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Biotebal Max

Biotebal Max

Ask a doctor about a prescription for Biotebal Max

5.0(96)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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 Biotebal Max

Package Leaflet: Information for the Patient

BIOTEBAL MAX, 10 mg, tablets

Biotin

Read the package 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 package leaflet for the patient or as directed by a doctor or pharmacist.

  • This package leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including those not listed in this package leaflet, they should inform their doctor or pharmacist. See section 4.
  • If there is no improvement or the patient feels worse after 4 weeks, they should contact their doctor.

Table of Contents of the Package Leaflet

  • 1. What is BIOTEBAL MAX and what is it used for
  • 2. Important information before using BIOTEBAL MAX
  • 3. How to use BIOTEBAL MAX
  • 4. Possible side effects
  • 5. How to store BIOTEBAL MAX
  • 6. Package contents and other information

1. What is BIOTEBAL MAX and what is it used for

BIOTEBAL MAX contains biotin in the form of d-biotin, the only biologically active isomer of biotin (d-Biotin isomer). Biotin is also known as water-soluble vitamin H, which belongs to the group of B vitamins.
BIOTEBAL MAX is used to treat biotin deficiency with symptoms such as: hair loss, hair and nail growth disorders and their excessive brittleness, skin inflammation localized around the eyes, nose, mouth, and ears, as well as to prevent its consequences, after excluding other causes by a doctor.
Biotin supports the processes of keratin formation and differentiation of skin, hair, and nail cells.

2. Important information before using BIOTEBAL MAX

When not to use BIOTEBAL MAX

If the patient is allergic to biotin or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before starting to use BIOTEBAL MAX, the patient should discuss it with their doctor or pharmacist.
Effect on laboratory tests
BIOTEBAL MAX contains 10 mg of biotin in each tablet. If the patient is to undergo laboratory tests, they must inform their doctor or laboratory staff that they have recently taken BIOTEBAL MAX, as biotin may interfere with the results of such tests.
Depending on the test, the results may be falsely elevated or falsely low due to biotin. The doctor may recommend stopping the use of BIOTEBAL MAX before undergoing laboratory tests. It should also be remembered that other products that may be taken, such as multivitamin preparations or dietary supplements used to improve hair, skin, and nails, may also contain biotin and affect laboratory test results. If the patient is taking such products, they should inform their doctor or laboratory staff.
It is recommended to discontinue the use of BIOTEBAL MAX for 3 days before a planned test, unless the laboratory provides other recommendations in this regard.

Children and adolescents

In children and adolescents, the medicine can only be used after a doctor's recommendation. The doctor will determine the optimal dosage and duration of treatment.

BIOTEBAL MAX and other medicines

The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Antiepileptic drugs (phenytoin, carbamazepine, phenobarbital, primidone) cause a decrease in biotin levels in the blood. Valproic acid lowers the activity of biotinidase (an enzyme involved in biotin metabolism).
In preclinical studies, it has been shown that pantothenic acid in high doses and lipoic acid reduce the effectiveness of biotin, but clinical studies do not confirm this.
Alcohol causes a decrease in biotin levels in the blood.
Steroid hormones may accelerate biotin breakdown in tissues.
Antibiotics may decrease biotin levels or activity by disrupting the function of the intestinal microflora.
Avidin, a basic glycoprotein found in egg white, has the ability to bind to biotin, inactivating it and preventing its absorption. In the case of biotin deficiency or the use of its preparations, raw egg white should not be consumed.
Smoking accelerates biotin processing, which may cause its deficiency and reduced treatment efficacy in smokers.

BIOTEBAL MAX with food, drinks, and alcohol

While taking the medicine, the patient should not consume raw egg white at the same time, as it may inhibit biotin absorption.
Alcohol causes a decrease in biotin levels in the blood.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before using this medicine.
Pregnancy
The amount of biotin in BIOTEBAL MAX significantly exceeds the recommended daily intake for pregnant women, so the medicine should not be used in this period.
Breastfeeding
The amount of biotin in BIOTEBAL MAX significantly exceeds the recommended daily intake for breastfeeding women. Biotin passes into human milk, but it has not been found to affect breastfed infants. The medicine should not be used in breastfeeding women.

Driving and using machines

The properties of biotin and the type of reported side effects indicate that the medicine does not have a negative effect on these activities.

BIOTEBAL MAX contains lactose monohydrate and sodium

Lactose

If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine.

Sodium

The medicine contains less than 1 mmol (23 mg) of sodium per tablet, which means it is considered "sodium-free".

