Background pattern
Desmoxan

Desmoxan

Ask a doctor about a prescription for Desmoxan

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 Desmoxan

Leaflet attached to the packaging: information for the user

Desmoxan

1.5 mg, hard capsules

Cytisiniclinum

Please read carefully the contents of the leaflet before using the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist.

  • Please keep this leaflet, you may need to read it again.
  • If you need advice or additional information, please contact a pharmacist. If you experience any side effects, including any possible side effects not listed in the leaflet, please tell your doctor or pharmacist. See section 4.
  • If after 4 weeks there is no improvement or you feel worse, you should contact your doctor.

Table of contents of the leaflet

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

1. What is Desmoxan and what is it used for

Desmoxan contains the active substance cytyzyniklina, which has an action similar to nicotine.
Cytyzyniklina gradually replaces nicotine in the body. This reduces nicotine dependence and makes it possible to quit smoking without withdrawal symptoms (nicotine craving).

Indications for use

The medicine is used to treat nicotine dependence. Taking Desmoxan allows for a gradual reduction in the body's dependence on nicotine and quitting smoking without nicotine withdrawal symptoms.
The ultimate goal of taking Desmoxan is to permanently stop using nicotine-containing products.

2. Important information before taking Desmoxan

When not to take Desmoxan

  • if you are allergic to the active substance (cytyzyniklina) or to any of the other ingredients of this medicine (listed in section 6),
  • in case of unstable angina pectoris,
  • if you have recently had a heart attack or stroke,
  • in case of clinically significant heart rhythm disorders,
  • if you are pregnant or breastfeeding.

Warnings and precautions

Desmoxan should only be taken by patients who have a serious intention to quit smoking. Taking Desmoxan and smoking can lead to increased adverse effects of nicotine.
Before starting to take Desmoxan, you should discuss it with your doctor or pharmacist if:

  • you have coronary heart disease, heart failure, cerebrovascular disorders, impaired blood vessel patency, high blood pressure, pheochromocytoma, gastric and duodenal ulcers, gastroesophageal reflux disease, hyperthyroidism, diabetes, certain types of schizophrenia, kidney and liver failure;
  • you are an elderly person (over 65 years old).

Children and adolescents

Children and adolescents under 18 years of age should consult a doctor before taking this medicine.

Desmoxan and other medicines

Please tell your doctor or pharmacist about all medicines you are taking or have recently taken, as well as any medicines you plan to take.
Taking Desmoxan with anti-tuberculosis medicines (PASA, streptomycin) reduces the stimulating effect of the medicine.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, please consult your doctor or pharmacist before taking this medicine.
This medicine should not be taken during pregnancy and breastfeeding.

Driving and using machines

Desmoxan has no effect on the ability to drive and use machines.

3. How to take Desmoxan

This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist. If you are unsure, please contact your doctor or pharmacist.

Recommended dosage

Desmoxan should be taken orally, with a sufficient amount of water, according to the following schedule.

from day 1 to 31 capsuleevery 2 hours (maximum 6 capsules per day)
from day 4 to 121 capsuleevery 2.5 hours (maximum 5 capsules per day)
from day 13 to 161 capsuleevery 3 hours (maximum 4 capsules per day)
from day 17 to 201 capsuleevery 5 hours (maximum 3 capsules per day)

from day 21 to 25
1 to 2 capsules per day
From the first day of treatment, you should gradually reduce the number of cigarettes smoked. A smoker should completely quit smoking no later than 5 days after starting treatment. A person who has quit smoking should never allow themselves to light even one cigarette. This depends on the sustainability of the treatment result.
If the treatment result is unsatisfactory, treatment should be discontinued. Treatment can be started again after 2 to 3 months.

Children and adolescents

Do not use in children and adolescents under 18 years of age without consulting a doctor.

Taking a higher dose of Desmoxan than recommended

In case of taking a higher dose of the medicine than recommended, please contact your doctor immediately.
Overdose symptoms may occur, such as:

  • nausea, vomiting,
  • increased heart rate,
  • increased blood pressure,
  • breathing difficulties,
  • pupil constriction,
  • decreased blood pressure,
  • slowed heart rate,
  • shortness of breath,
  • respiratory failure,
  • coma.

