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Maxiseptic

Maxiseptic

Ask a doctor about a prescription for Maxiseptic

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

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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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 Maxiseptic

Package Leaflet: Information for the User

Maxiseptic, 1 mg/ml + 20 mg/ml, Skin Spray, Solution

Octenidine dihydrochloride+ Phenoxyethanol

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

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

  • This package leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, the pharmacist should be consulted.
  • If the patient experiences any side effects, including any possible side effects not listed in this package leaflet, the doctor, pharmacist, or nurse should be informed. See section 4.
  • If there is no improvement after 14 days or the patient feels worse, the doctor should be consulted.

Package Leaflet Contents

  • 1. What is Maxiseptic and what is it used for
  • 2. Important information before using Maxiseptic
  • 3. How to use Maxiseptic
  • 4. Possible side effects
  • 5. How to store Maxiseptic
  • 6. Package contents and other information

1. What is Maxiseptic and what is it used for

Maxiseptic is an antiseptic agent used on the skin or wounds to destroy microorganisms and infectious agents and prevent infections. Maxiseptic contains two active substances: octenidine dihydrochloride and phenoxyethanol, which have antibacterial and antifungal effects. Maxiseptic is intended for use in adults and children of all ages for:

  • repeated, short-term antiseptic treatment in the area of mucous membranes and adjacent tissues before diagnostic procedures in the genital and anal areas, including the vagina, vulva, and glans penis, as well as before catheterization of the urinary bladder
  • antiseptic treatment of small, superficial wounds and skin disinfection before non-surgical procedures
  • limited-time supporting antiseptic treatment of interdigital fungal infections.

If there is no improvement after 14 days or the patient feels worse, the doctor should be consulted.

2. Important information before using Maxiseptic

When not to use Maxiseptic:

  • if the patient is allergic to octenidine dihydrochloride, phenoxyethanol, or any of the other ingredients of this medicine (listed in section 6)
  • for rinsing the abdominal cavity (e.g., during surgery), urinary bladder, or eardrum (the membrane in the middle ear that vibrates in response to sound waves).

Warnings and precautions

Before starting to use Maxiseptic, the doctor, pharmacist, or nurse should be consulted. Maxiseptic is intended for external use only. Maxiseptic should not be swallowed or allowed to enter the bloodstream, e.g., as a result of accidental injection. After flushing deep wounds with a syringe, cases of persistent swelling, redness, and tissue necrosis have been reported. In some cases, surgical intervention was necessary (see section 4).

To avoid tissue damage, the medicine should not be administered by syringe into deep tissues. Maxiseptic is intended for external use only (spraying or applying the medicine with a sprayed swab).

Caution should be exercised when using Maxiseptic in newborns, especially premature infants. Maxiseptic may cause severe skin changes. Excess medicine should be removed, and care should be taken to ensure that the solution does not remain on the skin longer than necessary (this also applies to materials saturated with the solution that come into direct contact with the patient). Maxiseptic should not be used in the eye. If the medicine comes into contact with the eyes, they should be rinsed immediately with a large amount of water. In the case of interdigital fungal infections, Maxiseptic is used only for limited-time supporting antiseptic treatment. For interdigital fungal infections, the doctor or pharmacist should be consulted. To achieve the desired treatment result, the following instructions should be strictly followed. Maxiseptic should not be used for more than 2 weeks without medical supervision.

Maxiseptic and other medicines

The doctor or pharmacist should be informed about all medicines the patient is currently taking or has recently taken, as well as any medicines the patient plans to take. Maxiseptic should not be mixed with other substances, in particular, it should not be used in combination with antiseptic agents based on PVP-iodine on adjacent skin areas, as an intense brown to purple discoloration may occur in the border area. Contact with anionic surfactants, such as detergents and cleaning agents, should be avoided. Due to the possibility of interactions with anionic compounds, the use of distilled water (or water for injections) as a solvent is recommended.

Maxiseptic with food, drink, and alcohol

Maxiseptic is intended for external use only.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before using this medicine. Pregnancy As a precaution, it is best to avoid using Maxiseptic during pregnancy. Do not use Maxiseptic unless the doctor decides otherwise. Breastfeeding As a precaution, it is best to avoid using Maxiseptic during breastfeeding. Do not use Maxiseptic unless the doctor decides otherwise. Maxiseptic should not be used on the breast area of breastfeeding mothers. Fertility The effect of Maxiseptic on human fertility has not been studied.

Driving and using machines

Maxiseptic has no effect on the ability to drive and use machines.

3. How to use Maxiseptic

This medicine should always be used exactly as described in this package leaflet for the patient or as directed by the doctor, pharmacist, or nurse. If in doubt, the doctor, pharmacist, or nurse should be consulted. Method of administration Application to the skin. Maxiseptic is intended for use on the skin surface and should not be administered, e.g., by syringe, into deep tissue layers. Maxiseptic is intended for use on the skin or small, superficial wounds. Maxiseptic is recommended for use undiluted. Unless otherwise directed, the medicine should be applied gently once a day by spraying onto the treated, easily accessible areas, ensuring they are completely moistened. Alternatively, the medicine can be applied by spraying onto a swab and then gently wiping the treated area with at least two swabs saturated with Maxiseptic to ensure complete moistening. Application using swabs is the preferred method. Before covering the wound with a dressing, plaster, or clothing, wait at least one or two minutes for Maxiseptic to dry completely. In the case of limited-time supporting antiseptic treatment of interdigital fungal infections, the medicine should be applied to the affected areas in the morning and evening. To achieve the desired treatment result, the following instructions should be strictly followed. Maxiseptic should not be used for more than 2 weeks without medical supervision.

