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Reparil

Reparil

Ask a doctor about a prescription for Reparil

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 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.

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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 Reparil

LEAFLET INCLUDED IN THE PACKAGING: INFORMATION FOR THE PATIENT

Warning! Keep the leaflet, the information on the immediate packaging is in a foreign language!

Reparil

20 mg, enteric-coated tablets

Escinum

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 as directed by
the doctor or pharmacist.

  • This leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, the doctor or pharmacist should be consulted.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, the doctor or pharmacist should be informed. See section 4.
  • If there is no improvement or the patient feels worse after 7 days, the doctor should be contacted.

Table of contents of the leaflet:

  • 1. What is Reparil and what is it used for
  • 2. Important information before taking Reparil
  • 3. How to take Reparil
  • 4. Possible side effects
  • 5. How to store Reparil
  • 6. Contents of the pack and other information

1. What is Reparil and what is it used for

Reparil is a medicine used for swelling after local injuries.

2. Important information before taking Reparil

When not to take Reparil

  • if the patient is allergic (hypersensitive) to escin or any of the other ingredients of this medicine (listed in section 6);
  • if the patient has kidney failure or kidney disorders
  • in children under 7 years of age;
  • during pregnancy and breastfeeding.

Warnings and precautions

Before starting to take Reparil, the doctor or pharmacist should be consulted.
Kidney function should be monitored during treatment with the medicine.

Children

Administration of the medicine to children under 7 years of age is contraindicated.

Reparil and other medicines

The doctor or pharmacist should be informed about all medicines the patient is taking or has recently taken, as well as any medicines the patient plans to take.
Reparil may enhance the effect of anticoagulant medicines.
Concomitant use of Reparil with aminoglycoside antibiotics should be avoided due to the possible increased toxic effect of these antibiotics on the kidneys.
Antibiotics such as cefalotin and ampicillin may increase the concentration of escin in serum, therefore, it is not recommended to administer these medicines concomitantly with Reparil.

Taking Reparil with food and drink

Reparil should be taken after a meal. The tablet should be swallowed whole, with a glass of water.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks she may be pregnant or is planning to have a baby, she should consult her doctor or pharmacist before taking this medicine.
Due to the lack of studies in pregnant women and insufficient data from animal studies, Reparil should not be used in pregnant women.
Due to the lack of data on the penetration of escin into breast milk, Reparil should not be used in breastfeeding women.

Driving and using machines

Reparil has no influence or negligible influence on the ability to drive and use machines.

Reparil contains lactose monohydrate, sucrose, and sodium

If the patient has previously been diagnosed with intolerance to some sugars, the patient should consult the doctor before taking the medicine.
The medicine contains less than 1 mmol (23 mg) of sodium per tablet, which means the medicine is considered "sodium-free".

3. How to take Reparil

This medicine should always be taken exactly as described in the patient leaflet or as directed by the doctor or pharmacist. In case of doubt, the doctor or pharmacist should be consulted.
Unless the doctor has prescribed otherwise, Reparil should be taken as follows:

  • adults and adolescents from 14 years of age: 2 tablets 3 times a day, in mild cases and as a maintenance dose: 1 tablet 3 times a day.

Use in children and adolescents

  • children from 7 to 14 years of age: 1 tablet 2 or 3 times a day.

Reparil should be taken after a meal. The tablet should be swallowed whole, with a glass of water.

Taking a higher dose of Reparil than recommended

In case of taking a higher dose of the medicine than recommended, the doctor or pharmacist should be consulted immediately.

Missing a dose of Reparil

The next tablet should be taken as scheduled.
A double dose should not be taken to make up for a missed dose.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects may occur:

  • not very often (in less than 1 in 100 patients);
  • very rarely (in less than 1 in 10,000 patients).

The following side effects have been reported:

  • very rarely: hypersensitivity reactions such as urticaria;
  • not very often: gastrointestinal disorders.

In case of a hypersensitivity reaction, Reparil should be discontinued.

Reporting side effects

If any side effects occur, including any side effects not listed in the 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
Reporting side effects will help to gather more information on the safety of the medicine.

5. How to store Reparil

The medicine should be stored out of sight and reach of children.
Store in a temperature below 25°C.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. The pharmacist should be asked how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

What Reparil contains

  • The active substance of the medicine is escin. Each enteric-coated tablet contains 20 mg of escin.
  • The excipients are: lactose monohydrate, povidone K 30, magnesium stearate, sucrose, talc, methacrylic acid and ethyl acrylate copolymer (1:1), arabic gum, titanium dioxide (E 171), macrogol 8000, triethyl citrate, colloidal anhydrous silica, sodium carmellose, sodium hydroxide, white wax, carnauba wax, simethicone emulsion.

What Reparil looks like and contents of the pack

Al/PVC blisters in a cardboard box.

Pack contents:

20 pieces - 2 blisters of 10 enteric-coated tablets
or
40 pieces - 4 blisters of 10 enteric-coated tablets
For more detailed information, the marketing authorization holder or parallel importer should be consulted.

Marketing authorization holder in Austria, the country of export:

Mylan Österreich GmbH
Guglgasse 15
1110 Vienna, Austria

Manufacturer:

MADAUS GmbH
D-51101 Cologne
Germany

Parallel importer:

Medezin Sp. z o.o.
Zbąszyńska 3 Street
91-342 Łódź

Repackaged by:

Medezin Sp. z o.o.
Zbąszyńska 3 Street
91-342 Łódź
Austrian marketing authorization number: 12.947
Parallel import authorization number: 58/20

Date of leaflet approval: 15.11.2024

[Information about the trademark]

Alternatives to Reparil in other countries

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

Alternative to Reparil in Spain

Dosage form: CAPSULE, 275 mg
Prescription not required
Dosage form: CAPSULE, 350 mg
Prescription not required
Dosage form: CAPSULE, 290 mg
Prescription not required
Dosage form: MODIFIED-RELEASE CAPSULE, 50 mg escin
Prescription required
Dosage form: TABLET, 360 mg
Prescription not required

Alternative to Reparil in Ukraine

Dosage form: solution, 10 mg/ml, 1 ml in ampoule
Prescription required
Dosage form: drops, 20 ml in a bottle
Dosage form: capsules, 50 mg
Prescription not required
Dosage form: drops, 20 ml in a bottle with dropper
Manufacturer: Farma Vernigerode GmbH
Prescription not required
Dosage form: drops, 15 ml or 25 ml in a dropper bottle
Manufacturer: PAT "Galicfarm
Prescription not required
Dosage form: solution, 1%; 1 ml in ampoule
Manufacturer: PrAT "Lekhim - Harkiv
Prescription required

Online doctors for Reparil

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

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Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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Doctor

Yevgen Yakovenko

General surgery11 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.

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  • Snoring, mouth breathing, enlarged adenoids.
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  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
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  • Preventive care: health check-ups, lifestyle advice, second opinions

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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  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
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  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
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In addition to pain management, Dr. Popov helps patients with:
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Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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