Background pattern
Glipressin

Glipressin

Ask a doctor about a prescription for Glipressin

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 Glipressin

Package Leaflet: Information for the User

Glypressin, 1 mg, Solution for Injection

Terlipressin Acetate

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor.
  • If you experience any side effects, including those not listed in this leaflet, tell your doctor. See section 4.

Table of Contents of the Leaflet:

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

1. What is Glypressin and what is it used for

Glypressin solution for injection contains the active substance terlipressin acetate.

Glypressin is used to treat bleeding from oesophageal varices.

Oesophageal varices are enlarged blood vessels that develop in the oesophagus as a complication of liver disease. They can rupture and bleed, which is a life-threatening condition.
After injection into the bloodstream, the active substance terlipressin is broken down, releasing a substance called lysine-vasopressin. It acts on the walls of blood vessels, causing them to constrict and reduce blood flow to the varices, thereby reducing bleeding.

2. Important information before using Glypressin

When not to use Glypressin

  • if you are allergic to terlipressin acetate or any of the other ingredients of this medicine (listed in section 6).
  • if you are pregnant.

Warnings and precautions

Caution should be exercised:

  • if you have high blood pressure,
  • if you have heart or lung disease,
  • if you have diabetes,
  • in children and the elderly, as experience in these age groups is limited,
  • if you have septic shock; septic shock is a serious condition that occurs when a severe infection leads to low blood pressure and poor blood flow.

If you experience any of these conditions, discuss them with your doctor before starting treatment with Glypressin.

During treatment with Glypressin, your heart rate, blood pressure, and fluid balance should be constantly monitored.

Glypressin contains sodium

This medicine contains 30.7 mg of sodium (the main component of common salt) per ampoule. This corresponds to 1.5% of the maximum recommended daily intake of sodium in the diet for adults. If you are on a controlled sodium diet, tell your doctor.

Glypressin and other medicines

Tell your doctor about all medicines you are taking or have recently taken,

and about medicines you plan to take.
It is especially important to tell your doctor if you are taking any heart medicines, such as beta-adrenergic blockers, as their effect may be enhanced if used with Glypressin.
Tell your doctor immediately if you are taking any of the following medicines:

Medicines that may cause irregular heartbeat (arrhythmia) include:

  • anti-arrhythmic medicines of class IA (quinidine, procainamide, disopyramide) and class III (amiodarone, sotalol, ibutilide, dofetilide)
  • erythromycin (an antibiotic)
  • antihistamines (used mainly to treat allergies, but may also be present in some cough and cold medicines)
  • tricyclic antidepressants used to treat depression
  • medicines that may alter the level of salts or electrolytes in the blood, especially diuretics (used to treat high blood pressure and heart failure).

Pregnancy and breastfeeding

Glypressin should not be used during pregnancy.
Glypressin should not be used during breastfeeding, as it is not known whether this medicine passes into breast milk.

Driving and using machines

This is not relevant, as Glypressin is a hospital-only medicine.

3. How to use Glypressin

Glypressin is a hospital-only medicine and should only be administered by qualified personnel.
Glypressin is injected into a vein (directly into the bloodstream).
The usual initial dose of Glypressin for acute bleeding from oesophageal varices is 2 mg. Subsequent doses, usually ranging from 1 mg to 2 mg, are given every 4 hours for a period of 24 hours, until bleeding is controlled. Treatment should not exceed 48 hours.
After the initial dose, subsequent doses may be adjusted based on the patient's body weight or if any side effects occur.

4. Possible side effects

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

Very common side effects (may affect more than 1 in 10 patients)

  • abdominal pain.

Common: affects 1 to 10 users in 100

  • low sodium levels in the blood
  • headache
  • chest pain
  • bradycardia (very slow heart rate)
  • rapid pulse
  • vasoconstriction
  • cyanosis (bluish discoloration of the skin due to lack of oxygen)
  • fluid in the lungs
  • shortness of breath
  • reduced blood flow to the limbs
  • pallor
  • increased blood pressure
  • diarrhoea
  • nausea
  • vomiting.

Uncommon: affects 1 to 10 users in 1,000

  • irregular heartbeat
  • heart attack (myocardial infarction)
  • severe heart rhythm disorders of the type Torsade de pointes
  • heart failure. Symptoms include: shortness of breath, feeling of tiredness, swelling of the ankles
  • reduced blood flow to the intestines
  • heat stroke
  • acute respiratory failure and respiratory distress (difficulty breathing)
  • skin necrosis (dead skin)
  • necrosis (dead skin) at the injection site.
  • Unknown: frequency cannot be estimated from the available data
  • uterine contractions
  • reduced blood flow to the uterus.

