CYCLONAMINE 125 mg /Ml Solution

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Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
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 Ciclonamine 12,5%

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
  2. Cyclonamine 12.5%
  3. 125 mg/ml, Solution for Injection
    1. Read the package leaflet carefully before using the medicine, as it contains important information for the patient.
    2. Table of Contents of the Leaflet
  4. What is Cyclonamine 12.5% and what is it used for
  5. Important information before using Cyclonamine 12.5%
    1. When not to use Cyclonamine 12.5%
    2. Warnings and precautions
    3. Cyclonamine 12.5% and other medicines
    4. Using Cyclonamine 12.5% in patients with kidney or liver disorders
    5. Pregnancy, breastfeeding, and fertility
    6. Driving and using machines
    7. Cyclonamine 12.5% contains sodium sulfite and sodium pyrosulfite
  6. How to use Cyclonamine 12.5%
    1. Using a higher dose of Cyclonamine 12.5% than recommended
    2. Missing a dose of Cyclonamine 12.5%
    3. Stopping treatment with Cyclonamine 12.5%
  7. Possible side effects
    1. Reporting side effects
  8. How to store Cyclonamine 12.5%
  9. Contents of the pack and other information
    1. What Cyclonamine 12.5% contains
    2. What Cyclonamine 12.5% looks like and contents of the pack
    3. Marketing authorization holder and manufacturer
    4. Marketing authorization holder
    5. Manufacturer
    6. Date of last revision of the leaflet:

Package Leaflet: Information for the Patient

Cyclonamine 12.5%

Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

125 mg/ml, Solution for Injection

Etamsylate

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor.
  • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including any not listed in this leaflet, please tell your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet

  • 1. What is Cyclonamine 12.5% and what is it used for
  • 2. Important information before using Cyclonamine 12.5%
  • 3. How to use Cyclonamine 12.5%
  • 4. Possible side effects
  • 5. How to store Cyclonamine 12.5%
  • 6. Contents of the pack and other information

1. What is Cyclonamine 12.5% and what is it used for

Cyclonamine 12.5% shortens prolonged bleeding time, reduces bleeding intensity, and strengthens and seals blood vessels.
Indications for use
Prevention of vascular bleeding before, during, and after surgical procedures on highly vascularized tissues or those requiring caution:

  • in otolaryngology,
  • in gynecology and obstetrics: before and after surgery, after childbirth and abortion,
  • in urology: in bleeding from the urinary tract,
  • in dentistry: after tooth extraction with subsequent heavy bleeding,
  • in ophthalmology: before corneal transplantation, cataract removal, and before retinal detachment surgery,
  • in plastic or reconstructive surgery.

Treatment of vascular bleeding, regardless of its location and cause.
Prevention of periventricular hemorrhages (bleeding into the brain in the immediate vicinity of the brain ventricles) in newborns with low birth weight (below 1.5 kg).

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

2. Important information before using Cyclonamine 12.5%

When not to use Cyclonamine 12.5%

  • if you are allergic to etamsylate or any of the other ingredients of this medicine (listed in section 6),
  • if you have acute porphyria,
  • in patients with asthma.

Warnings and precautions

Before starting treatment with Cyclonamine 12.5%, discuss it with your doctor.
Particular caution should be exercised when using Cyclonamine 12.5%:

  • in patients with unstable blood pressure or hypotension, due to the risk of sudden decrease in blood pressure after parenteral administration,
  • in patients with known hypersensitivity to sulfites, as their presence in the medicine may cause allergic reactions, nausea, and diarrhea in sensitive individuals; allergic reactions may take the form of anaphylactic shock and lead to life-threatening asthma attacks; the frequency of such reactions in the population is unknown, but it is likely to be low.

Cyclonamine 12.5% and other medicines

Tell your doctor about all medicines you are taking, or have recently taken, and about medicines you plan to take.
The antioxidants contained in the medicine, sodium sulfite and sodium pyrosulfite, may inactivate vitamin B (thiamine).
High molecular weight volume substitutes (e.g., dextran) should be used after, not before, administration of Cyclonamine 12.5%.

Using Cyclonamine 12.5% in patients with kidney or liver disorders

There are no data available on the use of etamsylate in patients with renal or liver failure, therefore, when using Cyclonamine 12.5% in these patients, particular caution should be exercised.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.
There are no data on the safety of using the medicine in pregnant women. The medicine may be used during pregnancy if, in the doctor's opinion, it is absolutely necessary.
There are no data on the safety of using the medicine in breastfeeding women, therefore, breastfeeding is not recommended during treatment with Cyclonamine 12.5%. If breastfeeding continues, treatment should be discontinued.

Driving and using machines

There are no data available on the effect of etamsylate on the ability to drive and use machines.

