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Trilac

Trilac

Ask a doctor about a prescription for Trilac

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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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€50
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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.

0.0(1)
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
€50
November 1009:00
November 1010:05
November 1011:10
November 1012:15
November 1013:20
More times
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
November 1015:00
November 1015:40
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November 1017:40
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Doctor

Marianna Neshta

Endocrinology24 years of experience

Marianna Neshta is a medical doctor specialising in endocrinology and ultrasound diagnostics. She provides online consultations for adults, focusing on the diagnosis, treatment, and long-term management of endocrine disorders. Her approach includes personalised care plans, analysis of lab results and ultrasound scans, and evidence-based treatment.

Key areas of expertise:

  • Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
  • Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
  • