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Senalax Extra

Senalax Extra

Ask a doctor about a prescription for Senalax Extra

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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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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 Senalax Extra

Leaflet included in the packaging: patient information

SENALAX EXTRA

17 mg of total sennosides, coated tablets
You should carefully read the contents of the leaflet before using the medicine, as it contains
important information for the patient.
This medicine should always be used exactly as described in the patient leaflet or as advised by
your doctor, pharmacist, or nurse.

  • You should keep this leaflet, so you can read it again if you need to.
  • If you need advice or additional information, you should consult a pharmacist.
  • If you experience any side effects, including any possible side effects not listed in the leaflet, you should tell your doctor, pharmacist, or nurse. See section 4.
  • If there is no improvement or you feel worse, you should contact your doctor.

Table of contents of the leaflet:

  • 1. What is Senalax Extra and what is it used for
  • 2. Important information before using Senalax Extra
  • 3. How to use Senalax Extra
  • 4. Possible side effects
  • 5. How to store Senalax Extra
  • 6. Package contents and other information

1. What is Senalax Extra and what is it used for

The medicine has a laxative effect.
The active substances of Senalax Extra, sennosides, affect the motor activity of the large intestine,
leading to accelerated movement of fecal masses. Additionally, they stimulate the secretion of mucus and
chlorides, which leads to increased secretion of water and electrolytes into the intestinal lumen and causes
softening of the stool.

Indications for use

Senalax Extra is used for the treatment of constipation.

2. Important information before using Senalax Extra

When not to use Senalax Extra:

Senalax Extra should not be used in the case of:

  • hypersensitivity to the active substance or any of the other ingredients of this medicine (listed in section 6),
  • intestinal obstruction or narrowing, intestinal atony (intestinal paralysis),
  • inflammatory bowel diseases (e.g., Crohn's disease, ulcerative colitis),
  • appendicitis,
  • abdominal pain of unknown cause,
  • dehydration with accompanying electrolyte imbalance,
  • children under 12 years of age.

Warnings and precautions

Before starting to use Senalax Extra, you should discuss it with your doctor, pharmacist, or nurse.
1/4
The medicine should not be used for longer than 1-2 weeks.
If symptoms of constipation persist during the use of the medicine, you should consult your doctor or pharmacist.
Patients taking cardiac glycosides, antiarrhythmic drugs, drugs that prolong the QT interval, diuretics, glucocorticosteroids, or licorice root products should consult their doctor before using the medicine.
Like other laxatives, Senalax Extra should not be used without medical consultation by patients who experience symptoms of intestinal obstruction, such as fecal impaction, absence of bowel movements, abdominal pain, nausea, vomiting.
You should avoid prolonged use of laxatives.
Chronic, longer-than-recommended use of the medicine may worsen constipation symptoms due to weakened intestinal peristalsis, as well as lead to dependence on laxatives.
The medicine should be used with caution in patients with renal failure due to the risk of electrolyte imbalance.
The medicine should only be used when dietary changes and subsequent use of mild laxatives (bulk-forming) have not produced the desired effects.

Children

The medicine should not be used in children under 12 years of age.

Senalax Extra and other medicines

You should tell your doctor or pharmacist about all medicines you are currently taking or have recently taken, as well as any medicines you plan to use.
The medicine may reduce the absorption of other orally administered medicines (including oral contraceptives).
Prolonged use may lead to hypokalemia (decreased potassium levels in the blood), which can increase the effects of cardiac glycosides, antiarrhythmic drugs (e.g., quinidine), and drugs that prolong the QT interval.
Concomitant use of the medicine with products that cause sodium or potassium loss (e.g., diuretics, glucocorticosteroids, or licorice root products) may lead to electrolyte imbalance.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, you should consult your doctor or pharmacist before using this medicine.
Use of the medicine during pregnancy and breastfeeding is not recommended.

Driving and using machines

Senalax Extra does not affect the ability to drive or use machines.

Senalax Extra contains aluminum lake of sunset yellow FCF (E110) and aluminum lake of quinoline yellow (E104)

Senalax Extra may cause allergic reactions due to the presence of dyes – aluminum lake of quinoline yellow (E104) and aluminum lake of sunset yellow FCF (E110).
2/4

3. How to use Senalax Extra

This medicine should always be used exactly as described in the patient leaflet or as advised by
your doctor, pharmacist, or nurse. In case of doubt, you should consult your doctor, pharmacist, or nurse.
Oral administration.
Adults and adolescents over 12 years:1 tablet at night. The medicine is usually used 2 to 3 times a week for 1 to 2 weeks.
Use of the medicine for longer than 1-2 weeks requires medical supervision.
The laxative effect occurs within 8 to 12 hours after taking the medicine.
The medicine should not be used more frequently than once a day. You should not exceed the recommended dose.

