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Flavamed

Flavamed

Ask a doctor about a prescription for Flavamed

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

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.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
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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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 Flavamed

Leaflet attached to the packaging: patient information

Warning! The leaflet should be kept. Information on the immediate packaging in a foreign language.

Flavamed

30 mg, tablets

Ambroxol hydrochloride

It is necessary to 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 directed by a doctor or pharmacist.

  • The leaflet should be kept so that it can be read again if necessary.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.
  • If after 4 to 5 days there is no improvement or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

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

1. What is Flavamed and what is it used for

Flavamed is a mucolytic medicine used in respiratory tract diseases. Flavamed is indicated for use in adults, adolescents, and children over 6 years of age. Flavamed is used in acute and chronic lung and bronchial diseases, characterized by the production of thick mucus. Thanks to the use of Flavamed, thick mucus becomes more watery and can be coughed up more easily.

2. Important information before taking Flavamed

When not to take Flavamed

  • if the patient is allergic to ambroxol hydrochloride or any of the other ingredients of the medicine (listed in section 6).
  • in children under 6 years of age.

Warnings and precautions

Before starting to take Flavamed, the patient should discuss it with their doctor or pharmacist

  • if the patient has a history of severe skin hypersensitivity reactions (Stevens-Johnson syndrome, Lyell's syndrome).
  • Stevens-Johnson syndrome is a disease characterized by high fever and rash with blisters on the skin and mucous membranes.
  • Lyell's syndrome is a life-threatening condition also known as toxic epidermal necrolysis. The symptoms of this syndrome are severe skin changes in the form of blisters, similar to those that occur in burns.

There have been reports of severe skin reactions associated with the use of ambroxol. If a rash occurs (including changes in the mucous membranes, such as in the mouth, throat, nose, eyes, genitals), the use of Flavamed should be discontinued and a doctor should be consulted immediately.

  • if the patient has kidney function disorders or severe liver disease. In such cases, particular caution should be exercised when taking Flavamed (i.e., the intervals between doses of the medicine should be extended or a smaller dose of the medicine should be used - the patient should consult a doctor). In severe kidney function disorders, the breakdown products of the active substance of Flavamed may accumulate.
  • if the patient has a rare bronchial disease characterized by increased mucus production (e.g., primary ciliary dyskinesia). In this case, the mucus is not removed from the lungs. Flavamed should only be used under medical supervision.
  • if the patient has a history of stomach or duodenal ulcers, they should consult a doctor on how to take Flavamed, as mucolytic medicines may damage the stomach mucosa. The patient should consult a doctor before taking Flavamed.

Children

Flavamed can only be used in children over 6 years of age.

Flavamed and other medicines

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Ambroxol/antitussive medicines
When Flavamed is used concomitantly with medicines that suppress the cough reflex (antitussive medicines), there may be a (dangerous) accumulation of bronchial secretions due to the weakened cough reflex in patients with concomitant respiratory diseases characterized by excessive mucus production, such as cystic fibrosis or bronchiectasis.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult a doctor or pharmacist before taking this medicine.
During pregnancy and breastfeeding, Flavamed can only be used if the doctor recommends it! The use of Flavamed is not recommended, especially during the first trimester of pregnancy.
It has been observed that the active substance contained in Flavamed passes into breast milk. Flavamed is not recommended during breastfeeding.
Animal studies have not shown any harmful effects of ambroxol on fertility.

Driving and using machines

There is no evidence of an effect on the ability to drive and use machines. No studies have been conducted on the effect on the ability to drive and use machines.

Flavamed contains lactose monohydrate (a sugar found in milk)

If the patient has previously been diagnosed with intolerance to some sugars, they should consult a doctor before taking the medicine.

Flavamed contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per tablet, which means that the medicine is considered "sodium-free".