Missing a dose of Desmoxan

You should take the medicine as soon as possible and take the next dose at the usual time.
You should not take a double dose to make up for a missed dose.
If you have any further doubts about the use of this medicine, please contact your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects most often occur at the beginning of treatment. These are:

  • fatigue, malaise, tiredness,
  • tearfulness,
  • appetite change (mainly increased), weight gain,
  • pains, dizziness, irritability, feeling of heaviness in the head,
  • sleep disorders (insomnia, drowsiness, strange dreams, nightmares, drowsiness),
  • mood changes, anxiety, difficulty concentrating,
  • decreased sex drive,
  • increased or decreased heart rate,
  • increased blood pressure,
  • shortness of breath, increased coughing,
  • dry mouth, excessive salivation,
  • gastrointestinal disorders (abdominal pain, nausea, vomiting, constipation, diarrhea, bloating, heartburn),
  • tongue burning, taste changes,
  • muscle pain,
  • rash, increased sweating, decreased skin elasticity,
  • increased activity of aminotransferases (a type of liver enzyme).

Most side effects disappear during treatment.
If you experience any of the above symptoms, you should stop taking the medicine and contact your doctor.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in the leaflet, please tell your 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
e-mail: [email protected]
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help to gather more information on the safety of the medicine.

5. How to store Desmoxan

The medicine should be stored out of sight and reach of children.
Store in the original packaging, at a temperature below 25°C.
Do not use this medicine after the expiry date stated on the blister and carton. The expiry date refers to the last day of the month.
Batch: Batch number.
EXP: Expiry date.
Medicines should not be disposed of via wastewater or household waste. Please 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 Desmoxan contains

  • The active substance of the medicine is cytyzyniklina. One hard capsule contains 1.5 mg of cytyzyniklina (Cytisiniclinum).
  • The other ingredients are: microcrystalline cellulose, corn starch, colloidal silica anhydrous, magnesium stearate. The composition of the hard capsule is: titanium dioxide, indigo carmine, gelatin.

What Desmoxan looks like and contents of the pack

Desmoxan is a hard gelatin capsule, white-blue in color, filled with a light yellow powder.
The pack contains 100 hard capsules. The blisters are packaged in a cardboard box with a leaflet.

Marketing authorization holder

Aflofarm Farmacja Polska Sp. z o.o.
ul. Partyzancka 133/151
95-200 Pabianice
tel.: (42) 22 53 100

Manufacturer

Aflofarm Farmacja Polska Sp. z o.o.
ul. Szkolna 31
95-054 Ksawerów

Date of last revision of the leaflet:

Alternatives to Desmoxan in other countries

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

Alternative to Desmoxan in Spain

Dosage form: GUM, 2 mg nicotine resinate
Active substance: nicotine
Prescription not required
Dosage form: GUM, 2 mg nicotine resinate
Active substance: nicotine
Prescription not required
Dosage form: TABLET, 1.5 mg
Active substance: cytisinicline
Prescription required
Dosage form: TABLET, 1 mg
Active substance: varenicline
Prescription required
Dosage form: TABLET, 0.5 mg
Active substance: varenicline
Prescription required
Dosage form: TABLET, 0.5 mg + 1 mg
Active substance: varenicline
Prescription required

Online doctors for Desmoxan

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

0.0(0)
Doctor

Katia Benko

Pediatrics9 years of experience

Dr Katia Benko is a paediatrician with over 9 years of clinical experience and international training. She completed her medical education and residency in Argentina and is fully licensed to practise in Spain. Her work spans newborns, children and adolescents, with a focus on whole-person care that integrates physical, emotional and developmental health.

