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Montelukast Lek-am

Ask a doctor about a prescription for Montelukast Lek-am

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Doctor

Alina Tsurkan

Family medicine12 years of experience

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

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

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.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • 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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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 Montelukast Lek-am

Leaflet attached to the packaging: patient information

Montelukast LEK-AM, 4 mg, chewable tablets

Montelukast

Read the leaflet carefully before giving this medicine to a child, 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 a specific person. Do not pass it on to others. The medicine may harm them, even if their symptoms are the same.
  • If the patient experiences any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of contents of the leaflet:

  • 1. What is Montelukast LEK-AM and what is it used for
  • 2. Important information before giving Montelukast LEK-AM to a child
  • 3. How to take Montelukast LEK-AM
  • 4. Possible side effects
  • 5. How to store Montelukast LEK-AM
  • 6. Contents of the pack and other information

1. What is Montelukast LEK-AM and what is it used for

What is Montelukast LEK-AM

Montelukast LEK-AM is a leukotriene receptor antagonist that blocks the action of substances called leukotrienes.

How Montelukast LEK-AM works

Leukotrienes cause narrowing and swelling of the airways. By blocking the action of leukotrienes, Montelukast LEK-AM relieves asthma symptoms and helps control asthma.

When to use Montelukast LEK-AM

The doctor has prescribed Montelukast LEK-AM to treat asthma in a child, to prevent asthma symptoms from occurring during the day and at night.

  • Montelukast LEK-AM is used to treat patients aged 2 to 5 years who have not achieved adequate control of asthma with their current medications and require additional treatment.
  • Montelukast LEK-AM may also be used as an alternative to inhaled corticosteroids in children aged 2 to 5 years who have not recently taken oral corticosteroids for asthma and are unable to use inhaled corticosteroids.
  • Montelukast LEK-AM also helps prevent narrowing of the airways caused by physical exertion in patients aged 2 years and older.

The doctor will determine how to take Montelukast LEK-AM, depending on the symptoms and severity of asthma in the child.

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;
  • sensitivity of the airways, which react to many factors, such as cigarette smoke, plant 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.

2. Important information before giving Montelukast LEK-AM to a child

Tell the doctor about any current or past illnesses or allergies in the child.

When not to give Montelukast LEK-AM to a child:

Warnings and precautions

Discuss with your doctor or pharmacist before giving Montelukast LEK-AM to a child.

  • If the child's asthma symptoms worsen or breathing difficulties occur, seek medical attention immediately.
  • Orally administered Montelukast LEK-AM is not intended for the treatment of acute asthma attacks. If an attack occurs, follow the doctor's instructions. Always have a rescue inhaler with you in case of an asthma attack in the child.
  • It is essential that the child takes all asthma medications prescribed by the doctor. Do not use Montelukast LEK-AM instead of other asthma medications prescribed by the doctor.
  • Remember that if the child taking asthma medications experiences symptoms such as flu-like symptoms, tingling or numbness of the hands or feet, worsening of respiratory symptoms, and/or rash, seek medical attention.
  • Do not give the child aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) if they worsen the child's 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 such symptoms occur while taking montelukast, contact your doctor.

While taking montelukast, contact your doctor if such symptoms occur.

Children and adolescents

Do not use this medicine in children under 2 years of age.
For children and adolescents under 18 years of age, other forms and doses of this medicine are available, tailored to the patient's age.

Montelukast LEK-AM and other medicines

Tell your doctor or pharmacist about all medicines the child is taking or has recently taken, including those obtained without a prescription.
Some medicines may affect the action of Montelukast LEK-AM or Montelukast LEK-AM may affect the action of other medicines taken by the child.
Before taking Montelukast LEK-AM, tell your doctor if the child is taking:

  • phenobarbital (used to treat epilepsy),
  • phenytoin (used to treat epilepsy),
  • rifampicin (used to treat tuberculosis and some other infections).

