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Relafalk

Relafalk

Ask a doctor about a prescription for Relafalk

5.0(25)
Doctor

Anna Biriukova

General medicine5 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.
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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 Relafalk

Package Leaflet: Information for the Patient

Relafalk, 200 mg, Modified-Release Tablets

Rifamycin Sodium

Read the Package Leaflet Carefully Before Taking the Medicinal Product, as it Contains Important Information for You.

  • Keep this package leaflet. You may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicinal product has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including any not listed in this package leaflet, please inform your doctor or pharmacist. See section 4.

Table of Contents of the Package Leaflet

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

1. What is Relafalk and What is it Used For

Relafalk contains the active substance rifamycin sodium, an antibiotic that acts in the intestines. It is used to treat traveler's diarrhea in adults with accompanying symptoms such as nausea, vomiting, bloating, frequent urge to have a bowel movement, abdominal pain or cramps. Relafalk should not be taken if diarrhea is accompanied by fever or blood in the stool.

2. Important Information Before Taking Relafalk

When Not to Take Relafalk:

  • if you are allergic to rifamycin sodium, similar types of antibiotics, or any of the other ingredients of this medicinal product (listed in section 6);
  • if you have vomiting, abdominal pain, or constipation caused by intestinal obstruction;
  • if you have a perforation, wound, or injury to the gastrointestinal tract;
  • if you have diarrhea with fever or blood in the stool.

Relafalk contains soy lecithin. Do not take if you are hypersensitive to peanuts or soy.

Warnings and Precautions

While taking Relafalk, discuss with your doctor or pharmacist if:

  • symptoms worsen during treatment;
  • no improvement occurs after 3 days;
  • symptoms recur shortly after stopping treatment.

While taking this medicinal product, urine may turn reddish. You should contact your doctor if you experience symptoms such as frequent watery stools, severe abdominal cramps, or blood in the stool. This could be due to an infection (diarrhea caused by the bacterium Clostridium difficile), which requires immediate medical attention.
If you are being treated with a rifamycin antibiotic for a disease caused by mycobacteria (e.g., tuberculosis), you should not take Relafalk.

Children and Adolescents

There is no experience with the use of Relafalk in children and adolescents.
Therefore, this medicinal product should not be given to children and adolescents under 18 years of age.

Relafalk and Other Medicinal Products

Tell your doctor or pharmacist about all medicinal products you are taking or have recently taken, as well as any you plan to take.

  • Do not take Relafalk at the same time as similar types of antibiotics.
  • Tell your doctor if you are taking cyclosporin (an immunosuppressant), warfarin (a blood thinner), or oral contraceptives.
  • If you are taking activated charcoal (e.g., for the treatment of diarrhea), take Relafalk at least 2 hours after taking the charcoal.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicinal product. If you are pregnant or breastfeeding, do not takeRelafalk unless your doctor advises you to do so.

Driving and Using Machines

The effect of Relafalk on the ability to drive and use machines is unlikely to be significant. Do not drive or operate machinery if you experience dizziness or fatigue after taking Relafalk.

Relafalk Contains Sodium

This medicinal product contains less than 1 mmol (23 mg) of sodium per tablet, which is essentially "sodium-free".

3. How to Take Relafalk

Always take this medicinal product exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.

Recommended Daily Dose for Adults Over 18 Years:

  • two tablets in the morning and two tablets in the evening for three days.
  • unless otherwise advised, the duration of treatment should notexceed three days. If no improvement occurs after three days, contact your doctor.

Use in Children and Adolescents

Relafalk is not intended for use in children and adolescents under 18 years of age.

How to Take the Tablets:

  • Take the tablets with a glass of water. Swallow them whole. Do not crush or chew.
  • Tablets can be taken with or without food.

Overdose of Relafalk

If you accidentally take more than the recommended dose, contact your doctor.

Missed Dose of Relafalk

Do not take a double dose to make up for a missed dose. Take the next dose as recommended.

Stopping Relafalk Treatment

The recommended treatment duration is three days. If symptoms worsen during treatment or if no improvement occurs after 3 days, contact your doctor.
If you have any further questions about the use of this medicinal product, ask your doctor or pharmacist.

4. Possible Side Effects

Like all medicinal products, Relafalk can cause side effects, although not everybody gets them.

