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.

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.

How to use Pelogel

1. What is Pelogel and what is it used for?

Pelogel contains a thickened aqueous peat extract and peppermint oil in its composition. The gel is used as supplementary dental treatment after prior removal of dental tartar.
The biologically active components of peat, mainly humic acids (humic and fulvic acids), exhibit anti-inflammatory effects in diseases of the oral mucosa and periodontal tissues. Additionally, these acids have a tightening effect on the mucous membrane.
The application of gum massage combined with rubbing in the peat extract improves microcirculation in pathologically altered tissues, which facilitates the absorption of effusions and infiltrates in inflammatory foci.

Indications for use:

Pelogel is used as an auxiliary treatment in:

periodontal disease (paradontosis),
gingivitis. The gel can be used after basic treatment by a dentist.

2. Important information before using Pelogel

When not to use Pelogel:

if the patient is allergic to the active substance or any of the other components of this medicine (listed in section 6),
in acute inflammatory conditions of the periodontal tissues, gums, and oral cavity.

Warnings and precautions

Before starting to use Pelogel, it is necessary to discuss it with a dentist or pharmacist. It is also recommended to remove dental tartar.
If there is no improvement after 10-15 days or the patient feels worse, they should consult a doctor.

Children

There is no data on the safety of using the medicine in this age group. Therefore, it is not recommended to use the medicine in children.

Pelogel and other medicines

The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before using this medicine.

Driving and using machines

Pelogel does not affect the ability to drive or operate machines.

3. How to use Pelogel?

This medicine should always be used exactly as described in the patient leaflet, or
according to the doctor's or pharmacist's instructions. In case of doubts, the patient should consult their doctor or pharmacist.
Adults: the single dose is approximately 2.5g (1/2 teaspoon). Using a soft toothbrush or fingertip, massage the gums with the gel for about 1 minute (2-3 times a day).
After applying the preparation, the patient should not eat or drink for about 1/2 hour. The treatment should be used for about 2-3 weeks.

In case of using a larger dose of the medicine than recommended

There are no known symptoms of overdose.

In case of missing a dose of Pelogel

The patient should use the next dose of the gel, and not use a double dose to make up for the missed dose.

4. Possible side effects

No side effects or exacerbations of disease symptoms have been reported. If any side effects occur, the patient should stop using the medicine and inform their doctor.

Reporting side effects.

If any side effects occur, including any possible side effects not listed in the leaflet, the patient should inform their doctor or pharmacist. 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 181 C
02-222 Warsaw
tel.: + 48 22 49 21 301
fax: + 48 22 49 21 309
e-mail: [email protected]
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 Pelogel

Store in a dry place, in a tightly closed package.
The medicine should be stored in a place inaccessible and invisible to children.
Pelogel should not be used after the expiry date stated on the packaging.
The expiry date means the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste containers. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Package contents and other information

What Pelogel contains

Active substanceof the medicine is aqueous peat extract.
Excipientsare: glycerol 85%, peppermint oil, ethyl parahydroxybenzoate, ethanol 96%, purified water, methylcellulose

What Pelogel looks like and what the package contains

An aluminum tube containing 40g of Pelogel, placed in a cardboard box with an informational leaflet.

Marketing authorization holder

Pharmaceutical Enterprise Sulphur Zdrój Exim sp. z o.o.
28-100 Busko-Zdrój, ul. Bohaterów Warszawy 116a
tel/fax 041-378-78-93
e-mail: [email protected]

Manufacturer

Pharmaceutical Enterprise Sulphur Zdrój Exim sp. z o.o.
28-100 Busko-Zdrój, ul. Bohaterów Warszawy 116a
tel/fax 041-378-78-93
e-mail: [email protected]
Date of last update of the leaflet: 07.08.2019

Pelogel

Bogdan Baturichev

Anna Biriukova

Bogdan Baturichev

Anna Biriukova

How to use Pelogel