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Aprokam

Aprokam

Ask a doctor about a prescription for Aprokam

5.0(6)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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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 Aprokam

Package Leaflet: Information for the Patient

APROKAM, 50 mg, Powder for Solution for Injection

Cefuroxime

Read the Package Leaflet Carefully Before Using the Medicinal Product, as it Contains Important Information for the Patient.

  • Keep this Package Leaflet, You May Need to Read it Again.
  • If You Have any Further Questions, Ask Your Doctor, Pharmacist, or Nurse.
  • This Medicinal Product 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 Experience any Side Effects, including those not Listed in this Package Leaflet, Tell Your Doctor, Pharmacist, or Nurse. See Section 4.

Package Leaflet Contents:

  • 1. What is APROKAM and What is it Used for
  • 2. Important Information Before Using APROKAM
  • 3. How to Use APROKAM
  • 4. Possible Side Effects
  • 5. How to Store APROKAM
  • 6. Package Contents and Other Information

1. What is APROKAM and What is it Used for

  • APROKAM Contains the Active Substance Cefuroxime (as Cefuroxime Sodium), which Belongs to a Group of Antibiotics Called Cephalosporins. Antibiotics are Used to Kill Bacteria or "Pathogenic Microorganisms" that Cause Infections.
  • This Medicinal Product will be Used when the Patient Undergoes Cataract Surgery (Clouding of the Lens).
  • The Eye Surgeon will Administer this Medicinal Product by Injection into the Eye at the End of the Surgical Procedure (Cataract Surgery) to Prevent Eye Infection.

2. Important Information Before Using APROKAM

When not to Use APROKAM

  • If the Patient is Allergic to Cefuroxime or any other Antibiotic of the Cephalosporin Group.

Warnings and Precautions

Before Using APROKAM, Tell Your Doctor, Pharmacist, or Nurse:

  • If the Patient is Allergic to other Antibiotics, such as Penicillin,
  • If the Patient is at Risk of Infection Caused by Bacteria Called Methicillin-Resistant Staphylococcus aureus,
  • If the Patient is at Risk of Severe Infection,
  • If the Patient has Complicated Cataract,
  • If a Combined Eye Surgical Procedure is Planned,
  • If the Patient has Severe Thyroid Disease.

APROKAM is Administered Exclusively by Injection into the Eye (Injection into the Anterior Chamber of the Eye).
APROKAM should be Administered in Aseptic Conditions (Clean and Free from Microorganisms Environment) during Cataract Surgery.
Each Vial of APROKAM is Intended for Use in a Single Patient Only.

APROKAM and Other Medicinal Products

Tell Your Doctor or Pharmacist about all Medicinal Products the Patient is Taking or has Recently Taken, as well as any Medicinal Products the Patient Plans to Use.

Pregnancy and Breastfeeding

  • If the Patient is Pregnant or Breastfeeding, Thinks she may be Pregnant or is Planning to have a Child, she should Consult her Doctor or Pharmacist before Using this Medicinal Product.
  • APROKAM will be Administered to the Patient only if the Benefits Outweigh the Potential Risks.

APROKAM Contains Sodium

The Medicinal Product Contains Less than 1 mmol (23 mg) of Sodium per Dose, which Means the Medicinal Product is Considered "Sodium-Free".

3. How to Use APROKAM

  • APROKAM Injections will be Administered by the Eye Surgeon at the End of the Cataract Surgical Procedure.
  • APROKAM is Supplied as a Sterile (Aseptic) Powder and is Dissolved in a Sodium Chloride Injection Solution before Administration.

Using More than the Recommended Dose or Too Little of APROKAM

The Medicinal Product will Usually be Administered by Medical Personnel.
If You have any Further Questions about the Use of this Medicinal Product, Ask Your Doctor, Pharmacist, or Nurse.

4. Possible Side Effects

Like all Medicinal Products, APROKAM can Cause Side Effects, although not Everybody gets them.
The Following Side Effect Occurs Very Rarely (may Affect up to 1 in 10,000 People):

  • Severe Allergic Reaction, which Causes Difficulty Breathing or Dizziness.

The Following Side Effect is Reported with a Frequency of "Unknown" (Frequency cannot be Estimated from the Available Data):

  • Macular Edema (Blurred or Wavy Vision in the Center of the Visual Field or its Vicinity).

Reporting Side Effects

If You Experience any Side Effects, including those not Listed in this Package Leaflet, Tell Your Doctor, Pharmacist, or Nurse. Side Effects can be Reported Directly to the Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw,
tel.: +48 22 49 21 301, fax: +48 22 49 21 309.
e-mail: [email protected]
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 Medicinal Product.

5. How to Store APROKAM

Store the Medicinal Product out of the Sight and Reach of Children.
Do not Use APROKAM after the Expiration Date Stated on the Carton and Vial Label after EXP. The Expiration Date refers to the Last Day of the Month.
Store in a Temperature below 25°C. Store the Vial in the Outer Packaging to Protect from Light.
For Single Use Only.
After Preparation of the Solution: the Product should be Used Immediately.
Medicinal Products should not be Disposed of via Wastewater or Household Waste. Ask Your Pharmacist how to Dispose of Medicinal Products no Longer Required. This will Help Protect the Environment.

