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Tiorfan

Tiorfan

Ask a doctor about a prescription for Tiorfan

5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Tiorfan

Leaflet attached to the packaging: patient information

Warning! The leaflet should be kept. Information on the immediate packaging in a foreign language.

Tiorfan, 100 mg, hard capsules

Racecadotril

It is necessary to carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.

  • This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor, pharmacist, or nurse.
  • This leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.
  • If there is no improvement after a maximum of 7 days or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

  • 1. What is Tiorfan and what is it used for
  • 2. Important information before taking Tiorfan
  • 3. How to take Tiorfan
  • 4. Possible side effects
  • 5. How to store Tiorfan
  • 6. Other information

1. What is Tiorfan and what is it used for

Tiorfan is a medicine used to treat diarrhea.
Tiorfan is a medicine used to treat symptoms of acute diarrhea in adults, if the diarrhea
cannot be treated causally.
Racecadotril may be used as adjunctive treatment when causal treatment is possible.

2. Important information before taking Tiorfan

When not to take Tiorfan

  • if the patient is allergic to racecadotril or any of the other ingredients of Tiorfan (listed in section 6).

Warnings and precautions

Before taking Tiorfan, the patient should consult a doctor or pharmacist if:

  • there is blood or pus in the stool and fever. The cause may be a bacterial infection that should be treated by a doctor
  • there is chronic diarrhea or diarrhea caused by taking antibiotics
  • there are kidney or liver function disorders
  • there are prolonged or uncontrolled vomiting
  • there is lactose intolerance (see "Tiorfan contains lactose monohydrate"). Skin reactions have been reported during treatment with Tiorfan. In most cases, they were mild. If severe skin reactions occur, treatment should be stopped immediately.

Tiorfan and other medicines

The patient should tell their doctor about all medicines they are currently taking or
have recently taken, as well as any medicines they plan to take.
In particular, the patient should inform their doctor if they are taking any of the following
medicines:
Page 1 4

  • angiotensin-converting enzyme inhibitors (e.g., captopril, enalapril, lisinopril, perindopril, ramipril) used to lower blood pressure or facilitate heart function.

Pregnancy and breastfeeding

Tiorfan should not be taken during pregnancy, suspected pregnancy, or breastfeeding.
Before taking this medicine, the patient should consult a doctor or pharmacist.

Driving and using machines

Tiorfan has a minor or no influence on the ability to drive and use machines.

Tiorfan contains lactose monohydrate

Tiorfan contains lactose monohydrate (a type of sugar). If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking Tiorfan.
The medicine does not contain gluten.

3. How to take Tiorfan

This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist. In case of doubt, the patient should consult a doctor or pharmacist.
Tiorfan is in the form of hard capsules.
The usual dose is one capsule three times a day, which should be swallowed with a glass of water.
Tiorfan should be taken preferably before main meals, but when starting treatment, one capsule can be taken at any time of the day.
The doctor will decide on the duration of treatment with Tiorfan. Treatment should be continued until two normal stools have been passed and should not last longer than 7 days.
To replenish lost fluids due to diarrhea, this medicine should be taken simultaneously with an adequate amount of fluids and salts (electrolytes). The best way to replenish fluids and electrolytes is to drink so-called oral rehydration solutions (in case of doubt, the patient should consult a doctor or pharmacist).
There is no need to adjust the dose in elderly patients.

Use in children

Other forms of the medicine are available for children and infants.

Overdose of Tiorfan

In case of taking a higher dose of Tiorfan than recommended, the patient should immediately contact their doctor or pharmacist.

Missed dose of Tiorfan

The patient should not take a double dose to make up for a missed dose. The next dose should be taken at the usual time.

4. Possible side effects

Like all medicines, Tiorfan can cause side effects, although not everybody gets them.
The patient should stop taking Tiorfan and immediately contact their doctor if they experience symptoms of angioedema, such as:

  • swelling of the face, tongue, or throat
  • difficulty swallowing
  • hives and difficulty breathing. Page 2 4

The following side effects have been reported:
Common (occurring in less than 1 in 10 patients): headaches.
Uncommon (occurring in less than 1 in 100 patients): rash and erythema (redness of the skin).
Frequency not known (cannot be estimated from the available data):
erythema multiforme (pink patches on the skin, inside the mouth, and sometimes in the eyes), tongue swelling, facial swelling, lip swelling, eyelid swelling, urticaria, erythema nodosum (lumps under the skin), papular rash (small, raised patches on the skin), pruritus (itching skin), and toxic epidermal necrolysis (a severe skin condition).

