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Legalon 140

Legalon 140

Ask a doctor about a prescription for Legalon 140

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.

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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 Legalon 140

Package Leaflet: Information for the Patient

LEGALON 140, hard capsules

Silybi mariani fructus extractum siccum

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

This medicine should always be taken exactly as described in this package leaflet for the patient or as directed by a doctor or pharmacist.

  • This leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including those not listed in this leaflet, they should inform 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 Legalon 140 and what is it used for
  • 2. Important information before taking Legalon 140
  • 3. How to take Legalon 140
  • 4. Possible side effects
  • 5. How to store Legalon 140
  • 6. Package contents and other information 1.

What is Legalon 140 and what is it used for

Legalon 140 is manufactured in the form of hard capsules, which contain a dry extract of milk thistle fruit in their composition. The active substance of milk thistle fruit is a complex of flavonolignans called silymarin, which includes, among others, silybinin. The medicine is used to treat liver diseases. Indications for use: treatment of conditions after toxic liver damage; auxiliary in patients suffering from chronic inflammatory liver diseases and liver cirrhosis.

2. Important information before taking Legalon 140

When not to take Legalon 140

  • if the patient is allergic to the active substance, milk thistle, and (or) other plants of the Asteraceae family (formerly Compositae), or to any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before starting to take Legalon 140, the patient should discuss it with their doctor or pharmacist. The medicine should not be used to treat acute poisonings. During treatment, the patient should avoid factors harmful to the liver. If symptoms of jaundice (light to dark yellow discoloration of the skin, yellow discoloration of the whites of the eyes, or changes in the color of urine or stool) occur, the patient should consult their doctor immediately.

Children and adolescents

Due to the lack of data, the medicine should not be used in children under 12 years of age.

Legalon 140 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. So far, no interactions have been found during use with other medicines.

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. Due to the lack of available data, the medicine should not be used during pregnancy and breastfeeding.

Driving and using machines

There is no data on contraindications for driving and operating machines during the use of Legalon 140.

Sodium content

Legalon 140 contains less than 1 mmol (23 mg) of sodium per capsule, which means the medicine is considered "sodium-free". 3.

How to take Legalon 140

This medicine should always be taken exactly as described in this package leaflet for the patient or as directed by a doctor or pharmacist. In case of doubt, the patient should consult their doctor or pharmacist. At the beginning of treatment, it is recommended to take 1 capsule 3 times a day (which corresponds to 420 mg of silymarin). As a maintenance dose, 1 capsule is taken 2 times a day (which corresponds to 280 mg of silymarin). If the patient experiences an exacerbation of symptoms, they should consult their doctor. If the symptoms persist for more than 2 weeks, the patient should consult their doctor. The duration of therapy should be decided by the doctor. The medicine should be taken orally. The capsules should be taken whole, before meals, with a small amount of liquid.

Use in children and adolescents

The medicine should not be used in children under 12 years of age.

Taking a higher dose of Legalon 140 than recommended

Enhanced side effects may occur. In such a case, the patient should consult their doctor.

Missing a dose of Legalon 140

The patient should not take a double dose to make up for a missed capsule.

Stopping the use of Legalon 140

In case of any further doubts about the use of this medicine, the patient should consult their doctor or pharmacist. 4.

Possible side effects

Like all medicines, Legalon 140 can cause side effects, although not everybody gets them. During the use of Legalon 140, the following side effects have been observed: Rare(less than 1 in 1000 people): Gastrointestinal disorders: loose stools. Very rare(less than 1 in 10,000 people): Immune system disorders: hypersensitivity reactions Respiratory, thoracic, and mediastinal disorders: dyspnea Skin and subcutaneous tissue disorders: rash.

Reporting side effects

If the patient experiences any side effects, including those not listed in the leaflet, they should inform their 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 181C, 02-222 Warsaw, tel.: +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 authorization holder. By reporting side effects, more information can be gathered on the safety of the medicine.

5. How to store Legalon 140

The medicine should be stored out of sight and reach of children. It should be stored at a temperature below 25°C .The medicine should not be used after the expiry date stated on the carton and blister after: EXP. The expiry date (EXP) means the last day of the given month. 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. Package contents and other information

What Legalon 140 contains

  • The active substance of the medicine is Silybi mariani fructus extractum siccum173.0 - 186.7 mg (standardized extract 36-44:1, extractant: ethyl acetate 98% V/V) which corresponds to 58.0 - 62.5% of silymarin calculated as silybinin.
  • The excipients are: microcrystalline cellulose, corn starch, sodium carboxymethylcellulose (type A), sodium lauryl sulfate (see section 2 "Sodium content"), magnesium stearate.
  • The composition of the capsule shell is: red iron oxide (E 172), black iron oxide (E 172), titanium dioxide (E 171), gelatin, sodium lauryl sulfate (see section 2 "Sodium content").

What the medicine looks like and what the package contains

The medicine is in the form of brown gelatin hard capsules. The carton contains 20 or 100 capsules in blisters.

Marketing authorization holder:

Viatris Healthcare Sp. z o.o. ul. Postępu 21B 02-676 Warsaw

Manufacturer:

Madaus GmbH Lütticher Str. 5 53842 Troisdorf Germany

To obtain more detailed information about this medicine, please contact:

Viatris Healthcare Sp. z o.o. tel.: 22 546 64 00

Date of the last revision of the leaflet: 11/2024

  • Country of registration
  • Active substance
  • Prescription required
    No
  • Importer
    MADAUS GmbH
  • Alternatives to Legalon 140
    Dosage form: Tablets, 150 mg
    Active substance: silymarin
    Prescription not required
    Dosage form: Tablets, 150 mg
    Active substance: silymarin
    Prescription not required
    Dosage form: Tablets, 150 mg
    Active substance: silymarin
    Prescription not required

Alternatives to Legalon 140 in other countries

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

Alternative to Legalon 140 in Ukraina

Dosage form: capsules, 70 mg, 10 capsules in a blister
Active substance: silymarin
Dosage form: capsules, capsules 140mg
Active substance: silymarin
Dosage form: capsules, 140 mg
Active substance: silymarin
Manufacturer: MADAUS GmbH
Prescription not required
Dosage form: tablets, 22.5 mg
Active substance: silymarin
Prescription not required
Dosage form: capsules, 90 mg capsules in blister
Active substance: silymarin
Manufacturer: AT "Sofarma
Prescription not required

Alternative to Legalon 140 in Hiszpania

Dosage form: KAPSUŁKA, 100 mg Suchy ekstrakt z ostropestu plamistego (odpowiednik 80 mg sylimaryny)
Active substance: silymarin
Prescription required
Dosage form: KAPSUŁKA, 150 mg sylimaryny
Active substance: silymarin
Prescription required
Dosage form: KAPSUŁKA, 300 mg
Prescription not required
Dosage form: ROZTWÓR DO WSTRZYKIWAŃ DO INFUZJI, 350 mg sukcynianu sylimaryny sodowej
Prescription required
Dosage form: TABLETKA, 4,6 mg suchego ekstraktu z karczocha (Cynara scolimus) (1:30-31); 1,2 mg suchego ekstraktu z mlecza zwyczajnego (Taraxacum officinalis) (1:17-18); 0,7 mg suchego ekstraktu z boldusa (Peumus boldus) (1:10-11); 3,2 mg suchego ekstraktu z ostropestu plamistego (Silibum marianum) (1:2-2.1)
Prescription not required
Dosage form: KAPSUŁKA, 390 mg
Prescription not required

Online doctors for Legalon 140

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Legalon 140 – subject to medical assessment and local rules.

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.

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  • 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.

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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
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
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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  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
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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Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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  • 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.
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  • Structured support for undiagnosed complaints.
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  • Immunity support and strategies to reduce frequency of infections.

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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  • 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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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.
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  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
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  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
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Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
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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.

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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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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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