Use in children and adolescents

The dosage of Maxiseptic is the same for adults and children.

Using more than the recommended dose of Maxiseptic

Overdose of Maxiseptic after local application is very unlikely. If in doubt, the doctor, pharmacist, or nurse should be consulted. If Maxiseptic is swallowed, the doctor should be contacted immediately.

Missing a dose of Maxiseptic

A double dose should not be used to make up for a missed dose.

Stopping use of Maxiseptic

If there are any further doubts about using this medicine, the doctor, pharmacist, or nurse should be consulted.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. After using the medicine containing octenidine dihydrochloride and phenoxyethanol, the following side effects have been observed:

Rare side effects (may affect up to 1 in 1000 people):

Burning sensation, redness, itching, feeling of warmth.

Very rare side effects (may affect up to 1 in 10,000 people):

Contact allergic reactions, e.g., transient redness at the application site.

Frequency not known (frequency cannot be estimated from the available data):

After flushing deep wounds with a syringe, cases of persistent swelling, redness, and tissue necrosis have been reported. In some cases, surgical intervention was necessary (see section 2).

Reporting side effects

If any side effects occur, including any possible side effects not listed in this package leaflet, the doctor, pharmacist, or nurse should be informed. Side effects can be reported directly to the Department for Monitoring of Adverse Reactions to Medicinal Products, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: 22 49 21 301, fax: 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 Maxiseptic

The medicine should be stored out of the sight and reach of children. This medicine should not be used after the expiry date stated on the carton. The expiry date refers to the last day of the month stated. There are no special precautions for storage of the medicinal product. Shelf-life after first opening: 1 year. Medicines should not be disposed of via wastewater or household waste. The pharmacist should be asked how to dispose of medicines no longer required. This will help protect the environment.

6. Package contents and other information

What Maxiseptic contains

  • The active substances of Maxiseptic are octenidine dihydrochloride and phenoxyethanol. 1 ml of skin spray solution contains 1 mg of octenidine dihydrochloride and 20 mg of phenoxyethanol.
  • The other ingredients are sodium gluconate, glycerol, cocamidopropyl betaine CAB 30-LQ-(MH), purified water, and hydrochloric acid, 10% solution (to adjust pH 5.0-6.5).

What Maxiseptic looks like and contents of the pack

Maxiseptic is a clear, colorless solution with a characteristic odor. The medicine is available in a 50 ml or 250 ml solution in an HDPE bottle with an HDPE and PP dosing pump, in a cardboard box. Not all pack sizes may be marketed.

Marketing authorization holder

Bausch Health Ireland Limited 3013 Lake Drive Citywest Business Campus Dublin 24, D24PPT3 Ireland

Manufacturer

ICN Polfa Rzeszów S.A. ul. Przemysłowa 2 35-959 Rzeszów Poland

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Poland: Maxiseptic Lithuania: Duoseptic 1 mg/20 mg/ml odos purškalas (tirpalas) /m Bulgaria: ОКТЕНИДИН 1 mg/ml + 20 mg/ml спрей за кожа, разтвор

Date of last revision of the package leaflet:

Alternatives to Maxiseptic in other countries

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

Alternative to Maxiseptic in Ukraine

Dosage form: solution, 50 ml in a bottle with a spray
Active substance: octenidine, combinations
Manufacturer: Sul'ke i Majr GmbH
Prescription not required
Dosage form: ointment, 5 mg/g; 15 g or 30 g in a tube
Prescription not required
Dosage form: solution, 0.1 mg/ml; 50 ml in a bottle
Prescription not required
Dosage form: solution, 100 ml in a bottle
Manufacturer: TOV "Ternofarm
Prescription not required
Dosage form: solution, 0.1 mg/ml, 20 ml and 50 ml in polymer bottles
Manufacturer: TOV "Slavia 2000
Prescription not required
Dosage form: solution, 0.1 mg/ml, 100 ml
Prescription required

Alternative to Maxiseptic in Spain

Dosage form: TOPICAL SOLUTION, 99.9 ml / 0.1 g
Active substance: cetylpyridinium
Prescription not required
Dosage form: TOPICAL SOLUTION, 99.9 ml / 0.1 g
Active substance: cetylpyridinium
Prescription not required

Online doctors for Maxiseptic

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

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

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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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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Tomasz Grzelewski

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

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

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

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

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Areas of medical care include:

  • 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.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • 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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His clinical background includes:

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  • 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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  • 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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  • 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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Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
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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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).
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Gastroenterology – Digestive health:
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  • 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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  • 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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