3. How to take Flavamed

This medicine should always be taken exactly as described in this patient leaflet or as directed by a doctor or pharmacist. If in doubt, the patient should consult a doctor or pharmacist.
The following information applies if the doctor has not recommended a different use of Flavamed.
The patient should follow the instructions for taking the medicine, as otherwise, Flavamed will not work properly!

Recommended dose:

AgeSingle doseMaximum daily dose
Children aged 6 to 12 years½ tablet 2 to 3 times a day (equivalent to 15 mg of ambroxol hydrochloride 2-3 times a day).1½ tablets (equivalent to 45 mg of ambroxol hydrochloride).
Adults and adolescents over 12 years of ageDuring the first 2-3 days, 1 tablet 3 times a day (equivalent to 30 mg of ambroxol hydrochloride 3 times a day); then 1 tablet twice a day (equivalent to 30 mg of ambroxol hydrochloride twice a day).3 tablets (equivalent to 90 mg of ambroxol hydrochloride).

Note:
In adults, the daily dose can be increased to 2 tablets twice a day.

Method of administration

For oral use. Flavamed is best taken whole after a meal, with an adequate amount of liquid (e.g., water, tea, or fruit juice).
The tablet can be divided into equal doses.

Duration of use

Without consulting a doctor, Flavamed should not be taken for more than 4-5 days.
If after 4-5 days the symptoms do not decrease or even worsen, the patient should immediately consult a doctor!
If the patient feels that the effect of Flavamed is too strong or too weak, they should consult a doctor or pharmacist.

Use of a higher than recommended dose of Flavamed

So far, no specific symptoms of overdose have been reported in humans. Based on reports of accidental overdose and/or incorrect dosing, the observed symptoms are consistent with the known side effects of ambroxol hydrochloride used in recommended doses, and symptomatic treatment may be necessary. The patient should consult a doctor.

Missing a dose of Flavamed

If a dose of the medicine is missed or a smaller dose is taken, the patient should take the next prescribed dose at the usual time. A double dose should not be taken to make up for a missed dose.
If the patient has any further doubts about taking the medicine, they should consult a doctor or pharmacist.

4. Possible side effects

Like all medicines, Flavamed can cause side effects, although not everybody gets them.

Common (may occur in less than 1 in 10 people):

  • Nausea

Uncommon (may occur in less than 1 in 100 people):

  • Stomach pain, vomiting, diarrhea, abdominal pain, and indigestion

Rare (may occur in less than 1 in 1000 people):

  • Hypersensitivity reactions
  • Rash, urticaria

Unknown (frequency cannot be estimated from the available data):

  • Anaphylactic reactions, including anaphylactic shock, angioedema (rapidly progressing skin, subcutaneous tissue, mucous membrane, or submucosal tissue edema), and itching
  • Severe skin reactions (including erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, and acute generalized exanthematous pustulosis).

Action to be taken

If one or more of the above side effects occur, the use of Flavamed should be discontinued immediately.

Reporting side effects

If any side effects occur, including any side effects not listed in the leaflet, the patient should inform their doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Adverse Reaction Monitoring of 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, website: https://smz.ezdrowie.gov.pl
By reporting side effects, more information can be gathered on the safety of the medicine.

5. How to store Flavamed

The medicine should be stored out of sight and reach of children.
The medicine should not be used after the expiry date stated on the packaging. The expiry date refers to the last day of the month stated.
Store at a temperature below 25°C.
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 Flavamed contains

The active substance of Flavamed is ambroxol hydrochloride.
One tablet contains 30 mg of ambroxol hydrochloride.
The other ingredients are: lactose monohydrate, corn starch, cellulose, powder, croscarmellose sodium, povidone K 30, magnesium stearate.

What Flavamed looks like and what the packaging contains

White, round tablets, flat on both sides, with beveled edges and a dividing line on one side.
Flavamed is available in packaging containing: 10, 20, and 50 tablets.
For more detailed information, the patient should contact the marketing authorization holder or parallel importer.