Areas of expertise:

  • online consultations for newborns, children and teens
  • evaluation and treatment of acute symptoms: fever, cough, infections, bronchiolitis, earache, etc.
  • long-term care for chronic paediatric conditions
  • preventive care at every stage of growth and development
  • child wellness visits and routine health check-ups
  • vaccination guidance according to standard and special schedules
  • assessment of neurodevelopment in infants and toddlers
  • feeding concerns: picky eating, food refusal, healthy habits, eating disorders
  • parental support in everyday health, emotional wellbeing and prevention
  • guidance for teenagers on healthy habits, self-care and risk prevention
Dr Benko sees paediatrics as a space for partnership with families – not only to treat illness, but to guide each child’s health journey with clarity, empathy and trust. Her goal is for every family to feel supported in making confident, informed decisions for their child’s wellbeing.
CameraBook a video appointment
€59
December 1915:00
December 1915:30
December 1916:00
December 1916:30
December 2011:30
More times
0.0(0)
Doctor

Antonio Cayatte

General medicine43 years of experience

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

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

CameraBook a video appointment
€60
December 1915:00
December 1915:30
December 1916:00
December 1916:30
December 1917:00
More times
5.0(17)
Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • 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.
  • Headaches, migraines, and minor injuries.
  • 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.

CameraBook a video appointment
€55
December 1915:30
December 1916:15
December 1917:00
December 1917:45
December 1918:30
More times
5.0(142)
Doctor

Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • 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.

CameraBook a video appointment
€80
December 1916:00
December 1916:30
December 1917:00
December 1917:30
December 1918:00
More times
0.0(0)
Doctor

Tetiana Fedoryshyn

General medicine29 years of experience

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
CameraBook a video appointment
€65
December 1918:00
December 1918:25
December 1918:50
December 1919:15
December 1919:40
More times
0.0(0)
Doctor

Eteri Tabeshadze

Cardiology32 years of experience

Dr. Eteri Tabeshadze is a cardiologist with the highest qualification category and over 32 years of clinical experience. She also practises functional diagnostics, offering a comprehensive approach to cardiovascular care. Dr. Tabeshadze provides online consultations for adults with a wide range of heart-related conditions, from preventive screenings to acute and chronic disease management.

Areas of expertise include:

  • Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
  • Management of arrhythmias and conduction disorders, including paroxysmal events
  • Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
  • Post-thromboembolism care and evaluation of cardiomyopathies
  • Treatment of vegetative dysfunction and autonomic disorders
  • Interpretation of cardiovascular tests: ECG, Holter monitoring, ambulatory blood pressure monitoring (ABPM), echocardiography (including transesophageal echo), stress echocardiography, exercise testing (VEM, treadmill test)
Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.
CameraBook a video appointment
€50
December 1919:45
December 2011:00
December 2012:00
December 2013:00
December 2014:00
More times
5.0(25)
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.
CameraBook a video appointment
€60
December 2007:00
December 2007:50
December 2008:40
December 2009:30
December 2113:00
More times
0.0(1)
Doctor

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

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.
CameraBook a video appointment
€50
December 2007:00
December 2007:50
December 2008:40
December 2009:30
December 2010:20
More times
0.0(0)
Doctor

Nikita Savin

Pediatrics4 years of experience

Dr. Nikita Savin is a paediatrician providing online consultations for children of all ages. He offers comprehensive medical care with a focus on preventive health, proper development, and long-term management of chronic and complex conditions.

His areas of expertise include:

  • Preventive care and vaccination planning, including catch-up schedules for children.
  • Assessment of psychomotor, emotional, and physical development.
  • Diagnosis, treatment planning, and clinical monitoring for paediatric conditions.
  • Nutritional guidance for infants, including the choice of adapted milk formulas tailored to medical needs.
  • Early identification of rare and orphan diseases.
  • Ongoing care for children with chronic or complex health conditions.
By combining paediatrics with a personalised approach, Dr. Savin ensures professional support that addresses both the physical health and overall well-being of children, while guiding parents at every stage of their child’s growth.
CameraBook a video appointment
€79
December 2008:00
December 2009:00
December 2010:00
December 2011:00
December 2209:00
More times
5.0(12)
Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

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.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • 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.

CameraBook a video appointment
€60
December 2009:00
December 2009:30
December 2709:00
December 2709:30
January 309:00
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe