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Afastural

Afastural

Ask a doctor about a prescription for Afastural

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

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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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 Afastural

Package Leaflet: Information for the User

Afastural, 3 g, Granules for Oral Solution

Fosfomycin

Read All of This Leaflet Carefully Before Taking This Medicine.

  • 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. Do Not Pass It on to Others. It May Harm Them, Even if Their Symptoms 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. See Section 4.

Contents of the Pack::

  • 1. What Afastural Is and What It Is Used For
  • 2. Before You Take Afastural
  • 3. How to Take Afastural
  • 4. Possible Side Effects
  • 5. How to Store Afastural
  • 6. Contents of the Pack and Other Information

1. What Afastural Is and What It Is Used For

Afastural Contains the Active Substance Fosfomycin (as Fosfomycin Trometamol).
This Is an Antibiotic That Works by Killing Bacteria That Can Cause Infections.
Afastural Is Used to Treat Uncomplicated Urinary Tract Infections in Women and Adolescent Girls.
Afastural Is Used as Part of Prophylactic Antibiotic Therapy in the Case of Transrectal Prostate Biopsy in Adult Men.

2. Before You Take Afastural

Do Not Take Afastural:

If You Are Allergic to Fosfomycin or Any of the Other Ingredients of This Medicine (Listed in Section 6).

Warnings and Precautions

Before Taking Afastural, Talk to Your Doctor, Pharmacist, or Nurse If You:

  • Have Chronic Urinary Tract Infections,
  • Have Had Diarrhea After Taking Other Antibiotics in the Past.

Things to Consider
Afastural Can Cause Serious Side Effects. These Include Allergic Reactions and Inflammation of the Colon. While Taking This Medicine, Pay Attention to Specific Symptoms to Reduce the Risk of Problems. See "Serious Side Effects" in Section 4.

Children and Adolescents

Do Not Give This Medicine to Children Under 12 Years of Age, as the Safety and Efficacy in This Age Group Have Not Been Established.

Afastural with Other Medicines

Tell Your Doctor or Pharmacist About All Medicines You Are Taking, or Have Recently Taken, and Any You Plan to Take, Including Those Obtained Without a Prescription.
This Is Especially Important If You Are Taking:

  • Metoclopramideor Other Medicines That Increase Gastric and Intestinal Motility, as They May Reduce the Absorption of Fosfomycin by the Body,
  • Anticoagulant Medicines, as Fosfomycin and Other Antibiotics May Affect Their Ability to Prevent Blood Clots.

Afastural with Food

Food May Delay the Absorption of Fosfomycin. This Medicine Should Be Taken on an Empty Stomach (2-3 Hours Before a Meal or 2-3 Hours After a Meal).

Pregnancy, Breast-Feeding, and Fertility

If You Are Pregnant or Breast-Feeding, Think You May Be Pregnant, or Are Planning to Have a Baby, Ask Your Doctor or Pharmacist for Advice Before Taking This Medicine.
Your Doctor Will Only Prescribe This Medicine During Pregnancy if It Is Clearly Necessary.
Breast-Feeding Mothers Can Take a Single Dose of This Medicine.

Driving and Using Machines

It Is Possible to Experience Side Effects Such as Dizziness, Which May Affect Your Ability to Drive or Use Machines.

Afastural Contains Sucrose

If You Have Been Told by Your Doctor That You Have an Intolerance to Some Sugars, Contact Your Doctor Before Taking This Medicine.

3. How to Take Afastural

Always Take This Medicine Exactly as Your Doctor or Pharmacist Has Told You. If You Are Not Sure, Check with Your Doctor or Pharmacist.
For the Treatment of Uncomplicated Urinary Tract Infections in Women and Adolescent Girls, the Recommended Dose Is One Sachet of Afastural (3 g Fosfomycin).
For Prophylactic Antibiotic Therapy in the Case of Transrectal Prostate Biopsy, the Recommended Dose Is One Sachet of Afastural (3 g Fosfomycin) 3 Hours Before the Procedure and One Sachet of Afastural (3 g Fosfomycin) 24 Hours After the Procedure.
Use in Patients with Renal Impairment
Do Not Use This Medicine in Patients with Severe Renal Impairment (Creatinine Clearance Less Than 10 ml/min).
Use in Children and Adolescents
Do Not Use This Medicine in Children Under 12 Years of Age.

Method of Administration

Oral Use.
This Medicine Should Be Taken Orally, on an Empty Stomach (2-3 Hours Before a Meal or 2-3 Hours After a Meal), Preferably Before Going to Bed and After Emptying the Bladder.
Dissolve the Contents of One Sachet in a Glass of Water and Drink Immediately.

Overdose

If You Accidentally Take More Than the Prescribed Dose, Contact Your Doctor or Pharmacist.
If You Have Any Further Questions on the Use of This Medicine, Ask Your Doctor or Pharmacist.

4. Possible Side Effects

Like All Medicines, This Medicine Can Cause Side Effects, Although Not Everybody Gets Them.

