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Prefemin Pms

Prefemin Pms

Ask a doctor about a prescription for Prefemin Pms

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Doctor

Daria Portnova

Psychiatry31 years of experience

Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations.

In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life.

Patients consult Dr Daria Portnova for the following concerns:

  • existential crises and complex life situations;
  • loss, grief, and emotional exhaustion;
  • relationship difficulties, separation, and divorce;
  • psychological and psychiatric trauma, including complex PTSD (cPTSD);
  • anxiety disorders: generalised anxiety disorder and panic disorder;
  • social anxiety and social phobia;
  • obsessive-compulsive disorder (OCD);
  • sleep disorders;
  • depressive disorders;
  • bipolar affective disorder;
  • schizoaffective disorder;
  • schizophrenia;
  • personality disorders.
Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.
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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 Prefemin Pms

PATIENT INFORMATION LEAFLET

Leaflet attached to the packaging: patient information

Prefemin PMS, 20 mg, coated tablets
( Agni casti fructus extractum siccum)

Read the leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in the patient leaflet or according to the pharmacist's instructions.

  • Keep this leaflet, so you can read it again if you need to.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform their doctor or pharmacist. See section 4.
  • If after 3 months there is no improvement or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet:

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

1. What is Prefemin PMS and what is it used for

Prefemin PMS, coated tablets, contain an extract of chasteberry ( Vitex agnus-castus L. fructus), which reduces the severity of premenstrual symptoms (so-called premenstrual syndrome) in women.
Symptoms of premenstrual syndrome most often occur in the form of: headache, skin changes, feeling of tension and swelling in the breasts, gastrointestinal disorders, mood changes, irritability, and nervous tension. These symptoms appear in the period up to two weeks before menstruation.

Indications

Prefemin PMS is a herbal medicine for the treatment of premenstrual syndrome.

2. Important information before taking Prefemin PMS

When not to take Prefemin PMS

  • if the patient is hypersensitive (allergic) to chasteberry ( Vitex agnus-castus L. fructus) or to any of the excipients of the medicine (listed in section 6).

Warnings and precautions

Consult a doctor

  • if the patient has or has had an estrogen-dependent malignant tumor;
  • if the patient is taking dopamine agonists (e.g., some medicines used in Parkinson's disease), dopamine antagonists (some medicines used in schizophrenia, bipolar affective disorders, nausea, or vomiting), estrogens (e.g., used in hormone replacement therapy), and anti-estrogens (e.g., some medicines used in breast cancer treatment);
  • if symptoms worsen during the use of the medicinal product;
  • if the patient has a history of pituitary disorders;
  • if the patient has prolactin-secreting pituitary tumors, as the consumption of chasteberry ( Vitex agnus-castusL., fructus) may mask the symptoms of the tumor.

Children and adolescents

The safety of the medicinal product in children and adolescents under 18 years of age has not been established due to the lack of appropriate data.

Prefemin PMS and other medicines

It cannot be ruled out that the extract of chasteberry ( Vitex agnus-castusL., fructus) interacts with dopamine agonists (e.g., some medicines used in Parkinson's disease), dopamine antagonists (some medicines used in schizophrenia, bipolar affective disorders, nausea, or vomiting), estrogens (e.g., used in hormone replacement therapy), and anti-estrogens (e.g., some medicines used in breast cancer treatment).
Tell your doctor or pharmacist about all medicines you are taking or have recently taken, as well as any medicines you plan to take.

Pregnancy and breastfeeding

There are no indications for use in pregnant women.
Based on reproductive studies, extracts of chasteberry may affect lactation. It is not recommended to use during breastfeeding.
If you are pregnant, breastfeeding, think you may be pregnant, or plan to have a child, consult your doctor or pharmacist before taking this medicine.

Driving and using machines

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

Prefemin PMS contains lactose

If you have been told by your doctor that you have an intolerance to some sugars, consult your doctor before taking this medicinal product.

3. How to take Prefemin PMS

This medicine should always be taken exactly as described in this leaflet or according to the doctor's or pharmacist's instructions. In case of doubt, consult a doctor or pharmacist.
Recommended dose:
Adult women: 1 coated tablet per day.
Method of administration:
For oral use. The coated tablet should be swallowed with water, regardless of meals, preferably at the same time, e.g., after waking up or before going to bed.
Duration of therapy:
To achieve the optimal treatment effect, it is recommended to continue taking the medicine for 3 months (also during menstruation). If symptoms persist after uninterrupted use for more than three months, consult a doctor or qualified healthcare professional.
Children and adolescents:
There is no appropriate indication for use in children before puberty.
It is not recommended to use in children and adolescents under 18 years of age due to the lack of sufficient data (see "Warnings and precautions").

Taking a higher dose of Prefemin PMS than recommended

There are no known cases of overdose. A patient who has taken a higher dose of the medicine than recommended should inform their doctor. The doctor will decide on the necessary measures.

Missing a dose of Prefemin PMS

In case of a missed dose, the next dose should be taken at the usual time, according to the dosing schedule. Do not take a double dose to make up for the missed dose.

