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Rivel

Rivel

Ask a doctor about a prescription for Rivel

5.0(12)
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 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.
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Online doctors for Rivel

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

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Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Anna Biriukova

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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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Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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Areas of medical expertise:

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  • 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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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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Combining dermatology with general medical knowledge, Dr. Moret offers comprehensive care that addresses both skin health and underlying conditions. She also holds certification from the Canadian Board of Aesthetic Medicine, ensuring an internationally aligned approach to aesthetic dermatology.

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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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