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Allefin

Allefin

Ask a doctor about a prescription for Allefin

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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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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 Allefin

Leaflet attached to the packaging: patient information

Allefin, (20 mg + 10 mg)/g, gel

Diphenhydramine hydrochloride + Lidocaine hydrochloride

Read the leaflet carefully before using the medicine, as it contains important information for the patient.

This medicine should always be used exactly as described in this patient leaflet or as directed by a doctor, pharmacist, or nurse.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.
  • If there is no improvement or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

  • 1. What is Allefin and what is it used for
  • 2. Important information before using Allefin
  • 3. How to use Allefin
  • 4. Possible side effects
  • 5. How to store Allefin
  • 6. Contents of the packaging and other information

1. What is Allefin and what is it used for

Allefin contains two active substances: diphenhydramine hydrochloride and lidocaine hydrochloride. Diphenhydramine inhibits the action of histamine (responsible for allergic reactions) and has an antipruritic effect. Lidocaine has a local anesthetic effect. The medicine reduces redness, swelling, and skin exudate.

Indications

Allefin is indicated for use in adults, adolescents, and children over 2 years of age, for the symptomatic treatment of contact allergic and inflammatory skin changes with accompanying itching, responding to treatment with antihistamines and resulting from external factors, such as: insect bites and stings, contact with certain plants (e.g., nettle, ivy), jellyfish stings.

2. Important information before using Allefin

When not to use Allefin:

Warnings and precautions

Before starting to use Allefin, discuss it with your doctor, pharmacist, or nurse.
The medicine should be used with caution after neurological disorders and in heart muscle failure.
The skin treated with Allefin should not be exposed to sunlight.

Children and adolescents

Do not use in children under 2 years of age.

Allefin and other medicines

Tell your doctor or pharmacist about all medicines you are taking, have recently taken, or plan to take.
Particularly, inform your doctor or pharmacist if you are taking:

  • medicines metabolized by the CYP2D6 enzyme, e.g., metoprolol and venlafaxine (diphenhydramine inhibits the activity of the CYP2D6 enzyme, which may affect the metabolism of these medicines);
  • antibacterial medicines from the sulfonamide group (lidocaine weakens their effect);
  • antiarrhythmic medicines of class IB or other local anesthetics (there is a risk of summing up the adverse effects of these medicines);
  • MAO inhibitor medicines (used to treat depression or Parkinson's disease);
  • tricyclic antidepressant medicines;
  • antipsychotic medicines from the phenothiazine derivative group;
  • anticoagulant medicines.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult your doctor or pharmacist before using this medicine.
Pregnancy
Lidocaine crosses the placenta, but animal studies have not shown any harmful effects on the fetus. Due to the lack of studies confirming the safety of using the medicine during pregnancy, Allefin should be avoided during pregnancy.
Breastfeeding
Lidocaine passes into breast milk, but in very small amounts, which usually does not pose a risk to the child. However, due to the lack of studies confirming the safety of using the medicine during breastfeeding, Allefin should be avoided during breastfeeding.

Driving and using machines

Allefin has no influence or negligible influence on the ability to drive and use machines.

Allefin contains propylene glycol

The medicine contains 60 mg of propylene glycol in 1 g of gel.

3. How to use Allefin

This medicine should always be used exactly as described in this patient leaflet or as directed by a doctor, pharmacist, or nurse. If you have any doubts, consult your doctor, pharmacist, or nurse.
Allefin is intended for topical use on the skin.
Dosage
Apply a small amount of gel to the affected area of the skin and gently spread. Use as needed, 2 or 3 times a day.

Use in children

Do not use in children under 2 years of age.

Using more than the recommended dose of Allefin

In case of use inconsistent with the recommendations, reactions related to lidocaine overdose may occur. Lidocaine may disrupt the function of the central nervous system and the cardiovascular system. Symptoms of its overdose may include dizziness and numbness around the mouth, difficulty focusing, and ringing in the ears, nausea, vomiting, decreased blood pressure.
If such symptoms occur, stop using the medicine and contact your doctor.

Missing a dose of Allefin

Do not use a double dose to make up for a missed dose.
If you have any further doubts about using this medicine, consult your doctor, pharmacist, or nurse.

4. Possible side effects

Like all medicines, Allefin can cause side effects, although not everybody gets them.
To date, no severe side effects have been reported after topical administration of diphenhydramine and lidocaine.
Frequency not known (cannot be estimated from the available data):

  • redness, allergic reaction.

Reporting side effects

If you experience any side effects, including any side effects not listed in this leaflet, inform your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of 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
Side effects can also be reported 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 Allefin

Keep the medicine out of the sight and reach of children.
Store in a temperature below 25°C. Do not store in the refrigerator or freeze.
Shelf life after first opening the tube: 3 years, but no longer than the expiry date stated on the packaging.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste containers. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the packaging and other information

What Allefin contains

  • The active substances of Allefin are diphenhydramine hydrochloride and lidocaine hydrochloride. 1 g of gel contains 20 mg of diphenhydramine hydrochloride and 10 mg of lidocaine hydrochloride.
  • The other ingredients (excipients) are: propylene glycol (E 1520), hydroxyethyl cellulose, citronella essential oil, disodium edetate, purified water.

What Allefin looks like and what the packaging contains

The medicine is a clear to cloudy gel, colorless to white, with a characteristic citronella smell.
Pack sizes: 20 g, 30 g
The packaging consists of an aluminum tube with a membrane, coated internally with an epoxy-phenolic lacquer, closed with an HDPE cap with a piercer, in a cardboard box.
Pack size: 5 g,
The packaging consists of an aluminum tube, coated internally with an epoxy-phenolic lacquer, closed with an HDPE cap, in a cardboard box.

Marketing authorization holder and manufacturer

“PRZEDSIĘBIORSTWO PRODUKCJI FARMACEUTYCZNEJ HASCO-LEK” S.A.
ul. Żmigrodzka 242 E, 51-131 Wrocław

Medicine information

tel.: 22 742 00 22
e-mail: [email protected]

Date of last update of the leaflet:

Alternatives to Allefin in other countries

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

Alternative to Allefin in Ukraine

Dosage form: spray, 10% for local application 38g in a bottle
Active substance: lidocaine
Dosage form: spray, 10% 38g spray in a bottle
Active substance: lidocaine
Prescription required

Alternative to Allefin in Spain

Dosage form: VAGINAL SEMISOLID, 2 g of lidocaine
Active substance: lidocaine
Manufacturer: Combe Europa, S.L.
Prescription not required

Online doctors for Allefin

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Allefin – 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

Anna Moret

Dermatology18 years of experience

Dr. Anna Moret is a board-certified dermatologist and dermatovenereologist. She specialises in adult and pediatric dermatology, venereology, aesthetic skin care, and general medicine. Her consultations are evidence-based and tailored to each patient’s dermatological needs.

Dr. Moret provides expert evaluation and treatment for:

  • Skin conditions such as eczema, acne, rosacea, dermatitis, and psoriasis.
  • Hair and scalp issues including hair loss, dandruff, and seborrheic dermatitis.
  • Pediatric skin problems — from newborns to adolescents.
  • Sexually transmitted infections (STIs) and dermatovenereology.
  • Aesthetic concerns: skin ageing, non-invasive cosmetic treatments.
  • Skin allergies and hypersensitivity reactions.
  • Mole checks, lesion evaluation, and skin cancer screening.
  • Skincare advice and personalised cosmeceutical routines.

Combining dermatology with general medical knowledge, Dr. Moret offers comprehensive care that addresses both skin health and underlying conditions. She also holds certification from the Canadian Board of Aesthetic Medicine, ensuring an internationally aligned approach to aesthetic dermatology.

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Marta Reguero Capilla

Allergology7 years of experience

Dr Marta Reguero Capilla is an allergist and immunologist who works with both adults and children. She specialises in the diagnosis, treatment, and ongoing management of allergic and immune-related conditions through online consultations.

In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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