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Efektan Max

Efektan Max

Ask a doctor about a prescription for Efektan Max

5.0(2)
Doctor

Oleksandr Babushkin

Orthopedics and traumatology17 years of experience

Dr Oleksandr Babushkin is an orthopaedic and trauma specialist providing online consultations for adults with joint, muscle, and spine-related concerns. He helps patients accurately assess symptoms, manage chronic and acute musculoskeletal conditions, and build effective recovery strategies through evidence-based care.

Online consultations include:

  • Evaluation of musculoskeletal symptoms: acute or chronic pain, stiffness, and reduced mobility.
  • Diagnosis and treatment advice for joint pain (knees, hips, shoulders, elbows), back and neck pain.
  • Support for conditions such as osteoarthritis, bursitis, tendinitis, and nerve compression syndromes.
  • Guidance after injuries: strains, sprains, bruises, suspected fractures, and overuse injuries.
  • Recovery support following orthopaedic surgery or trauma.
  • Monitoring treatment progress and adjusting therapy based on your symptoms and test results.

You can book a consultation if you experience:

  • Joint pain, limited mobility, or cracking sounds during movement.
  • Back or neck pain, especially with prolonged sitting or physical activity.
  • Chronic discomfort that affects your daily life or sleep.
  • Need for post-surgical follow-up or rehabilitation planning.

Dr Babushkin combines his expertise in orthopaedics and trauma care with a personalised, structured approach — helping patients regain mobility, reduce pain, and improve quality of life.

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€50
December 2014:00
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Doctor

Anastasiia Hladkykh

Psychiatry14 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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December 2016:45
December 2017:30
December 2018:15
December 2416:00
More times
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 Efektan Max

Leaflet attached to the packaging: information for the user

Efektan Max, 50 mg/5 mL, oral solution in a sachet

Dimenhydrinate

You should carefully read 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 this patient leaflet or as advised by a doctor or pharmacist.

  • You should keep this leaflet, so you can read it again if you need to.
  • If you need advice or additional information, you should consult a pharmacist.
  • 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.
  • If there is no improvement or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

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

1. What is Efektan Max and what is it used for

Efektan Max contains the active substance dimenhydrinate (dimenhydramine), which has antiemetic, antihistaminic, and mildly sedative effects.
Efektan Max is used to prevent motion sickness and to prevent and treat nausea and vomiting of other origins (except those caused by anticancer chemotherapy).
The onset of action occurs after 30 minutes. The therapeutic effects are observed for 3 to 6 hours after administration of the medicine.

2. Important information before taking Efektan Max

When not to take Efektan Max

  • if the patient is allergic to dimenhydrinate, antihistamines, or any of the other ingredients of the medicine (listed in section 6),
  • if the patient has:
  • acute asthma attack,
  • narrow-angle glaucoma,
  • chromaffin tumor (a type of tumor),
  • porphyria (a blood disorder),
  • prostate enlargement and urine retention in the bladder,
  • epilepsy.
  • Efektan Max is not intended for children under 6 years of age.

Warnings and precautions

Before starting to take Efektan Max, the patient should discuss it with their doctor or pharmacist:

  • if the patient has liver function disorders,
  • if the patient has hyperthyroidism (excessive thyroid activity),
  • if the patient has bradycardia (slow heart rate), hypertension,
  • if the patient has potassium or magnesium deficiency in the blood,
  • if the patient has chronic breathing difficulties,
  • if the patient has asthma,
  • if the patient has pyloric stenosis,
  • if the patient has congenital long QT syndrome or other heart function disorders, e.g., coronary artery disease, cardiovascular disease, arrhythmia.

Special caution is also recommended when taking dimenhydrinate with certain antiarrhythmic drugs that prolong the QT interval in the ECG, or those that lead to a decrease in potassium or magnesium levels in the serum.
Efektan Max should only be used to prevent or alleviate nausea and vomiting.
There have been reports of abuse and dependence on the medicine, mainly with long-term use for relaxation purposes or by patients with mental disorders, in doses that significantly exceeded the recommended doses.
The maximum daily dose should not be exceeded.

Efektan Max and other medicines

The patient should tell their doctor about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Efektan Max should not be taken at the same time as antiarrhythmic medicines that depress the activity of the central nervous system.
The medicine should not be taken at the same time as atropine, tricyclic antidepressants, catecholamines, or drugs that depress the central nervous system, such as sleeping pills or sedatives, as Efektan Max enhances their effects.
Efektan Max taken with bismuth salts and painkillers, psychotropic drugs, and scopolamine may cause transient visual disturbances (impairment of vision in the dark and color vision).
Efektan Max weakens the effects of corticosteroids and oral anticoagulants.
The patient should avoid combining Efektan Max with ototoxic drugs (damaging to hearing), such as aminoglycoside antibiotics.
Monoamine oxidase inhibitors (MAOIs, antidepressants) may enhance the antihistaminic and sedative effects of dimenhydrinate.
Special caution is recommended when taking dimenhydrinate with drugs that prolong the QT interval in the ECG (certain antiarrhythmic drugs, certain antibiotics, e.g., erythromycin, antimalarial drugs, antihistamines, neuroleptics) and with drugs that decrease potassium levels in the serum (e.g., certain diuretics).
The patient should stop taking Efektan Max at least three days before planned allergy tests, as this may result in false-negative test results.

