Background pattern
Biotrombina 400

Biotrombina 400

Ask a doctor about a prescription for Biotrombina 400

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 Biotrombina 400

PATIENT INFORMATION LEAFLET: INFORMATION FOR THE USER

BioTrombina 400

Bovine Thrombin
Powder and solvent for solution for topical use ,400 IU, 200 IU/ml
You should read the contents of the leaflet before using the medicine, as it contains important information for the patient.
for the patient.

  • You should keep this leaflet, so that you can read it again if you need to.
  • You should consult a doctor or pharmacist if you have any further questions
  • This medicine has been prescribed for you only. Do not pass it on to others.
  • If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, you should tell your doctor

Table of contents of the leaflet:

  • 1. What is BioTrombina 400 and what is it used for
  • 2. Important information before using BioTrombina 400
  • 3. How to use BioTrombina 400
  • 4. Possible side effects
  • 5. How to store BioTrombina 400
  • 6. Contents of the pack and other information

1. What is BioTrombina 400 and what is it used for

Bovine thrombin is a proteolytic enzyme that catalyzes the blood clotting process. It works
in the final phase of the clotting process, i.e. during the conversion of fibrinogen to fibrin and the formation
of a clot.
The medicine, when administered correctly and in the right dose, allows to control bleeding within a few minutes, even in patients with various types of bleeding disorders (except for fibrinogen deficiency) related to the conversion of prothrombin to thrombin (e.g. hemophilia A and B).
BioTrombina 400 is indicated for local hemostasis of intense bleeding:

  • from internal organs (stomach, kidneys, lungs) during surgical procedures,
  • from the tooth socket after tooth extraction,
  • from the nose, mucous membrane of the oral cavity, after tonsillectomy,
  • from the reproductive tract during gynecological procedures.

2. Important information before using BioTrombina 400

When not to use BioTrombina 400

  • if you are allergic to bovine protein or any of the excipients
  • if the bleeding is from large blood vessels
  • if the wound is infected

Warnings and precautions

Particular caution should be exercised when using BioTrombina 400, if:

  • the patient has been previously treated with medicines containing bovine thrombin or other bovine protein due to the risk of allergic reactions and bleeding complications,
  • the patient has afibrinogenemia and dysfibrinogenemia due to reduced or lack of efficacy of the medicine.

Other medicines and BioTrombina 400

The medicine should not be used at the same time as fibrinolytic agents and thrombin inhibitors.
You should inform your doctor about all the medicines you have taken recently, even those that are available without a prescription.

Pregnancy and breastfeeding

There is not enough data on the use of BioTrombina 400 in pregnant and breastfeeding women. The benefits and potential risks of using the medicine should be considered.

Driving and using machines

BioTrombina 400 does not affect the ability to drive and use machines.

3. How to use BioTrombina 400

BioTrombina 400 must not be administered intravascularly.

The dosage is determined by the doctor depending on the intensity of the bleeding.
The powder in the ampoule or vial should be reconstituted with 2 ml of solvent (isotonic sodium chloride solution).
After reconstitution, the solution should be used to soak a sterile swab or sponge and apply it to the wound, or it can be applied directly to the wound.

Overdose:

There is no data on overdose of the medicine.

4. Possible side effects

Like all medicines, BioTrombina 400 can cause side effects.
Bovine thrombin is a protein and can cause the formation of antibodies, which after repeated administration of the medicine may cause allergic reactions and bleeding of varying severity.
The level of antibodies in the patient's blood may increase after each subsequent use of the bovine thrombin product. The resulting antibodies can rarely cause allergic reactions, including anaphylactic reactions. Hives, swelling of the lips, tongue, palate, difficulty breathing associated with swelling of the oral cavity, tongue; wheezing; decreased blood pressure, fainting, generalized hives, swelling, vomiting.
In each case, appropriate treatment should be applied.
Reporting of side effects
If you experience any side effects, including those not listed in this leaflet, you should tell your doctor or pharmacist, or nurse. Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products 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, e-mail: [email protected].
Side effects can also be reported to the marketing authorization holder.
Thanks to the reporting of side effects, more information can be collected on the safety of the medicine.

