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Rivel

Rivel

Ask a doctor about a prescription for Rivel

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Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

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:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

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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Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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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 Rivel

Package Leaflet: Information for the Patient

Rivel, 5 mg/g, Gel

Ethacridine Lactate

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

This medicine should always be used exactly as described in the package leaflet for the patient or as advised by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or further information, consult a pharmacist.
  • If you experience any side effects, including any not listed in the leaflet, tell your doctor or pharmacist. See section 4.
  • If you do not feel better or if you feel worse, you should contact your doctor.

Table of Contents of the Leaflet

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

1. What is Rivel and what is it used for

Rivel is a gel for topical use. The active substance of the medicine is ethacridine lactate. After application to the skin, the medicine exhibits strong antibacterial action, while also relieving pain and inflammation.

Indications for Use

Rivel is used topically:

  • for skin and mucous membrane disinfection;
  • as an adjunct in the treatment of skin infections caused mainly by Gram-positive bacteria (carbuncles, multiple carbuncles, abscesses), mixed skin inflammations (bacterial and fungal);
  • after insect bites.

2. Important Information Before Using Rivel

When Not to Use Rivel

Warnings and Precautions

Before starting to use Rivel, discuss it with your doctor or pharmacist.
If signs of irritation or skin changes occur, stop using the medicine. If these symptoms persist, consult a doctor.
Consult a doctor even if the above warnings refer to past situations.
Avoid contact of the medicine with the eyes. If the gel gets into the eyes, rinse them abundantly with water.
Do not use on large areas of damaged skin.
Do not apply to the mucous membrane of the mouth.
If the medicine is accidentally ingested, contact a doctor immediately. Avoid contact of the medicine with clothing (may cause stains, discoloration). To remove stains, use alcohol or a 6% acetic acid solution with warm water mixed in a ratio of 1.5 to 1.
In case of difficult-to-remove stains, add 1 tablespoon of 3% hydrogen peroxide to the solution described above.
Childrenand adolescents
Do not use the medicine in children under 2 years of age.

Rivel and Other Medicines

No data are available on interactions with other medicines. Avoid using this medicine at the same time as other topical medicines.
Tell your doctor or pharmacist about all medicines you are taking, have recently taken, or might take.

Pregnancy, Breast-feeding, and Fertility

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.
Rivel may be used in pregnant or breast-feeding women only if the doctor decides it is necessary.

Driving and Using Machines

Rivel has no influence on the ability to drive and use machines.
Rivel contains methyl parahydroxybenzoate and propyl parahydroxybenzoate, which may cause allergic reactions (possible late reactions).
Rivel contains 100 mg of propylene glycol in 1 g of gel, i.e., 50 mg of propylene glycol in each unit dose (in 0.5 g of medicine, i.e., in about 2.5 cm of gel squeezed from the tube). Propylene glycol may cause skin irritation.
Due to the content of propylene glycol, the medicine should not be used on open wounds or large areas of injured or damaged skin (e.g., burned) without consulting a doctor or pharmacist.
The medicine contains 80 mg of alcohol (ethanol) in 1 g of gel, i.e., 40 mg of ethanol in each unit dose (in 0.5 g of medicine, i.e., in about 2.5 cm of gel squeezed from the tube). It may cause a burning sensation on damaged skin.

3. How to Use Rivel

This medicine should always be used exactly as described in this package leaflet for the patient or as advised by a doctor or pharmacist. In case of doubt, consult a doctor or pharmacist.
The medicine is intended for topical use on the skin or mucous membranes.
Apply a thin layer of the medicine to the affected skin or mucous membranes 2-3 times a day (if necessary, more often). The medicine can be used under a dressing.
After using the medicine, wash your hands if they are not being treated.
The duration of treatment depends on the type and severity of the condition. If you do not feel better or if you feel worse, you should contact your doctor.

Using More Than the Recommended Dose of Rivel

No cases of overdose of the medicinal product have been reported when used topically.

Missing a Dose of Rivel

If you miss a dose, continue treatment as advised (see section 3).
If you have any further doubts about using this medicine, consult a doctor or pharmacist.

4. Possible Side Effects

Like all medicines, Rivel can cause side effects, although not everybody gets them.
Rarely (less often than 1 in 1,000 people), local skin irritation (redness, burning, itching, rash) and local allergic reactions may occur.
If you experience any side effects, stop using the medicine.

Reporting Side Effects

If you experience any side effects, including any not listed in the leaflet, tell your doctor or pharmacist. 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 181 C, 02-222 Warsaw
tel.: +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.
Side effects can also be reported to the marketing authorization holder.

5. How to Store Rivel

Keep the medicine out of the sight and reach of children.
Do not store in the refrigerator or freeze. Protect from light.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Do not use this medicine if you notice a change in its appearance or smell.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. This will help protect the environment.

6. Contents of the Pack and Other Information

What Rivel Contains

  • The active substance of the medicine is ethacridine lactate 5 mg/g.
  • The other ingredients are: ethanol 96%, methyl parahydroxybenzoate, propyl parahydroxybenzoate, hydroxyethyl cellulose, propylene glycol, purified water.

What Rivel Looks Like and Contents of the Pack

Rivel is a gel.

Packaging

An aluminum tube containing 30 g or 100 g of the medicine, placed in a cardboard box.

Marketing Authorization Holder

PharmaSwiss Česká republika s.r.o.
Jankovcova 1569/2c
170 00 Prague 7
Czech Republic

Manufacturer

EMO-FARM Sp. z o.o.
ul. Łódzka 52
95-054 Ksawerów

Date of Last Revision of the Leaflet: -

  • Country of registration
  • Active substance
  • Prescription required
    No
  • Manufacturer
  • Importer
    EMO-FARM Sp. z o.o.
  • Alternatives to Rivel
    Dosage form: Liquid, 1 mg/g
    Active substance: ethacridine lactate
    Prescription not required
    Dosage form: Aerosol, (0.10 g + 2.00 g)/100 mg
    Active substance: octenidine, combinations
    Prescription not required
    Dosage form: Cream, 50 mg/g + 5 mg/g
    Active substance: chlorhexidine
    Prescription not required

Online doctors for Rivel

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

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

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:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

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.

CameraBook a video appointment
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Lina Travkina

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Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • 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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  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

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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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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