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Cartexan

Cartexan

Ask a doctor about a prescription for Cartexan

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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 Cartexan

Package Leaflet: Information for the User

Cartexan, 400 mg, Hard Capsules

Sodium Chondroitin Sulfate

Read the Package Leaflet Carefully Before Taking the Medication, 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, please inform your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet:

  • 1. What is Cartexan and What is it Used For
  • 2. Important Information Before Taking Cartexan
  • 3. How to Take Cartexan
  • 4. Possible Side Effects
  • 5. How to Store Cartexan
  • 6. Contents of the Pack and Other Information

1. What is Cartexan and What is it Used For

The active substance of Cartexan, sodium chondroitin sulfate, is a substance that occurs naturally in the human body. It is one of the structural elements of joint cartilage.
Cartexan is used for the symptomatic treatment of osteoarthritis of the knee and hip joints. The drug is characterized by a slow onset of action, which occurs within 6 to 8 weeks, therefore, for the treatment of acute and short-term pain, it is recommended to use other medications. The effects of treatment usually last for 2 to 3 months after discontinuation of treatment.
If there is no improvement or the patient feels worse, they should consult a doctor.

2. Important Information Before Taking Cartexan

When Not to Take Cartexan

  • if the patient is allergic to chondroitin sulfate or any of the other ingredients of this medication (listed in section 6).

Warnings and Precautions

Before starting treatment with Cartexan, the patient should discuss it with their doctor or pharmacist.

  • if the patient has heart disease (heart failure) or kidney failure. Cartexan may cause fluid accumulation in the body and swelling.
  • if the patient has liver failure.
  • if the patient is taking medications that affect blood clotting (such as acetylsalicylic acid, dipyridamole, or clopidogrel).
  • if the patient is taking painkillers, as the use of chondroitin sulfate may reduce the need for painkillers.

Children

Cartexan is not recommended for use in children.

Cartexan and Other Medications

The patient should inform their doctor or pharmacist about all medications they are currently taking or have recently taken, as well as any medications they plan to take. This is especially important for medications that affect blood clotting (such as warfarin, acetylsalicylic acid, dipyridamole, or clopidogrel).
If the patient is taking warfarin, after starting or stopping Cartexan, the doctor may order more frequent INR checks.

Cartexan with Food and Drink

Cartexan can be taken before, during, or after meals. If the patient is prone to stomach problems, the medication should be taken after a meal.

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 taking this medication.
There is no data on the use of Cartexan during pregnancy or breastfeeding, and therefore, the medication should not be taken during pregnancy or breastfeeding.

Driving and Operating Machinery

It has not been shown that Cartexan affects the ability to drive or operate machinery.

3. How to Take Cartexan

This medication should always be taken as directed by the doctor. In case of doubts, the patient should consult their doctor or pharmacist.
The capsules should not be chewed, they should be swallowed whole, with a sufficient amount of liquid (e.g., a glass of water).
The recommended dose is 800 mg, i.e., 2 capsules in one daily dose taken for three months.
In more severe cases, the recommended dose is 1200 mg, i.e., 3 capsules per day for the first 4 to 6 weeks of treatment, and then 800 mg in one daily dose until the end of the three-month treatment period. The daily dose of 1200 mg can be taken once or divided into three doses, i.e., 1 capsule three times a day.
Treatment consists of repeated periods of three-month treatment with two-month breaks without taking the medication.

Use in Children

Cartexan is not recommended for children.

Overdose of Cartexan

One report of unintentional or intentional overdose without consequences for the patient (no vomiting, nausea, or changes in blood electrolyte levels occurred) has been received. Based on studies, no harmful effects or symptoms are expected. In case of overdose, the patient should always contact the Toxicological Information Center (tel. 607 218 174).

Missed Dose of Cartexan:

No special effects are expected. The patient should not take a double dose to make up for the missed dose, they should continue treatment by taking the normal dose the next day.

Stopping Cartexan Treatment

No special effects are expected.
In case of any further doubts about the use of this medication, the patient should consult their doctor or pharmacist.

4. Possible Side Effects

Like all medications, Cartexan can cause side effects, although not everybody gets them.

Uncommon Side Effects (affecting up to 1 in 1,000 users):

Gastrointestinal Disorders: Gastrointestinal disorders (such as upper abdominal pain, nausea, or diarrhea).
Skin and Subcutaneous Tissue Disorders:Redness, papular rash, irritating dermatitis.

Rare Side Effects (affecting up to 1 in 10,000 users):

Skin and Subcutaneous Tissue Disorders:eczema, itching, urticaria.
General Disorders:Edema.

Reporting Side Effects

If any side effects occur, including any not listed in this leaflet, the patient should inform their doctor or pharmacist. Side effects can be reported directly to the national reporting system:
Department of Monitoring of Adverse Reactions to Medicinal Products, 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 to gather more information on the safety of this medication.

5. How to Store Cartexan

The medication should be stored out of sight and reach of children.
Do not store above 30°C. Store in the original packaging to protect from moisture.
Do not use this medication after the expiry date stated on the carton and blister pack after "Expiry Date:". The expiry date refers to the last day of the month stated.
Medications should not be disposed of via wastewater or household waste containers. The patient should ask their pharmacist how to dispose of medications that are no longer needed. This will help protect the environment.

6. Contents of the Pack and Other Information

What Cartexan Contains

  • The active substance of Cartexan is Sodium Chondroitin Sulfate. Each capsule contains 400 mg of sodium chondroitin sulfate.
  • Other ingredients: magnesium stearate. The excipients in the capsule shell are gelatin, titanium dioxide (E171), indigo carmine (E132), quinoline yellow (E104).

What Cartexan Looks Like and Contents of the Pack

Cartexan capsules are available in packs of 24, 60, and 180 capsules. The bulk pack contains 180 (3 packs of 60) capsules.
Not all pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

REIG JOFRE Sp. z o.o.
ul. Ostródzka 74N
03-289 Warsaw
Poland

Manufacturer

NOUCOR HEALTH, S.A.
Avda. Camí Reial, 51-57.
08184 Palau-Solità i Plegamans. Barcelona
Spain

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

Countries:

Austria, Finland, Hungary, and Poland - Cartexan
Czech Republic - Condrodin

Date of Last Revision of the Leaflet: 10/2024

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Manufacturer
  • Importer
    NOUCOR HEALTH, S.A.
  • Alternatives to Cartexan
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Alternatives to Cartexan in other countries

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

Alternative to Cartexan in Іспанія

Dosage form: ОРАЛЬНИЙ РОЗЧИН/СУСПЕНЗІЯ, 400 мг
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Active substance: chondroitin sulfate
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Alternative to Cartexan in Україна

Dosage form: капсули, по 500 мг, по 12 капсул у блістері
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Prescription required
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Manufacturer: PrAT "Lekhim-Harkiv
Prescription required

Online doctors for Cartexan

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

5.0(39)
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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Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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Dr. Raevskii provides medical care in the following areas:

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  • 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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  • 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.

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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • 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:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • 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:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • 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.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
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 Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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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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Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

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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Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
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  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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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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