5. How to store BioTrombina 400

The medicine should be stored in a place inaccessible and invisible to children.
The medicine should not be used after the expiry date stated on the packaging.
Store in a refrigerator at 2°C - 8°C.
Reconstituted thrombin in solvent (isotonic sodium chloride solution) is unstable, undergoes partial inactivation and should be used immediately after reconstitution of the powder.
Batch number (Lot)
Expiry date (EXP)

6. Contents of the pack and other information

What BioTrombina 400 contains

One ampoule or vial with powder contains
Bovine thrombin
400 IU
Excipients: glycine
1 ml of solution (after reconstitution in 2 ml of solvent) contains:
Bovine thrombin
200 IU
Excipients: glycine, sodium chloride, water for injections.
One ampoule with solvent (isotonic sodium chloride solution) of 2 ml contains: sodium chloride, water for injections.

What BioTrombina 400 looks like and what the pack contains

What BioTrombina 400 looks like

The powder is uniform, it is a compact, dry mass of white or light beige color.
The solvent is colorless.

Packaging

1 vial with powder of 400 IU and 1 ampoule with solvent of 2 ml.
5 vials with powder of 400 IU and 5 ampoules with solvent of 2 ml.
5 ampoules with powder of 400 IU and 5 ampoules with solvent of 2 ml.

Marketing authorization holder and manufacturer

“BIOMED-LUBLIN” Serum and Vaccine Production Plant Joint Stock Company
20-029 Lublin, ul. Uniwersytecka 10
Phone number: (081) 533 82 21
e-mail: [email protected]

Date of approval of the leaflet:

Alternatives to Biotrombina 400 in other countries

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

Alternative to Biotrombina 400 in Spain

Dosage form: TISSUE ADHESIVE, 72-110 mg/ml; 3000 IU/ml; 500 IU/ml; 40 μmol
Active substance: combinations
Manufacturer: Baxter S.L.
Prescription required
Dosage form: TISSUE ADHESIVE, -
Active substance: combinations
Manufacturer: Corza Medical Gmbh
Prescription required
Dosage form: TISSUE ADHESIVE, as needed based on the patient's clinical needs
Active substance: combinations
Manufacturer: Baxter S.L.
Prescription required
Dosage form: Cutaneous solution, 300 mg/5 mg/2 mg/5 mg
Active substance: combinations
Manufacturer: Medical S.A.
Prescription not required

Online doctors for Biotrombina 400

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Biotrombina 400 – subject to medical assessment and local rules.

0.0(0)
Doctor

Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • 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.
CameraBook a video appointment
€69
December 2002:00
December 2002:15
December 2002:30
December 2002:45
December 2003:00
More times
5.0(2)
Doctor

Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
CameraBook a video appointment
€50
December 2005:00
December 2005:50
December 2006:40
December 2007:30
December 2008:20
More times
5.0(7)
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.

CameraBook a video appointment
€69
December 2007:00
December 2007:25
December 2007:50
December 2008:15
December 2008:40
More times
0.0(0)
Doctor

Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

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.
CameraBook a video appointment
€58
December 2007:00
December 2008:00
December 2108:00
December 2109:00
December 2110:15
More times
5.0(4)
Doctor

Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

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.

CameraBook a video appointment
€50
December 2009:00
December 2009:45
December 2010:30
December 2011:15
December 2012:00
More times
5.0(12)
Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • 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.

CameraBook a video appointment
€60
December 2009:00
December 2009:30
December 2709:00
December 2709:30
January 309:00
More times
5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) 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 Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

CameraBook a video appointment
€59
December 2009:00
December 2009:20
December 2009:40
December 2010:00
December 2010:20
More times
5.0(11)
Doctor

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • 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.

CameraBook a video appointment
€65
December 2009:00
December 2009:25
December 2009:50
December 2010:15
December 2010:40
More times
5.0(30)
Doctor

Sergio Correa

General medicine7 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

CameraBook a video appointment
€40
December 2009:00
December 2010:00
December 2011:00
December 2012:00
December 2013:00
More times
5.0(6)
Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

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.

CameraBook a video appointment
€55
December 2009:00
December 2009:25
December 2009:50
December 2010:15
December 2010:40
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe