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Contractubex

Contractubex

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Doctor

Hocine Lokchiri

General medicine20 years of experience

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

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Andreea Mateescu

Pediatrics7 years of experience

Dr Andreea Mateescu is a board-certified paediatrician with 7 years of clinical experience. She graduated from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed her paediatric residency at INSMC Alessandrescu-Rusescu. She also holds additional training in general ultrasound diagnostics.

Dr Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

  • preventive check-ups and monitoring of growth and development;
  • vaccination planning, including personalised and catch-up schedules;
  • assessment of psychomotor, emotional, and physical development;
  • diagnosis and management of acute and chronic paediatric conditions;
  • nutritional guidance for infants and children, including formula selection when medically indicated;
  • care for children with complex or rare conditions;
  • practical guidance and ongoing support for parents.
Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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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 Contractubex

Package Leaflet: Information for the Patient

Contractubex, (50 IU + 100 mg + 10 mg)/g, Gel

Sodium heparin, onion extract, allantoin

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

This medicine should always be used exactly as described in this package leaflet for the patient or as directed by a doctor or pharmacist.

  • This leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including any not listed in this leaflet, they should inform their doctor or pharmacist. See section 4.
  • If there is no improvement or the patient feels worse, they should contact their doctor.

Table of Contents of the Leaflet:

  • 1. What is Contractubex and what is it used for
  • 2. Important information before using Contractubex
  • 3. How to use Contractubex
  • 4. Possible side effects
  • 5. How to store Contractubex
  • 6. Package contents and other information

1. What is Contractubex and what is it used for

Contractubex is a scar treatment used after the wound has completely healed.
Contractubex has anti-proliferative, anti-inflammatory, smoothing, and loosening effects on scar tissue.

Indications

Scars that restrict movement, enlarged (hypertrophic, swollen, keloid-like), unsightly post-operative scars, scars after amputations, burn scars, and accident scars, contractures (e.g., Dupuytren's contracture), tendon contractures caused by injuries, and scar contraction.
Contractubex is indicated for use in adults and children over 1 year of age up to 17 years.

2. Important information before using Contractubex

When not to use Contractubex:

  • if the patient is allergic to heparin, onion extract, allantoin, or any of the other ingredients of this medicine (listed in section 6);

Warnings and precautions

Before starting treatment with Contractubex, the patient should discuss it with their doctor or pharmacist.
Contractubex should be used after the wound has completely healed. Treatment should be started as soon as possible after the scar appears.
If signs of hypersensitivity occur, the use of Contractubex should be discontinued.
During treatment of large skin areas, systemic effects of heparin may occur.

Children and adolescents

Instructions for use in children and adolescents, see section 3.
Due to the lack of data, Contractubex should not be used in children under 1 year of age.

Contractubex and other medicines

The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
There are no data on interactions. No interactions between Contractubex and other medicines have been reported so far.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a baby, they should consult their doctor or pharmacist before using this medicine.
Contractubex should not be used during pregnancy.
During breastfeeding, the medicine should not be applied to the breast area.

Driving and using machines

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

What Contractubex contains

  • methyl parahydroxybenzoate, which may cause allergic reactions (possible late reactions).
  • sorbic acid, which may cause local skin reactions, such as contact dermatitis.
  • a fragrance substance containing citronellol, geraniol, benzyl alcohol, citral, and linalool, which may cause allergic reactions.
  • 13.5 mg of ethanol (alcohol) per 1 g of gel (1.35% m/m). Alcohol may cause a burning sensation on damaged skin. The medicine is flammable. Keep away from fire and do not use near an open flame or lit cigarette, or certain appliances (e.g., hair dryers).

3. How to use Contractubex

This medicine should always be used exactly as described in this package leaflet for the patient or as directed by a doctor or pharmacist.
In case of doubt, the patient should consult their doctor or pharmacist.
Unless otherwise directed by the doctor, the medicine is usually applied several times a day, gently rubbing it into the skin or scar tissue.
In the case of hardened and long-standing scars, a dressing with Contractubex can be applied at night.
Treatment lasts from several weeks to several months, depending on the size of the scar or the presence of contracture.
During treatment of fresh scars, physical stimuli such as low temperatures, UV radiation, and excessive rubbing or other mechanical irritations should be avoided.

Use in children and adolescents

In children over 1 year of age, the gel can be applied to scar tissue once or twice a day.
Due to the lack of data, Contractubex should not be used in children under 1 year of age.
In case of any questions about the use of this medicine, the patient should consult their doctor or pharmacist.

Using more than the recommended dose of Contractubex

No cases of overdose have been reported.
During treatment of large skin areas, systemic effects of heparin may occur.

