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Hederasal Max

Hederasal Max

Ask a doctor about a prescription for Hederasal Max

5.0(38)
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 Hederasal Max

Leaflet attached to the packaging: patient information

Hederasal MAX
Hederae helicis folii extractum siccum
52.5 mg, tablets

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

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

  • Keep this leaflet, so you can read it again if you need to.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, tell your doctor or pharmacist. See section 4.
  • If there is no improvement or the patient feels worse after a week, contact a doctor.

Table of contents of the leaflet

  • 1. What is Hederasal MAX and what is it used for
  • 2. Important information before taking Hederasal MAX
  • 3. How to take Hederasal MAX
  • 4. Possible side effects
  • 5. How to store Hederasal MAX
  • 6. Package contents and other information

1. What is Hederasal MAX and what is it used for

A herbal medicine used as an expectorant in the case of productive (wet) cough.
If there is no improvement or the patient feels worse after a week, consult a doctor.

2. Important information before taking Hederasal MAX

When not to take Hederasal MAX

If the patient is allergic to the active substance (dry extract of ivy leaves) and plants of the Araliaceae family or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

If shortness of breath, fever, bloody or purulent sputum occur, consult a doctor or pharmacist.
Caution is recommended in patients with gastritis or stomach ulcers.
The medicine contains less than 1 mmol (23 mg) of sodium per dose, which means the medicine is considered "sodium-free".

Hederasal MAX and other medicines

Tell your doctor or pharmacist about all medicines you are taking or have recently taken, as well as any medicines you plan to take.
No pharmacological interactions with other medicines have been reported.
Concomitant use of Hederasal MAX with opioid cough suppressants, such as codeine or dextromethorphan, is not recommended without consulting a doctor.

Taking Hederasal MAX with food and drink

Oral administration, swallow the tablet with water. The medicine can be taken with or without food.

Pregnancy and breastfeeding

The safety of using Hederasal MAX during pregnancy and breastfeeding has not been established. Due to the lack of sufficient data, it is not recommended to use the medicine during this period.

Driving and operating machinery

No studies have been conducted on the effect of Hederasal MAX on the ability to drive and operate machinery.

3. How to take Hederasal MAX

This medicine should always be taken exactly as described in the patient leaflet or as advised by a doctor or pharmacist. In case of doubt, consult a doctor or pharmacist.
Adults and adolescents over 12 years: 1 tablet 2 times a day.
Take orally, swallow with water. The medicine can be taken with or without food.
The maximum daily dose of the medicine is 2 tablets.
If symptoms do not improve and persist for more than a week, consult a doctor.

Taking a higher dose of Hederasal MAX than recommended

Overdose may cause nausea, vomiting, diarrhea, and excitement. In case of overdose, consult a doctor immediately, who may consider gastric lavage and/or administration of activated charcoal to reduce absorption of the medicine.

Missing a dose of Hederasal MAX

Do not take a double dose to make up for a missed dose.

Stopping treatment with Hederasal MAX

In case of further doubts about taking this medicine, consult a doctor or pharmacist.

4. Possible side effects

Like all medicines, Hederasal MAX can cause side effects, although not everybody gets them.
Side effects are presented according to the MedDRA system organ classification and frequency of occurrence - frequency not known (cannot be estimated from the available data).
During treatment with Hederasal MAX, the following may occur:

  • Gastrointestinal disorders (nausea, vomiting, diarrhea) - frequency not known.
  • Immune system disorders (allergic reactions: rash, urticaria, shortness of breath, anaphylactic reaction) - frequency not known. If other, unlisted side effects occur, consult a doctor or pharmacist.

Reporting side effects

If you experience any side effects, including any side effects not listed in the leaflet, tell your doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products (Al. Jerozolimskie 181 C, 02-222 Warsaw, tel. +48 22 492-13-01, fax +48 22 492-13-09)
website: https://smz.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 Hederasal MAX

Store the medicine at a temperature below 25°C.
Keep the medicine out of sight and reach of children.
Do not use this medicine after the expiry date stated on the carton 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. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Package contents and other information

What Hederasal MAX contains

The active substance is dry extract of ivy leaves (Hederae helicis folii extractum siccum).
One tablet contains 52.5 mg of dry extract of Hedera helixL., folium(ivy leaf) (DER 4-8:1), extraction solvent: ethanol 30% (m/m).
Excipients are: microcrystalline cellulose (type 102), sodium croscarmellose, anise essential oil, colloidal silica anhydrous, magnesium stearate.

What Hederasal MAX looks like and what the package contains

Hederasal MAX is a round, biconvex, smooth tablet in a beige-brown color with a marble effect. The occurrence of beige-brown streaks on the surface of the tablets is acceptable.
The package contains 20 tablets.
2 blisters of PVC/Aluminum foil with an informational leaflet in a cardboard box.

Marketing authorization holder and manufacturer

Wrocławskie Zakłady Zielarskie "Herbapol" SA
ul. św. Mikołaja 65/68
50-951 Wrocław
tel: +48 71 33 57 225
fax: +48 71 372 47 40
e-mail: [email protected]
To obtain more detailed information, contact the marketing authorization holder: tel. 71 321 86 04 ext. 123

Date of last update of the leaflet:

{marketing authorization holder's logo}

Alternatives to Hederasal Max in other countries

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

Alternative to Hederasal Max in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Manufacturer: Adventia Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 35 mg
Active substance: Hederae helicis folium
Manufacturer: Adventia Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Manufacturer: Laboratorios Ern S.A.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7.4 mg/ml
Active substance: Hederae helicis folium
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Manufacturer: Kern Pharma S.L.
Prescription not required

Alternative to Hederasal Max in Ukraine

Dosage form: drops, 50 ml in a dropper bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 250 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 100 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 200 ml in glass or polymer bottles
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 150 ml
Active substance: Hederae helicis folium
Manufacturer: KRKA, d.d., Novo mesto
Prescription not required
Dosage form: capsules, 52.5 mg
Active substance: Hederae helicis folium
Prescription not required

Online doctors for Hederasal Max

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

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Jonathan Marshall Ben Ami

Family medicine8 years of experience

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

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

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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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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His clinical background includes:

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

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

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  • 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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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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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
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  • Structured support for undiagnosed complaints.
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  • Preconception counselling and postpartum support.
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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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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.

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You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
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  • Cold, cough, flu, respiratory infections, sore throat, fever.
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  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
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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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