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Asterdan

Ask a doctor about a prescription for Asterdan

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 Asterdan

Package Leaflet: Information for the Patient

ASTERDAN, 300 mg, Tablets

Erdosteine

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • 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 experience any side effects, including those not listed in this leaflet, tell your doctor, pharmacist, or nurse. See section 4.

Table of Contents of the Leaflet:

  • 1. What is ASTERDAN and what is it used for
  • 2. Important information before taking ASTERDAN
  • 3. How to take ASTERDAN
  • 4. Possible side effects
  • 5. How to store ASTERDAN
  • 6. Contents of the pack and other information

1. What is ASTERDAN and what is it used for

ASTERDAN contains the active substance erdosteine, which belongs to a group of mucolytic medicines

  • that reduce the viscosity of bronchial secretions and facilitate expectoration. ASTERDAN is recommended for the treatment of secretory conditions in acute and chronic upper respiratory tract diseases, bronchi, and lungs with abnormal mucus secretion and transport. It is also used for the preventive treatment of seasonal exacerbations of chronic bronchitis. ASTERDAN is indicated for use in adults and adolescents over 12 years of age.

2. Important information before taking ASTERDAN

When not to take ASTERDAN:

  • if you are allergic (hypersensitive) to the active substance, to substances containing free -SH groups or to any of the other ingredients of this medicine (listed in section 6)
  • if you have liver function disorders
  • if you have renal failure
  • if you have homocystinuria (especially in patients on a methionine-free diet)
  • in children under 12 years of age.

Warnings and precautions

In case of typical symptoms of hypersensitivity (rash, urticaria), treatment should be discontinued immediately.
Use with caution in patients with impaired cough reflex or disorders of mucociliary clearance (due to the risk of accumulation of large amounts of mucus).
The risk of side effects can be reduced by using the smallest effective doses for the shortest possible period. If there is no improvement, the doctor will consider discontinuing treatment.
No dose adjustment is required in adults with chronic obstructive pulmonary disease (COPD).

Children

The medicine should not be given to children under 12 years of age.

Taking ASTERDAN with food and drink

Food and drink do not affect the absorption of the medicine.

Taking ASTERDAN in patients with renal impairment

In patients with severe renal impairment, erdosteine metabolites produced in the liver may accumulate.

Taking ASTERDAN in elderly patients

No dose adjustment is necessary in patients over 65 years of age.

ASTERDAN and other medicines

Tell your doctor about all medicines you are taking or have recently taken, as well as any medicines you plan to take.
No interactions have been observed with other medicines used to treat respiratory infections and chronic obstructive pulmonary disease, such as: theophylline, bronchodilators (corticosteroids), erythromycin, amoxicillin, or co-trimoxazole.
After administration of erdosteine, an increase in amoxicillin concentration in the respiratory tract has been demonstrated.
Combination therapy with cough suppressants (antitussives) may cause accumulation of large amounts of bronchial secretions, which can worsen the patient's condition in the course of the disease, e.g., due to decreased respiratory function.
To avoid complications, do not routinely combine cough suppressants and secretolytic medicines (which increase secretion), especially before bedtime.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.
The decision to use the medicine is made by the doctor.

Driving and using machines

ASTERDAN has no effect on the ability to drive and use machines.

3. How to take ASTERDAN

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.
The recommended dose for adults and adolescents over 12 years of age is:
1 tablet of 300 mg twice a day.
Do not take the medicine before bedtime.

Overdose of ASTERDAN

No cases of overdose have been reported.
If you have taken more than the recommended dose of the medicine, seek medical attention immediately.

Missed dose of ASTERDAN

Take the prescribed dose as soon as possible, and then continue with the usual dosing schedule. If it is time for the next dose, take only one dose and continue with the recommended dosing schedule.
Do not take a double dose to make up for a missed dose.
If you have any further questions about taking 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.

  • Common (may affect up to 1 in 10 people): stomach disorders, nausea, headache
  • Uncommon (may affect up to 1 in 100 people): heartburn
  • Rare (may affect up to 1 in 1,000 people): loss of taste or taste disorders, constipation, dry mouth, dizziness, general malaise, diarrhea, allergic reactions: rash, urticaria, fever.

Some people may experience other side effects while taking ASTERDAN.

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist. Side effects 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:
Jerozolimskie Avenue 181C, 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.
Reporting side effects will help to gather more information on the safety of this medicine.

5. How to store ASTERDAN

Store in a temperature below 25°C, in the original packaging to protect from moisture.
Keep the medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging after: "EXP".
The expiry date refers to the last day of the month.
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 ASTERDAN contains

  • The active substance is erdosteine. One tablet contains 300 mg of erdosteine.
  • The other ingredients are: microcrystalline cellulose (type 102), magnesium stearate, silica, colloidal anhydrous, microcrystalline cellulose (type 101), povidone K-25.

What ASTERDAN looks like and contents of the pack

ASTERDAN is a white or cream-white, round tablet with beveled edges.
PVC/PVDC/Aluminum or OPA/Aluminum/PVC/Aluminum blister pack in a cardboard box.
The pack contains 10 or 20 tablets in blisters.

Marketing authorization holder and manufacturer

Polfarmex S.A.
Józefów 9
99-300 Kutno
Poland (Poland)
Tel.: 24 357 44 44
Fax: 24 357 45 45
e-mail: [email protected]

Date of last revision of the leaflet:

Alternatives to Asterdan in other countries

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

Alternative to Asterdan in Ukraine

Dosage form: capsules, capsules 300mg
Active substance: erdosteine
Prescription required
Dosage form: capsules, capsules 150mg
Active substance: erdosteine
Prescription required
Dosage form: capsules, 300 mg
Active substance: erdosteine
Manufacturer: EDMOND FARMA S.R.L.
Prescription required
Dosage form: powder, 175mg/5ml
Active substance: erdosteine
Prescription required

Alternative to Asterdan in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 250 mg carbocysteine/ 5 ml
Active substance: carbocisteine
Manufacturer: Faes Farma S.A.
Prescription not required
Dosage form: PULMONARY INHALATION, 2.5 mg
Manufacturer: Roche Farma S.A.
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 250 mg carbocysteine / 5 mL
Active substance: carbocisteine
Manufacturer: Italfarmaco S.A.
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 2.7 g carbocisteine lysinate
Active substance: carbocisteine
Manufacturer: Italfarmaco S.A.
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 100 mg/ml
Active substance: carbocisteine
Manufacturer: Italfarmaco S.A.
Prescription required
Dosage form: EFFERVESCENT TABLET, 600 mg
Active substance: acetylcysteine
Manufacturer: Teva B.V.
Prescription not required

Online doctors for Asterdan

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

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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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  • 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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  • 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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  • 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:
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  • 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:
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  • 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:
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  • Lab test analysis, therapy adjustments, medication management.
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  • Cancer prevention – screening strategies and risk assessment.
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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. 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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  • 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.
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  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

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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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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
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  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
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  • 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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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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