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Benfonerv

Ask a doctor about a prescription for Benfonerv

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 Benfonerv

Package Leaflet: Information for the Patient

Benfonerv, 40 mg + 90 mg + 0,25 mg, Film-Coated Tablets

Benfothiaminum + Pyridoxini hydrochloridum + Cyanocobalaminum

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 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 experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. See section 4.
  • If you do not feel better or if you feel worse, you should contact your doctor.

Table of Contents of the Leaflet

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

1. What is Benfonerv and what is it used for

Benfonerv contains: benfotiamine (Benfothiaminum) (vitamin B1), pyridoxine hydrochloride (Pyridoxini hydrochloridum) (vitamin B6) and cyanocobalamin (Cyanocobalaminum) (vitamin B12)
Benfonerv is used as an adjunct in the treatment of:

  • neurological disorders of inflammatory origin (nerve inflammation),
  • neurological disorders with accompanying pain (neuralgia), including nerve disorders caused by diabetes or alcoholism (diabetic neuropathy, alcoholic neuropathy),
  • migraine,
  • painful muscle strains (muscle strains),
  • nerve root irritation syndrome (radiculitis),
  • cervicobrachial syndrome (cervical syndrome, shoulder syndrome),
  • hemiplegia,
  • facial nerve palsy,
  • in prolonged convalescence.

Benfonerv is also indicated for elderly patients.

2. Important information before taking Benfonerv

When not to take Benfonerv:

  • if you are allergic to the active substances or any of the other ingredients of this medicine (listed in section 6);
  • if you are pregnant or breastfeeding;
  • in children and adolescents under 18 years of age.

Warnings and precautions

Before taking Benfonerv, discuss it with your doctor or pharmacist.
Long-term use of Benfonerv (for more than 6 months) may lead to peripheral nerve disorders.

Children and adolescents

There is no experience with the use of Benfonerv in children and adolescents (under 18 years of age).
Benfonerv should not be used in children and adolescents (under 18 years of age).

Benfonerv with other medicines

Tell your doctor or pharmacist about all medicines you are taking, or have recently taken, and about any medicines you plan to take.
It is especially important to inform your doctor if you are taking or have taken any of the following medicines:

  • levodopa (a medicine used to treat Parkinson's disease),
  • isoniazid (INH) and cycloserine (medicines used to treat tuberculosis),
  • D-penicillamine (a medicine used, among other things, to treat rheumatoid arthritis),
  • oral contraceptives containing estrogen (used for a long time),
  • 5-fluorouracil (a medicine used to treat cancer).

Benfonerv with food, drink or alcohol

During therapy with Benfonerv, you should avoid consuming alcohol, as it reduces the effectiveness of the treatment. Benfonerv should be taken after a meal

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 or pharmacist for advice before taking this medicine.
Benfonerv should not be used during pregnancy, due to limited data on the impact of the vitamins that are the active substances of this medicine on pregnancy. The possible risk resulting from the use of this medicine in pregnant women is not known.
Benfonerv should not be used during breastfeeding, as each film-coated tablet contains 90 mg of vitamin B6. High levels of vitamin B6 may inhibit milk production.

Driving and using machines

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

3. How to take Benfonerv

Always take this medicine exactly as described in this leaflet or as directed by your doctor or pharmacist. If you are not sure, ask your doctor or pharmacist.
Recommended dose
1 film-coated tablet 3 to 4 times a day. In mild inflammatory conditions and in case of improvement: 1 to 2 film-coated tablets per day.
Method of administration
Oral use.
Benfonerv should be taken after a meal, with a small amount of liquid. The tablets should be swallowed whole. The tablets can be taken at any time of the day. If you are taking more than 1 tablet per day, you should space out the intake of the next tablets, leaving at least a 4-hour interval.
Duration of treatment
The duration of treatment is determined by your doctor. If you think that the effect of Benfonerv is too strong or too weak, you should talk to your doctor or pharmacist.

Use in children and adolescents

Benfonerv is indicated for use only in adults.

Overdose of Benfonerv

In case of overdose of Benfonerv, contact your doctor or go to the nearest hospital, showing this leaflet.
Overdose of vitamin B6 may cause nerve disorders, with possible loss of muscle coordination. High doses may cause seizures.
In newborns and infants, deep sedation (lethargy, drowsiness, very deep sleep) may occur, as well as a significant drop in blood pressure or respiratory disorders.

Missed dose of Benfonerv

Do not take a double dose to make up for a missed dose. Continue taking the medicine as directed.

Stopping Benfonerv treatment

Stopping Benfonerv treatment may result in treatment failure.
If you experience any side effects, talk to your doctor for advice on further treatment.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Benfonerv can cause side effects, although not everybody gets them.
Side effects that have occurred during treatment with Benfonerv:
Rare(may affect up to 1 in 1000 people):

  • allergic reactions (hives, rash, anaphylaxis)

Very rare(may affect up to 1 in 10,000 people):

  • gastrointestinal disorders, such as nausea and other gastrointestinal disorders, have been documented as individual cases in clinical trials with benfotiamine.
  • acne-like and blistering rash (red rash and skin blisters).

Frequency not known(frequency cannot be estimated from the available data):

  • in case of long-term use of Benfonerv, for more than 6 months, peripheral sensory neuropathy may occur (see section Warnings and precautions).

Reporting side effects

If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist or nurse. Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices and Biocidal Products:
Al. Jerozolimskie 181C,
02-222 Warsaw,
tel.: 22 49-21-301,
fax: 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 Benfonerv

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.
Store in a temperature below 25°C. Store in the original packaging to protect from light.
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 Benfonerv contains

  • The active substances are: benfotiamine (vitamin B1), pyridoxine hydrochloride (vitamin B6) and cyanocobalamin (vitamin B12). Each film-coated tablet contains 40 mg of benfotiamine, 90 mg of pyridoxine hydrochloride and 0.25 mg of cyanocobalamin.
  • The other ingredients (excipients) are: Tablet core: microcrystalline cellulose, povidone K30, sodium croscarmellose, talc, colloidal silica anhydrous. Coating (Opadry): polyvinyl alcohol, macrogol 3350, titanium dioxide (E 171), talc, iron oxide red (E 172).

What Benfonerv looks like and contents of the pack

Pink, oval, film-coated tablets, 15 mm x 7 mm in size.
Benfonerv film-coated tablets are packaged in PVC/PVDC/Aluminum blisters, placed in a cardboard box. The pack contains 30 tablets.

Marketing authorization holder and manufacturer

Marketing authorization holder:
Solinea Sp. z o.o.
Elizówka, ul. Szafranowa 6
21-003 Ciecierzyn
Poland
Tel. 81 463-48-82
Manufacturer:
Mako Pharma Sp. z o.o.
ul. Kolejowa 231A,
05-092 Dziekanów Polski

Date of last revision of the leaflet:

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Manufacturer
  • Importer
    Mako Pharma Sp. z o.o.
  • Alternatives to Benfonerv
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    Active substance: 
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    Prescription required
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    Active substance: 
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    Dosage form: Solution, (50 mg + 50 mg + 0.5 mg)/ml
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Alternatives to Benfonerv in other countries

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

Alternative to Benfonerv in Ukraine

Dosage form: solution, 2 ml solution in ampoule
Prescription required
Dosage form: tablets, 60, 90, or 150 tablets in a jar
Manufacturer: Balkanfarma-Dupnica AT
Prescription not required
Dosage form: solution, 2 ml in ampoule
Prescription required
Dosage form: tablets, 10 tablets in a blister
Prescription not required
Dosage form: tablets, 10 tablets in a blister
Manufacturer: Acino Farma AG
Prescription not required
Dosage form: solution, 3 ml in ampoule
Manufacturer: Merkle GmbH
Prescription required

Alternative to Benfonerv in Spain

Dosage form: CAPSULE, 50 mg / 50 mg / 1 mg
Manufacturer: Teofarma S.R.L.
Prescription required
Dosage form: TABLET, 250 mg/250 mg/500 micrograms
Manufacturer: Almirall S.A.
Prescription not required
Dosage form: CAPSULE, 150/100/1.5 mg/mg/mg
Prescription not required
Dosage form: TABLET, 250 mg / 250 mg / 0.50 mg
Prescription not required
Dosage form: TABLET, 250/250/1000 mg/mg/mg
Manufacturer: Bayer Hispania S.L.
Prescription not required

Online doctors for Benfonerv

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

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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  • 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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  • 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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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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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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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

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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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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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