Montelukast LEK-AM with food and drink

Montelukast LEK-AM, 4 mg chewable tablets, should not be taken with food; take the medicine at least 1 hour before or 2 hours after a meal.

Pregnancy and breastfeeding

This section does not apply to Montelukast LEK-AM 4 mg chewable tablets, as this medicine is intended for use in children aged 2 to 5 years.

Driving and using machines

This section does not apply to Montelukast LEK-AM 4 mg chewable tablets, as this medicine is intended for use in children aged 2 to 5 years. However, the following information is relevant to the active substance - montelukast.
It is not expected that Montelukast LEK-AM will affect the ability to drive and use machines. However, individual responses to the medicine may vary. Some side effects (such as dizziness and drowsiness) reported during montelukast treatment may affect the ability to drive and use machines.

Montelukast LEK-AM contains aspartame, sodium, and mannitol

Montelukast LEK-AM, 4 mg, in the form of chewable tablets, contains 0.84 mg of aspartame per tablet. Aspartame is a source of phenylalanine. It may be harmful to children with phenylketonuria. This is a rare genetic disorder in which phenylalanine accumulates in the body due to its improper elimination.
Montelukast LEK-AM contains less than 1 mmol (23 mg) of sodium per tablet, which means the medicine is considered "sodium-free".
Montelukast LEK-AM in the form of chewable tablets also contains mannitol. The medicine may have a mild laxative effect.

3. How to take Montelukast LEK-AM

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.

  • This medicine should be given to the child under adult supervision.
  • Give the child only one Montelukast LEK-AM 4 mg tablet once daily, as recommended by the doctor.
  • Give the medicine even when the child does not have asthma symptoms, as well as in the event of an acute asthma attack.

Use in children aged 2 to 5 years

The recommended dose is one 4 mg chewable tablet once daily, in the evening.
Make sure the child taking Montelukast LEK-AM does not take other medicines containing the same active substance - montelukast.
Take the medicine orally.
Chew the tablet before swallowing.
Montelukast LEK-AM, 4 mg chewable tablets, should not be taken with food; take the medicine at least 1 hour before or 2 hours after a meal.

Taking a higher dose of Montelukast LEK-AM than recommended

Contact your doctor immediately.
In most cases of overdose, no side effects have been observed.
In cases of overdose in children and adults, the most commonly observed symptoms were abdominal pain, drowsiness, excessive thirst, headache, vomiting, and hyperactivity.

Missing a dose of Montelukast LEK-AM

Take Montelukast LEK-AM as recommended by your doctor. However, if the child misses a dose, return to the usual dosing schedule - one tablet once daily.
Do not take a double dose to make up for the missed dose.

Stopping Montelukast LEK-AM treatment

Montelukast LEK-AM, 4 mg, is effective in treating asthma in a child only when taken regularly.
It is essential to continue taking Montelukast LEK-AM in the child as long as the doctor recommends. This will help keep the child's asthma under control.
If you have any further questions about taking this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Montelukast LEK-AM can cause side effects, although not everybody gets them.
During clinical trials with montelukast 4 mg chewable tablets, the most commonly reported side effects (which may occur in less than 1 in 10 people) considered related to the medicine were:

  • abdominal pain,
  • excessive thirst. Additionally, in clinical trials with montelukast 10 mg film-coated tablets and 5 mg chewable tablets, the following 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).

Severe side effects

Contact your doctor immediatelyif the child experiences any of the following side effects, which may be severe and require immediate medical attention.
Uncommon (may occur in less than 1 in 100 people):

  • allergic reactions, including swelling of the face, lips, tongue, and/or throat, which may cause difficulty breathing or swallowing;
  • changes in behavior and mood: agitation, including aggressive behavior or hostility, depression;
  • seizures.

Rare (may occur in less than 1 in 1,000 people):

  • increased tendency to bleed;
  • tremors;
  • palpitations.

