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Milukante

Ask a doctor about a prescription for Milukante

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Doctor

Anastasiia Shalko

Family medicine12 years of experience

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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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 Milukante

Package Leaflet: Information for the Patient

Milukante

10 mg, coated tablets

Montelukast

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including those not listed in this leaflet, please inform your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet:

  • 1. What is Milukante and what is it used for
  • 2. Important information before taking Milukante
  • 3. How to take Milukante
  • 4. Possible side effects
  • 5. How to store Milukante
  • 6. Contents of the pack and other information

1. What is Milukante and what is it used for

Milukante is a leukotriene receptor antagonist. It blocks the action of substances called leukotrienes. These substances cause narrowing and swelling of the airways and the occurrence of allergy symptoms. By blocking the action of leukotrienes, Milukante alleviates the symptoms of asthma and helps control asthma, as well as alleviates the symptoms of seasonal allergic rhinitis (also known as hay fever). Milukante is indicated for use in patients over 15 years of age.

Your doctor has prescribed Milukante for the treatment of asthma, to prevent the occurrence of asthma symptoms during the day and night.

  • Milukante is used in the treatment of patients who have not achieved adequate control of asthma with their current medications and require additional medications.
  • Milukante also helps prevent bronchospasm caused by physical exertion.
  • Milukante is also used in the treatment of symptoms of seasonal allergic rhinitis.

Your doctor will determine how to take Milukante, depending on the symptoms and severity of asthma.

What is Asthma?

Asthma is a chronic disease.

In asthma, there are:

  • breathing difficulties caused by narrowing of the airways. This narrowing worsens and improves in response to various factors.
  • airway hypersensitivity, which reacts to many factors, such as cigarette smoke, pollen, cold air, or physical exertion.
  • swelling (inflammation) of the lining of the airways.

Asthma symptoms include: coughing, wheezing, and a feeling of pressure in the chest.

What are Seasonal Allergies?

Seasonal allergies (also known as hay fever or seasonal allergic rhinitis) are allergic reactions often caused by airborne pollen from trees, grasses, and weeds. Typical symptoms of seasonal allergies may include: stuffy nose, runny nose, itchy nose, sneezing, tearing, swelling, redness, and itching of the eyes.

2. Important information before taking Milukante

Inform your doctor about any current or past illnesses and allergies.

When not to take Milukante

  • if you are allergic to montelukast or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Discuss the use of Milukante with your doctor or pharmacist before starting treatment.

  • If your asthma symptoms worsen or you experience breathing difficulties, seek medical attention immediately.
  • Milukante is not intended for the treatment of acute asthma attacks. If an attack occurs, follow your doctor's instructions. Always carry a rescue inhaler with you in case of an asthma attack.
  • It is essential to take all asthma medications prescribed by your doctor. Do not take Milukante instead of other asthma medications prescribed by your doctor.
  • Remember that if you are taking asthma medications and experience symptoms such as flu-like symptoms, tingling or numbness in your hands or feet, worsening respiratory symptoms, and (or) rash, you should consult your doctor.
  • Do not take aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) if they worsen your asthma symptoms.

Various neuropsychiatric events (such as changes in behavior and mood, depression, and suicidal tendencies) have been reported in patients of all ages treated with montelukast (see section 4). If you experience such symptoms while taking montelukast, consult your doctor.

If you experience any of these symptoms while taking montelukast, consult your doctor.

Children and adolescents

For children aged 2 to 5 years, Milukante chewable tablets 4 mg are available.

For children aged 6 to 14 years, Milukante chewable tablets 5 mg are available.

Milukante and other medicines

Some medicines may affect the action of Milukante or Milukante may affect the action of other medicines you are taking.

Tell your doctor or pharmacist about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take.

Milukante can be taken with other asthma medications.