Marketing authorization holder in Latvia, the country of export:

Berlin-Chemie AG
Glienicker Weg 125
12489 Berlin, Germany

Manufacturer:

Berlin-Chemie AG
Glienicker Weg 125
12489 Berlin, Germany

Parallel importer:

Delfarma Sp. z o.o.
ul. Św. Teresy od Dzieciątka Jezus 111, 91-222 Łódź

Repackaged by:

Delfarma Sp. z o.o.
ul. Św. Teresy od Dzieciątka Jezus 111, 91-222 Łódź
Marketing authorization number in Latvia, the country of export: 07-0280

Parallel import authorization number: 349/24

This medicine is authorized for use in the Member States of the European Economic Area under the following names:

Bulgaria:
Flavamed Cough Tablets
Estonia:
Flavamed 30 mg
Finland:
Flavamed 30 mg Tablets
Germany:
Flavamed Hustentabletten
Latvia:
Flavamed Cough Tablets
Lithuania:
Flavamed Cough Tablets
Poland:
Flavamed
Slovak Republic:
Flavamed Cough Tablets
Slovenia:
Flavamed 30 mg Tablets

Date of leaflet approval: 30.09.2024

[Information about the trademark]

  • Country of registration
  • Active substance
  • Prescription required
    No
  • Marketing authorisation holder (MAH)
    Berlin-Chemie AG
  • Alternatives to Flavamed
    Dosage form: Solution, 7.5 mg/ml
    Active substance: ambroxol
    Prescription required
    Dosage form: Syrup, 15 mg/5 ml
    Active substance: ambroxol
    Manufacturer: Sopharma PLC
    Prescription not required
    Dosage form: Syrup, 30 mg/5 ml
    Active substance: ambroxol
    Prescription not required

Alternatives to Flavamed in other countries

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

Alternative to Flavamed in Іспанія

Dosage form: ОРАЛЬНИЙ РОЗЧИН/СУСПЕНЗІЯ, 0,300 г амброксолу гідрохлориду / 100 мл
Active substance: ambroxol
Prescription not required
Dosage form: ОРАЛЬНИЙ РОЗЧИН/СУСПЕНЗІЯ, 5 мл
Active substance: ambroxol
Prescription not required
Dosage form: ОРАЛЬНИЙ РОЗЧИН/СУСПЕНЗІЯ, 30 мг амброксолу гідрохлориду / 5 мл
Active substance: ambroxol
Prescription not required
Dosage form: КАПСУЛА З МОДИФІКОВАНИМ ВИВІЛЬНЕННЯМ, 75 мг
Active substance: ambroxol
Prescription not required
Dosage form: ОРАЛЬНИЙ РОЗЧИН/СУСПЕНЗІЯ, 15 мг амброксолу гідрохлориду/5 мл
Active substance: ambroxol
Prescription not required
Dosage form: ОРАЛЬНИЙ РОЗЧИН/СУСПЕНЗІЯ, 6 мг/мл
Active substance: ambroxol
Prescription not required

Alternative to Flavamed in Україна

Dosage form: розчин, 10 мг/0,2 мл по 13 мл
Active substance: ambroxol
Prescription not required
Dosage form: сироп, 30 мг/5 мл, по 100 мл у скляному флаконі
Active substance: ambroxol
Manufacturer: AT "Farmak
Prescription not required
Dosage form: сироп, 15 мг/5 мл
Active substance: ambroxol
Manufacturer: AT "Farmak
Prescription not required
Dosage form: розчин, 7,5 мг/мл; по 2 мл в ампулі
Active substance: ambroxol
Prescription required
Dosage form: розчин, 7,5 мг/мл по 2 мл в ампулі
Active substance: ambroxol
Dosage form: сироп, 30 мг/5 мл, по 120 мл у флаконі
Active substance: ambroxol
Prescription not required

Online doctors for Flavamed

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

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

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.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
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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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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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.

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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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Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
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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.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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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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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:

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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.

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  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

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

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