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Distreptaza

Distreptaza

Ask a doctor about a prescription for Distreptaza

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Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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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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 Distreptaza

Leaflet attached to the packaging: patient information

DISTREPTAZA

Streptokinase + Streptodornase

15,000 IU + 1,250 IU

Rectal suppositories

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

  • You should keep this leaflet, so you can read it again if you need to.
  • If you have any doubts, you should consult a doctor or pharmacist.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor or pharmacist. See section 4.

Table of contents of the leaflet

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

1. What is Distreptaza and what is it used for

Distreptaza is a medicine in the form of rectal suppositories, containing the active substances streptokinase and streptodornase.
Distreptaza causes the liquefaction of blood clots and morphological components of pus, allowing antibiotics, chemotherapeutics, and antibodies to easily reach the sources of infection.

Indications for use:

  • Supportive treatment for pelvic inflammatory disease (PID, from English pelvicinflammatory disease) - a complex of inflammatory diseases of the ovaries, fallopian tubes, and uterine mucosa;
  • Adhesive disease after surgeries in the pelvic area;
  • Acute (AHD, from English acute haemorrhoidal disease) and chronic hemorrhoidal disease;
  • Supportive treatment for perianal abscesses and fistulas with extensive inflammatory infiltration.

2. Important information before using Distreptaza

When not to use Distreptaza:

  • after bleeding for about 10 days, as this may cause re-bleeding;
  • with other medicines containing calcium salts;
  • in acute inflammation of connective tissue without signs of purulence;
  • in patients with reduced blood coagulability;
  • with anticoagulants (antithrombotic drugs) due to the risk of local bleeding.

Warnings and precautions

Before starting to use Distreptaza, you should discuss it with your doctor or pharmacist.
The medicine should not come into contact with a freshly scabbed wound or freshly applied sutures,
as this may lead to suture loosening and secondary bleeding from the wound. The medicine may
cause local irritation.

Distreptaza and other medicines

You should tell your doctor about all medicines you are currently taking or
have recently taken, as well as any medicines you plan to take.
You should not use Distreptaza at the same time as antithrombotic drugs, as local bleeding may occur. You should not use it with other medicines containing calcium salts.

Pregnancy and breastfeeding

The medicine should not be used during pregnancy and breastfeeding.

Driving and operating machinery

The medicine does not affect the ability to drive vehicles and operate machinery.

3. How to use Distreptaza

This medicine should always be used in accordance with the doctor's recommendations.
In case of doubts, you should consult a doctor.
The suppository should be inserted deeply into the rectum after removal from the blister pack.
Recommended dose
Adults
The dosage depends on the type and severity of the inflammatory condition.
In severe cases, the following dosages are used:
3 times 1 suppository for the first 3 days
2 times 1 suppository for the next 3 days
1 time 1 suppository for the next 3 days
In milder cases:
2 times 1 suppository for 3 days
1 time 1 suppository for the next 4 days
or
2 times 1 suppository for 2 days
The average number of suppositories used in the treatment is 8-18.
The average treatment duration is 7-10 days.
Children and adolescents
The safety of using Distreptaza in children and adolescents has not been sufficiently documented.
Elderly patients
There is no need to change the dosage in patients over 65 years old.
Liver function disorders
Distreptaza is administered in the form of rectal suppositories. It is not metabolized in the liver,
so there is no need to change the dosage in patients with liver failure.
Kidney function disorders
There is no need to change the dosage in patients with kidney failure.

4. Possible side effects

Like any medicine, Distreptaza can cause side effects, although they do not occur in everyone.
It is generally well-tolerated.
Sometimes, allergic reactions, elevated body temperature, bleeding tendency, local pain, and swelling may occur.

Reporting side effects

If you experience any side effects, including any side effects not listed in this leaflet, you should tell your doctor or 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://smz2.ezdrowie.gov.pl.
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help gather more information on the safety of the medicine.

5. How to store Distreptaza

Store in a refrigerator (2°C - 8°C). Do not freeze.
The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiration date stated on the packaging.
The expiration date refers to the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste containers. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
Batch number (Lot)
Expiration date (EXP)

6. Package contents and other information

What Distreptaza contains

  • The active substances of the medicine are: streptokinase and streptodornase.
  • The excipients are: liquid paraffin, solid fat

What Distreptaza looks like and what the package contains

What Distreptaza looks like

The medicine is a white-cream-colored suppository in the shape of a cone or cylinder with a pointed end.

Package

1 blister pack of 6 suppositories
2 blister packs of 5 suppositories
Blister pack with PVC/PE in a cardboard box.

Marketing authorization holder and manufacturer

Synthaverse S.A.
ul. Uniwersytecka 10, 20-029 Lublin
tel 81 533 82 21
fax 81 533 80 60
e-mail [email protected]

Date of last update of the leaflet:

09/2023

Alternatives to Distreptaza in other countries

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

Alternative to Distreptaza in Ukraine

Dosage form: lyophilized, 750000 IU
Active substance: streptokinase
Prescription required
Dosage form: lyophilized, 1500000 IU
Active substance: streptokinase
Prescription required
Dosage form: suppositories, 15000 IU + 1250 IU

Alternative to Distreptaza in Spain

Dosage form: CAPSULE, 10000 IU / 2500 IU
Active substance: streptokinase
Manufacturer: Laboratorios Ern S.A.
Prescription required
Dosage form: TABLET, streptodornase 2500 U; streptokinase 10000 U
Active substance: streptokinase
Prescription required
Dosage form: INJECTABLE, 500000 IU
Active substance: urokinase
Manufacturer: Syner-Medica B.V.
Prescription required
Dosage form: INJECTABLE, 250000 IU
Active substance: urokinase
Manufacturer: Syner-Medica B.V.
Prescription required
Dosage form: INJECTABLE, 100000 IU
Active substance: urokinase
Manufacturer: Syner-Medica B.V.
Prescription required
Dosage form: INJECTABLE PERFUSION, 250,000 IU urokinase/vial + 5 ml solution
Active substance: urokinase
Manufacturer: Teofarma S.R.L.
Prescription required

Online doctors for Distreptaza

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

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Andrei Popov

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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.

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Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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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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.
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Dr. Raevskii provides medical care in the following areas:

  • 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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Areas of expertise include:

  • Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
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  • Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
  • Post-thromboembolism care and evaluation of cardiomyopathies
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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.
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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:
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  • 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:
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  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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  • Skin rashes, mild allergic reactions, basic dermatological complaints.
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  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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