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Clodivac

Clodivac

Ask a doctor about a prescription for Clodivac

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Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

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:
  • Respiratory infections – cough, colds, bronchitis.
  • 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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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 Clodivac

Package Leaflet: Information for the User

Clodivac,suspension for injection
Vaccine against diphtheria and tetanus, adsorbed, with reduced antigen content
Not less than 40 IU of tetanus toxoid and not less than 5 IU of diphtheria toxoid/0.5 ml;
1 dose (0.5 ml)

Read the package leaflet carefully before using the vaccine, as it contains important information for the patient.

  • Keep this package leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This vaccine has been prescribed specifically for you. Do not pass it on to others.
  • If you experience any side effects, including any not listed in this leaflet, tell your doctor, pharmacist, or nurse. See section 4.

Table of Contents of the Package Leaflet

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

1. What is Clodivac vaccine and what is it used for

Clodivac is a vaccine that protects against two diseases: tetanus and diphtheria (caused by tetanus and diphtheria bacteria). The active substances of the vaccine are tetanus and diphtheria toxoids (non-infectious components derived from bacteria). After administration of the vaccine, the body produces antibodies that protect against the disease.
The vaccine is used for active immunization of children who have completed their 7th year of life, adolescents, and adults against tetanus and diphtheria.
Primary vaccination

  • persons who have completed their 7th year of life and have not received primary vaccination against diphtheria and tetanus (i.e., mandatory vaccination according to the Immunization Program).

Booster vaccination

  • children who have completed their 7th year of life and have not received a booster dose of DTPa at 6 years of age (in case of contraindications to pertussis vaccination),
  • adolescents at 14 and 19 years of age,
  • adults who have received a complete primary vaccination cycle against tetanus and diphtheria (booster dose every 10 years).

Vaccination against tetanus in injured persons
Clodivac vaccine may be administered in case of injury, according to the Immunization Program.
Adequate protection against infection is achieved after administration of all vaccine doses, according to the Immunization Program, which contains information about these vaccinations.
Study results have confirmed both the safety and high efficacy of Clodivac vaccine.

2. Important information before using Clodivac vaccine

When not to use Clodivac vaccine:

If there are any contraindications to vaccination with Clodivac vaccine, the doctor should assess the risk of administering the vaccine in relation to the risk of infection.

Warnings and precautions

Before starting to use Clodivac vaccine, discuss it with your doctor or nurse if you have experienced any side effects or other worrying reactions after the previous dose of the vaccine.
Vaccination should be preceded by a medical examination and interview about the patient's general health and previously performed and recorded vaccinations. This approach allows for predicting the risk of side effects after vaccine administration.

For safety reasons, after vaccination, you should remain under medical observation for 30 minutes.

Clodivac vaccine and other medicines

Clodivac vaccine can be administered at the same time as other vaccines, if this is indicated by the Immunization Program, and with immunoglobulins, if necessary.
Different vaccines and immunoglobulins administered at the same time should be injected into different parts of the body using separate syringes and needles.
In patients undergoing immunosuppressive therapy (inhibiting the activity of the immune system) or with immune deficiencies, the response to the vaccine may be reduced.
In such cases, the doctor may decide to postpone vaccinations until the end of therapy and determine the level of antibodies after vaccination.
Tell your doctor about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take.

Pregnancy and breastfeeding

Guidelines for recommended vaccinations for pregnant women are presented in the Immunization Program.
Breastfeeding is not a contraindication to vaccination.
If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, ask your doctor for advice before using this vaccine.

Driving and using machines

The vaccine has no influence or negligible influence on the ability to drive and use machines.

3. How to use Clodivac vaccine

Clodivac vaccine will be administered by a nurse or doctor deep subcutaneously. The vaccine should never be administered intravenously.

Dosing in primary and booster vaccination

Primary vaccination
Primary vaccination consists of three doses of the vaccine:

  • two doses of the vaccine at an interval of 4 weeks (primary vaccination)
  • a third dose of the vaccine after 6-12 months from the administration of the second dose (booster vaccination).

Booster vaccination
One dose of the vaccine:

  • children who have completed their 7th year of life and have not received a booster dose of DTPa at 6 years of age (in case of contraindications to pertussis vaccination)
  • adolescents at 14 years of age (second booster dose)
  • adolescents at 19 years of age (third booster dose)
  • adults with completed primary vaccination, every 10 years.

Dosing in case of injury

In case of injury, the doctor decides on the administration of the vaccine and the dosing regimen.
Detailed information can be found at the end of the package leaflet in the section "Information intended exclusively for healthcare professionals."

Dosing during pregnancy

Guidelines for recommended vaccinations are presented in the Immunization Program.

Administration of a higher dose of Clodivac vaccine than recommended

Overdose is unlikely, as the packaging is single-dose.
In case of doubt, consult a doctor.