Reporting side effects

If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform their doctor, pharmacist, or nurse. 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
Reporting side effects will help to gather more information on the safety of the medicine.

5. How to store Tiorfan

The medicine should be stored out of sight and reach of children.
The medicine should not be used after the expiration date stated on the packaging. The expiration date refers to the last day of the specified month.
There are no special precautions for storage.
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 packaging and other information

What Tiorfan contains

The active substance of Tiorfan is racecadotril. Each capsule contains 100 mg of racecadotril.
Other ingredients of the medicine are: lactose monohydrate, corn starch, magnesium stearate, and colloidal silica.
Capsole shell: gelatin, yellow iron oxide (E 172), titanium dioxide (E 171).

What Tiorfan looks like and contents of the pack

Tiorfan is available in the form of hard capsules, ivory-colored.
Packaging of 10, 20, 100, or 500 capsules.
For more detailed information, the patient should contact the marketing authorization holder or the parallel importer.

Marketing authorization holder in Portugal, the country of export:

Ferrer Internacional, S.A., Gran Via Carlos III, 94, 08028 – Barcelona, Spain

Manufacturer:

Ferrer Internacional, S.A., Gran Via Carlos III, 94, 08028 – Barcelona, Spain
Sophartex, 21 rue du Pressoir, 28500 Vernouillet, France

Parallel importer:

Page 3 4
Delfarma Sp. z o.o., ul. Św. Teresy od Dzieciątka Jezus 111, 91-222 Łódź

Repackaged by:

Delfarma Sp. z o.o., ul. Św. Teresy od Dzieciątka Jezus 111, 91-222 Łódź
Marketing authorization number in Portugal, the country of export: 5756689

Parallel import authorization number: 268/24

This medicine is authorized for marketing in the Member States of the European Economic Area under the following names:

Spain: Tiorfan
Austria: Hidrasec
Belgium: Tiorfix
Czech Republic: Hidrasec
Denmark: Hidrasec
Estonia: Hidrasec
Finland: Hidrasec
Germany: Tiorfan
Greece: Hidrasec
Hungary: Hidrasec
Ireland: Hidrasec
Italy: Tiorfix
Latvia: Hidrasec
Lithuania: Hidrasec
Luxembourg: Tiorfix
Netherlands: Hidrasec
Norway: Hidrasec
Poland: Tiorfan
Portugal: Tiorfan
Slovakia: Hidrasec
Slovenia: Hidrasec
Sweden: Hidrasec

Date of approval of the leaflet: 04.07.2024

[Information about the trademark]
Page 4 4

  • Country of registration
  • Active substance
  • Prescription required
    No
  • Marketing authorisation holder (MAH)
    Ferrer Internacional, S.A.
  • Alternatives to Tiorfan
    Dosage form: Capsules, 100 mg
    Active substance: racecadotril
    Manufacturer: Holsten Pharma GmbH
    Prescription not required
    Dosage form: Granulate, 10 mg
    Active substance: racecadotril
    Prescription required
    Dosage form: Granulate, 10 mg
    Active substance: racecadotril
    Prescription required

Alternatives to Tiorfan in other countries

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

Alternative to Tiorfan in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 4 mg/ml
Active substance: racecadotril
Manufacturer: Bioprojet Pharma
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 30 mg racecadotril
Active substance: racecadotril
Manufacturer: Bioprojet Ferrer
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 10 mg racecatrodil
Active substance: racecadotril
Manufacturer: Bioprojet Ferrer
Prescription required
Dosage form: CAPSULE, 100 mg
Active substance: racecadotril
Manufacturer: Bioprojet Ferrer
Prescription not required
Dosage form: CAPSULE, 100 mg
Active substance: racecadotril
Manufacturer: Bioprojet Ferrer
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 250 mg
Active substance: albumin tannate
Prescription not required

Alternative to Tiorfan in Ukraine

Dosage form: granules, 30 mg
Active substance: racecadotril
Prescription not required
Dosage form: granules, 10 mg; 16 sachets
Active substance: racecadotril
Prescription not required
Dosage form: capsules, 100 mg
Active substance: racecadotril
Manufacturer: Sofarteks
Prescription not required
Dosage form: granules, 30 mg; 16 sachets
Active substance: racecadotril
Manufacturer: Sofarteks
Prescription not required
Dosage form: granules, 10 mg; 16 sachets
Active substance: racecadotril
Manufacturer: Sofarteks
Prescription not required

Online doctors for Tiorfan

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

5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Maryna Kuznetsova

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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • 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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She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

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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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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  • follow-up after hospital discharge
  • interpretation of test results
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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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  • 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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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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Common reasons for consultation include:

  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
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Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
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