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Maxiseptic

Maxiseptic

Ask a doctor about a prescription for Maxiseptic

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 Maxiseptic

Package Leaflet: Information for the User

Maxiseptic, 1 mg/ml + 20 mg/ml, Solution for the Skin

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 a doctor, pharmacist, or nurse.

  • Keep this package leaflet, you may need to read it again.
  • If you need advice or additional information, ask your pharmacist.
  • If the patient experiences any side effects, including any side effects not listed in this package leaflet, tell your doctor, pharmacist, or nurse. See section 4.
  • If after 14 days there is no improvement or the patient feels worse, contact a doctor.

Table of Contents of the Package Leaflet

  • 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. Contents of the pack and other information

1. What is Maxiseptic and what is it used for

Maxiseptic is an antiseptic medicine 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 act antibacterially and antifungally.

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 after 14 days there is no improvement or the patient feels worse, contact a doctor.

2. Important information before using Maxiseptic

When not to use Maxiseptic:

  • for rinsing the abdominal cavity (e.g. during surgery), urinary bladder, or the interior of the ear (eardrum in the middle ear, which vibrates in response to sound waves).

Warnings and precautions

Before starting to use Maxiseptic, discuss it with your doctor, pharmacist, or nurse.

Maxiseptic is intended for external use only.

Do not swallow Maxiseptic or allow it 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 must not be administered by syringe into deep tissues. Maxiseptic is intended for external use only (using a swab).

Use with caution in newborns, especially premature babies. Maxiseptic may cause severe skin changes.

Remove excess medicine and make sure the solution does not remain on the skin longer than necessary (this also applies to materials soaked with the solution that come into direct contact with the patient).

Do not use Maxiseptic in the eye. In case of contact with the eyes, rinse them immediately with a large amount of water.

In the case of interdigital fungal infections, Maxiseptic is used only for limited-time supporting antiseptic treatment.

Avoid contact of the medicine with anionic surfactants, such as detergents and cleaning agents.

Due to the risk of interaction with anionic compounds, it is recommended to use distilled water (or water for injections) as a solvent.

Children and adolescents

Maxiseptic is intended for use in children of all ages.

Maxiseptic with other medicines

Tell your doctor or pharmacist about all medicines you are taking, or have recently taken, and about medicines you plan to take.

Do not mix Maxiseptic with other substances, in particular, do not use it in combination with antiseptic agents based on PVP-iodine on adjacent skin areas, as intense discoloration with a brown to purple color may occur in the border area.

Maxiseptic with food, drinks, and alcohol

Maxiseptic is intended for external use only.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, ask your doctor or pharmacist for advice before using this medicine.

Pregnancy

As a precaution, it is best to avoid using Maxiseptic during pregnancy.

Do not use Maxiseptic unless your doctor decides otherwise.

Breastfeeding

As a precaution, it is best to avoid using Maxiseptic during breastfeeding.

Do not use Maxiseptic unless your doctor decides otherwise.

Do not use Maxiseptic on the breast area in breastfeeding women.

Fertility

The effect of Maxiseptic on fertility in humans 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 a doctor, pharmacist, or nurse.

In case of doubt, ask your doctor, pharmacist, or nurse.

Method of administration

Application to the skin.

Maxiseptic is intended for use on the skin surface and must not be administered, for example by syringe, into deep tissue layers.

Maxiseptic is intended for use on the skin or small, superficial wounds.

Maxiseptic is recommended for use undiluted.

Adults

Apply Maxiseptic once a day to the treated area, ensuring complete wetting.

Unless otherwise directed, gently rub the treated area with at least two swabs soaked with Maxiseptic, one after the other, to ensure complete wetting.

Before covering the wound with a dressing, plaster, or putting on clothes, wait at least one or two minutes until Maxiseptic is completely dry.

In the case of limited-time supporting antiseptic treatment of interdigital fungal infections, apply the medicine to the affected areas in the morning and evening.

To achieve the desired treatment effect, follow the instructions below carefully.

Do not use Maxiseptic 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.

In case of doubt, ask your doctor, pharmacist, or nurse.

In case of swallowing Maxiseptic, contact a doctor immediately.

Missing a dose of Maxiseptic

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

Stopping use of Maxiseptic

In case of further doubts about the use of this medicine, ask your doctor, pharmacist, or nurse.

4. Possible side effects

Like all medicines, Maxiseptic 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 100 people):

Burning sensation, redness, itching, feeling of heat.

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 you experience any side effects, including any side effects not listed in this package leaflet, tell your doctor, pharmacist, or nurse.

Side effects can be reported directly to the Department for 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.: 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, you can help provide more information on the safety of this medicine.

5. How to store Maxiseptic

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date stated on the carton.

The expiry date refers to the last day of that month.

There are no special precautions for storage.

After first opening the bottle, Maxiseptic is suitable for use for 1 year, provided the expiry date has not been exceeded.

Medicines should not be disposed of via wastewater or household waste.

Ask your pharmacist how to dispose of medicines no longer required.

This will help protect the environment.

6. Contents of the pack and other information

What Maxiseptic contains

  • The active substances are octenidine dihydrochloride and phenoxyethanol.

1 ml of solution for the skin 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 HDPE bottles containing 250 ml, 500 ml, or 1000 ml of solution, with a PP cap and a guarantee ring, placed 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

Tel. +48 17 865 51 00

Manufacturer

ICN Polfa Rzeszów S.A.

ul. Przemysłowa 2

35-105 Rzeszów

Poland

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

Poland:

Maxiseptic

Date of last revision of the package leaflet:April 2025

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(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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Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • 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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Dr Taisiya Minorskaya is a family medicine doctor with an official licence to practise in Spain and over 12 years of clinical experience. She provides online consultations for adults and children, combining evidence-based medicine with a personalised, modern European approach.

She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • 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
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

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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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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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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Andrei Popov

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He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • 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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Anna Moret

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Dr. Moret provides expert evaluation and treatment for:

  • Skin conditions such as eczema, acne, rosacea, dermatitis, and psoriasis.
  • Hair and scalp issues including hair loss, dandruff, and seborrheic dermatitis.
  • Pediatric skin problems — from newborns to adolescents.
  • Sexually transmitted infections (STIs) and dermatovenereology.
  • Aesthetic concerns: skin ageing, non-invasive cosmetic treatments.
  • Skin allergies and hypersensitivity reactions.
  • Mole checks, lesion evaluation, and skin cancer screening.
  • Skincare advice and personalised cosmeceutical routines.

Combining dermatology with general medical knowledge, Dr. Moret offers comprehensive care that addresses both skin health and underlying conditions. She also holds certification from the Canadian Board of Aesthetic Medicine, ensuring an internationally aligned approach to aesthetic dermatology.

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Mar Tabeshadze

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Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
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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Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

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.
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  • 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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