Discontinuation of Clodivac vaccine

In case of any further doubts about the use of this vaccine, consult a doctor, pharmacist, or nurse.

4. Possible side effects

Like all vaccines, this vaccine can cause side effects, although not everybody gets them.

Very common (occurring in more than 1 in 10 patients):

general side effects: fever, feeling unwell
local side effects: reaction, pain

Frequency not known (frequency cannot be estimated from the available data):

  • decreased platelet count, which increases the risk of bleeding and bruising
  • enlargement, tenderness of local lymph nodes
  • allergy symptoms (including generalized or localized rash, itching, facial swelling, and laryngeal spasm) up to anaphylactic shock
  • central and peripheral nervous system disorders
  • headache, dizziness
  • non-febrile seizures
  • fainting, loss of consciousness, decreased muscle tone
  • weakness of the limb into which the vaccine was administered, which may be a sign of paralysis or brachial plexus inflammation
  • Guillain-Barré syndrome (polyneuritis that may manifest as sensory disturbance, weakness, and paralysis of limbs)
  • gastrointestinal disorders (nausea, vomiting, abdominal pain),
  • limited mobility, pain, swelling, and warmth of the joint of the limb into which the vaccine was administered
  • muscle pain
  • renal failure
  • general reaction: fever, chills, excessive sweating, malaise. These symptoms occur very rarely and usually resolve within 24-48 hours
  • local reaction: redness, painful swelling, and itching at the injection site. A pruritic lymphatic infiltrate may also appear. Such reactions occur most frequently in persons vaccinated multiple times. Subcutaneous nodules - granulomas may develop, which sometimes transform into aseptic abscesses (1:100,000). Granulomas that do not resolve within 6 weeks may be a sign of hypersensitivity to aluminum.

Reporting side effects

If you experience any side effects, including any not listed in this leaflet, tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Post-Marketing Surveillance of Medicinal Products, Urząd Rejestracji Produktów Leczniczych, Wyrobów Medycznych i Produktów Biobójczych, Al. Jerozolimskie 181C, 02-222 Warszawa, tel.: 22 49-21-301, fax: 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 Clodivac vaccine

Store upright, in a refrigerator (2°C - 8°C).
Do not freeze; if frozen, the vaccine should be discarded.
Store ampoules in the outer packaging to protect from light.
Store the vaccine out of sight and reach of children.
Do not use this vaccine after the expiry date stated on the carton.
The expiry date refers to the last day of the 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 Clodivac vaccine contains

The active substances of the vaccine are:
Tetanus toxoid
not less than 40 IU
Diphtheria toxoid
not less than 5 IU
adsorbed on hydrated aluminum hydroxide
not more than 0.5 milligrams of Al
The other ingredients of the vaccine are: sodium chloride and water for injections.

What Clodivac vaccine looks like and contents of the pack

After shaking, the vaccine is a white or almost white, homogeneous suspension in glass ampoules.
During storage, a white sediment forms at the bottom of the ampoule, and a clear supernatant (liquid) above it.
The pack contains 1 or 15 ampoules.
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Instytut Biotechnologii Surowic i Szczepionek BIOMED Spółka Akcyjna
Al. Sosnowa 8
30-224 Kraków
tel.: +48 12 37 69 200
e-mail: [email protected]
Date of last revision of the package leaflet:
-------------------------------------------------------------------------------------------------------------------------

Information intended exclusively for healthcare professionals

Administration of Clodivac vaccine

Before use, shake the vaccine to obtain a homogeneous suspension.
Visually inspect the vaccine for any foreign particles or changes in appearance. If any changes are observed, do not use the vaccine.
Measure the dose of 0.5 ml and administer deep subcutaneously.
The recommended injection site is the deltoid muscle.
Do not administer intravenously!
Make sure the needle is not inserted into a blood vessel.
Note: Due to the risk of anaphylactic shock associated with vaccine administration, the vaccination room should be equipped with a standard emergency kit.
If there are contraindications to administration of the diphtheria vaccine, only the tetanus vaccine (T) should be administered.
Clodivac vaccine may be administered in case of injury - guidelines for specific tetanus prevention in injured persons are presented in the Immunization Program.
To improve the identifiability of biological medicinal products, clearly record the name and batch number of the administered product.

Alternatives to Clodivac in other countries

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

Alternative to Clodivac in Ukraine

Dosage form: suspension, 0.5 ml (1 dose) or 1 ml (2 doses)
Manufacturer: AT "BIOLIK
Prescription required

Alternative to Clodivac in Spain

Dosage form: INJECTABLE, 2 IU / 20 IU
Manufacturer: Aj Vaccines A/S
Prescription required

Online doctors for Clodivac

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

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Svetlana Kovalenko

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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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Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

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:
  • Respiratory infections – cough, colds, bronchitis.
  • 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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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
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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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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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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  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • 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.
  • 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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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.
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  • 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.

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  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
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  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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