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Castagnus

Castagnus

Ask a doctor about a prescription for Castagnus

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Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

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.
  • Second opinion and decision-making support.
  • 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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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 Castagnus

Package Leaflet: Information for the Patient

Castagnus

Agni casti fructus extractum siccum
45 mg, tablets

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

This medicine should always be taken exactly as described in the package leaflet or as directed by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or further information, consult a pharmacist.
  • If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. See section 4.
  • If after 90 days there is no improvement or the patient feels worse, consult a doctor.

Table of Contents of the Leaflet

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

1. What is Castagnus and what is it used for

Castagnus is a traditional herbal medicinal product used for the treatment of mild symptoms that occur before menstruation (premenstrual syndrome, i.e., short-term symptoms before the onset of menstruation, characterized by breast tenderness and swelling, emotional disturbances, migraine-like headaches, swelling of the face, hands, and feet).
The indications are based solely on long-term use.
If after 90 days there is no improvement or the patient feels worse, consult a doctor.

2. Important information before taking Castagnus

When not to take Castagnus:

  • if the patient is allergic to the active substance or any of the other ingredients of this medicine (listed in section 6)
  • do not use during pregnancy and breastfeeding
  • do not use the medicine in children under 18 years of age

Warnings and precautions

Before taking Castagnus, discuss it with your doctor or pharmacist.
Patients who have had or have estrogen-dependent tumors should consult their doctor before taking the medicine.
Patients taking dopamine receptor agonists or antagonists, or estrogens should consult their doctor before taking the medicine.
The use of the medicine in children and adolescents under 18 years of age is not recommended due to the lack of appropriate data.
If symptoms worsen during treatment, consult a doctor.
It is suggested that the extract of Vitex agnus castus affects the hypothalamic-pituitary axis, and therefore patients with pituitary disorders should consult their doctor before taking the medicine.
In the case of pituitary tumors that secrete prolactin, the use of Vitex agnus castus preparations may mask the symptoms of the tumor.

Castagnus and other medicines

Tell your doctor or pharmacist about all medicines you are taking, or have recently taken, and any medicines you plan to take.
Due to the possible dopaminergic and estrogenic effects of Vitex agnus castus, interactions with dopamine receptor agonists or antagonists, and estrogens (e.g., antipsychotics, anti-Parkinson's drugs, hormone replacement therapy, oral contraceptives, metoclopramide, bromocriptine) cannot be ruled out.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a baby, consult your doctor or pharmacist before taking this medicine.
Pregnancy
Do not take the medicine during pregnancy.
Breastfeeding
Data from preclinical reproductive studies indicate that extracts of Vitex agnus castus may affect lactation. The use of the medicine during breastfeeding is not recommended.
Fertility
The effect on fertility is unknown.

Driving and using machines

No studies have been conducted on the effects on the ability to drive and use machines.

Castagnus contains lactose monohydrate

If you have been diagnosed with an intolerance to some sugars, consult your doctor before taking the medicine.

3. How to take Castagnus

Take this medicine always exactly as described in the package leaflet or as directed by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist.
Dosage
Adult women: 1 tablet once daily.
Take the medicine orally, in the morning.
Method of administration
Take the medicine orally.
Children and adolescents
Do not use the medicine in children under 18 years of age.

Overdose of Castagnus

Do not take more than the recommended dose.
In case of overdose, consult a doctor.

Missed dose of Castagnus

Take the next dose at the scheduled time. Do not take a double dose to make up for the missed dose.

Stopping treatment with Castagnus

If you have any further questions on the use of this medicine, consult your doctor or pharmacist.

4. Possible side effects

Like all medicines, Castagnus can cause side effects, although not everybody gets them.
Side effects are listed according to the organ system and frequency of occurrence: unknown (cannot be estimated from the available data).
The following side effects may occur during treatment with Castagnus:
Immune system disorders - severe allergic reactions with facial swelling, difficulty breathing, and swallowing difficulties.
Skin and subcutaneous tissue disorders - allergic skin reactions (rash, urticaria), acne.
Nervous system disorders - pain and dizziness.
Gastrointestinal disorders - nausea, abdominal pain.
Reproductive system and breast disorders - menstrual cycle disturbances.
The frequency of these symptoms is unknown.
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 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, 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.
Reporting side effects will help to gather more information on the safety of this medicine.

5. How to store Castagnus

Store in a temperature below 25°C.
Keep out of the sight and reach of children.
Do not use the medicine after the expiry date stated on the packaging after: Expiry Date (EXP). The expiry date refers to the last day of the month stated.
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 Castagnus contains

1 tablet contains 4.5 mg extract (as dry extract) from Vitex agnus castusL. fructus (equivalent to an average of 45 mg of Vitex agnus castus fruit)
Extraction solvent - ethanol 60% [m/m]
Other ingredients of the medicine are: lactose monohydrate, potato starch, povidone K 30, magnesium stearate.

What Castagnus looks like and contents of the pack

Castagnus are round, biconvex tablets, beige-gray in color with a marbling effect.
The tablets are packaged in aluminum/PVC blisters. 1 blister contains 10 tablets. 3 blisters are packaged with the patient information leaflet in a cardboard box.

Marketing authorization holder and manufacturer

Wrocławskie Zakłady Zielarskie „Herbapol” SA

  • 50 – 951 Wrocław, ul. Św. Mikołaja 65/68 tel. +48 71 335 72 25 fax: + 48 71 372 47 40 e-mail: [email protected]

To obtain more detailed information, contact the marketing authorization holder: tel. 71 321-86-04 w.123

Date of last revision of the leaflet:

{Logo of Herbapol Wrocław}

Alternatives to Castagnus in other countries

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

Alternative to Castagnus in Spain

Dosage form: TABLET, 2.5 mg bromocriptine mesylate
Active substance: bromocriptine
Prescription required
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Active substance: cabergoline
Manufacturer: Teva Pharma S.L.U.
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Dosage form: TABLET, 0.5 mg cabergoline
Active substance: cabergoline
Manufacturer: Pfizer S.L.
Prescription required

Online doctors for Castagnus

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

0.0(1)
Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

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.
  • Second opinion and decision-making support.
  • 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.

CameraBook a video appointment
€50
November 1009:00
November 1010:05
November 1011:10
November 1012:15
November 1013:20
More times
5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

CameraBook a video appointment
€54
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Doctor

Marianna Neshta

Endocrinology24 years of experience

Marianna Neshta is a medical doctor specialising in endocrinology and ultrasound diagnostics. She provides online consultations for adults, focusing on the diagnosis, treatment, and long-term management of endocrine disorders. Her approach includes personalised care plans, analysis of lab results and ultrasound scans, and evidence-based treatment.

Key areas of expertise:

  • Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
  • Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
  • Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
  • Male hypogonadism – age-related or hormonal, including diagnostics and therapy
  • Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
  • Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism
Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.
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Taisiia Proida

Psychiatry6 years of experience

Dr. Taisiia Proida is a psychiatrist and cognitive behavioural therapist (CBT), and a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care.

She specialises in consultations and ongoing support for a wide range of mental health concerns, including:

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD).
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders.

She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

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Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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