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Neosine

Neosine

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Doctor

Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

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
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • 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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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 Neosine

Package Leaflet: Information for the Patient

Neosine, 250 mg/5 ml, Syrup

Inosine Pranobex

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, You May Need to Read it Again.
  • If You Need Advice or Further Information, Consult a 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 or You Feel Worse after 5 to 14 Days, Contact Your Doctor.

Table of Contents of the Leaflet

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

1. What is Neosine and What is it Used for

Neosine is an Antiviral and Immune System Enhancer (it Stimulates the Activity of the Immune System).
Neosine Contains the Active Substance Inosine Pranobex, which Inhibits the Growth of Pathogenic Viruses for Humans, Including the HerpesGroup In Vitro.

Indications for Use of Neosine

Supportively in Patients with Reduced Immunity, in Case of Recurring Upper Respiratory Tract Infections.
In the Treatment of Herpes Labialis and Facial Skin Caused by the Herpes Simplex Virus. Neosine Should Only be Used in Patients who have Previously been Diagnosed with Herpes Simplex Infection.
If There is no Improvement or You Feel Worse after 5 to 14 Days, Consult Your Doctor.

2. Important Information Before Taking Neosine

When Not to Take Neosine

  • If You are Allergic to the Active Substance (Inosine Pranobex) or any of the Other Ingredients of this Medication (Listed in Section 6). Symptoms of an Allergic Reaction may Include: Skin Rash, Itching, Difficulty Breathing, Swelling of the Face, Lips, Throat or Tongue.
  • If You Currently have an Acute Gout Attack (Severe Joint Pain with Swelling and Redness of the Skin or Exudation in the Large Joints) or Tests have Shown Increased Uric Acid Levels in the Blood.

Warnings and Precautions

Before Starting to Take Neosine, Discuss it with Your Doctor or Pharmacist:

  • If You have had Gout Attacks or Increased Uric Acid Levels - the Medication may Cause Transient Increased Uric Acid Levels in the Blood and Urine;
  • If You have had Kidney Stones;
  • If You have Kidney Function Disorders - During Neosine Treatment, Your Doctor will Regularly Check Your Blood and Monitor Kidney Function;
  • If the Treatment is Long-term (Lasts 3 Months or Longer), Your Doctor will Prescribe Regular Blood Tests and Kidney and Liver Function Checks.

Children

Do not Use the Medication in Children Under 1 Year of Age.

Neosine and Other Medications

Tell Your Doctor or Pharmacist About all Medications You are Currently Taking or have Recently Taken, as well as any Medications You Plan to Take.

Particularly Tell Your Doctor if You are Taking:

  • Medications for the Treatment of Gout (e.g., Allopurinol or Other Xanthine Oxidase Inhibitors);
  • Medications that Increase Uric Acid Excretion, Including Diuretics (that Increase Urine Production), e.g., Furosemide, Torasemide, Etacrynic Acid, Hydrochlorothiazide, Chlortalidone, Indapamide;
  • Medications that Suppress the Immune System (So-called Immunosuppressive Medications, Used in Patients After Organ Transplantation or with Atopic Dermatitis);
  • Azidothymidine (a Medication Used to Treat AIDS).

Pregnancy and Breastfeeding

If You are Pregnant or Breastfeeding, Think You may be Pregnant or are Planning to have a Child, Consult Your Doctor or Pharmacist Before Using this Medication.
Do not Take Neosine During Pregnancy and Breastfeeding Without Consulting Your Doctor, who will Assess whether the Benefits of Using the Medication for the Mother Outweigh the Risk to the Child.

Driving and Operating Machines

The Medication may Affect Your Ability to Drive and Operate Machines.
If You Experience Headache, Dizziness or Drowsiness, Do not Drive, Operate Machines or Perform Other Activities that Require Concentration. See also Section 4.