Taking Efektan Max with food and drink

Efektan Max can be taken regardless of meals.
The patient should avoid consuming alcohol while taking Efektan Max, as it may alter and enhance its effects.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before taking this medicine.
Efektan Max should not be taken during the third trimester of pregnancy. In the first and second trimesters of pregnancy, as well as during breastfeeding, the medicine can only be taken if, in the doctor's opinion, the benefits of treatment outweigh the potential risk to the child.

Driving and operating machinery

Efektan Max impairs psychophysical abilities, so it should not be taken by people driving vehicles or operating machinery.

Efektan Max contains sucrose, propylene glycol, and sodium

If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine. Each sachet contains 2000 mg of sucrose. This should be taken into account in patients with diabetes.
Each sachet contains 814.34 mg of propylene glycol, which corresponds to 814.34 mg/5 mL.
Pregnant or breastfeeding women should not take this medicine without their doctor's recommendation.
The doctor may decide to perform additional tests on such patients.
Patients with liver or kidney function disorders should not take this medicine without their doctor's recommendation. The doctor may decide to perform additional tests on such patients.
The medicine contains less than 1 mmol (23 mg) of sodium per sachet, which means it is considered "sodium-free".

3. How to take Efektan Max

This medicine should be taken orally.
Do not exceed the maximum daily dose.
The recommended dose should be taken at least 30 minutes before the planned trip or administration of a poorly tolerated medicine.
Due to the dose size (strength), Efektan Max is not intended for use in children under 6 years of age.
Adults and adolescents over 14 years of age:
The recommended dose is 50 mg to 100 mg (1-2 sachets).
If necessary, it can be repeated every 4 to 6 hours.
The maximum daily dose should not exceed 400 mg (no more than 8 sachets per day).
Children from 6 to 14 years of age:
The recommended dose is 25 to 50 mg (a maximum of 1 sachet of Efektan Max 50 mg/5 mL).
If a dose of 25 mg is required, a lower-strength medicine, Efektan 25 mg/5 mL, should be administered.
If necessary, it can be repeated every 6 to 8 hours.
The maximum daily dose in children should not exceed 5 mg/kg body weight, but no more than 150 mg per day (no more than 3 sachets per day).

Method of administration

The contents of one sachet should be taken directly.

Taking a higher dose of Efektan Max than recommended

If a higher dose of Efektan Max than recommended is taken, the patient should immediately contact their doctor.
The first symptoms of overdose occur after about 30 minutes to 2 hours after taking a toxic dose (25 mg/kg body weight). Symptoms of overdose may include: dry mouth, dry and hot skin, facial flushing, itching, pupil dilation, vision disturbances, rapid and irregular heartbeat, shortness of breath, headache, dizziness, nystagmus, fever, muscle weakness, urinary retention, slow bowel movement, anxiety, agitation, increased muscle reflexes, muscle spasms, disorientation, concentration problems, speech disorders, seizures, coordination and balance problems, and drowsiness.
Symptoms of severe overdose are: seizures, seeing or hearing things that do not exist (hallucinations), disturbances in thinking and decreased consciousness, breathing difficulties, and loss of consciousness, hyperthermia. If such symptoms occur, the patient should immediately contact their doctor.
Treatment of overdose should be symptomatic and supportive. The patient should not be given an emetic.

Missing a dose of Efektan Max

A missed dose should be taken as soon as possible.
A double dose should not be taken to make up for a missed dose.

Stopping treatment with Efektan Max

Sudden cessation of treatment with the medicine after long-term use may cause sleep disturbances.
Therefore, the medicine should be discontinued by gradually reducing the dose. The patient should consult their doctor for further medical advice.
If the patient has any further questions about taking this medicine, they should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, Efektan Max can cause side effects, although not everybody gets them.
Very common (occurring in 1 or more out of 10 patients)side effects are: drowsiness, concentration disorders, dizziness.
Common (occurring in 1 or more out of 100 patients)side effects are: agitation, sleep disorders, anxiety, tremors, vision disturbances, increased intraocular pressure, nausea, vomiting, diarrhea (in case of allergy to dimenhydrinate), constipation, abdominal pain, dry mouth, muscle weakness, urinary retention, feeling of tiredness.
Rare (occurring in 1 or more out of 10,000 patients)side effects are: hemolytic anemia, headaches, difficulty falling asleep, rapid heartbeat, decreased blood pressure, liver function disorders, cholestatic jaundice, skin allergic reactions, increased sensitivity of the skin to sunlight.
Very rare (occurring in less than 1 out of 10,000 patients)side effects are: decreased appetite, exfoliative dermatitis.
Long-term use of dimenhydrinate may lead to drug dependence.
When taking dimenhydrinate in children, paradoxical reactions may occur (e.g., anxiety, irritability, tremors).

Reporting side effects

If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor or pharmacist, or nurse.
Side effects can be reported directly to the Department of Adverse Reaction Monitoring 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
By reporting side effects, more information can be gathered on the safety of the medicine.
Side effects can also be reported to the marketing authorization holder.

5. How to store Efektan Max

The medicine should be stored out of sight and reach of children.
Do not store above 25°C. Do not store in the refrigerator or freeze.
Do not use this medicine after the expiry date stated on the packaging after "EXP".
The expiry date refers to the last day of the month stated.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Efektan Max contains

The active substance of the medicine is dimenhydrinate.
The other ingredients are sucrose, sodium saccharin (E 954), propylene glycol, blackcurrant flavor (propylene glycol, lactic acid, 4-(4-hydroxyphenyl)-2-butanone, butyric acid, damaskone beta, furaneol), purified water.

What Efektan Max looks like and contents of the packaging

Oral solution in sachets. Colorless liquid with a blackcurrant flavor and aroma.
Efektan Max is packaged in PET/Aluminum/PE sachets placed in a cardboard box.
The packaging contains 5 or 10 single sachets, each containing 5 mL of oral solution .

Marketing authorization holder and manufacturer

Gedeon Richter Polska Sp. z o.o.
ul. Ks. J. Poniatowskiego 5
05-825 Grodzisk Mazowiecki
To obtain more detailed information about the medicine, the patient should contact:
Gedeon Richter Polska Sp. z o.o.
Medical Department
ul. Ks. J. Poniatowskiego 5
05-825 Grodzisk Mazowiecki
Tel. +48 (22)755 96 48
[email protected]

Date of last revision of the leaflet:

((logo of the marketing authorization holder))
((pharmacode))

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Online doctors for Efektan Max

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

5.0(2)
Doctor

Oleksandr Babushkin

Orthopedics and traumatology17 years of experience

Dr Oleksandr Babushkin is an orthopaedic and trauma specialist providing online consultations for adults with joint, muscle, and spine-related concerns. He helps patients accurately assess symptoms, manage chronic and acute musculoskeletal conditions, and build effective recovery strategies through evidence-based care.

Online consultations include:

  • Evaluation of musculoskeletal symptoms: acute or chronic pain, stiffness, and reduced mobility.
  • Diagnosis and treatment advice for joint pain (knees, hips, shoulders, elbows), back and neck pain.
  • Support for conditions such as osteoarthritis, bursitis, tendinitis, and nerve compression syndromes.
  • Guidance after injuries: strains, sprains, bruises, suspected fractures, and overuse injuries.
  • Recovery support following orthopaedic surgery or trauma.
  • Monitoring treatment progress and adjusting therapy based on your symptoms and test results.

You can book a consultation if you experience:

  • Joint pain, limited mobility, or cracking sounds during movement.
  • Back or neck pain, especially with prolonged sitting or physical activity.
  • Chronic discomfort that affects your daily life or sleep.
  • Need for post-surgical follow-up or rehabilitation planning.

Dr Babushkin combines his expertise in orthopaedics and trauma care with a personalised, structured approach — helping patients regain mobility, reduce pain, and improve quality of life.

CameraBook a video appointment
€50
December 2014:00
December 2014:55
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Doctor

Anastasiia Hladkykh

Psychiatry14 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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Key areas of expertise:

  • Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
  • Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
  • Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
  • Male hypogonadism – age-related or hormonal, including diagnostics and therapy
  • Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
  • Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism
Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.
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Common reasons for consultation include:

  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
  • bloating, excessive gas, nausea or vomiting
  • diarrhoea, constipation, difficulty passing stool
  • unexplained changes in weight or appetite
  • concern about gut health or long-term digestive issues
  • changes in lab results, questions about test interpretation
  • digestive system cancer screening and prevention
  • general digestive check-ups and health assessments
Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
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Main areas of expertise:

  • Diagnosis and treatment of arrhythmias: extrasystole, atrial fibrillation and flutter, supraventricular and ventricular tachycardia
  • Conduction disorders: AV blocks, sinoatrial block, bradyarrhythmias
  • ECG and Holter monitor interpretation, including data from smartwatches
  • Evaluation for interventional treatment: stenting, bypass surgery, valve replacement
  • Anticoagulant management (e.g., warfarin, DOACs) based on kidney function and clinical context
  • Perioperative advice on anticoagulant/antiplatelet therapy before dental procedures
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  • Neurological disorders including migraines, tension headaches, and peripheral neuropathies.
  • Rehabilitation after stroke, brain injury, and spinal cord trauma.
  • Chronic pain syndromes and musculoskeletal dysfunctions.
  • Sports-related injuries: prevention, treatment, and recovery planning.
  • Coordination and movement disorders affecting mobility and balance.
  • Custom rehabilitation programmes for neurological and orthopedic conditions.

With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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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:
  • 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.
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She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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Marta Reguero Capilla

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In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
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  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
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  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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