Serious Side Effects

Stop Taking the Medicine and Contact Your Doctor Immediately if You Experience Any of the Following Symptoms:

While Taking Afastural, the Following Symptoms May Occur:

  • Anaphylactic Shock, a Life-Threatening Allergic Reaction (Frequency Not Known). Symptoms Include Sudden Onset of Rash, Itching, or Hives on the Skin, or Difficulty Breathing, Wheezing, or Shortness of Breath,
  • Swelling of the Face, Lips, and Tongue or Throat and Difficulty Breathing - Angioedema (Frequency Not Known),
  • Diarrhea of Moderate to Severe Intensity, Abdominal Cramps, Bloody Stools, and (or) Fever May Indicate Infection of the Colon - Pseudomembranous Colitis (Frequency Not Known). Do Not Take Anti-Diarrheal Medicines That Reduce Intestinal Motility (Antiperistaltic Medicines).

Other Side Effects

Common (May Affect Up to 1 in 10 People):

  • Headache
  • Dizziness
  • Diarrhea
  • Nausea
  • Vomiting
  • Abdominal Pain
  • Vaginal Infection Characterized by Inflammation, Irritation, Itching (Vulvovaginitis).

Uncommon (May Affect Up to 1 in 100 People):

  • Vomiting
  • Rash
  • Hives
  • Itching.

Unknown (Cannot Be Estimated from the Available Data):

  • Allergic Reactions.

Reporting of Side Effects

If You Experience Any Side Effects, Including Those Not Listed in This Leaflet, Tell Your Doctor or Pharmacist. You Can Also Report Side Effects Directly to the Department of Post-Marketing Surveillance of Adverse Reactions to Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181 C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, Website: https://smz.ezdrowie.gov.pl.
You Can Also Report Side Effects to the Marketing Authorization Holder. By Reporting Side Effects, You Can Help Provide More Information on the Safety of This Medicine.

5. How to Store Afastural

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 "Expiry Date:" or "EXP". The Expiry Date Refers to the Last Day of That Month.
This Medicine Does Not Require Any Special Storage Conditions.
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

What Afastural Contains

The Active Substance Is Fosfomycin. Each Sachet Contains 5631 mg Fosfomycin Trometamol, Equivalent to 3 g Fosfomycin.
The Other Ingredients Are:
Orange Flavor Consisting of Maltodextrin, Dextrose Monohydrate, Gum Arabic (E 414), Anhydrous Citric Acid (E 330), Butylhydroxyanisole (E 320);
Sodium Saccharin, Sucrose, Calcium Hydroxide.

What Afastural Looks Like and Contents of the Pack

White or Grayish Granules in a Single-Dose Sachet.
Afastural Is Available in the Following Packs:
Sachet Made of Paper/LDPE/Aluminum/LDPE in a Cardboard Box.
1 Sachet of 8 g (3 g Fosfomycin)
2 Sachets of 8 g (Each Containing 3 g Fosfomycin)
Not All Pack Sizes May Be Marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Exeltis Poland Sp. z o.o.
Szamocka 8
01-748 Warsaw

Manufacturer

SPECIAL PRODUCT’S LINE S.p.A.
Via Fratta Rotonda Vado Largo, 1
03012 Anagni (FR)
Italy

This Medicinal Product Is Authorized in the Member States of the European Economic Area Under the Following Names:

United Kingdom: Fosfomycin 3g Granules for Oral Solution
Czech Republic:
Urifos 3g
Estonia:
Fosfomycin LadeePharma 3g
Hungary:
Fosfomycin Exeltis 3g Granulátum Belsőleges Oldható
Lithuania:
Fosfomycin LadeePharma 3g Granulės Geriamajam Tirpalui
Latvia:
Fosfomycin LadeePharma 3g Granulas Iekšķīgi Lietojama Šķīduma Pagatavošanai
Poland:
Afastural
Slovakia:
Afastural 3g

Date of Last Revision of the Leaflet:

  • 06.09.2020

Alternatives to Afastural in other countries

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

Alternative to Afastural in Spain

Dosage form: INJECTABLE PERFUSION, 8 g
Active substance: fosfomycin
Manufacturer: Laboratorios Ern S.A.
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 3000 mg
Active substance: fosfomycin
Manufacturer: Arafarma Group S.A.
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 3 g
Active substance: fosfomycin
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 3 g
Active substance: fosfomycin
Manufacturer: Tarbis Farma S.L.
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 3 g fosfomycin/ per sachet
Active substance: fosfomycin
Manufacturer: Neuraxpharm Spain S.L.
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 3g
Active substance: fosfomycin
Prescription required

Alternative to Afastural in Ukraine

Dosage form: granules, 3 g; 8 g
Active substance: fosfomycin
Prescription required
Dosage form: granules, 3 g; 8 g of the drug
Active substance: fosfomycin
Dosage form: powder, 3000 mg/packet
Active substance: fosfomycin
Manufacturer: Lindofarm GmbH
Prescription required
Dosage form: granules, 3.0 g/8.0 g
Active substance: fosfomycin
Dosage form: granules, 3 g, 8 g per sachet
Active substance: fosfomycin
Dosage form: granules, 3 g in a sachet
Active substance: fosfomycin
Prescription required

Online doctors for Afastural

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

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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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Yevgen Yakovenko

General surgery11 years of experience

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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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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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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Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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Maryna Kuznetsova

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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Mar Tabeshadze

Endocrinology10 years of experience

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