3. How to use BIOTEBAL MAX

This medicine should always be used exactly as described in this package leaflet for the patient or as directed by a doctor or pharmacist. In case of doubts, the patient should consult their doctor or pharmacist.
Recommended dose:
Adults: 5 mg to 10 mg per day.
The usual recommended dose is 5 mg (available on the market) per day or, in the case of severe symptoms, 10 mg per day.
The treatment duration depends on the patient's condition and the course of the disease. Improvement of symptoms is usually observed after about 4 weeks of use.
Children and adolescents
In children and adolescents, the medicine can only be used after a doctor's recommendation. The doctor will determine the optimal dosage and duration of treatment.
Method of administration
Oral use.
The tablet should be swallowed with a sufficient amount of water (e.g., ½ glass).

Using a higher dose of BIOTEBAL MAX than recommended

There are no reports of biotin overdose in humans.

Missing a dose of BIOTEBAL MAX

A double dose should not be taken to make up for a missed dose.
In case of further doubts about the use of this medicine, the patient should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, BIOTEBAL MAX can cause side effects, although not everybody gets them.
Frequency of side effects
Very rare (less than 1 in 10,000 people):
allergic reactions (hives).

Reporting side effects

If the patient experiences any side effects, including those not listed in this package leaflet, they should inform their 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 181C
02-222 Warsaw
Phone: +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 gather more information on the safety of the medicine.

5. How to store BIOTEBAL MAX

There are no special precautions for storing the medicine.
The medicine should be stored out of sight and reach of children.
The medicine should not be used after the expiration date stated on the packaging after "EXP".
The expiration date means the last day of the specified month.
The entry on the packaging after the abbreviation EXP means the expiration date, and after the abbreviation Lot/LOT means the batch number.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Package contents and other information

What BIOTEBAL MAX contains

  • The active substance of the medicine is biotin. Each tablet contains 10 mg of biotin.
  • The other ingredients of the medicine are: lactose monohydrate, microcrystalline cellulose, povidone K 30, sodium croscarmellose, colloidal silica anhydrous, magnesium stearate.

What BIOTEBAL MAX looks like and what the package contains

BIOTEBAL MAX is a round, white or almost white, biconvex tablet with the imprint "10" on one side, with a diameter of 7.8-8.2 mm.
BIOTEBAL MAX is available in PVC/Aluminum blisters.
The packaging - a cardboard box contains 10, 20, 30, 60, 90, or 120 tablets.

Marketing authorization holder and manufacturer

Polpharma S.A.
Pelplińska 19
83-200 Starogard Gdański
phone: +48 22 364 61 01

Date of the last update of the package leaflet:

  • Country of registration
  • Active substance
  • Prescription required
    No
  • Importer
    Zakłady Farmaceutyczne POLPHARMA S.A.
  • Alternatives to Biotebal Max
    Dosage form: Tablets, 10 mg
    Active substance: biotin
    Prescription not required
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    Active substance: biotin
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    Dosage form: Tablets, 10 mg
    Active substance: biotin
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Alternatives to Biotebal Max in other countries

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

Alternative to Biotebal Max in Ukraine

Dosage form: tablets, 5 mg in 30 tablets in blister
Active substance: biotin
Prescription not required
Dosage form: tablets, tablets 10mg
Active substance: biotin
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Manufacturer: KUSUM HELTHKER PVT LTD
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Dosage form: tablets, 5 mg
Active substance: biotin
Prescription not required

Alternative to Biotebal Max in Spain

Dosage form: INJECTABLE, 5 mg
Active substance: biotin
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 50 mg/ml
Active substance: tocofersolan
Prescription required
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Active substance: tocofersolan
Prescription required
Dosage form: INJECTABLE, 300 mg pyridoxine hydrochloride
Active substance: pyridoxine (vit B6)
Manufacturer: Teofarma S.R.L.
Prescription required
Dosage form: TABLET, 300 mg pyridoxine hydrochloride
Active substance: pyridoxine (vit B6)
Manufacturer: Teofarma S.R.L.
Prescription not required
Dosage form: INJECTABLE, 500 mg D-panthenol/2 ml
Active substance: dexpanthenol
Manufacturer: Bayer Hispania S.L.
Prescription required

Online doctors for Biotebal Max

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

5.0(96)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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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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What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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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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  • ongoing care for chronic conditions
  • follow-up after hospital discharge
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  • 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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In addition to pain management, Dr. Popov helps patients with:
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  • 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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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.
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  • 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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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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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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