Before taking Milukante, inform your doctor if you are taking any of the following medicines:

  • phenobarbital (used to treat epilepsy),
  • phenytoin (used to treat epilepsy),
  • rifampicin (used to treat tuberculosis and some other infections),
  • gemfibrozil (used to reduce triglyceride levels and increase "good" cholesterol (HDL) levels in the blood).

Milukante with food and drink

Milukante 10 mg coated tablets can be taken with or without food.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

Women who are pregnant or planning to become pregnant should consult their doctor before taking Milukante. The doctor will assess whether they can take Milukante during this period.

Breastfeeding

It is not known whether Milukante passes into breast milk. If you are breastfeeding or plan to breastfeed, consult your doctor before taking Milukante.

Driving and using machines

It is unlikely that Milukante will affect your ability to drive or use machines. However, individual responses to the medicine may vary.

Some side effects (such as dizziness and drowsiness), which have been very rarely reported during treatment with Milukante, may affect your ability to drive or use machines.

Milukante contains lactose

Milukante 10 mg coated tablets contain lactose. If you have been diagnosed with an intolerance to some sugars, consult your doctor before taking the medicine.

Milukante contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per coated tablet, which is considered "sodium-free".

3. How to take Milukante

  • Take only one Milukante tablet once a day, as directed by your doctor.
  • Take the medicine even when you do not have asthma symptoms, as well as during an acute asthma attack.
  • Always take Milukante as directed by your doctor. If you have any doubts, consult your doctor or pharmacist.
  • Take the medicine orally.

Use in adults and adolescents over 15 years of age

For patients with asthma or asthma and seasonal allergic rhinitis, take one 10 mg Milukante coated tablet once daily, in the evening.

For patients with seasonal allergic rhinitis, take one 10 mg Milukante coated tablet once daily. The time of administration will be determined by your doctor, according to your individual needs.

The medicine can be taken with or without food.

Make sure that the patient taking Milukante does not take any other medicines containing the same active substance, montelukast.

Overdose of Milukante

Seek medical attention immediately.

In most cases of overdose, no side effects have been observed. In cases of overdose in children and adults, the following symptoms have been most commonly reported: abdominal pain, drowsiness, excessive thirst, headache, vomiting, and hyperactivity.

Missed dose of Milukante

Take Milukante as directed by your doctor. However, if you miss a dose, return to your usual dosing schedule - one tablet once daily.

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

Stopping treatment with Milukante

Milukante is effective in treating asthma only when taken regularly.

It is essential to continue taking Milukante as long as your doctor has prescribed it.

This will help keep your asthma under control.

If you have any further doubts about taking this medicine, consult your doctor or pharmacist.

4. Possible side effects

Like all medicines, Milukante can cause side effects, although not everybody gets them. If any side effect becomes serious or you notice any side effects not listed in this leaflet, please inform your doctor or pharmacist.

During clinical trials with montelukast in the form of 4 mg chewable tablets, the most common side effects (occurring in at least 1 in 100 but less than 1 in 10 children) considered to be related to montelukast were:

  • abdominal pain
  • increased thirst. Additionally, in clinical trials with montelukast in the form of 10 mg coated tablets and 5 mg chewable tablets, the following side effects were reported:
  • headache. These symptoms were usually mild and occurred more frequently in patients taking montelukast than in patients taking a placebo (a tablet that does not contain any medicine).

The frequency of possible side effects listed below is presented according to the following convention:

Very common (affecting at least 1 in 10 people)

Common (affecting 1 to 10 people in 100)

Uncommon (affecting 1 to 10 people in 1,000)

Rare (affecting 1 to 10 people in 10,000)

Very rare (affecting less than 1 in 10,000 people)

Additionally, after the medicine was placed on the market, the following side effects were reported:

