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Predox

Predox

Ask a doctor about a prescription for Predox

5.0(7)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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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 Predox

Package Leaflet: Information for the Patient

Predox, 50 mg, Coated Tablets

Itopride Hydrochloride

Read the Package Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.

  • Keep this Package Leaflet, as you may Need to Read it Again.
  • In Case of any Doubts, Consult a Doctor or Pharmacist.
  • This Medication has been Prescribed to a Specific Person. Do not Pass it on to Others. The Medication may Harm Another Person, even if their Symptoms are the Same.
  • If the Patient Experiences any Adverse Reactions, including those not Listed in this Package Leaflet, Inform a Doctor or Pharmacist. See Section 4.

Package Leaflet Contents

  • 1. What is Predox and what is it Used for
  • 2. Important Information Before Taking Predox
  • 3. How to Take Predox
  • 4. Possible Adverse Reactions
  • 5. How to Store Predox
  • 6. Package Contents and other Information

1. What is Predox and what is it Used for

Predox belongs to a Group of Medications called Prokinetic Agents. Prokinetic Agents Improve or Stimulate and Enhance the Motility (Movement) of the Gastrointestinal Tract. Administration of these Medications Results in Accelerated Gastric Emptying and Passage of Food through the Small Intestine, as well as Increased Lower Esophageal Sphincter Pressure. Additionally, Predox has Antiemetic Properties.
Predox is Indicated for the Treatment of Symptoms Resulting from Delayed Gastric Emptying, such as Abdominal Bloating, Feeling of Excessive Fullness in the Stomach, Upper Abdominal Pain, Loss of Appetite, Heartburn, Nausea, and Vomiting in Gastrointestinal Disorders that are not Caused by Peptic Ulcer Disease or Organic Disease Affecting the Passage of Food through the Gastrointestinal Tract.
Predox is also Indicated for the Symptomatic Treatment of Gastroesophageal Reflux Disease as Monotherapy or as Add-on Therapy to Proton Pump Inhibitors (Medications that Reduce Stomach Acid Secretion).
Predox is Indicated for Use in Adults.

2. Important Information Before Taking Predox

When not to Take Predox

  • If the Patient is Allergic to Itopride or any other Ingredient of this Medication (Listed in Section 6).
  • If Accelerated Gastric Emptying may be Harmful, e.g., in Patients with Gastrointestinal Bleeding, Mechanical Obstruction, or Perforation of the Gastrointestinal Tract.

Predox is not Indicated for Use in Children and Adolescents under 18 Years of Age, Pregnant Women, and Breastfeeding Women.

Predox and other Medications

Inform a Doctor or Pharmacist about all Medications Currently being Taken or Recently Taken, as well as any Planned Medications.
Predox and other Concurrently Used Medications may Interact with each other.

  • Anticholinergic Medications (Used to Treat Asthma, Chronic Obstructive Pulmonary Disease, Diarrhea, Parkinson's Disease, or to Reduce Smooth Muscle Spasms, e.g., of the Urinary Bladder) may Decrease the Effect of Itopride.
  • Due to the Effect of Itopride on the Gastrointestinal Tract, it may Affect the Absorption of other Medications, especially those with a Narrow Therapeutic Index, Medications with Prolonged Release, or those Released in the Small Intestine.

Predox with Food and Drink

Predox should be Taken before a Meal.

Pregnancy and Breastfeeding

If the Patient is Pregnant, Breastfeeding, or Thinks she may be Pregnant, or is Planning to have a Child, she should Consult a Doctor or Pharmacist before Taking this Medication.
The Safety of Itopride during Pregnancy has not been Established. The Use of Itopride during Pregnancy can only be Considered if the Potential Benefits of Treatment Outweigh the Risks to the Mother and the Fetus.
The Use of this Medication is not Recommended in Breastfeeding Women, due to the Lack of Experience with Itopride during Breastfeeding.

Driving and Operating Machinery

No Effects of the Medication on the Ability to Drive and Operate Machinery have been Observed; however, Impaired Concentration cannot be Ruled out. Dizziness may Occur. If such Symptoms Occur, the Patient should not Drive or Operate Machinery.

Predox contains Lactose

If the Patient has been Diagnosed with Intolerance to some Sugars, the Patient should Consult a Doctor before Taking the Medication.

3. How to Take Predox

This Medication should always be Taken as Directed by a Doctor or Pharmacist. In Case of Doubts, Consult a Doctor or Pharmacist.
For Functional Gastrointestinal Disorders not Associated with Peptic Ulcer Disease, the Recommended Daily Dose for Adults is 1 Tablet Three Times a Day before Meals for up to 8 Weeks.
For Gastroesophageal Reflux Disease, the Recommended Daily Dose for Adults is 1 Tablet Three Times a Day before Meals for up to 6 Weeks when Predox is Used as Monotherapy and up to 12 Weeks when Predox is Used as Add-on Therapy to Proton Pump Inhibitors (PPIs).
The Dose may be Reduced Depending on the Patient's Age and Disease Progression. The Exact Dosage of Predox and the Duration of Treatment will be Determined by a Doctor.

