NORMOSAN 22.02-29.79 mg Herbs

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Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
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 Normosan fix

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
  2. NORMOSAN fix
  3. 02-29.79 mg of anthraquinone derivatives calculated as glucofrangulin A per sachet,
    1. Read the package leaflet carefully before taking the medicine, as it contains
    2. Table of Contents of the Package Leaflet
  4. What is Normosan fix and what is it used for
  5. Important information before taking Normosan fix
    1. When not to take Normosan fix
    2. Warnings and precautions
    3. Children
    4. Normosan fix and other medicines
    5. Pregnancy and breastfeeding
    6. Driving and using machines
  6. How to take Normosan fix
    1. Adolescents over 12 years of age, adults, elderly patients
    2. Taking a higher dose of Normosan fix than recommended
    3. Missing a dose of Normosan fix
    4. Stopping Normosan fix treatment
  7. Possible side effects
    1. Reporting side effects
  8. How to store Normosan fix
  9. Package contents and other information
    1. What Normosan fix contains
    2. What Normosan fix looks like and what the package contains
    3. Marketing authorization holder
    4. Manufacturer
    5. Date of the last update of the package leaflet:

Package Leaflet: Information for the Patient

NORMOSAN fix

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

22.02-29.79 mg of anthraquinone derivatives calculated as glucofrangulin A per sachet,

herbal infusion in sachets

Read the package leaflet carefully before taking the medicine, as it contains

important information for the patient.
This medicine should always be taken exactly as described in this package leaflet or as directed by a doctor or pharmacist.

  • This package leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including any not listed in this package leaflet, the doctor or pharmacist should be informed. See section 4.
  • If there is no improvement or the patient feels worse, a doctor should be consulted.

Table of Contents of the Package Leaflet

  • 1. What is Normosan fix and what is it used for
  • 2. Important information before taking Normosan fix
  • 3. How to take Normosan fix
  • 4. Possible side effects
  • 5. How to store Normosan fix
  • 6. Package contents and other information

1. What is Normosan fix and what is it used for

The infusion of the mixture is used as a herbal medicinal product with a laxative effect, intended for short-term use in occasional constipation.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

2. Important information before taking Normosan fix

When not to take Normosan fix

  • if the patient is allergic to senna, senes, menthol, or plants of the Apiaceae family (formerly Umbelliferae) (anise, caraway, celery, coriander, and dill), birch, or common wormwood;
  • if the patient has intestinal obstruction and narrowing, atony (stagnation) of the intestines, appendicitis, inflammatory bowel diseases (e.g., Crohn's disease, ulcerative colitis), abdominal pain of unknown origin, severe dehydration with water and electrolyte deficiency;
  • in pregnancy and during breastfeeding;
  • in children under 12 years of age.

Warnings and precautions

Before starting to take Normosan fix, the doctor or pharmacist should be consulted.

  • Prolonged use of laxatives should be avoided. Taking the medicine for more than 7 days may lead to intestinal function disorders and dependence.
  • In case of daily need for laxatives, the cause of constipation should be consulted with a doctor.
  • This medicine should only be used when constipation does not improve despite dietary changes and the use of stool softeners.
  • Patients taking cardiac glycosides, antiarrhythmic drugs, drugs that prolong the QT interval, diuretics, adrenocorticosteroids, or products containing licorice root should consult a doctor before starting to take the medicine.
  • The medicine should not be used in patients with fecal impaction, undiagnosed, acute, or persistent gastrointestinal symptoms, such as abdominal pain, nausea, and vomiting, unless otherwise directed by a doctor.
  • In patients with renal function disorders, taking the medicine may cause electrolyte balance disorders.
  • The use of the medicine is not recommended in patients with a deficiency or lack of gastric acid, liver disease, gallstones, bile duct inflammation, and other bile duct diseases.
  • Patients with gastroesophageal reflux (heartburn) should avoid taking the medicine due to the possibility of worsening heartburn. Patients with gallstones and other bile duct diseases should exercise particular caution when using peppermint leaf preparations.
  • In case of using senna bark and senna leaf in patients with fecal incontinence, clothing or personal hygiene products should be changed more frequently to limit skin contact with feces. If symptoms worsen during treatment, a doctor or pharmacist should be consulted.

Children

Not to be used in children under 12 years of age.

Normosan fix and other medicines

The doctor or pharmacist should be informed about all medicines currently or recently taken by the patient, as well as any planned to be taken.
Prolonged use of the medicine may cause excessive potassium loss (hypokalemia) and lead to increased effects of cardiac glycosides and interactions with antiarrhythmic drugs. Concurrent use with diuretics, adrenocorticosteroids, and products containing licorice root may increase potassium loss.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks she may be pregnant, or plans to have a child, she should consult a doctor or pharmacist before taking this medicine.
The use of the medicine in pregnant and breastfeeding women is contraindicated.
There are no data on the effect on fertility.

