SIRUPUS 420 mg/64 mg /3.2 Mg Syrup

Prescription review online

Prescription review online

A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
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 Sirupus Pini compositus

Contents of the leaflet

  1. LEAFLET INCLUDED IN THE PACKAGE: INFORMATION FOR THE PATIENT
  2. SIRUPUS PINI COMPOSITUS
    1. You should carefully read the contents of the leaflet before using the medicine, as it contains important information for the patient.
    2. Table of contents of the leaflet
  3. WHAT IS SIRUPUS PINI COMPOSITUS AND WHAT IS IT USED FOR
    1. Indications for use
  4. IMPORTANT INFORMATION BEFORE USING SIRUPUS PINI COMPOSITUS
    1. When not to use Sirupus Pini compositus
    2. Warnings and precautions
    3. Children
    4. Adolescents over 12 years of age
    5. Sirupus Pini compositus and other medicines
    6. Pregnancy, breastfeeding, and fertility
    7. Driving and using machines
    8. Sirupus Pini compositus contains sucrose and alcohol
  5. HOW TO USE SIRUPUS PINI COMPOSITUS
    1. Using a higher than recommended dose of Sirupus Pini compositus
    2. Missing a dose of Sirupus Pini compositus
    3. Stopping the use of Sirupus Pini compositus
  6. POSSIBLE SIDE EFFECTS
    1. Reporting side effects
  7. HOW TO STORE SIRUPUS PINI COMPOSITUS
  8. CONTENTS OF THE PACKAGE AND OTHER INFORMATION
    1. What Sirupus Pini compositus contains
    2. What Sirupus Pini compositus looks like and what the package contains
    3. Marketing authorization holder and manufacturer

LEAFLET INCLUDED IN THE PACKAGE: INFORMATION FOR THE PATIENT

SIRUPUS PINI COMPOSITUS

Pine extract fluid + Fennel tincture + Codeine phosphate hemihydrate
420.0 mg + 64.0 mg + 3.2 mg/5 ml
syrup

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 directed by a doctor or pharmacist.

  • 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 the patient experiences any side effects, including any side effects not listed in the leaflet, they should tell their doctor or pharmacist. See section 4.
  • If after 7 days there is no improvement or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

  • 1. What is Sirupus Pini compositus and what is it used for
  • 2. Important information before using Sirupus Pini compositus
  • 3. How to use Sirupus Pini compositus
  • 4. Possible side effects
  • 5. How to store Sirupus Pini compositus
  • 6. Contents of the package and other information
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

1. WHAT IS SIRUPUS PINI COMPOSITUS AND WHAT IS IT USED FOR

Sirupus Pini compositus is a complex product containing codeine phosphate with an antitussive effect and plant-derived substances: pine fluid extract and fennel tincture.
The codeine phosphate contained in the product inhibits central cough reflexes, reducing the intensity of coughing.

Indications for use

The syrup is used temporarily for dry, irritating cough in the course of upper respiratory tract infections.

2. IMPORTANT INFORMATION BEFORE USING SIRUPUS PINI COMPOSITUS

When not to use Sirupus Pini compositus

If the patient is allergic to the active substances or any of the other ingredients of this medicine (listed in section 6).
Children under 12 years of age.
If it is known that the patient's codeine metabolism to morphine is very rapid.
If the patient is breastfeeding.
The syrup should not be used during an acute asthma attack, in acute respiratory failure, in pulmonary edema, or in chronic constipation.
It is not recommended to use the medicine in respiratory diseases with thick secretions in the bronchial tree and difficulty expectorating.
Prolonged use of the medicine, especially in high doses, may lead to dependence. Therefore, it is not recommended to use it for more than 7 days and to exceed the recommended doses.

Warnings and precautions

Codeine is converted to morphine in the liver with the participation of an enzyme. Morphine is the substance that determines the effect of codeine. In some people, there is a variation of this enzyme, which may cause different effects in them. In some people, morphine is not produced or is produced in very small amounts, and therefore will not have an antitussive effect. In others, it is more likely to experience severe side effects due to very high amounts of morphine produced. If the patient experiences any of the following side effects, they should stop using this medicine and immediately consult a doctor:
slow or shallow breathing, disorientation, drowsiness, pupil constriction, nausea or vomiting, constipation, loss of appetite.

Children

Sirupus Pini compositus is contraindicated in children under 12 years of age.

Adolescents over 12 years of age

It is not recommended to use Sirupus Pini compositus in adolescents with respiratory function disorders for the treatment of cough or cold.

Sirupus Pini compositus and other medicines

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Codeine phosphate may enhance the depressant effect on the central nervous system of some antidepressants (benzodiazepines), sedatives (barbituric acid derivatives), and neuroleptics. It may increase the depressant effect on the respiratory center of other opioid medicines and enhance the effect of ethanol. When used concurrently with codeine, glutethimide may cause a state of euphoria.
Codeine may also interact with MAO inhibitors (monoamine oxidase), antihistamines, and blood pressure-lowering medicines.

Pregnancy, breastfeeding, and fertility

Sirupus Pini compositus should not be taken during pregnancy or breastfeeding.
Codeine and morphine pass into breast milk.
If the patient suspects they may be pregnant or plans to have a child, they should consult their doctor or pharmacist before using the medicine.

Driving and using machines

The medicine may impair psychophysical fitness, so patients should not drive vehicles or operate machines during treatment.

