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Supremin

Supremin

Ask a doctor about a prescription for Supremin

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Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

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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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 Supremin

Package Leaflet: Information for the User

SUPREMIN

4 mg/5 ml, syrup

Butamirate citrate

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

This medicine should always be taken exactly as described in the package leaflet or as directed by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform their doctor or pharmacist. See section 4.
  • If there is no improvement or the patient feels worse, they should contact their doctor.

Table of Contents of the Leaflet:

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

1. What is Supremin and what is it used for

Supremin syrup contains butamirate citrate as the active substance, which is a non-opioid cough medicine. It reduces the frequency and intensity of coughing by inhibiting the cough reflex. In addition to its anti-cough effect, butamirate slightly dilates the bronchi. Indications for use: acute, dry cough.

2. Important information before taking Supremin

When not to take Supremin:

  • if the patient is allergic to butamirate or any of the other ingredients of this medicine (listed in section 6),
  • in patients with phenylketonuria.

Warnings and precautions

Supremin is not indicated for use in patients with symptoms of severe respiratory depression. The medicine should not be used for more than a few days.

Supremin and other medicines

No interactions with other medicines are known for Supremin.

Supremin with food and drink

The medicine should be taken before meals.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks she may be pregnant, or plans to have a child, she should consult her doctor before taking this medicine. It is not recommended to use this medicine in the first trimester of pregnancy. In the second and third trimesters of pregnancy and during breastfeeding, the medicine may be used only if necessary.

Driving and using machines

Care should be taken as butamirate may cause drowsiness and affect the ability to drive or operate machinery.

The medicine contains aspartame, benzoic acid, methyl parahydroxybenzoate, liquid maltitol, propylene glycol, ethanol, benzyl alcohol (ingredients of the caramel-orange flavor) and sodium.

Aspartame

The medicine contains 12.5 mg of aspartame in 5 ml of syrup. 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. See also the section "When not to take Supremin".

Benzoic acid

The medicine contains 7.5 mg of benzoic acid in 5 ml of syrup.

Methyl parahydroxybenzoate

The medicine may cause allergic reactions (possible late reactions).

Liquid maltitol

If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine. The medicine may have a mild laxative effect. Caloric value: 2.3 kcal/g of maltitol.

Propylene glycol

The medicine contains 9.2 mg of propylene glycol per 5 ml of syrup.

Etanol

This medicine contains 6.2 mg of alcohol (ethanol) in 5 ml of syrup, which is equivalent to 0.16% v/v. The amount of alcohol in 5 ml of this medicine is equivalent to less than 0.2 ml of beer or 0.06 ml of wine. The small amount of alcohol in this medicine will not have noticeable effects.

Benzyl alcohol

The medicine contains 0.08 mg of benzyl alcohol per 5 ml of syrup. Benzyl alcohol may cause allergic reactions. Do not give to small children (under 3 years) for more than a week without consulting a doctor or pharmacist. Pregnant or breastfeeding women and 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 (metabolic acidosis).

Sodium

The medicine contains less than 1 mmol (23 mg) of sodium per 5 ml of syrup, which means the medicine is considered "sodium-free".

3. How to take Supremin

This medicine should always be taken exactly as described in the package leaflet or as directed by a doctor or pharmacist. If in doubt, consult a doctor or pharmacist. Oral administration. The medicine should be taken before meals. A measuring spoon is provided with the medicine packaging to measure 5 ml of syrup. If the doctor does not recommend special dosing, the medicine is usually taken:

  • children aged 2 to 6 years: 1 measuring spoon (4 mg) 3 times a day
  • children aged 6 to 12 years: 2 measuring spoons (8 mg) 3 times a day
  • children over 12 years: 3 measuring spoons (12 mg) 3 times a day
  • adults: 3 measuring spoons (12 mg) 4 times a day

If you feel that the effect of the medicine is too strong or too weak, consult your doctor.