Very rare (may occur in less than 1 in 10,000 people):

  • a syndrome of symptoms such as flu-like symptoms, tingling or numbness of the hands and feet, worsening of respiratory symptoms, and/or rash (Churg-Strauss syndrome) (see section 2);
  • decreased platelet count;
  • changes in behavior and mood: hallucinations, disorientation, suicidal thoughts and attempts;
  • inflammation (inflammation) of the lungs;
  • severe skin reactions (erythema multiforme), which may occur without prior symptoms;
  • hepatitis.

Other side effects reported after montelukast was made available

Very common (may occur in more than 1 in 10 people):

  • upper respiratory tract infection.

Common (may occur in less than 1 in 10 people):

  • diarrhea, nausea, vomiting;
  • rash;
  • fever;
  • increased liver enzyme levels.

Uncommon (may occur in less than 1 in 100 people):

  • changes in behavior and mood: unusual dreams, including nightmares, difficulty sleeping, sleepwalking, irritability, feeling anxious, restlessness;
  • dizziness, drowsiness, tingling and numbness;
  • nosebleeds;
  • dry mouth, indigestion;
  • bruising, itching, hives;
  • muscle or joint pain, muscle spasms;
  • bedwetting in children;
  • weakness and/or fatigue, malaise, swelling.

Rare (may occur in less than 1 in 1,000 people):

  • changes in behavior and mood: attention disorders, memory disorders, uncontrolled muscle movements.

Very rare (may occur in less than 1 in 10,000 people):

  • painful, red, subcutaneous nodules, most commonly occurring on the shins (erythema nodosum);
  • changes in behavior and mood: obsessive-compulsive symptoms, stuttering.

Reporting side effects

If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +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 this medicine.

5. How to store Montelukast LEK-AM

Keep this medicine out of the sight and reach of children.
Store in the original packaging to protect from light and moisture.
Do not use this medicine after the expiry date stated on the carton and blister after EXP.
The expiry date refers to the last day of the month.
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 Montelukast LEK-AM contains

  • The active substance is montelukast. Each chewable tablet contains 4 mg of montelukast in the form of montelukast sodium.
  • The other ingredients are: mannitol, microcrystalline cellulose, hydroxypropylcellulose, sodium croscarmellose, raspberry flavor, aspartame, and magnesium stearate.

What Montelukast LEK-AM looks like and contents of the pack

Montelukast LEK-AM 4 mg chewable tablets are white or almost white, round, 8 mm in diameter, biconvex, and uncoated.
The tablets are packaged in OPA/Aluminum/PVC/Aluminum blisters, and then in a cardboard box. The pack contains 28 tablets (2 blisters of 14 tablets).

Marketing authorization holder and manufacturer

LEK-AM Pharmaceutical Company Ltd.
Ostrzykowizna 14A
05-170 Zakroczym
Poland
Phone: +48 22 785 27 60
Fax: +48 22 785 27 60 ext. 106

Date of last revision of the leaflet:

Alternatives to Montelukast Lek-am in other countries

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

Alternative to Montelukast Lek-am 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
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Dosage form: TABLET, 10 mg
Active substance: montelukast
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Dosage form: CHEWABLE TABLET, 5 mg
Active substance: montelukast
Prescription required
Dosage form: CHEWABLE TABLET, 4 mg
Active substance: montelukast
Prescription required

Alternative to Montelukast Lek-am 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
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Online doctors for Montelukast Lek-am

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Montelukast Lek-am – subject to medical assessment and local rules.

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Doctor

Alina Tsurkan

Family medicine12 years of experience

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

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • 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:

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  • Post-COVID-19 cardiac monitoring and care.
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  • 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:
  • 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 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.

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  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • 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.

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  • 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.
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  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
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  • Structured support for undiagnosed complaints.
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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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  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Doctor

Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

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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€59
January 809:00
January 809:30
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