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Trilac

Trilac

Ask a doctor about a prescription for Trilac

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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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 Trilac

Package Leaflet: Information for the User

Trilac

1.6 x 10 CFU* lactic acid bacteria
hard capsules
composite product

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

  • This medicine should always be taken exactly as described in the patient information leaflet or as directed by a doctor or pharmacist.
  • Keep this leaflet, as 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 Trilac and what is it used for
  • 2. Important information before taking Trilac
  • 3. How to take Trilac
  • 4. Possible side effects
  • 5. How to store Trilac
  • 6. Package contents and other information

1. What is Trilac and what is it used for

During antibiotic treatment, the natural flora of the gastrointestinal tract is severely disrupted, which can lead to infection with pathogenic microorganisms.
Trilac has a beneficial effect on the human gastrointestinal tract, as it contains lactic acid bacteria that lower the pH in the gastrointestinal tract, allowing the development of normal intestinal flora and preventing the colonization and growth of pathogenic microorganisms.
The bacterial composition of Trilac has been selected as follows:

  • Lactobacillus acidophiluscolonizes and multiplies in the small and large intestine. It creates favorable conditions for the development of Bifidobacterium animalissubsp. lactis, bacteria whose amount in the gastrointestinal tract decreases in older people.
  • Lactobacillus delbrueckiisubsp. bulgaricusis not part of the natural, permanent intestinal flora, but it is important for the gastrointestinal environment, as it produces natural compounds with antibiotic properties.

Indications for use:

  • post-antibiotic enteritis, with particular emphasis on supportive treatment of pseudomembranous colitis, mainly in recurrent pseudomembranous colitis,
  • prevention of traveler's diarrhea,
  • supportive treatment after antibiotic therapy.

2. Important information before taking Trilac

When not to take Trilac

  • if the patient is allergic to the active substances or to any of the other ingredients of this medicine (listed in section 6),
  • if the patient is allergic to cow's milk protein.

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 or pharmacist before taking this medicine.
The safety of Trilac during pregnancy has not been studied.
Trilac can be used in women during breastfeeding in accordance with the recommended dosage.
Before taking the medicine, the patient should consult her doctor.

Driving and using machines

Trilac does not affect the ability to drive or operate machines.

Trilac and other medicines

Trilac taken simultaneously with an antibiotic may exhibit weaker probiotic activity.

3. How to take Trilac

This medicine should always be taken exactly as described in the patient information leaflet or as directed by a doctor or pharmacist. In case of doubt, the patient should consult their doctor or pharmacist.
Recommended dose
1-2 capsules orally 3 times a day for 2 weeks to 1 month, then 1-2 capsules can be taken per day.
Best taken with a large amount of liquid during a meal or 1 hour before a meal.

In case of overdose:

There is no data on overdose.

In case of missed dose:

A double dose should not be taken to make up for a missed dose.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
No side effects have been reported so far.
In case of side effects, the patient should inform their doctor.

Reporting side effects

If any side effects occur, including any possible side effects not listed in the leaflet, the patient should inform their 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
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 help gather more information on the safety of the medicine.

5. How to store Trilac

The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging: EXP.
The expiry date refers to the last day of the month.
Blister pack of 20 capsules
Store in a refrigerator at 2°C - 8°C. During treatment, it can be stored in a dry place at a temperature below 25°C.
Aluminum container for 30 or 90 capsules.
Store at a temperature below 25°C.
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. Package contents and other information

What Trilac contains

The active substances of the medicine are lactic acid bacteria:

  • Lactobacillus acidophilus(La-5) 37.5%
  • Lactobacillus delbrueckiisubsp. bulgaricus(Lb-Y27) 25%
  • Bifidobacterium animalissubsp. lactis(Bb-12) 37.5% One capsule contains 1.6 x 10 CFU* lactic acid bacteria *CFU (from English: colony forming unit) - colony-forming unit

Other ingredients are:
skimmed milk powder, yeast extract, sodium ascorbate, inositol, sodium glutamate, sodium alginate, magnesium stearate, anhydrous glucose.
Capsule shell: titanium dioxide, gelatin.

What Trilac looks like and what the package contains

Hard capsules
The capsule is a white or white-cream-colored gelatin capsule filled with a powder or a brittle consistency wafer of light beige to salmon color.
Packaging:
20 hard capsules, packaged in an aluminum/PVC/TE/PVDC blister pack, in a cardboard box.
30 and 90 hard capsules, packaged in an aluminum container, closed with a polyethylene cap equipped with a desiccant, in a cardboard box.
Not all pack sizes may be marketed.

Marketing authorization holder

Krotex Pharm Sp. z o.o. Sp.k.
ul. Dostępna 56
01-490 Warsaw

Manufacturer

Farmina Sp. z o.o.
ul. Cegielskiego
232-400 Myślenice
Allergon AB
Välingevägen 309
S-262 92 Ängelholm
Sweden

Date of last update of the leaflet:

02/2021

  • Country of registration
  • Prescription required
    No
  • Manufacturer
  • Importer
    Allergon AB Farmina Sp. z o.o.
  • Alternatives to Trilac
    Dosage form: Powder, 500 mg
    Active substance: saccharomyces boulardii
    Manufacturer: Biocodex
    Prescription not required
    Dosage form: Capsules, 250 mg
    Active substance: saccharomyces boulardii
    Prescription not required
    Dosage form: Capsules, 250 mg
    Active substance: saccharomyces boulardii
    Prescription not required

Alternatives to Trilac in other countries

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

Alternative to Trilac in Ukraine

Dosage form: suspension, 1 ml in a polyethylene ampoule
Manufacturer: Ardejfarm GmbH
Prescription required
Dosage form: suspension, 5 ml in a vial
Prescription not required
Dosage form: suspension, 5 ml in a bottle
Prescription not required
Dosage form: powder, 2 g in sachet
Prescription not required
Dosage form: powder, 2 g in sachet
Prescription not required
Dosage form: capsules, 1 capsule contains a mixture of spores of Bacillus clausii 2x109
Prescription not required

Alternative to Trilac in Spain

Dosage form: CAPSULE, 50 mg
Active substance: saccharomyces boulardii
Manufacturer: Biocodex
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 250 mg
Active substance: saccharomyces boulardii
Manufacturer: Biocodex
Prescription not required
Dosage form: CAPSULE, 250 mg
Active substance: saccharomyces boulardii
Manufacturer: Biocodex
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 120 MILLION GERMS
Manufacturer: Casen Recordati S.L.
Prescription not required

Online doctors for Trilac

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

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

CameraBook a video appointment
€54
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His areas of clinical focus include:

  • Depression and mood disorders, including bipolar disorder and chronic low mood
  • Anxiety and stress-related conditions, such as generalised anxiety, panic attacks, phobias, and PTSD
  • Psychotic disorders, including early intervention for delusions, hallucinations, and thought disturbances
  • Dementia and cognitive decline, with assessment, treatment planning, and caregiver support
  • Behavioural and emotional regulation issues, such as irritability, emotional instability, and compulsive patterns

Dr Baturychev tailors each consultation to the patient’s needs, combining modern diagnostic tools with evidence-based psychiatric treatment. His approach prioritises clarity, compassion, and therapeutic efficiency – whether patients seek diagnosis, medication management, or ongoing mental health support.

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Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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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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  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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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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Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • 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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Lina Travkina

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

Areas of medical care include:

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

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • 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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