie 181C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Adverse reactions can also be reported to the marketing authorization holder.
Reporting adverse reactions will help to gather more information on the safety of the medicinal product.

5. How to store ACTAIR

No special precautions for storage of this medicinal product are necessary.
The medicinal product should be stored out of sight and reach of children.
Do not use this medicinal product after the expiry date stated on the carton after EXP. The expiry date refers to the last day of the month stated.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What ACTAIR contains

  • The active substance is standardized extract of house dust mite allergens Dermatophagoides pteronyssinusand Dermatophagoides farinae. One sublingual tablet contains 100 IR.
  • IR (Reactivity Index) indicates activity.
  • The other ingredients are: colloidal anhydrous silica, sodium croscarmellose, lactose monohydrate, magnesium stearate, mannitol (E 421) and microcrystalline cellulose.

What ACTAIR looks like and contents of the packaging

Sublingual tablet.
The 100 IR tablets are white to beige, round and biconvex, with brown spots, with "SAC" embossed on one side and "100" on the other.
The tablets are provided in aluminum blisters with a removable aluminum foil in a cardboard box
Pack sizes:
Packaging containing 3 sublingual tablets
Packaging containing 15 sublingual tablets
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

STALLERGENES
6 rue Alexis de Tocqueville
92160 ANTONY
France

This medicinal product is authorized in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Austria
Actair 100 IR Sublingualtabletten
Belgium
Orylmyte 100 IR comprimés sublinguaux
Bulgaria
АКТАИР 100 IR сублингвални таблетки
Croatia
Orylmyte 100 IR sublingvalne tablete
Czech Republic, Poland, Portugal, Romania
ACTAIR
Denmark, Norway, Sweden
Aitmyte
France
Orylmyte 100 IR, comprimé sublingual
Germany
ORYLMYTE 100 IR
Ireland, United Kingdom (Northern Ireland)
ACTAIR 100 IR sublingual tablets
Italy, Luxembourg
ORYLMYTE
Netherlands
Actair 100 IR, tabletten voor sublinguaal
gebruik
Slovenia
Actair 100 IR podjezične tablete
Slovakia
ACTAIR 100 IR sublingválne tablety
Spain
Actair 100 IR comprimidos sublinguales

Date of last revision of the leaflet: 01/2023

Alternatives to Actair in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Actair in Spain

Dosage form: SUBLINGUAL TABLET, 100 mg
Active substance: house dust mites
Manufacturer: Stallergenes
Prescription required
Dosage form: SUBLINGUAL TABLET, 300 IR
Active substance: house dust mites
Manufacturer: Stallergenes
Prescription required
Dosage form: SUBLINGUAL TABLET, 100 IR + 300 IR
Active substance: house dust mites
Manufacturer: Stallergenes
Prescription required
Dosage form: ORALLY DISINTEGRATING TABLET/LIOTAB, 12 SQ-HDM
Active substance: house dust mites
Manufacturer: Alk-Abello A/S
Prescription required
Dosage form: SUBLINGUAL TABLET, 300 IR
Active substance: grass pollen
Manufacturer: Stallergenes
Prescription required
Dosage form: SUBLINGUAL TABLET, 100 IR/300 IR
Active substance: grass pollen
Manufacturer: Stallergenes
Prescription required

Alternative to Actair in Ukraine

Dosage form: dragee, 15 dragees in containers
Active substance: house dust mites
Manufacturer: TOV "Imunolog
Prescription required
Dosage form: spray, 30000 TU in 9 ml bottle
Manufacturer: INMUNOTEK, S.L.
Prescription required
Dosage form: suspension, 2000 and 10,000 TU/ml; 2.5 ml in a vial
Manufacturer: INMUNOTEK, S.L.
Prescription required
Dosage form: suspension, 2000 and 10000 TU/ml
Manufacturer: INMUNOTEK, S.L.
Prescription required

Online doctors for Actair

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Actair – subject to medical assessment and local rules.

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

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

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

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

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

Patients commonly seek his care for:

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

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Lina Travkina

Family medicine12 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.

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Antonio Cayatte

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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.

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Jonathan Marshall Ben Ami

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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.

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Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Yevgen Yakovenko

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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.

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Doctor

Tetiana Fedoryshyn

General medicine29 years of experience

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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Doctor

Hocine Lokchiri

General medicine20 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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Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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€60
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