4. Possible side effects

Like all medicines, Prefemin PMS can cause side effects, although not everybody gets them.
Severe allergic reactions with facial swelling, shortness of breath, and difficulty swallowing have been reported. Skin reactions (allergic) (e.g., rash, hives), headaches, dizziness, gastrointestinal disorders (such as nausea, abdominal pain), acne, and menstrual disorders may occur. The frequency is not known.
In individual cases, the symptoms of premenstrual syndrome may worsen at the beginning of Prefemin PMS treatment.
After the first signs of hypersensitivity/allergic reaction appear, do not take Prefemin PMS again.
If other side effects not mentioned above occur, consult a doctor or pharmacist.
Reporting side effects
If you experience any side effects, including any side effects not listed in the leaflet, tell your doctor or pharmacist, or nurse. Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: 22 49-21-301, fax: 22 49-21-309, website: https://smz.ezdrowie.gov.pl.
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of the medicine.

5. How to store Prefemin PMS

Keep out of the reach and sight of children.
Store in a temperature not exceeding 25°C, in a dry place.
Do not use the medicine after the expiry date stated on the packaging.

6. Package contents and other information

What Prefemin PMS contains

The active substances of the medicine are: Agni casti fructus extractum siccum
Other ingredients of the medicine are: microcrystalline cellulose, lactose monohydrate, magnesium stearate, colloidal silicon dioxide.
Coating composition: Macrogol 400, Macrogol 20 000, propylene glycol; white coating suspension: hypromellose, titanium dioxide (E 171), Macrogol 400.

What Prefemin PMS looks like and what the pack contains

Prefemin PMS is available in packs of 30 or 90. One blister pack of PVC/PVDC/Al contains 30 tablets.
Not all pack sizes may be marketed.

Marketing authorization holder:

Sirowa Poland Sp. z o.o.
ul. Poselska 11
03-931 Warsaw
Poland
Importer:
PHOENIX Pharma Polska Sp. z o.o.
ul. Rajdowa 9, Konotopa
05-850 Ożarów Mazowiecki
Poland
Logo of marketing authorization holder

Date of last revision of the leaflet: 09.2022

  • Country of registration
  • Prescription required
    No
  • Importer
    PHOENIX Pharma Polska Sp. z o.o.
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Alternatives to Prefemin Pms in other countries

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

Alternative to Prefemin Pms in Spain

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Prescription required

Online doctors for Prefemin Pms

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

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Doctor

Katia Benko

Pediatrics10 years of experience

Dr Katia Benko is a paediatrician with over 9 years of clinical experience and international training. She completed her medical education and residency in Argentina and is fully licensed to practise in Spain. Her work spans newborns, children and adolescents, with a focus on whole-person care that integrates physical, emotional and developmental health.

Areas of expertise:

  • online consultations for newborns, children and teens
  • evaluation and treatment of acute symptoms: fever, cough, infections, bronchiolitis, earache, etc.
  • long-term care for chronic paediatric conditions
  • preventive care at every stage of growth and development
  • child wellness visits and routine health check-ups
  • vaccination guidance according to standard and special schedules
  • assessment of neurodevelopment in infants and toddlers
  • feeding concerns: picky eating, food refusal, healthy habits, eating disorders
  • parental support in everyday health, emotional wellbeing and prevention
  • guidance for teenagers on healthy habits, self-care and risk prevention
Dr Benko sees paediatrics as a space for partnership with families – not only to treat illness, but to guide each child’s health journey with clarity, empathy and trust. Her goal is for every family to feel supported in making confident, informed decisions for their child’s wellbeing.
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Doctor

Daria Portnova

Psychiatry31 years of experience

Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations.

In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life.

Patients consult Dr Daria Portnova for the following concerns:

  • existential crises and complex life situations;
  • loss, grief, and emotional exhaustion;
  • relationship difficulties, separation, and divorce;
  • psychological and psychiatric trauma, including complex PTSD (cPTSD);
  • anxiety disorders: generalised anxiety disorder and panic disorder;
  • social anxiety and social phobia;
  • obsessive-compulsive disorder (OCD);
  • sleep disorders;
  • depressive disorders;
  • bipolar affective disorder;
  • schizoaffective disorder;
  • schizophrenia;
  • personality disorders.
Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.
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Dmytro Horobets

Family medicine7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • 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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General medicine9 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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Marianna Neshta

Endocrinology25 years of experience

Marianna Neshta is a medical doctor specialising in endocrinology and ultrasound diagnostics. She provides online consultations for adults, focusing on the diagnosis, treatment, and long-term management of endocrine disorders. Her approach includes personalised care plans, analysis of lab results and ultrasound scans, and evidence-based treatment.

Key areas of expertise:

  • Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
  • Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
  • Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
  • Male hypogonadism – age-related or hormonal, including diagnostics and therapy
  • Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
  • Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism
Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.
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Khrystyna Habrykevych

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Common reasons for consultation include:

  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
  • bloating, excessive gas, nausea or vomiting
  • diarrhoea, constipation, difficulty passing stool
  • unexplained changes in weight or appetite
  • concern about gut health or long-term digestive issues
  • changes in lab results, questions about test interpretation
  • digestive system cancer screening and prevention
  • general digestive check-ups and health assessments
Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
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Dr. Nalkin offers consultations and treatment for:

  • Neurological disorders including migraines, tension headaches, and peripheral neuropathies.
  • Rehabilitation after stroke, brain injury, and spinal cord trauma.
  • Chronic pain syndromes and musculoskeletal dysfunctions.
  • Sports-related injuries: prevention, treatment, and recovery planning.
  • Coordination and movement disorders affecting mobility and balance.
  • Custom rehabilitation programmes for neurological and orthopedic conditions.

With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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Liudmyla Boichuk

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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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Svetlana Kolomeeva

Cardiology18 years of experience

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Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Alexander Nazarchuk

Allergology7 years of experience

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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