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Singulair 5

Singulair 5

Ask a doctor about a prescription for Singulair 5

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Doctor

Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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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 Singulair 5

Package Leaflet: Information for the User

Singulair 5, 5 mg, Chewable Tablets

Montelukast

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet

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

1. What is Singulair 5 and what is it used for

What is Singulair 5

Singulair 5 is a leukotriene receptor antagonist, which blocks the action of substances called leukotrienes.

How Singulair 5 works

Leukotrienes cause the airways to narrow and become inflamed. By blocking the action of leukotrienes, Singulair 5 relieves asthma symptoms and helps control asthma.

When to use Singulair 5

Your doctor has prescribed Singulair 5 for the treatment of asthma, to prevent asthma symptoms from occurring during the day and at night.

  • Singulair 5 is used in the treatment of children and adolescents aged 6 to 14 years, who have not achieved adequate control of asthma with their current medications and require additional treatment.
  • Singulair 5 may also be used as an alternative to inhaled corticosteroids in patients aged 6 to 14 years, who have not recently taken oral corticosteroids for asthma and are unable to use inhaled corticosteroids.
  • Singulair 5 also helps prevent narrowing of the airways caused by physical exercise.

Your doctor will determine how to take Singulair 5, depending on the symptoms and severity of asthma.

What is asthma?

Asthma is a chronic disease.

In asthma, there are:

  • breathing difficulties caused by narrowing of the airways. This narrowing worsens and improves in response to various factors.
  • airway hypersensitivity, which reacts to many factors, such as cigarette smoke, plant pollen, cold air, or physical exercise.
  • inflammation (swelling) of the lining of the airways. Asthma symptoms include coughing, wheezing, and a feeling of tightness in the chest.

2. Important information before taking Singulair 5

Tell your doctor about any illnesses and allergies you have now or have had in the past.

When not to take Singulair 5

  • if you are allergic to montelukast or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before taking Singulair 5, discuss it with your doctor or pharmacist.

  • If your asthma symptoms worsen or you have difficulty breathing, seek medical attention immediately.
  • Singulair 5 taken orally is not intended for the treatment of acute asthma attacks. If an attack occurs, follow your doctor's instructions. Always carry a rescue inhaler with you in case of an asthma attack.
  • It is essential that you take all asthma medications prescribed by your doctor. Do not take Singulair 5 instead of other asthma medications prescribed by your doctor.
  • Remember that if you are taking asthma medications and experience symptoms such as flu-like symptoms, tingling or numbness in your hands or feet, worsening respiratory symptoms, and/or rash, you should see a doctor.
  • You should not take aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) if they worsen your asthma symptoms.

Various neuropsychiatric events (such as changes in behavior and mood, depression, and suicidal tendencies) have been reported in patients of all ages taking montelukast (see section 4). If you experience such symptoms while taking montelukast, consult your doctor.

If you experience such symptoms while taking montelukast, consult your doctor.

Children and adolescents

Do not give this medicine to children under 6 years of age.

For children and adolescents under 18 years of age, other forms of this medicine are available, suitable for the patient's age.

Singulair 5 and other medicines

Tell your doctor or pharmacist about all medicines you are taking, have recently taken, or plan to take, including those obtained without a prescription.

Some medicines may affect the action of Singulair 5 or Singulair 5 may affect the action of other medicines you are taking.

Before taking Singulair 5, tell your doctor if you are taking:

  • phenobarbital (used to treat epilepsy)
  • phenytoin (used to treat epilepsy)
  • rifampicin (used to treat tuberculosis and some other infections).

Singulair 5 with food and drink

Do not take Singulair 5 chewable tablets 5 mg during meals; take the medicine at least 1 hour before meals or 2 hours after meals.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a baby, ask your doctor or pharmacist for advice before taking Singulair 5.

Pregnancy

Your doctor will assess whether you can take Singulair 5 during this period.

Breastfeeding

It is not known whether Singulair 5 passes into breast milk. If you are breastfeeding or plan to breastfeed, consult your doctor before taking Singulair 5.

Driving and using machines

You should not expect Singulair 5 to affect your ability to drive or use machines.

However, individual responses to the medicine may vary.

Some side effects (such as dizziness and drowsiness), which have been reported with Singulair 5, may affect your ability to drive or use machines.

Singulair 5 chewable tablets 5 mg contain aspartame, sodium, and benzyl alcohol

The medicine contains 1.5 mg of aspartame in each 5 mg chewable tablet, which corresponds to 0.842 mg of phenylalanine.

Aspartame is a source of phenylalanine.

It may be harmful to patients with phenylketonuria.

This is a rare genetic disorder in which phenylalanine accumulates in the body due to its improper elimination.

The medicine contains less than 1 mmol (23 mg) of sodium per tablet, which means the medicine is considered "sodium-free".

The medicine contains up to 0.45 mg of benzyl alcohol per tablet.

Benzyl alcohol may cause allergic reactions.

Pregnant or breastfeeding women should consult their doctor before taking the medicine, as a large amount of benzyl alcohol may accumulate in their body and cause side effects (such as metabolic acidosis).

Patients with liver or kidney disease should consult their doctor before taking the medicine, as a large amount of benzyl alcohol may accumulate in their body and cause side effects (such as metabolic acidosis).

3. How to take Singulair 5

Always take this medicine exactly as your doctor or pharmacist has told you.

If you are not sure, ask your doctor or pharmacist.

  • Take only one Singulair 5 chewable tablet per day, as directed by your doctor.
  • Take the medicine even when you do not have asthma symptoms, and in case of an acute asthma attack.

Use in children aged 6 to 14 years:

The recommended dose is one 5 mg chewable tablet per day, in the evening.

Make sure the patient taking Singulair 5 does not take any other medicines containing the same active substance, montelukast.

This medicine is for oral use.

Chew the tablet before swallowing.

Do not take Singulair 5 chewable tablets 5 mg during meals; take the medicine at least 1 hour before meals or 2 hours after meals.

Taking a higher dose of Singulair 5 than recommended

Seek medical attention immediately.

In most cases of overdose, no side effects have been observed.

In cases of overdose in children and adults, the following symptoms have been most commonly observed: abdominal pain, drowsiness, excessive thirst, headache, vomiting, and hyperactivity.

Missing a dose of Singulair 5

Take Singulair 5 as directed by your doctor.

However, if you miss a dose, return to your normal dosing schedule - one chewable tablet per day.

Do not take a double dose to make up for a missed dose.

Stopping treatment with Singulair 5

Singulair 5 is effective in treating asthma only if taken regularly.

It is essential to continue taking Singulair 5 for as long as your doctor recommends.

This will help keep your asthma under control.

If you have any further questions about taking this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Singulair 5 can cause side effects, although not everybody gets them.

During clinical trials with Singulair 5 chewable tablets 5 mg, the most commonly reported side effect (which may occur in less than 1 in 10 people) considered to be related to Singulair 5 was:

  • headache
  • Additionally, in clinical trials with Singulair 10 mg film-coated tablets, the following side effects were reported:
  • abdominal pain These symptoms were usually mild and occurred more frequently in patients taking Singulair than in patients taking a placebo (a tablet that does not contain any medicine).

Severe side effects

Seek medical attention immediatelyif you experience any of the following severe side effects, which may require urgent medical attention.

Uncommon: may occur in less than 1 in 100 people

  • allergic reactions, including swelling of the face, lips, tongue, and/or throat, which may cause difficulty breathing or swallowing
  • changes in behavior and mood: agitation, including aggressive behavior or hostility, depression
  • seizures

Rare: may occur in less than 1 in 1,000 people

  • increased tendency to bleed
  • tremors
  • palpitations

Very rare: may occur in less than 1 in 10,000 people

  • a syndrome of symptoms such as flu-like symptoms, tingling or numbness in hands and feet, worsening respiratory symptoms, and/or rash (Churg-Strauss syndrome) (see section 2)
  • low platelet count
  • changes in behavior and mood: hallucinations, disorientation, suicidal thoughts and attempts
  • inflammation (infection) of the lungs
  • severe skin reactions (erythema multiforme), which may occur without prior symptoms
  • liver inflammation

Other side effects reported after the medicine was marketed

Very common: may occur in more than 1 in 10 people

  • upper respiratory tract infections

Common: may occur in less than 1 in 10 people

  • diarrhea, nausea, vomiting
  • rash
  • fever
  • increased liver enzyme levels

Uncommon: may occur in less than 1 in 100 people

  • changes in behavior and mood: unusual dreams, including nightmares, difficulty sleeping, sleepwalking, irritability, feeling anxious, restlessness
  • dizziness, drowsiness, tingling or numbness
  • nosebleeds
  • dry mouth, indigestion
  • bruising, itching, hives
  • muscle or joint pain, muscle spasms
  • bedwetting in children
  • weakness and/or fatigue, feeling unwell, swelling

Rare: may occur in less than 1 in 1,000 people

  • changes in behavior and mood: attention disorders, memory disorders, uncontrolled muscle movements

Very rare: may occur in less than 1 in 10,000 people

  • tender, red lumps under the skin, most commonly on the shins (erythema nodosum)
  • changes in behavior and mood: obsessive-compulsive symptoms, stuttering

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist.

Side effects can be reported directly to the Department of Drug Safety, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, Website: https://smz.ezdrowie.gov.pl.

Side effects can also be reported to the marketing authorization holder.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Singulair 5

  • Store in a temperature not exceeding 30°C, in the original packaging.
  • Keep the medicine out of the sight and reach of children.
  • Do not use this medicine after the expiry date stated on the blister and carton after EXP.
  • The first two digits indicate the month; the last four digits indicate the year.
  • The expiry date refers to the last day of the month stated.
  • Store in the original packaging to protect from light and moisture.
  • Medicines should not be disposed of via wastewater or household waste.
  • Ask your pharmacist how to dispose of medicines no longer required.
  • This will help protect the environment.

6. Contents of the pack and other information

What Singulair 5 contains

  • The active substance is montelukast.
  • Each chewable tablet contains 5 mg of montelukast in the form of montelukast sodium.
  • The other ingredients are: mannitol (E 421), microcrystalline cellulose, hydroxypropylcellulose (E 463), red iron oxide (E 172), sodium croscarmellose, cherry flavor containing benzyl alcohol (E 1519), aspartame (E 951), and magnesium stearate.

What Singulair 5 looks like and contents of the pack

Singulair 5 chewable tablets 5 mg are pink, round, biconvex tablets with the inscription SINGULAIR on one side and MSD 275 on the other.

Blisters in packs of 14, 28, or 30 tablets.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Organon Polska Sp. z o.o.

ul. Marszałkowska 126/134

00-008 Warsaw

Tel.: +48 22 105 50 01

e-mail: [email protected]

Manufacturer/Importer

Merck Sharp & Dohme B.V.

Waarderweg 39

2031 BN Haarlem

Netherlands

Organon Heist bv

Industriepark 30

2220 Heist-op-den-Berg

Belgium

Date of last revision of the leaflet: 04/2023

Alternatives to Singulair 5 in other countries

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

Alternative to Singulair 5 in Spain

Dosage form: CAPSULE, 10 mg
Active substance: montelukast
Prescription required
Dosage form: TABLET, 10 mg
Active substance: montelukast
Prescription required
Dosage form: CHEWABLE TABLET, 4 mg
Active substance: montelukast
Prescription required
Dosage form: TABLET, 10 mg
Active substance: montelukast
Prescription required
Dosage form: CHEWABLE TABLET, 5 mg
Active substance: montelukast
Prescription required
Dosage form: CHEWABLE TABLET, 4 mg
Active substance: montelukast
Prescription required

Alternative to Singulair 5 in Ukraine

Dosage form: tablets, 10 mg tablets in blister
Active substance: montelukast
Manufacturer: Merk Sarp i Doum B.V.
Prescription required
Dosage form: tablets, 10 mg
Active substance: montelukast
Prescription required
Dosage form: tablets, 4 mg
Active substance: montelukast
Prescription required

Online doctors for Singulair 5

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Singulair 5 – subject to medical assessment and local rules.

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Svetlana Kovalenko

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What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

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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Hocine Lokchiri

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Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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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:

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  • 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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Areas of expertise:

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  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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  • 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.
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She also provides:

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Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
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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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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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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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Areas of medical expertise:

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  • 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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Doctor

Tetiana Fedoryshyn

General medicine29 years of experience

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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