Neosine Contains Sucrose, Methyl Parahydroxybenzoate (E 218), Propyl Parahydroxybenzoate, Propylene Glycol (E 1520) and Sodium

The Medication Contains Sugar Sucrose

If You have Previously been Diagnosed with Intolerance to Some Sugars, Consult Your Doctor Before Taking the Medication.
The Medication Contains 3315 mg of Sucrose in 5 ml of Syrup. This Should be Taken into Account in Patients with Diabetes.

Methyl Parahydroxybenzoate (E 218) and Propyl Parahydroxybenzoate

The Medication may Cause Allergic Reactions (Possible Late-type Reactions).

Propylene Glycol (E 1520) and as a Component of Banana Flavor AR2876

The Medication Contains 512 mg of Propylene Glycol in 5 ml of Syrup.
Before Administering the Medication to a Child Under 5 Years of Age, Consult a Doctor or Pharmacist, Especially if the Child is Taking Other Medications Containing Propylene Glycol or Alcohol.
Pregnant or Breastfeeding Women Should not Take this Medication Without a Doctor's Recommendation.
The Doctor may Decide to Perform Additional Tests on such Patients.
Patients with Liver or Kidney Function Disorders Should not Take this Medication Without a Doctor's Recommendation. The Doctor may Decide to Perform Additional Tests on such Patients.

Sodium

The Medication Contains 10.3 mg in 5 ml of Syrup.
The Medication Contains 41.2 mg of Sodium (the Main Component of Table Salt) in 20 ml of Syrup. This Corresponds to 2.06% of the Maximum Recommended Daily Intake of Sodium in the Diet for Adults.

3. How to Take Neosine

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 a Doctor or Pharmacist.
The Medication Should be Taken Orally.

Recommended Dose

Adults, Including the Elderly (Over 65 Years):
Usually 20 ml of Syrup 3 or 4 Times a Day (1 ml of Syrup per kg of Body Weight per Day).
The Maximum Dose is 4 g of Inosine Pranobex (i.e., 80 ml of Syrup) per Day.
Children Over 1 Year of Age:
1 ml of Syrup per kg of Body Weight per Day. The Medication Should be Administered 3 Times a Day, According to the Following Table:

Child's Body Weight

Dose (ml of Syrup)

Administer 3 Times a Day

10 to 14 kg
5 ml
15 to 20 kg
5 to 7.5 ml
21 to 30 kg
7.5 to 10 ml
31 to 40 kg
10 to 15 ml
41 to 50 kg
15 to 17.5 ml
For Dosage, Use the Measuring Cup Provided with the Medication Package. This Allows for Accurate Measurement of the Dose.

Duration of Treatment

Treatment Usually Lasts from 5 to 14 Days. It is Recommended to Continue Taking the Medication for 1 to 2 Days After the Symptoms of the Disease have Disappeared.

Taking a Higher Dose of Neosine than Recommended

There are no Data on Overdose of Neosine.
In Case of any Doubts or Poor Health, Contact a Doctor Immediately.

Missing a Dose of Neosine

If You Miss a Dose, Take it as Soon as Possible and Continue Treatment. Do not Take a Double Dose to Make up for the Missed Dose.
In Case of any Further Doubts Related to the Use of this Medication, Consult a Doctor or Pharmacist.

4. Possible Side Effects

Like all Medications, this Medication can Cause Side Effects, Although not Everybody gets them.

The Following Side Effects may Occur

Frequent(in 1 to 10 out of 100 Patients):

  • Transient Increase in Uric Acid Levels in the Blood and Urine;
  • Increased Activity of Liver Enzymes or Urea Nitrogen Levels in the Blood;
  • Nausea with or Without Vomiting;
  • Abdominal Pain;
  • Itching, Skin Rash;
  • Headache or Dizziness;
  • Fatigue, Poor Health;
  • Joint Pain.

Uncommon(Occurring in 1 to 10 out of 1,000 Patients):

  • Diarrhea;
  • Constipation;
  • Nervousness;
  • Drowsiness or Difficulty Falling Asleep (Insomnia);
  • Increased Urine Production (Polyuria).

