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Mituret

Ask a doctor about a prescription for Mituret

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Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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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 Mituret

PATIENT INFORMATION LEAFLET

Leaflet attached to the packaging: information for the patient

Mituret

Dry extract of ivy leaves
(Hederae helicis folii extractum siccum)

You should carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in the patient information leaflet or as advised by your doctor or pharmacist.

  • You should keep this leaflet, so you can read it again if you need to.
  • If you need advice or additional information, you should ask your pharmacist.
  • If you experience any side effects, including any possible side effects not listed in the leaflet, you should tell your doctor or pharmacist. See section 4.
  • If after 5 days there is no improvement or you feel worse, you should contact your doctor.

Table of contents of the leaflet

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

1. What is Mituret and what is it used for

Mituret is a herbal medicinal product used as an expectorant in the case of productive (wet) cough. The product contains dry extract of ivy leaves (Hedera helixL., folium).
Mituret is indicated for use in adults, adolescents, and children over 2 years of age.
If after 5 days there is no improvement or you feel worse, you should contact your doctor.

2. Important information before taking Mituret

When not to use Mituret:

  • if you are allergic to ivy, other plants of the Araliaceaefamily, or any of the other ingredients of the medicine (listed in section 6).
  • in children under 2 years of age, as respiratory disorders may worsen in this patient group during the use of secretolytic medicines.

Warnings and precautions

Before taking Mituret, you should discuss it with your doctor in the following cases:

  • shortness of breath, fever, or purulent discharge,
  • symptoms persisting for more than 5 days,
  • taking opioid cough medicines, such as codeine or dextromethorphan,
  • stomach inflammation or stomach ulcers.

Children

  • Do not use in children under 2 years of age. See the section "When not to use Mituret".
  • In the case of persistent or recurrent cough in children from 2 to 4 years of age, you should consult a doctor before using the medicine, and a medical diagnosis should be made before starting treatment.

Mituret and other medicines

You should tell your doctor or pharmacist about all medicines you are taking or have recently taken, as well as any medicines you plan to take. No interactions with other medicinal products or other types of interactions have been reported. Systematic interaction studies have not been conducted. Therefore, it cannot be excluded that the effect of other medicinal products may be enhanced or weakened.

Mituret with food, drink, and alcohol

No interactions with food, drink, or alcohol have been observed.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, you should ask your doctor or pharmacist for advice before taking this medicine.
Pregnancy and breastfeeding
The safety of use during pregnancy and lactation has not been established. Due to the lack of sufficient data, use during pregnancy and lactation is not recommended.
Fertility
There are no data on the effect on fertility.

Driving and using machines

No studies have been conducted on the effect of the product on the ability to drive and use machines.

Mituret contains:

  • 5.55 mg of benzoic acid(E210) per 5 ml, which corresponds to 1.11 mg/ml.
  • Lactose. If you have been diagnosed with an intolerance to some sugars, you should consult your doctor before taking the medicine.
  • 1.35 g of sorbitol(E420) per 5 ml, which corresponds to 269.2 mg/ml. Sorbitol is a source of fructose. If you have been diagnosed with an intolerance to some sugars or have been diagnosed with hereditary fructose intolerance, a rare genetic disorder in which your body does not break down fructose, you should consult your doctor before taking the medicine or giving it to your child.

3. How to take Mituret

This medicine should always be taken exactly as described in the patient information leaflet or as advised by your doctor or pharmacist. If you are unsure, you should ask your doctor or pharmacist.
Recommended dose:

AgeDosage
Adults, adolescents, and elderly5 ml, 2 to 3 times a day
Children from 6 to 11 years of age5 ml, 2 times a day
Children from 2 to 5 years of age2.5 ml, 2 times a day

Mituret is taken orally. The packaging contains a measuring cup to measure the correct dose.
There are insufficient data to provide detailed dosage recommendations in the case of renal and hepatic impairment.
If symptoms do not improve after 5 days of using the medicinal product, you should consult your doctor.