6. Package Contents and Other Information

What APROKAM Contains

The Active Substance is Cefuroxime (as Cefuroxime Sodium).
One Vial Contains 50 mg of Cefuroxime.
After Preparation of the Solution, 0.1 ml of the Solution Contains 1 mg of Cefuroxime.
The Medicinal Product does not Contain any other Ingredients.

What APROKAM Looks Like and Contents of the Package

APROKAM is a White to Almost White Powder for Solution for Injection, Supplied in Glass Vials.
One Package Contains Ten or Twenty Vials or Ten Vials with Ten Sterile Needles with a 5 Micron Filter. Not all Pack Sizes may be Marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

LABORATOIRES THEA
12 rue Louis Blériot
63017 CLERMONT-FERRAND Cedex 2
France

Manufacturer:

BIOPHARMA S.R.L.
Via Delle Gerbere, 22/30 (loc. S. PALOMBA)
00134 ROMA (RM)
Italy
LABORATOIRES THEA
12 rue Louis Blériot
63017 CLERMONT-FERRAND Cedex 2
France

This Medicinal Product is Authorized in the Member States of the European Economic Area under the Following Names:

Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Italy, Iceland, Luxembourg, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Sweden, United Kingdom................................................................................................................................APROKAM
Cyprus, Greece, Spain..........................................................................................................PROKAM
Ireland………............................................................................................................................APROK

Date of Last Revision of the Package Leaflet: 07-08-2019

For more Detailed Information, Contact the Representative of the Marketing Authorization Holder:
Thea Polska Sp. z o.o.
ul. Cicha 7
00-353 Warsaw
www.thea.pl

Information Intended for Healthcare Professionals Only:

Incompatibilities

No Incompatibilities have been Reported with the Most Commonly Used Products during Cataract Surgery. Do not Mix this Medicinal Product with other Medicinal Products except those Listed below [Sodium Chloride 9 mg/ml (0.9%) Solution for Injection].

How to Prepare and Administer APROKAM

Single-Dose Vial for Injection into the Anterior Chamber of the Eye Only.
APROKAM must be Administered after Preparation of the Solution, by Injection into the Anterior Chamber of the Eye by the Eye Surgeon, in Recommended Aseptic Conditions during Cataract Surgery.
The Prepared Solution should be Visually Inspected and Used only if it is Colorless to Yellowish and Free from Visible Particles.
The Product should be Used Immediately after Preparation of the Solution and not Reused.

Recommended Dose of Cefuroxime is 1 mg in 0.1 ml of Sodium Chloride Injection Solution (9 mg/ml, 0.9%).

DO NOT INJECT A DOSE HIGHER THAN RECOMMENDED.

Vials are for Single Use Only

Each Vial is Intended for Use in a Single Patient Only. The Label of the Vial should be Affixed to the Patient's Documentation.

To Prepare APROKAM for Injection into the Anterior Chamber of the Eye, Follow these Instructions:
Vial with Flip-Off Cap, Arrow Indicating Direction of Rotation
Vial with Screw Cap, Arrow Pointing Downwards
Syringe with Needle Inserted into Vial, 5 ml Marking, Arrows Indicating Direction of Insertion
Należy zdezynfekować
Vials with Flip-Off Caps, Arrows Indicating Direction of Rotation
Syringe with Needle and 5 μm Filter Inserted into Vial, Labeling of Needle with 5 μm Filter
Syringe with Needle, Arrows Indicating Direction of Insertion, 0.1 ml Marking
  • 1. Check that the Flip-Off Cap is not Damaged before Removing it.
  • 2. Disinfect the Rubber Stopper Surface before Proceeding to Step 3.
  • 3. Insert a Sterile Needle Vertically into the Center of the Vial Stopper, Keeping the Vial Upright. In Aseptic Conditions, Inject 5 ml of Sodium Chloride Injection Solution (9 mg/ml, 0.9%) into the Vial.
  • 4. Gently Shake until the Solution is Free from Visible Particles.
  • 5. Attach a Sterile Needle (18G x 1½’’, 1.2 mm x 40 mm) with a 5 Micron Filter (Acrylic Copolymer Membrane on Non-Woven Polyamide) to a Sterile 1 ml Syringe (Sterile Needle with 5 Micron Filter may be Supplied in the Package). Then Insert this Sterile Syringe Vertically into the Center of the Vial Stopper, Keeping the Vial Upright.
  • 6. In Aseptic Conditions, Aspirate at Least 0.1 ml of the Solution.
Syringe with Cannula and Needles, Arrows Indicating Direction of Connection
  • 7. Disconnect the Needle from the Syringe and Attach a Sterile Cannula Intended for Administration into the Anterior Chamber of the Eye.
  • 8. Carefully Remove Air from the Syringe and Adjust the Dose to the 0.1 ml Marking on the Syringe. The Syringe is Ready for Injection.
After Use, Dispose of any Remaining Prepared Solution. Do not Store the Remaining Solution after Preparation for Reuse.
Syringe with Cannula, 0.1 ml Marking, Arrow Indicating Direction of Injection

Any Unused Medicinal Product or Waste Material should be Disposed of in Accordance with Local Requirements. Used Needles should be Placed in a Sharps Container for Medical Waste.

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Alternative to Aprokam in Spain

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Online doctors for Aprokam

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

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Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
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  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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  • 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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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Tomasz Grzelewski

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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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Iryna Reznychenko

Gynecology25 years of experience

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Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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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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Hocine Lokchiri

General medicine20 years of experience

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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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