Patients with Liver or Kidney Impairment and Elderly Patients

Patients with Liver or Kidney Impairment, as well as Elderly Patients, will be Closely Monitored by a Doctor. If any Adverse Reactions Occur, the Patient should Consult a Doctor. The Doctor may Recommend a Dose Reduction or Discontinuation of the Medication.

Taking more than the Recommended Dose of Predox

In Case of Taking more than the Recommended Dose of Predox or Accidental Ingestion by a Child, Consult a Doctor or Pharmacist.

Missing a Dose of Predox

In Case of Missing a Dose of Predox, Continue Taking the Medication as Scheduled. Do not Take a Double Dose to Make up for the Missed Dose.

Stopping Predox Treatment

If the Patient Stops Taking Predox too Early, Symptoms may Worsen. Before Stopping the Medication, Consult a Doctor.
In Case of any Further Doubts about the Use of this Medication, Consult a Doctor or Pharmacist.

4. Possible Adverse Reactions

Like all Medications, Predox can Cause Adverse Reactions, although not Everybody gets them.
Stop Taking Predox and Inform a Doctor Immediately:

  • If Swelling of the Hands, Feet, Face, Lips, or Throat Occurs, Causing Difficulty in Swallowing or Breathing. A Rash and Itching may also Occur. These may be Symptoms of an Allergic Reaction.

During Treatment with Predox, the Following Adverse Reactions may Occur:
Uncommon(may Affect up to 1 in 100 People)

  • Diarrhea
  • Constipation
  • Abdominal Pain
  • Excessive Salivation
  • Headache
  • Irritability
  • Sleep Disorders
  • Dizziness
  • Fatigue
  • Chest or Back Pain
  • Increased Prolactin Levels
  • Changes in Blood Test Results (Decreased White Blood Cell Count, Increased Urea and Creatinine Levels)

Rare(may Affect up to 1 in 1,000 People)

  • Skin Rash, Redness, and Itching

Unknown(Frequency cannot be Estimated from the Available Data)

  • Increased Blood Test Values (ASAT, ALAT, GGTP, Alkaline Phosphatase, Bilirubin)
  • Decreased Platelet Count (which may Result in Bruising and Increased Bleeding)
  • Tremors
  • Nausea
  • Jaundice
  • Male Breast Enlargement

If Galactorrhea (Milk Production and Secretion not Associated with Breastfeeding) or Gynecomastia (Male Breast Enlargement) Occurs, Treatment with this Medication should be Discontinued or Stopped.

Reporting Adverse Reactions

If any Adverse Reactions Occur, including those not Listed in this Package Leaflet, Inform a Doctor or Pharmacist. Adverse Reactions can be Reported Directly to the Department of Pharmacovigilance 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
Adverse Reactions can also be Reported to the Marketing Authorization Holder.
Reporting Adverse Reactions will Help Gather more Information on the Safety of the Medication.

5. How to Store Predox

Keep the Medication out of Sight and Reach of Children.
Store in a Temperature below 25°C.
Do not Use this Medication after the Expiration Date Stated on the Packaging.
The Expiration Date refers to the Last Day of the Specified Month.
The Entry on the Packaging after the Abbreviation EXP Indicates the Expiration Date, and after the Abbreviation Lot/LOT Indicates the Batch Number.
Medications should not be Disposed of via Wastewater or Household Waste. Ask a Pharmacist how to Dispose of Unused Medications. This will Help Protect the Environment.

6. Package Contents and other Information

What Predox Contains

  • The Active Substance of the Medication is Itopride Hydrochloride. Each Coated Tablet Contains 50 mg of Itopride Hydrochloride.
  • Other Ingredients are: Lactose Monohydrate, Corn Starch, Carmellose, Magnesium Stearate, Colloidal Silica. Coating: Hypromellose 2910, Macrogol 6000, Talc, Titanium Dioxide (E 171).

What Predox Looks like and what the Packaging Contains

Predox is a White, Round, Biconvex Coated Tablet with a Diameter of 7 mm.
The Packaging Contains 40, 90, or 100 Coated Tablets, Packaged in PVC/PVDC/Aluminum Blisters.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Polpharma S.A.
Pelplińska 19, 83-200 Starogard Gdański
Phone: +48 22 364 61 01

Manufacturer

Medochemie Ltd - Central Factory
1-10 Constantinoupoleos Street, 3011, Limassol, Cyprus

Date of the Last Update of the Package Leaflet:

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Alternative to Predox in Spain

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Online doctors for Predox

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

5.0(7)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
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  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
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  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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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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  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
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  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
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  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
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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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Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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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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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
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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:

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  • eFAST and critical care transthoracic echocardiography
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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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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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