Driving and using machines

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

3. How to take Normosan fix

This medicine should always be taken exactly as described in the package leaflet or as directed by a doctor or pharmacist. In case of doubts, a doctor or pharmacist should be consulted.
The maximum daily dose of hydroxyanthracene glycosides is 30 mg. This is equivalent to 1 sachet of the medicine.
The appropriate individual dose is the lowest dose necessary to achieve a soft stool.

Adolescents over 12 years of age, adults, elderly patients

Single dose:
1 sachet should be poured with 1 cup of boiling water (about 250 ml) and infused under a cover for about 15 minutes.
Before going to bed, ⅔ to the whole of the prepared infusion should be taken at once. The infusion should always be taken freshly prepared. The laxative effect occurs on average after 8-12 hours.
Duration of use
The medicine should not be taken for more than 1 week. Usually, it is enough to take the medicine 2-3 times a week.
Method of administration
Oral use.
If symptoms persist during treatment, a doctor or pharmacist should be consulted.

The main symptoms of overdose or abuse are severe abdominal pain and severe diarrhea leading to fluid and electrolyte loss. In case of taking a higher dose of the medicine than recommended, a doctor should be consulted immediately. The doctor will recommend appropriate treatment (supportive treatment with intensive hydration, monitoring of electrolyte levels, especially potassium). This is especially important in elderly patients.
Prolonged use of high doses of anthranoid-containing medicines may lead to the development of toxic hepatitis.

Missing a dose of Normosan fix

A double dose should not be taken to make up for a missed dose.

Stopping Normosan fix treatment

In case of any further doubts about the use of this medicine, a doctor or pharmacist should be consulted.

4. Possible side effects

Like all medicines, Normosan fix can cause side effects, although not everybody gets them.
Allergic reactions may occur: itching, hives, local or generalized rash. Senna bark and senna leaf may cause abdominal pain and cramps, as well as watery stools, especially in patients with irritable bowel syndrome. These symptoms are often the result of overdose and, in such cases, the dose should be reduced.
In patients with gastroesophageal reflux, the condition may worsen, and heartburn may increase.
Prolonged use of the medicine may cause reversible pigmentation changes in the colon mucosa (pseudomelanosis coli).
Prolonged use may lead to water and electrolyte balance disorders and may result in the development of proteinuria and hematuria.
During treatment, urine color may change to yellow or reddish-brown (depending on urine pH), but this symptom has no clinical significance.
The frequency of side effects is unknown (cannot be determined based on available data).

Reporting side effects

If any side effects occur, including any not listed in this package leaflet, the doctor or pharmacist should be informed. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products 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 gather more information on the safety of the medicine.

5. How to store Normosan fix

Store in closed containers, at a temperature not exceeding 25°C. Protect from light, moisture, and the influence of foreign odors.
The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiration date. The expiration date is the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste. A pharmacist should be asked how to dispose of unused medicines. This will help protect the environment.

6. Package contents and other information

What Normosan fix contains

Each sachet contains: 0.230-0.330 g of Rhamnus frangula L. (Frangula alnus Miller) cortex (senna bark), 0.110-0.200 g of Cassia senna L. (C. acutifolia Delile) or Cassia angustifolia Vahl, foliolum (senna leaf), 0.490 g of Carum carvi L., fructus (caraway fruit), 0.142-0.332 g of Sambucus nigra L., fructus (elderberry fruit), 0.238 g of Mentha x piperita L., folium (peppermint leaf).
Each 1.4 g sachet contains 22.02-29.79 mg of anthraquinone derivatives calculated as glucofrangulin A.

What Normosan fix looks like and what the package contains

Sachets of thermosealing filter fabric in a cardboard box coated with foil.
Package contents: 20 or 40 sachets of 1.4 g each.

Marketing authorization holder

Zakłady Farmaceutyczne POLPHARMA S.A.
ul. Pelplińska 19, 83-200 Starogard Gdański

Manufacturer

Herbapol-Lublin S.A.
ul. Diamentowa 25, 20-471 Lublin

Date of the last update of the package leaflet:

  • Normosan fix
  • Country of registration
  • Dosage form
    Herbs, 22.02-29.79 mg anthraquinone derivatives expressed as glucofrangulin A/sachet
  • Prescription required
    No
  • Manufacturer
  • Importer
    Herbapol - Lublin S.A.
  • Alternatives to Normosan fix
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    Prescription not required
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    Active substance: bisacodyl
    Prescription not required
    Dosage form: Tablets, 5 mg
    Active substance: bisacodyl
    Prescription not required

Online doctors for Normosan fix

Discuss questions about Normosan fix, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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.

Book a video appointment
€72
Doctor
5.0(22)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

Book a video appointment
€156
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75

Get Normosan fix Prescription Online

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Frequently Asked Questions

Is a prescription required for Normosan fix?

Normosan fix does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

Who manufactures Normosan fix?

Normosan fix is manufactured by Herbapol - Lublin S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Normosan fix online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Normosan fix is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Normosan fix in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Normosan fix in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Normosan fix?

Other medicines with the same active substance () include Aurogo, Bisacodil Vp, Bisacodil Vp. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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