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D-shhepionka bvoniha adsorbovana

Ask a doctor about a prescription for D-shhepionka bvoniha adsorbovana

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Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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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 D-shhepionka bvoniha adsorbovana

Leaflet attached to the packaging: information for the user

D - Diphtheria vaccine adsorbed

Injection suspension
Diphtheria vaccine, adsorbed
Not less than 30 IU of diphtheria toxoid/0.5 ml;
20-dose vaccine

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

  • Keep this leaflet, so you can read it again if you need to.
  • If you have any doubts, consult a doctor, pharmacist, or nurse.
  • This vaccine has been prescribed to a specific person. Do not pass it on to others.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, tell your doctor, pharmacist, or nurse. See section 4.

Table of contents of the leaflet

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

1. What is D - Diphtheria vaccine adsorbed and what is it used for

  • D - Diphtheria vaccine adsorbed protects against diphtheria (caused by Corynebacterium diphtheriae). The active substance of the vaccine is diphtheria toxoid (a non-infectious component 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 against diphtheria, depending on the epidemiological situation.

Primary vaccination

  • children under 6 years of age who have not received primary (i.e., mandatory, consisting of three doses) vaccination against diphtheria.

Booster vaccination

  • children at the age of 6 who have received a full primary vaccination cycle (provided that the third dose of primary vaccination was given in the second year of life)

An appropriate level of immunity against diphtheria is achieved after using all doses of diphtheria vaccination in accordance with the National Vaccination Program, which contains information about these vaccinations.
The immunizing properties of the vaccine are enhanced by the action of aluminum hydroxide (adjuvant).
The vaccine meets the requirements of the European Pharmacopoeia and the World Health Organization.

2. Important information before using D - Diphtheria vaccine adsorbed

When not to use D - Diphtheria vaccine adsorbed:

  • if the child is allergic to diphtheria toxoid or any other component of this vaccine (listed in section 6). Allergy symptoms may include: itching

rash, shortness of breath, swelling of the face and tongue,

  • if the child has acute illnesses with fever. Mild infections, such as a cold, should not be a contraindication to vaccination, but the doctor should be informed first,
  • if the child has chronic diseases during an exacerbation. In such cases, vaccination should be performed after the exacerbation of the disease has subsided.

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

Warnings and precautions

Before starting to use D - Diphtheria vaccine adsorbed, discuss it with your doctor or nurse if any side effects or other worrying reactions occurred after the previous dose of the vaccine.
Vaccination should be preceded by a medical examination and interview about the child's general health and previously performed and recorded vaccinations. This procedure allows for predicting the risk of side effects after administering the vaccine.

For safety reasons, after vaccination, you should remain under the doctor's observation for 30 minutes.

The vaccine contains thiomersal as a preservative, so allergic reactions may occur in the vaccinated child. Inform your doctor if you have had or have known allergic reactions. You should also inform your doctor if you have had health disorders after previous vaccination.

D - Diphtheria vaccine adsorbed and other medicines

  • D - Diphtheria vaccine adsorbed can be administered at the same time as other vaccines, if it results from the National Vaccination 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 children undergoing immunosuppressive therapy (inhibiting the activity of the immune system) or in children with immune deficiencies, the response to the vaccine may be reduced. In such cases, the doctor may decide to postpone vaccination until the end of therapy and determine the level of antibodies after vaccination.

Tell your doctor about all medicines your child is taking or has recently taken, as well as any medicines your child will be taking.

Pregnancy and breastfeeding

Not applicable. The vaccine is used only in children.

Driving and operating machinery

Not applicable. The vaccine is used only in children.

3. How to use D - Diphtheria vaccine adsorbed

The vaccine will be administered by a doctor or nurse as a deep subcutaneous injection.
The recommended injection site is the deltoid muscle or the anterolateral part of the thigh.
The vaccine must never be administered intravascularly.

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 4-6 weeks
  • a third dose of the vaccine after 6-12 months from the administration of the second dose.

Dose I
Dose II
Dose III
Children under 2 years
0.5 ml
0.5 ml
0.3 ml
Children aged

  • 2 - 6 years 0.3 ml 0.3 ml 0.3 ml

Booster vaccination
One dose of the vaccine 0.2 ml:

  • children at the age of 6 who have received a full primary vaccination cycle (provided that the third dose of primary vaccination was given in the second year of life).

The dosing schedule is determined by the doctor after a thorough analysis of the primary and booster vaccination course against diphtheria.

Use of a higher than recommended dose of D - Diphtheria vaccine adsorbed

There are no data on overdose.

Discontinuation of D - Diphtheria vaccine adsorbed

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

4. Possible side effects

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

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

  • headache
  • fever
  • malaise
  • redness, swelling, and/or pain at the injection site. These symptoms usually resolve within 24 - 48 hours.

In preterm infants (born at 28 weeks of gestation or earlier), within 2-3 days after vaccination, longer pauses between breaths may occur.

Reporting side effects

If you experience any side effects, including any side effects not listed in the 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, 02-222 Warsaw, 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.
Reporting side effects will allow for more information to be collected on the safety of the vaccine.

5. How to store D - Diphtheria vaccine adsorbed

Store in a refrigerator (2°C - 8°C).
Do not freeze; in case of freezing, the vaccine should be destroyed.
The vaccine should be stored 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 given month.
Medicines should not be disposed of via wastewater or household waste containers. Ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Package contents and other information

What D - Diphtheria vaccine adsorbed contains

The active substance of the vaccine is:
Diphtheria toxoid
not less than 30 IU
adsorbed on aluminum hydroxide, hydrated
not more than 0.7 mg Al
The other ingredients of the vaccine are: thiomersal, sodium chloride, and water for injections.

What D - Diphtheria vaccine adsorbed looks like and what the pack contains

The vaccine is a white or almost white, homogeneous suspension in glass vials. During storage, a white sediment forms at the bottom of the vial, and a clear supernatant (liquid) forms above it.
The package contains 1 vial (10 ml)

20-dose vaccine

Marketing authorization holder and manufacturer

Biomed S.A.
Al. Sosnowa 8
30-224 Krakow
Tel.: +48 12 37 69 200
Fax: +48 12 37 69 205
e-mail: [email protected]

Date of last revision of the leaflet:

-------------------------------------------------------------------------------------------------

Information intended for healthcare professionals only

Administration of D - Diphtheria vaccine adsorbed

Before use, shake the vial 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.
The vaccine should be used within 24 hours after opening the vial.
Administer the vaccine dose deep subcutaneously.
Do not exceed a dose of 0.5 ml.
The recommended injection site is the deltoid muscle or the anterolateral part of the thigh.
Do not administer intravascularly! Ensure that the needle is not inserted into a blood vessel.
Note: due to the risk of anaphylactic shock associated with vaccine administration, the vaccination office should be equipped with a standard anaphylaxis kit.

Alternatives to D-shhepionka bvoniha adsorbovana in other countries

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

Alternative to D-shhepionka bvoniha adsorbovana in Україна

Dosage form: суспензія, 5 Lf/доза; по 0,5 мл (1 доза) або 1 мл (2 дози)
Active substance: diphtheria toxoid
Manufacturer: AT "BIOLIK
Prescription required

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Discuss dosage, side effects, interactions, contraindications, and prescription renewal for D-shhepionka bvoniha adsorbovana – subject to medical assessment and local rules.

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Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

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Patients commonly seek his care for:

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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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:

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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.

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Dr. Lokchiri’s professional training includes:

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  • Pediatric Advanced Life Support (PALS)
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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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  • 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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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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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.
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Experience and qualifications:

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  • 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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