Sirupus Pini compositus contains sucrose and alcohol

The product contains approximately 12 g of sucrose per 15 ml. This should be taken into account in patients with diabetes.
If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before using the medicine.
The medicinal product contains up to 5.0% (m/m) ethanol, i.e., up to 975 mg of alcohol in a single dose of 15 ml, which is equivalent to 20 ml of beer and 8 ml of wine. Due to the ethanol content, the syrup should not be used in patients with alcoholism or liver disease or epilepsy.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. HOW TO USE SIRUPUS PINI COMPOSITUS

This medicine should always be used exactly as described in the patient leaflet or as directed by a doctor or pharmacist. If in doubt, the patient should consult their doctor or pharmacist.
Dosage
Adults and adolescents over 12 years of age: 3 times a day, 15 ml each time.
Adolescents over 12 years of age:
Sirupus Pini compositus is not recommended for use in adolescents from 12 to 18 years of age with respiratory function disorders.
Children
Children under 12 years of age:
Sirupus Pini compositus is contraindicated in children under 12 years of age.
Method of administration
Oral administration. The medicine should be dosed using the measuring cup included in the package.
Duration of use
It is not recommended to use the medicine for more than 7 days without consulting a doctor.

No symptoms of overdose have been observed during the use of the syrup.
In extreme cases, as a result of taking doses many times higher than recommended, nausea, vomiting, abdominal pain, headache, depression, respiratory disorders, excitement, excessive sweating, and seizures may occur. In such a case, the patient should immediately consult a doctor.
In the event of taking a higher than recommended dose of the medicine, the patient should consult their doctor or pharmacist.

Missing a dose of Sirupus Pini compositus

The patient should not take a double dose to make up for a missed dose.

Stopping the use of Sirupus Pini compositus

In case of any further doubts related to the use of this medicine, the patient should consult their doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, Sirupus Pini compositus can cause side effects, although not everybody gets them.
Possible side effects of the medicine are presented according to the MedDRA system organ classification and frequency of occurrence: very common (≥ 1/10); common (≥ 1/100 to <1>During the use of the syrup, the following may occur:
Gastrointestinal disorders (dry mouth, nausea, vomiting, constipation) - frequency not known.
Psychiatric disorders (sleep disorders) - frequency not known.
Immune system disorders (allergic reactions, e.g., skin changes) - frequency not known.

Reporting side effects

If side effects occur, including any side effects not listed in the leaflet, the patient should tell their doctor or pharmacist.
Side effects can be reported directly to the Department for Monitoring of Adverse Reactions to Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181 C, 02-222 Warsaw, phone: +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.
Reporting side effects will allow for more information to be collected on the safety of the medicine.

5. HOW TO STORE SIRUPUS PINI COMPOSITUS

The medicine should be stored at a temperature not exceeding 25°C, out of sight and reach of children.
The medicine should not be used after the expiry date stated on the label/carton.
The expiry date refers to the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. CONTENTS OF THE PACKAGE AND OTHER INFORMATION

What Sirupus Pini compositus contains

The active substances of the medicine are (per 100 g):
6.6 g Pine fluid extract (1:1), extractant: ethanol 90% (v/v)
1.0 g Fennel tincture (1:4.5-5.0), extractant: ethanol 70% (v/v)
0.05 g Codeine phosphate hemihydrate
The excipients are: sucrose, purified water, calcium pentahydrate lactate, phosphoric acid.
The syrup contains no more than 5% (m/m) ethanol.
The syrup contains 9.6 mg of codeine phosphate per dose (15 ml).

What Sirupus Pini compositus looks like and what the package contains

The syrup is straw-yellow, transparent with permissible opalescence.
The immediate packaging is a brown glass bottle closed with an HDPE cap with a 30 ml measuring cup in a cardboard box.
The package contains 125 g of syrup.

Marketing authorization holder and manufacturer

Wrocławskie Zakłady Zielarskie "Herbapol" S.A.

  • 50-951 Wrocław, ul. Św. Mikołaja 65/68, phone: +48 71 335 72 25, fax: +48 71 372 47 40, e-mail: [email protected]

To obtain more detailed information, the patient should contact the marketing authorization holder: phone 71 321 86 04 ext. 123
Date of last revision of the leaflet:08.01.2025

Online doctors for Sirupus Pini compositus

Discuss questions about Sirupus Pini compositus, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 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.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 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.

Book a video appointment
€75
Doctor
5.0(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

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.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get Sirupus Pini compositus Prescription Online

1

Fill in a 2-min form

Tell us your symptoms, history, and what medicine you're requesting.

2

Pick a doctor or let us assign

Choose a specialist or we'll match you with the next available doctor.

3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

Collect from any pharmacy

Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Sirupus Pini compositus?

Sirupus Pini compositus does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Sirupus Pini compositus?

The active ingredient in Sirupus Pini compositus is codeine. This information helps identify medicines with the same composition but different brand names.

Who manufactures Sirupus Pini compositus?

Sirupus Pini compositus is manufactured by Wrocławskie Zakłady Zielarskie "Herbapol" S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Sirupus Pini compositus online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Sirupus Pini compositus is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Sirupus Pini compositus in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Sirupus Pini compositus in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Sirupus Pini compositus?

Other medicines with the same active substance (codeine) include Herbapini, Neoazarina, Acodin 150 Iunior. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

Stay informed about Oladoctor

News about new services, product updates and useful information for patients.

Follow us on social media