Taking a higher dose of Mituret than recommended

You should immediately inform your doctor or pharmacist if you have taken a higher dose of Mituret than recommended.
Overdose of ivy leaf extracts may cause nausea, vomiting, diarrhea, and excitement. In the case of symptoms of poisoning or overdose, symptomatic treatment is necessary.

Missing a dose of Mituret

You should not take a double dose to make up for a missed dose.

Stopping Mituret treatment

This does not apply.
If you have any further questions about the use of this medicine, you should ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Mituret can cause side effects, although not everybody gets them.
The following side effects have been reported (frequency not known):

  • Hypersensitivity reactions, such as hives, rash, shortness of breath, or anaphylactic reaction. Symptoms indicating an anaphylactic reaction include: itching of the skin, hives (similar to nettle rash), redness, swelling of the lips, throat, tongue, hands, and feet, wheezing, hoarseness, nausea, vomiting, abdominal cramps, and in some cases, loss of consciousness.

If you experience hypersensitivity symptoms, you should stop taking Mituret and contact your doctor. In the case of a severe hypersensitivity reaction, you should immediately contact your doctor.

  • Gastrointestinal disorders, such as nausea, vomiting, or diarrhea.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in the leaflet, you should tell your doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, PL-02 222 Warsaw, tel.: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl.
By reporting side effects, you can help provide more information on the safety of the medicine.
Side effects can also be reported to the marketing authorization holder.

5. How to store Mituret

The medicine should be stored out of sight and reach of children.
After first opening, store in a temperature below 25°C.
Shelf life after first opening: 28 days.
Do not use this medicine after the expiry date stated on the packaging and bottle (after the abbreviation: "EXP"). The expiry date refers to the last day of the specified month.
Medicines should not be disposed of via wastewater. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Mituret contains

The active substance of the medicine is:
Dry extract of ivy leaves (Hedera helixL., folium). 1 ml of syrup (which corresponds to 1.1 g) contains 5.4 mg of extract (dry) of Hedera helixL., folium(ivy leaf) (5-7.5:1). Extraction solvent: Ethanol 30% (m/m).
The other ingredients are:
Lactose monohydrate, sorbitol (liquid, non-crystallizing, E420), benzoic acid (E210), xanthan gum, ammonium glycyrrhizinate, eucalyptus essential oil (Eucalyptusradiata, Sieber ex DC), and purified water.

What Mituret looks like and contents of the packaging

A clear, green liquid with a characteristic odor in an orange glass bottle with a capacity of 150 ml or 200 ml, with a measuring cup and a child-resistant closure made of plastic.

Marketing authorization holder and manufacturer

Conforma NV
+21 9 228 20 00
Zenderstraat 10
9070 Destelbergen
Belgium

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

BE:
Hedera-Vemedia syrup
DE:
Pulmocap Hedera, syrup
ES:
Hedetus, jarabe
FR:
Hedetus, sirop
LU:
Hedera-Vemedia sirop
NL:
Natterman Hedera, stroop
PL:
Mituret, syrup
PT:
Pulmocap Hedera, xarope

Date of last revision of the leaflet:

12/2024

Alternatives to Mituret in other countries

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

Alternative to Mituret in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Manufacturer: Adventia Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 35 mg
Active substance: Hederae helicis folium
Manufacturer: Adventia Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Manufacturer: Laboratorios Ern S.A.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7.4 mg/ml
Active substance: Hederae helicis folium
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 7 mg/ml
Active substance: Hederae helicis folium
Manufacturer: Kern Pharma S.L.
Prescription not required

Alternative to Mituret in Ukraine

Dosage form: drops, 50 ml in a dropper bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 250 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 100 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 200 ml in glass or polymer bottles
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 150 ml
Active substance: Hederae helicis folium
Manufacturer: KRKA, d.d., Novo mesto
Prescription not required
Dosage form: capsules, 52.5 mg
Active substance: Hederae helicis folium
Prescription not required

Online doctors for Mituret

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

5.0(44)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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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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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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  • 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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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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  • Chronic pain lasting more than 3 months.
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  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
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  • 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:
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  • 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:
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  • 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. 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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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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