Missing a dose of Contractubex

A double dose should not be used to make up for a missed dose.
In case of any further doubts about the use of this medicine, the patient should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, Contractubex can cause side effects, although not everybody gets them.
The most commonly reported side effects were reactions at the site of application (see also the section "What Contractubex contains").
The following side effects were reported in a study of 592 patients treated with Contractubex.
Common (occurring in no more than 1 in 10 patients):
itching (pruritus), severe redness (erythema), spider veins on the skin (telangiectasia), deepening of the scar (scar atrophy).
Uncommon (occurring in no more than 1 in 100 patients):
skin discoloration (hyperpigmentation), skin thinning.
The following side effects have been reported spontaneously:
Frequency not known (frequency cannot be estimated from the available data):
small pus-filled blisters on the skin (pustular rash), allergic reaction (hypersensitivity), abnormal skin sensations (paresthesia), swelling, pain at the injection site, local skin reactions (contact dermatitis), hives, rash, itching, redness, skin irritation, small, solid, round nodules (papules), skin inflammation, burning sensation on the skin, peeling at the injection site, feeling of skin tightness.
Contractubex is well tolerated, even during long-term use.
During treatment with Contractubex, itching may occur, which is a result of scar changes and does not require discontinuation of treatment.

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 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.: +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 medicine.

5. How to store Contractubex

How to store Contractubex
Do not store above 25°C.
Shelf life after first opening the tube: 6 months.
Keep out of sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging.
Medicines should not be disposed of via wastewater or household waste.
The patient should ask their pharmacist how to dispose of medicines no longer required.
This will help protect the environment.

6. Package contents and other information

What Contractubex contains

The active substances of the medicine are:
sodium heparin, onion extract, and allantoin.
1 g of gel contains 50 IU of sodium heparin, 100 mg of onion extract, and 10 mg of allantoin.
Excipients:
ethanol, sorbic acid (E 200), methyl parahydroxybenzoate (E 218), xanthan gum, macrogol 200, fragrance substance Perfume oil Fragrance 30263773 Rosae, containing citronellol, geraniol, benzyl alcohol, citral, and linalool (see section 2), purified water.

What Contractubex looks like and what the package contains

A non-transparent gel with a color from light beige to light brown in a tube packaged in a cardboard box.
Available packages: tube containing 20 g, 50 g, or 100 g of gel, placed in a cardboard box.
Not all pack sizes may be marketed.

Marketing authorization holder

Merz Pharmaceuticals GmbH
Eckenheimer Landstrasse 100
60318 Frankfurt/Main
Germany
e-mail: [email protected]

Manufacturer

Merz Pharma GmbH & Co. KGaA
Eckenheimer Landstrasse 100
60318 Frankfurt/Main
Germany

Date of last revision of the leaflet:

Alternatives to Contractubex in other countries

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

Alternative to Contractubex in Ukraine

Dosage form: tincture, 25 ml in dropper bottles
Manufacturer: TOV "Ternofarm
Prescription not required
Dosage form: tincture, 25 ml in a bottle
Manufacturer: AT "VITAMINI
Prescription not required
Dosage form: tincture, 25 ml or 100 ml in glass bottles
Manufacturer: AT "Lubnifarm
Prescription not required
Dosage form: gel, 15 g or 30 g in a tube
Prescription not required
Dosage form: aerosol, 60 g in a balloon
Manufacturer: AT "Stoma
Prescription not required
Dosage form: ointment, 15 g or 40 g in a tube
Manufacturer: AT "Farmak
Prescription not required

Alternative to Contractubex in Spain

Dosage form: GEL, 100 mg/g
Active substance: Betulae cortex
Prescription required
Dosage form: TOPICAL SOLID, 2 g Centella asiatica extract / 100 g
Manufacturer: Almirall S.A.
Prescription not required
Dosage form: OINTMENT, 10 mg/g
Manufacturer: Almirall S.A.
Prescription not required
Dosage form: OINTMENT, 2 g / 15 g
Manufacturer: Alfasigma Espana S.L.
Prescription not required

Online doctors for Contractubex

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

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Doctor

Hocine Lokchiri

General medicine20 years of experience

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

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
CameraBook a video appointment
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Doctor

Andreea Mateescu

Pediatrics7 years of experience

Dr Andreea Mateescu is a board-certified paediatrician with 7 years of clinical experience. She graduated from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed her paediatric residency at INSMC Alessandrescu-Rusescu. She also holds additional training in general ultrasound diagnostics.

Dr Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

  • preventive check-ups and monitoring of growth and development;
  • vaccination planning, including personalised and catch-up schedules;
  • assessment of psychomotor, emotional, and physical development;
  • diagnosis and management of acute and chronic paediatric conditions;
  • nutritional guidance for infants and children, including formula selection when medically indicated;
  • care for children with complex or rare conditions;
  • practical guidance and ongoing support for parents.
Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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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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  • interpretation of test results and personalised treatment planning
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  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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Common reasons for consultation include:

  • chronic pharyngitis and recurrent tonsillitis
  • allergic, vasomotor and medication-induced rhinitis
  • sinusitis, nasal obstruction, and postnasal drip
  • nosebleeds, earwax build-up, or foreign bodies in the ear, nose, or throat
  • Eustachian tube dysfunction and related complaints
Dr Travkina follows evidence-based guidelines and ensures patients receive clear explanations and follow-up recommendations. Whether you need help with ENT symptoms, clarification of test results, or guidance on next steps – she offers expert medical advice in a convenient online format.
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  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Tetiana Fursenko

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Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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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
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  • IMT medical certificates for driving licence exchange
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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.
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  • 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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