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Metafen rozkurhovi

Ask a doctor about a prescription for Metafen rozkurhovi

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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 Metafen rozkurhovi

Package Leaflet: Information for the Patient

Metafen Spasmolytic, 40 mg, Tablets

Drotaverine Hydrochloride

Read the Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.

This Medication Should Always be Taken Exactly as Described in this Patient Leaflet or as Advised by a Doctor or Pharmacist.

  • Keep this Leaflet, so you can Read it Again if you Need to.
  • If you Need Advice or More Information, Ask your Pharmacist.
  • If you Experience any Side Effects, including those not Listed in this Leaflet, Tell your Doctor or Pharmacist. See Section 4.
  • If there is no Improvement after 10 Days or if you Feel Worse, Contact your Doctor.

Table of Contents of the Leaflet

  • 1. What is Metafen Spasmolytic and what is it Used for
  • 2. Important Information Before Taking Metafen Spasmolytic
  • 3. How to Take Metafen Spasmolytic
  • 4. Possible Side Effects
  • 5. How to Store Metafen Spasmolytic
  • 6. Contents of the Pack and other Information

1. What is Metafen Spasmolytic and what is it Used for

The Active Substance of the Medication, Drotaverine, is a Synthetic Derivative of Papaverine. The Medication has a Spasmolytic (Antispasmodic) Effect on Smooth Muscles. Its Spasmolytic Effect is Associated with a Direct Influence on Smooth Muscle and is Independent of the Type of Innervation. The Medication's Effect is Particularly Pronounced in Spasmodic Conditions of the Abdominal Cavity, Bile Ducts, Urinary System, Gastrointestinal Tract, and Circulatory System.

Indications for Use

  • Spasmodic Conditions of Smooth Muscles Associated with Bile Duct Diseases: Gallstones and Bile Duct Stones, Cholecystitis.
  • Spasmodic Conditions of the Urinary System: Kidney Stones, Pyelonephritis, Cystitis, Painful Urination.

Supportively:

  • In Spasmodic Conditions of the Gastrointestinal Tract: Gastric and Duodenal Ulcer Disease, Spasms of the Gastric Pylorus and Duodenum, Irritable Bowel Syndrome, Spastic Constipation, and Intestinal Flatulence.
  • In Painful Menstruation.

2. Important Information Before Taking Metafen Spasmolytic

When not to Take Metafen Spasmolytic:

  • If you are Allergic to Drotaverine or any other Component of this Medication (listed in Section 6);
  • If you have Severe Heart, Liver, or Kidney Failure;
  • If you have an Atrioventricular Block of II-III Degree;
  • In Children under 6 Years of Age.

Warnings and Precautions

Before Starting to Take Metafen Spasmolytic, Discuss it with your Doctor or Pharmacist:

  • If you have Porphyria;
  • If you have Hypotension;
  • In Children (see Section 3);
  • In Pregnant Women.

Do not Take the Medication during Labor.

Metafen Spasmolytic and other Medications

Tell your Doctor or Pharmacist about all Medications you are Currently Taking or have Recently Taken, as well as those you Plan to Take. Concurrent Use of Drotaverine with Medications Containing Levodopa (used in Parkinson's Disease) Reduces their Efficacy and Increases the Severity of Tremors and Rigidity.

Metafen Spasmolytic with Food and Drink

The Medication can be Taken with or without Food.

Pregnancy, Breastfeeding, and Fertility

If you are Pregnant, Breastfeeding, Think you may be Pregnant, or are Planning to have a Child, Consult your Doctor or Pharmacist before Taking this Medication. Pregnancy Drotaverine Passes through the Placenta. The Medication can be Used in Pregnant Women only if Absolutely Necessary. Do not Take the Medication during Labor. Breastfeeding It is not Known if Drotaverine Passes into Breast Milk, so it is not Recommended to Take the Medication during Breastfeeding. Fertility There is no Available Data on the Effect on Fertility.