  • upper respiratory tract infections (very common);
  • increased tendency to bleed (rare);
  • allergic reactions, including swelling of the face, lips, tongue, and (or) throat, which can cause difficulty breathing or swallowing (uncommon);
  • changes in behavior and mood [unusual dreams, including nightmares, difficulty sleeping, sleepwalking, irritability, feeling anxious, restlessness, hyperactivity, including aggressive behavior or hostile attitude, depression (uncommon); tremors, attention disorders, memory disorders (rare); hallucinations, disorientation, suicidal thoughts and attempts (very rare)];
  • dizziness, drowsiness, tingling, and numbness (uncommon);
  • palpitations (rare);
  • nosebleeds (uncommon); lung inflammation (pneumonia) (very rare);
  • diarrhea, nausea, vomiting (common); dry mouth, indigestion (uncommon);
  • liver inflammation (hepatitis) (very rare);
  • rash (common); bruising, itching, hives (uncommon); painful, red lumps under the skin, most often on the shins (erythema nodosum), severe skin reactions (erythema multiforme), which may occur without prior symptoms (very rare);
  • muscle or joint pain, muscle spasms (uncommon);
  • fever (common); weakness, fatigue, malaise, swelling (uncommon).
  • stuttering (very rare).

In patients with asthma treated with montelukast, very rare cases of a syndrome of symptoms such as flu-like symptoms, tingling or numbness in the hands and feet, worsening respiratory symptoms, and (or) rash (Churg-Strauss syndrome) have been reported. If your child experiences any of these symptoms, inform your doctor immediately.

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, please inform your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety, 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.

Reporting side effects will help gather more information on the safety of the medicine.

5. How to store Milukante

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

No special precautions for storage are necessary.

Do not use Milukante after the expiry date stated on the blister pack and outer packaging.

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 Milukante contains

The active substance is montelukast (in the form of montelukast sodium).

One coated tablet contains 10 mg of montelukast in the form of montelukast sodium.

Other ingredients of the medicine:

Tablet core:

microcrystalline cellulose, lactose monohydrate, sodium croscarmellose, disodium edetate, magnesium stearate.

Tablet coating:

hypromellose 6cP, hydroxypropylcellulose, titanium dioxide, yellow iron oxide (E172), red iron oxide (E172).

What Milukante looks like and contents of the pack

Milukante 10 mg coated tablets are beige, round, coated tablets.

Milukante is available in aluminum/aluminum blisters containing 28 tablets.

Marketing authorization holder and manufacturer

Adamed Pharma S.A.

Pieńków, ul. M. Adamkiewicza 6A

05-152 Czosnów

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

{Poland}

{Milukante}

Date of last revision of the leaflet:05.2024

Alternatives to Milukante in other countries

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

Alternative to Milukante in Spain

Dosage form: CAPSULE, 10 mg
Active substance: montelukast
Prescription required
Dosage form: TABLET, 10 mg
Active substance: montelukast
Prescription required
Dosage form: CHEWABLE TABLET, 4 mg
Active substance: montelukast
Prescription required
Dosage form: TABLET, 10 mg
Active substance: montelukast
Prescription required
Dosage form: CHEWABLE TABLET, 5 mg
Active substance: montelukast
Prescription required
Dosage form: CHEWABLE TABLET, 4 mg
Active substance: montelukast
Prescription required

Alternative to Milukante in Ukraine

Dosage form: tablets, 10 mg tablets in blister
Active substance: montelukast
Manufacturer: Merk Sarp i Doum B.V.
Prescription required
Dosage form: tablets, 10 mg
Active substance: montelukast
Prescription required
Dosage form: tablets, 4 mg
Active substance: montelukast
Prescription required

Online doctors for Milukante

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

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Tetiana Fedoryshyn

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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:

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  • 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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Doctor

Anastasiia Shalko

Family medicine12 years of experience

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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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 expertise:

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  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
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  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
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  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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Areas of medical expertise:

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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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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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Hocine Lokchiri

General medicine20 years of experience

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Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
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  • bronchitis and mild asthma flare-ups
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  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
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  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
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  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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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).
  • 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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