Cyclonamine 12.5% contains sodium sulfite and sodium pyrosulfite

The medicine may rarely cause severe hypersensitivity reactions and bronchospasm.
The medicine contains less than 1 mmol (23 mg) of sodium per dose, i.e., the medicine is considered "sodium-free".
See also: "Warnings and precautions".

3. How to use Cyclonamine 12.5%

This medicine should always be used as directed by your doctor. If you are unsure, ask your doctor.
Doses of the medicine may vary for different patients.
The medicine is administered intramuscularly or intravenously.
Recommended dose
Adults and adolescents
Surgical procedures:

  • 1 hour before surgery 250 to 500 mg (1 to 2 ampoules) - intravenously or intramuscularly,
  • during surgery 250 to 500 mg (1 to 2 ampoules) - intravenously, repeat as needed,
  • after surgery 250 to 500 mg (1 to 2 ampoules) every 4 to 6 hours, as long as there is a risk of bleeding.

In emergency situations, depending on the degree of risk: 250 to 500 mg (1 to 2 ampoules) intravenously or intramuscularly, repeat every 4 to 6 hours, until the risk of bleeding has passed.
For local use
Saturate a compress with the contents of the ampoule and apply to the bleeding site or tooth socket after tooth extraction. Repeat as needed. Oral and parenteral treatment can be used simultaneously.
Children
Half of the recommended dose for adults.
In neonatology (in preterm infants)
Usually, 10 mg per kg of body weight (0.1 ml = 12.5 mg) is administered intramuscularly within 2 hours of birth, and then every 6 hours for the first 4 days of life.
Use in patients with impaired kidney or liver function
There are no data available on the use of etamsylate in patients with renal or liver failure, therefore, when using Cyclonamine 12.5% in these patients, particular caution should be exercised.
If you feel that the effect of the medicine is too strong or too weak, consult your doctor.

If you have used a higher dose of the medicine than recommended, contact your doctor.

Missing a dose of Cyclonamine 12.5%

If you miss a dose, take it as soon as possible. However, if it is almost time for the next dose, do not take the missed dose. Do not take a double dose.

Stopping treatment with Cyclonamine 12.5%

If you have any further questions about the use of this medicine, ask your doctor.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
The frequency of possible side effects listed below is defined as:

  • very common (affects more than 1 in 10 people),
  • common (affects 1 to 10 people in 100),
  • uncommon (affects 1 to 10 people in 1,000),
  • rare (affects 1 to 10 people in 10,000),
  • very rare (affects less than 1 in 10,000 people),
  • not known (frequency cannot be estimated from the available data).

Rare: headaches, bitter taste, nausea, vomiting, rash, lower back pain.
Very rare: risk of arterial thrombosis, acute porphyria, allergic reactions.
Unknown: hypotension.

Reporting side effects

If you experience any side effects, including any not listed in this leaflet, please tell your doctor. 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
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Cyclonamine 12.5%

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Store in a temperature below 25°C. Store in the original packaging to protect from light.
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 Cyclonamine 12.5% contains

  • The active substance is etamsylate. 1 ampoule (2 ml solution) contains 250 mg of etamsylate.
  • The other ingredients are: sodium pyrosulfite, sodium sulfite, water for injections.

What Cyclonamine 12.5% looks like and contents of the pack

The medicine is a colorless, clear solution. The immediate packaging is a glass ampoule containing 2 ml of solution. The outer packaging is a cardboard carton.
Pack sizes:
5 or 50 ampoules.

Marketing authorization holder and manufacturer

Marketing authorization holder

Pharmaceutical Cooperative "GALENA"
ul. Dożynkowa 10
52-311 Wrocław
Poland
Phone: +48 71 710 62 01

Manufacturer

Polpharma S.A.
ul. Pelplińska 19
83-200 Starogard Gdański
Poland

Date of last revision of the leaflet:

Online doctors for Ciclonamine 12,5%

Discuss questions about Ciclonamine 12,5%, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70
Doctor
0.0(0)

Hocine Lokchiri

General medicine21 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.
Book a video appointment
€64
Doctor
0.0(0)

Muhammad Tayyab Altaf

General medicine3 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Policlinico San Matteo Hospital Pavia in Italy, Mount Sinai Hospital in New York, United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity.

His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

Book a video appointment
€71

Get Ciclonamine 12,5% Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Ciclonamine 12,5%?

Ciclonamine 12,5% requires a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Ciclonamine 12,5%?

The active ingredient in Ciclonamine 12,5% is etamsylate. This information helps identify medicines with the same composition but different brand names.

Who manufactures Ciclonamine 12,5%?

Ciclonamine 12,5% is manufactured by Zakłady Farmaceutyczne POLPHARMA S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Ciclonamine 12,5% online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Ciclonamine 12,5% is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Ciclonamine 12,5% in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Ciclonamine 12,5% in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Ciclonamine 12,5%?

Other medicines with the same active substance (etamsylate) include Ciclonamine, Ciclonamine, Eltrombopag Glenmark. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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