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Legalon 140

Legalon 140

Ask a doctor about a prescription for Legalon 140

5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

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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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 Ukraine

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 Spain

Dosage form: CAPSULE, 100 mg Dry extract of milk thistle (equivalent to 80 mg of silymarin)
Active substance: silymarin
Prescription required
Dosage form: CAPSULE, 150 mg silymarin
Active substance: silymarin
Prescription required
Dosage form: CAPSULE, 300 mg
Prescription not required
Dosage form: INJECTABLE PERFUSION, 350 mg sodium silibinate
Prescription required
Dosage form: TABLET, 4.6 mg dry extract Cynara scolimus (1:30-31); 1.2 mg dry extract Taraxacum officinalis (1:17-18); 0.7 mg dry extract Peumus boldus (1:10-11); 3.2 mg dry extract Silibum marianum (1:2-2.1)
Prescription not required
Dosage form: CAPSULE, 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.

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Svetlana Kovalenko

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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.

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Anna Biriukova

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Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

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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  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • 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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  • Review and adjustment of antibiotics
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  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
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She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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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.
  • 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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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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  • 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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  • 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.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
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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:

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  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
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  • 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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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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