Driving and Operating Machinery

The Medication, when Taken as Directed, does not Affect Psychophysical Abilities, the Ability to Drive Vehicles, or Operate Machinery. If you Experience Dizziness, Avoid Potentially Hazardous Activities, such as Driving or Operating Machinery.

3. How to Take Metafen Spasmolytic

This Medication Should Always be Taken Exactly as Described in this Patient Leaflet or as Advised by a Doctor or Pharmacist. If you have any Doubts, Consult your Doctor or Pharmacist. The Medication is Taken Orally.

Adult Dosage:

120 mg to 240 mg per Day in 2-3 Divided Doses. The Maximum Daily Dose is 240 mg.

Pediatric Dosage:

Clinical Trials have not been Conducted in Children. If Metafen Spasmolytic Needs to be Used in Children:

  • Daily Dose for Children aged 6 to 12 Years: 80 mg, in 2 Divided Doses
  • Daily Dose for Children over 12 Years: 160 mg, in 2-4 Divided Doses.

Without Consulting a Doctor, the Medication should not be Taken for more than 10 Days.

Taking a Higher Dose of Metafen Spasmolytic than Recommended

If you have Taken more than the Recommended Dose, Contact your Doctor or Pharmacist Immediately. The Doctor may Recommend Gastric Lavage with Activated Charcoal and Symptomatic Treatment.

Missing a Dose of Metafen Spasmolytic

Do not Take a Double Dose to Make up for a Missed Dose. If you have any Further Questions about Taking this Medication, Consult your Doctor or Pharmacist.

4. Possible Side Effects

Like all Medications, Metafen Spasmolytic can Cause Side Effects, although not Everybody gets them. Rare Side Effects(occurring in less than 1 in 1,000 patients, but more than 1 in 10,000 patients):

  • Headaches and Dizziness, Insomnia,
  • Nausea, Loss of Appetite, Constipation,
  • After High Doses - Drowsiness, Weakness,
  • Decreased Blood Pressure, Palpitations,
  • Allergic Reactions (Angioedema, Urticaria, Rash, Itching).

Frequency not Known(cannot be Estimated from Available Data):

  • Postpartum Hemorrhage.

Reporting Side Effects

If you Experience any Side Effects, including those not Listed in this Leaflet, Tell your Doctor, Pharmacist, or Nurse. Side Effects can be Reported Directly to the Department of Pharmacovigilance of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products Al. Jerozolimskie 181 C 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, you can Help Provide more Information on the Safety of this Medication.

5. How to Store Metafen Spasmolytic

Store the Medication out of Sight and Reach of Children. Store in a Dry Place, in the Original Packaging. Store at a Temperature below 25°C. Do not Use this Medication after the Expiration Date Stated on the Carton and Blister Pack after: EXP. The Expiration Date refers to the Last Day of the Specified Month. Medications should not be Disposed of in Sewers or Household Waste Containers. Ask your Pharmacist how to Dispose of Medications that are no longer Needed. This will Help Protect the Environment.

6. Contents of the Pack and other Information

What Metafen Spasmolytic Contains

  • The Active Substance of the Medication is Drotaverine. Each Tablet Contains 40 mg of Drotaverine Hydrochloride.
  • Other Ingredients are: Microcrystalline Cellulose, Crospovidone, Magnesium Stearate.

What Metafen Spasmolytic Looks like and what the Pack Contains

10, 20, or 40 Tablets in a Cardboard Box. Not all Pack Sizes may be Marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Polpharma S.A. ul. Pelplińska 19, 83-200 Starogard Gdański tel. +48 22 364 61 01

Manufacturer

Polpharma S.A. Production Plant in Nowa Dęba ul. Metalowca 2, 39-460 Nowa Dęba Polpharma S.A. Medana Plant in Sieradz ul. Władysława Łokietka 10, 98-200 Sieradz

Date of the Last Update of the Leaflet:

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Online doctors for Metafen rozkurhovi

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

5.0(25)
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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Liudmyla Boichuk

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Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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Svetlana Kolomeeva

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Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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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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Mar Tabeshadze

Endocrinology10 years of experience

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.
  • 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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Alexandra Alexandrova

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Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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