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your doctor. 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:
Aleje Jerozolimskie 181C, 02-222 Warsaw,
Phone: +48 22 49 21 301,
Fax: +48 22 49 21 309,
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorisation holder.
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Glypressin

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging after the words "EXP:". The expiry date refers to the last day of the month stated.
Store in a refrigerator (2°C - 8°C). Store the ampoules in the outer packaging to protect from light.
Medicines should not be disposed of via wastewater or household waste. 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 Glypressin contains

  • One ampoule with 8.5 ml of solution contains 1 mg of terlipressin acetate, which corresponds to 0.85 mg of terlipressin. 1 ml of solution contains 0.12 mg of the active substance - terlipressin acetate, which corresponds to 0.1 mg of terlipressin
  • The other ingredients are: sodium chloride, acetic acid, sodium acetate trihydrate, water for injections

What Glypressin looks like and contents of the pack

This medicine is a clear, colourless solution for injection.
Pack sizes available:
5 ampoules of 8.5 ml solution each.

Marketing authorisation holder and manufacturer:

Marketing authorisation holder:

Ferring GmbH
Wittland 11
D-24109 Kiel
Germany

Manufacturer:

Ferring-Léčiva a.s.
K Rybníku 475
252 42 Jesenice u Prahy
Czech Republic
Ferring GmbH
Wittland 11
D-24109 Kiel
Germany
For more detailed information on this medicine, contact the representative of the marketing authorisation holder.
Ferring Pharmaceuticals Poland Sp. z o.o.
Szamocka 8
01-748 Warsaw
Phone: +48 22 246 06 80
Date of last revision of the leaflet:May 2024

Alternatives to Glipressin in other countries

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

Alternative to Glipressin in Ukraine

Dosage form: solution, 0.1 mg/ml, 2 ml or 10 ml in ampoules
Active substance: terlipressin
Dosage form: powder, 1 mg; 1 vial of powder with 1 ampoule of solvent 5 ml
Active substance: terlipressin

Alternative to Glipressin in Spain

Dosage form: INJECTABLE, 0.12 mg/ml
Active substance: terlipressin
Prescription required
Dosage form: INJECTABLE, 1 mg
Active substance: terlipressin
Prescription required
Dosage form: INJECTABLE, 0.2 mg/ml
Active substance: terlipressin
Manufacturer: Ever Valinject Gmbh
Prescription required
Dosage form: INJECTABLE, 0.1 mg/ml
Active substance: terlipressin
Manufacturer: Ferring S.A.
Prescription required
Dosage form: INJECTABLE, 1 mg terlipressin/ vial
Active substance: terlipressin
Manufacturer: Ferring S.A.
Prescription required
Dosage form: ORALLY DISINTEGRATING TABLET/LIOTAB, 60 micrograms desmopressin acetate
Active substance: desmopressin
Manufacturer: Ferring S.A.
Prescription required

Online doctors for Glipressin

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

5.0(4)
Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

CameraBook a video appointment
€45
December 2006:00
December 2006:40
December 2007:20
December 2008:00
December 2008:40
More times
5.0(8)
Doctor

Iryna Reznychenko

Gynecology25 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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

Andreea Mateescu

Pediatrics7 years of experience

Dr Andreea Mateescu is a board-certified paediatrician with 7 years of clinical experience. She graduated from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed her paediatric residency at INSMC Alessandrescu-Rusescu. She also holds additional training in general ultrasound diagnostics.

Dr Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

  • preventive check-ups and monitoring of growth and development;
  • vaccination planning, including personalised and catch-up schedules;
  • assessment of psychomotor, emotional, and physical development;
  • diagnosis and management of acute and chronic paediatric conditions;
  • nutritional guidance for infants and children, including formula selection when medically indicated;
  • care for children with complex or rare conditions;
  • practical guidance and ongoing support for parents.
Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
CameraBook a video appointment
€60
December 2007:30
December 2007:55
December 2008:20
December 2008:45
December 2009:10
More times
5.0(8)
Doctor

Anastasiia Shalko

Family medicine12 years of experience

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

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

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

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

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

CameraBook a video appointment
€50
December 2008:00
December 2008:30
December 2009:00
December 2009:30
December 2010:00
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
5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • 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.

CameraBook a video appointment
€59
December 2009:00
December 2009:20
December 2009:40
December 2010:00
December 2010:20
More times
5.0(11)
Doctor

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

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

CameraBook a video appointment
€65
December 2009:00
December 2009:25
December 2009:50
December 2010:15
December 2010:40
More times
5.0(6)
Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

CameraBook a video appointment
€55
December 2009:00
December 2009:50
December 2010:15
December 2010:40
December 2011:05
More times
0.0(0)
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.
CameraBook a video appointment
€80
December 2011:00
December 2011:25
December 2011:50
December 2012:15
December 2012:40
More times
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 2011:30
December 2012:00
December 2012:30
December 2013:00
December 2013:30
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