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Holestil Max

Holestil Max

Ask a doctor about a prescription for Holestil Max

5.0(2)
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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5.0(102)
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 Holestil Max

Package Leaflet: Information for the Patient

Cholestil Max, 200 mg, Tablets

(Hymecromone)

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 for the patient or as advised by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or further information, ask your pharmacist.
  • If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist. See section 4.
  • If after 7 days there is no improvement or you feel worse, you should contact your doctor.

Table of Contents of the Leaflet:

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

1. What is Cholestil Max and what is it used for

Cholestil Max contains the active substance hymecromone, which is a coumarin derivative. It acts as a spasmolytic on the smooth muscle of the bile ducts and the sphincter of Oddi, increases bile secretion, and accelerates its elimination through the bile ducts. This action reduces bile stasis and related symptoms, as well as makes it difficult for cholesterol deposits and gallstones to form.

Indications:

  • as an auxiliary in the symptomatic treatment of spastic conditions of the bile ducts, dyskinesia, dyspeptic disorders,
  • post-operative conditions of the gallbladder and bile ducts, as well as in cases of decreased appetite, nausea, and constipation related to reduced bile secretion. If after 7 days there is no improvement or you feel worse, you should contact your doctor.

2. Important information before taking Cholestil Max

When not to take Cholestil Max:

  • if you are hypersensitive to hymecromone or any of the other ingredients of this medicine (listed in section 6);
  • if you have bile duct obstruction;
  • if you have severe liver and/or kidney failure;
  • in patients with ulcerative colitis and Crohn's disease.

Warnings and precautions

Before starting to take Cholestil Max, discuss it with your doctor or pharmacist. In case of symptoms of liver and/or kidney failure, stop taking the medicine. Consult your doctor, even if the above warnings concern situations that occurred in the past.

Cholestil Max and other medicines

Tell your doctor or pharmacist about all medicines you are taking or have recently taken, as well as any medicines you plan to take.

  • Morphine weakens the effect of Cholestil Max.
  • When taking Cholestil Max with metoclopramide, the effect of both medicines is weakened.

Cholestil Max with food and drink

Take the medicine half an hour before meals.

Cholestil Max in patients with kidney and/or liver function disorders

Do not use the medicine in patients with liver and/or kidney failure.

Cholestil Max in elderly patients

There is no need to change the dosage of the medicine in elderly patients.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. There are no data on the safety of using the medicine during pregnancy. It is not recommended to use Cholestil Max in pregnant women. There are no data on the safety of using the medicine during breastfeeding. It is not recommended to use the medicine during breastfeeding.

Driving and using machines

There are no data on the effect on psychophysical abilities, ability to drive vehicles, and operate machinery.

Cholestil MAX contains sodium

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

3. How to take Cholestil Max

Take this medicine always exactly as described in the package leaflet for the patient or as advised by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist. Adults: 200 to 400 mg (1 to 2 tablets) half an hour before meals, three times a day, for a week. Do not divide the tablets.

Taking a higher dose of Cholestil Max than recommended

There are no data on overdose. If you have taken a higher dose of the medicine than recommended, contact your doctor or pharmacist immediately.

Missing a dose of Cholestil Max

Take the missed dose immediately. Do not take a double dose to make up for the missed dose.

Stopping the use of Cholestil Max

In case of any further doubts about the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. If you experience allergic reactions, including rash, face, lip, tongue, and/or throat swelling, which may cause difficulty breathing or swallowing, or other serious side effects, stop taking Cholestil Max and contact your doctor or the Emergency Department of the nearest hospital immediately.Cholestil Max is generally well-tolerated. Side effects are listed according to their frequency: Rare (may affect up to 1 in 10,000 people): diarrhea, feeling of fullness or pressure in the abdominal cavity, hypersensitivity reactions, rash, or other skin allergic reactions.

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your 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 PL-02 222 Warsaw Tel.: +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. By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Cholestil Max

Keep the medicine out of the sight and reach of children. Store in a temperature below 25°C in the original packaging. Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the given month. 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 Cholestil Max contains

The active substance of the medicine is hymecromone. The other ingredients are potato starch, gelatin, sodium lauryl sulfate, magnesium stearate.

What Cholestil Max looks like and contents of the pack

White or white with a yellowish tint, round, flat on both sides, tablets engraved with the letters "Ch" on one side. Cholestil Max 200 mg tablets are packaged in PVC/Aluminum blisters in a cardboard box. Each pack contains 30 or 50 tablets. Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Adamed Pharma S.A. Pieńków, ul. M. Adamkiewicza 6A 05-152 Czosnów

Manufacturer:

Adamed Pharma S.A. Pieńków, ul. M. Adamkiewicza 6A 05-152 Czosnów Date of last revision of the leaflet:

Alternatives to Holestil Max in other countries

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

Alternative to Holestil Max in Україна

Dosage form: таблетки, таблетки по 200 мг
Active substance: hymecromone
Manufacturer: Adamed Farma S.A.
Prescription not required
Dosage form: капсули, по 10 капсул в блістері
Dosage form: таблетки, по 30 таблеток у блістері
Prescription not required
Dosage form: настойка, по 100 мл у банці
Prescription not required
Dosage form: квітки, по 75 г у пачках
Manufacturer: PrAT "Liktravi
Prescription not required
Dosage form: збір, по 50 г у пачках
Manufacturer: PrAT "Liktravi
Prescription not required

Alternative to Holestil Max in Іспанія

Dosage form: КАПСУЛА, 150 мг
Prescription not required
Dosage form: КАПСУЛА, 10 мг
Prescription required
Dosage form: ОРАЛЬНИЙ РОЗЧИН/СУСПЕНЗІЯ, 9,5 МГ/МЛ
Active substance: maralixibat chloride
Prescription required
Dosage form: КАПСУЛА, 600 мкг
Active substance: odevixibat
Manufacturer: Ipsen Pharma
Prescription required
Dosage form: КАПСУЛА, 200 - ПЕРЕВІРИТИ мкг
Active substance: odevixibat
Manufacturer: Ipsen Pharma
Prescription required
Dosage form: КАПСУЛА, 200 мкг
Active substance: odevixibat
Manufacturer: Ipsen Pharma
Prescription required

Online doctors for Holestil Max

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

5.0(2)
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
December 2209:00
December 2210:05
December 2211:10
December 2212:15
December 2213:20
More times
5.0(102)
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.

CameraBook a video appointment
€55
December 2211:00
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December 2514:40
December 2515:20
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5.0(8)
Doctor

Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • 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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Doctor

Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • 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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5.0(2)
Doctor

Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

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.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • 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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0.0(3)
Doctor

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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