Reporting Side Effects

If You Experience any Side Effects, Including those not Listed in this Leaflet, Tell Your Doctor or Pharmacist, or Nurse. Side Effects can be Reported Directly to the Department of Drug Safety Monitoring of the 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 to Gather more Information on the Safety of the Medication.

5. How to Store Neosine

Store the Medication in a Place that is Inaccessible to Children.
Do not Use After the Expiration Date Stated on the Label and Carton. The Expiration Date is the Last Day of the Specified Month.
Store at a Temperature Below 25°C. Do not Store in the Refrigerator. Do not Freeze.
Medications Should not be Disposed of in Sewers or Household Waste Containers. Ask a Pharmacist how to Dispose of Unused Medications. This will Help Protect the Environment.

6. Contents of the Pack and Other Information

What Neosine Contains

  • The Active Substance of the Medication is Inosine Pranobex (a Complex Containing Inosine and 4-Acetamidobenzoic Acid 2-Hydroxypropyldimethylammonium in a Molar Ratio of 1:3). 1 ml of Syrup Contains 50 mg of Inosine Pranobex. 5 ml of Syrup Contains 250 mg of Inosine Pranobex.
  • Other Ingredients are: Methyl Parahydroxybenzoate (E 218), Propyl Parahydroxybenzoate, Sucrose, Citric Acid, Sodium Hydroxide, Propylene Glycol (E 1520), Banana Flavor AR2876 [Contains, Among Others, 1.2 g of Propylene Glycol (E 1520), Eugenol, Geraniol, Linalol, Citronellol, Limonene], Purified Water.

What Neosine Looks Like and What the Pack Contains

Neosine is a Syrup with a Banana Flavor and a Slightly Bitter Taste.
The Product Package is: a Brown Glass Bottle Containing 150 ml of Syrup, Closed with a White Aluminum Cap with a Provided Measuring Cup Made of Polypropylene with a Capacity of 15 ml (with a Scale Allowing for Dosage of the Product in Volumes of 2.5 ml and Multiples of this Volume), in a Cardboard Box.

Marketing Authorization Holder

Aflofarm Farmacja Polska Sp. z o.o.
ul. Partyzancka 133/151
95-200 Pabianice
Phone: (42) 22-53-100

Manufacturer

Aflofarm Farmacja Polska Sp. z o.o.
ul. Krzywa 2
95-030 Rzgów

Date of the Last Update of the Leaflet:

Alternatives to Neosine in other countries

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

Alternative to Neosine in Ukraine

Dosage form: syrup, 50 mg/ml, 120 ml in a bottle
Active substance: inosine pranobex
Prescription required
Dosage form: tablets, tablets 1000mg
Active substance: inosine pranobex
Prescription required
Dosage form: tablets, tablets 500mg
Active substance: inosine pranobex
Prescription not required
Dosage form: tablets, tablets 500mg
Active substance: inosine pranobex
Prescription required
Dosage form: tablets, tablets 1000mg
Active substance: inosine pranobex
Prescription required
Dosage form: syrup, 250mg/5ml in 150ml bottle
Active substance: inosine pranobex
Prescription required

Alternative to Neosine in Spain

Dosage form: INJECTABLE, 464 mg
Active substance: lenacapavir
Prescription required
Dosage form: TABLET, 300 mg
Active substance: lenacapavir
Prescription required
Dosage form: TABLET, 300 mg
Active substance: maraviroc
Manufacturer: Tarbis Farma S.L.
Prescription required
Dosage form: TABLET, 150 mg
Active substance: maraviroc
Manufacturer: Tarbis Farma S.L.
Prescription required
Dosage form: TABLET, 200 mg
Active substance: maribavir
Prescription required
Dosage form: INJECTABLE, 2 mg
Active substance: bulevirtide
Prescription required

Online doctors for Neosine

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

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Jonathan Marshall Ben Ami

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Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Hocine Lokchiri

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Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

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
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • 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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  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
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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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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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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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You can consult Dr. Ben Harbi for:

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  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
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  • 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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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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  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
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With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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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.
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  • 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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