Using a higher dose of Senalax Extra than recommended

In case of taking a higher dose than recommended, the following may occur: spasmodic abdominal pain and severe diarrhea, resulting in water and electrolyte loss (especially potassium and calcium), which can lead to cardiac arrhythmias, as well as weakness, dizziness, and painful muscle cramps. These symptoms may worsen during concomitant use of cardiac glycosides, diuretics, glucocorticosteroids, or licorice root products.
Chronic use of higher-than-recommended doses may lead to toxic liver inflammation.
In case of overdose, after discontinuing the medicine, you should replenish water and electrolyte deficiencies.
If you have taken a higher dose of the medicine than recommended, you should contact your doctor.

Missing a dose of Senalax Extra

This does not apply.
In case of any further doubts related to the use of this medicine, you should consult your doctor, pharmacist, or nurse.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Allergic reactions, such as hives, itching, rash, may occur.
Abdominal cramps and liquid stools may occur. The above symptoms may also indicate an overdose of the medicine.
Chronic use of the medicine may lead to electrolyte imbalance, as well as proteinuria and hematuria. Additionally, chronic use may cause discoloration of the intestinal mucosa (pseudomelanosis coli), which usually resolves after discontinuing the medicine. Urine discoloration (to yellow or reddish-brown) may also occur.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in the leaflet, you should tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Post-Marketing Surveillance of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181 C, 02-222 Warsaw,
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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.
Reporting side effects can help gather more information on the safety of the medicine.

5. How to store Senalax Extra

Store in the original packaging, at a temperature below 25°C.
The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the carton. The expiry date refers to the last day of the month stated.
Medicines should not be disposed of via wastewater or household waste. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Package contents and other information

What Senalax Extra contains

  • The active substance of the medicine is calcium sennosides (Calcii sennosides) 60%. One tablet of the medicine contains 17 mg of total sennosides.
  • The other ingredients (excipients) are: microcrystalline cellulose, silanized (microcrystalline cellulose, anhydrous colloidal silica), calcium hydrogen phosphate dihydrate, sodium carboxymethyl cellulose (type A), anhydrous colloidal silica, magnesium stearate, Opadry II 85F23368 Orange coating (polyvinyl alcohol (partially hydrolyzed), macrogol (PEG MW 3350), talc, aluminum lake of sunset yellow FCF (E110), titanium dioxide (E171), aluminum lake of quinoline yellow (E104)).

What Senalax Extra looks like and contents of the pack

Senalax Extra is orange, biconvex, smooth, uniform, intact, and odorless tablets.
One pack of the medicine contains 1 or 2 blisters of 15 coated tablets.

Marketing authorization holder and manufacturer

“PRZEDSIĘBIORSTWO PRODUKCJI FARMACEUTYCZNEJ HASCO-LEK” S.A.
51-131 Wrocław, ul. Żmigrodzka 242 E
Medicine Information
tel.
+48 (22) 742 00 22
email: [email protected]

Date of last revision of the leaflet:

4/4

Alternatives to Senalax Extra in other countries

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

Alternative to Senalax Extra in Ukraine

Dosage form: leaves, 100 g, 200 g in packs
Active substance: senna glycosides
Manufacturer: PrAT "Liktravi
Prescription not required
Dosage form: leaves, 50 g in packs
Active substance: senna glycosides
Manufacturer: PrAT "Liktravi
Prescription not required
Dosage form: leaves, 50 g, 100 g in packs
Active substance: senna glycosides
Manufacturer: AT "Lubnifarm
Prescription not required
Dosage form: leaves, 50 g or 100 g in a pack
Active substance: senna glycosides
Prescription not required
Dosage form: leaves, 100 g in a pack
Active substance: senna glycosides
Manufacturer: TOV "Ternofarm
Prescription not required
Dosage form: tablets, tablets 13.5mg
Active substance: senna glycosides
Prescription not required

Alternative to Senalax Extra in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 800 mg/g
Active substance: senna glycosides
Manufacturer: Roha Arzneimittel Gmbh
Prescription not required
Dosage form: TABLET, 7.5 mg senosides A-B
Active substance: senna glycosides
Prescription not required
Dosage form: CAPSULE, 300 mg
Prescription not required
Dosage form: TABLET, 51.72-92.59 mg/60-78.95 mg
Active substance: cascara, combinations
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 0.375 g / 0.375 g / 0.750 g
Manufacturer: Rinter Corona S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 4.1 g/20.5 mg Senoside b
Prescription not required

Online doctors for Senalax Extra

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

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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Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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General medicine6 years of experience

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He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • 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.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • 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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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.
  • Long-term follow-up and dynamic health monitoring.

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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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:
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  • 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. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
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  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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Areas of expertise:

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  • prevention and management of atherosclerosis
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  • cardiovascular care and recovery support after Covid-19
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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  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
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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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.
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  • 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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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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