Overdose of Supremin

Symptoms of butamirate overdose are: drowsiness, vomiting, abdominal pain, diarrhea, ataxia (coordination disorders), excitement, and decreased blood pressure. In case of overdose, seek medical attention immediately, as the doctor may perform gastric lavage, administer activated charcoal, and laxatives.

Missed dose of Supremin

Take the medicine as soon as you remember. If it is almost time for the next dose, take it at the scheduled time. Do not take a double dose to make up for the missed dose. If you have any further doubts about taking this medicine, consult your doctor or pharmacist.

4. Possible side effects

Like all medicines, Supremin can cause side effects, although not everybody gets them. Uncommon side effects (less than 1 in 100 people): rash, nausea, diarrhea, dizziness. These symptoms usually resolve during treatment and rarely require a dose reduction. If the described allergic reactions or gastrointestinal disorders do not resolve after reducing the dose, discontinue use of Supremin.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in the leaflet, inform 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 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 Supremin

Keep the medicine out of the sight and reach of children. Store in a temperature below 25°C. Do not use this medicine after the expiry date stated on the carton and bottle after: Expiry date. The expiry date refers to the last day of the month stated. Shelf life after first opening: 28 days. 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 Supremin contains

  • The active substance is butamirate citrate. 5 ml (1 measuring spoon) of syrup contains 4 mg of butamirate citrate.
  • The other ingredients are: methyl parahydroxybenzoate, benzoic acid, anhydrous citric acid, sodium citrate, liquid maltitol, aspartame, caramel-orange flavor (E 34493) (contains propylene glycol, ethanol, benzyl alcohol), purified water.

What Supremin looks like and contents of the pack

Syrup in a brown glass bottle with an aluminum or polypropylene cap and a measuring spoon made of polystyrene, in a cardboard box or a brown glass bottle closed with a polyethylene cap with HDPE (high-density polyethylene) and a guarantee ring made of PE (polyethylene), with a measuring spoon made of polystyrene, in a cardboard box. Bottle containing 200 ml of syrup in a cardboard box also containing a measuring spoon with a capacity of 5 ml.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Teva Pharmaceuticals Polska Sp. z o.o., ul. Emilii Plater 53, 00-113 Warsaw, tel.: (22) 345 93 00

Manufacturer:

Balkanpharma Troyan AD, 1, Krayrechna Str., 5600 Troyan, Bulgaria

Date of last revision of the leaflet: March 2022

Alternatives to Supremin in other countries

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

Alternative to Supremin in Ukraine

Dosage form: syrup, 0.15% in 200 ml bottle
Active substance: butamirate
Prescription not required
Dosage form: drops, 20 ml in a bottle
Active substance: butamirate
Prescription not required
Dosage form: syrup, 1.5 mg/ml; 100 ml or 200 ml in a bottle
Active substance: butamirate
Manufacturer: Haleon KH S.a.r.l.
Prescription not required
Dosage form: drops, 5 mg/ml; 20 ml in a bottle
Active substance: butamirate
Prescription not required

Alternative to Supremin in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 35.4 mg
Active substance: cloperastine
Manufacturer: Kern Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 3.54 mg cloperastine fendizoate/ml
Active substance: cloperastine
Manufacturer: Almirall S.A.
Prescription not required
Dosage form: TABLET, 45 mg
Active substance: gefapixant
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 3.54 mg/ml
Active substance: cloperastine
Manufacturer: Kern Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 12.5 mg/ml + 9.09 mg/ml + 10 mg/ml
Active substance: combinations
Manufacturer: Kwizda Pharma Gmbh
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 6 mg/ml
Active substance: levodropropizine
Manufacturer: Laboratorio Stada S.L.
Prescription not required

Online doctors for Supremin

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

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Doctor

Liudmyla Boichuk

Family medicine10 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

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.

CameraBook a video appointment
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Doctor

Alina Tsurkan

Family medicine12 years of experience

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

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

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

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • 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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Antonio Cayatte

General medicine43 years of experience

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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Lina Travkina

Family medicine12 years of experience

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

Areas of medical care include:

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

Additional care areas:

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

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

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

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Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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