Very Common: May Affect Up to 1 in 10 People

  • Headache
  • Diarrhea

Uncommon: May Affect Up to 1 in 100 People

  • Loss of appetite
  • Restlessness
  • Dizziness
  • Abdominal cramps and spasms, bloating, abdominal pain, tenderness, mouth ulcers, constipation, frequent urge to have a bowel movement, dry mouth, nausea, vomiting, belching, flatulence, increased gastric juice, hair loss, increased sweating, night sweats, itching
  • Muscle and joint pain, back pain, limb pain, muscle cramps and weakness
  • Abnormal urine color, pain while urinating, difficulty urinating, decreased urine output
  • Weakness, chest pain, general feeling of being unwell, pain, fever
  • Abnormal liver function tests (elevated ALT), abnormal blood tests (elevated creatinine and urea)

The following side effects have been reported with the use of antibiotics similar to Relafalk, and may also occur with this medicinal product. The frequency of these side effects is currently unknown.

  • Bacterial infections (infections caused by bacteria of the genus Clostridium), fungal infections
  • Abnormal blood test results (decreased platelet count)
  • Severe allergic reactions (anaphylactic reactions), allergic reactions to the medicinal product
  • Severe allergic reaction causing facial or throat swelling, itchy rash, redness/roughness of the skin
  • Swelling of the ankles and/or lower limbs due to fluid accumulation

Reporting Side Effects

If you experience any side effects, including any not listed in this package leaflet, please inform your doctor or pharmacist. Side effects can be reported directly to the Department of Post-Marketing Surveillance of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 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.
By reporting side effects, you can help provide more information on the safety of this medicinal product.

5. How to Store Relafalk

Keep this medicinal product out of the sight and reach of children.
Do not use this medicinal product after the expiry date stated on the carton and blister. The expiry date refers to the last day of the month.
Do not store above 30°C.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the Package and Other Information

What Relafalk Contains

  • The active substance is rifamycin sodium. Each modified-release tablet contains 200 mg of rifamycin sodium.
  • The other excipients are: Tablet core: ascorbic acid (E 300), soy lecithin, glycerol distearate, ammonio methacrylate copolymer (type B), mannitol, silica colloidal anhydrous, magnesium stearate. Tablet coating: methacrylic acid - methyl methacrylate copolymer (1:2), titanium dioxide (E 171), talc, yellow iron oxide (E 172), triethyl citrate, macrogol 6000.

What Relafalk Looks Like and Contents of the Package

Relafalk 200 mg modified-release tablets are yellow-brown, oval, and marked with "SV2" on one side.
They are available in blisters containing 12 tablets.

Marketing Authorization Holder

Adalvo Competence Center SRL
47 Theodor Pallady Blvd
Building HBC, entrance B
032258 Bucharest
Romania

Manufacturer

Cosmo S.p.A
Via C. Colombo, 1
20045, Lainate
Milan, Italy
Phone: +39 02 93 3371
Fax: +39 02 93 33 7663
Email: [email protected]
To obtain more detailed information, please contact the representative of the marketing authorization holder in Poland:
Ewopharma AG Sp. z o.o., ul. Leszno 14, 01-192 Warsaw, tel. 22 620 11 71.

This Medicinal Product is Authorized in the Member States of the European Economic Area Under the Following Names:

Bulgaria, Denmark, Finland, Germany, Greece, Hungary, Norway, Poland, Spain, Sweden, United Kingdom: Relafalk
Portugal: Imfalda
Date of Approval of the Package Leaflet: 01.2025.

  • Country of registration
  • Prescription required
    Yes
  • Importer
    Cosmo S.p.A.
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Online doctors for Relafalk

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

5.0(25)
Doctor

Anna Biriukova

General medicine5 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.
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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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Online consultations include:

  • Evaluation of musculoskeletal symptoms: acute or chronic pain, stiffness, and reduced mobility.
  • Diagnosis and treatment advice for joint pain (knees, hips, shoulders, elbows), back and neck pain.
  • Support for conditions such as osteoarthritis, bursitis, tendinitis, and nerve compression syndromes.
  • Guidance after injuries: strains, sprains, bruises, suspected fractures, and overuse injuries.
  • Recovery support following orthopaedic surgery or trauma.
  • Monitoring treatment progress and adjusting therapy based on your symptoms and test results.

You can book a consultation if you experience:

  • Joint pain, limited mobility, or cracking sounds during movement.
  • Back or neck pain, especially with prolonged sitting or physical activity.
  • Chronic discomfort that affects your daily life or sleep.
  • Need for post-surgical follow-up or rehabilitation planning.

Dr Babushkin combines his expertise in orthopaedics and trauma care with a personalised, structured approach — helping patients regain mobility, reduce pain, and improve quality of life.

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She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
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  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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  • Nutritional guidance for infants, including the choice of adapted milk formulas tailored to medical needs.
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  • Ongoing care for children with chronic or complex health conditions.
By combining paediatrics with a personalised approach, Dr. Savin ensures professional support that addresses both the physical health and overall well-being of children, while guiding parents at every stage of their child’s growth.
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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.
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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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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.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

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  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
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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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  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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