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Reparil

Reparil

Ask a doctor about a prescription for Reparil

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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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.

0.0(1)
Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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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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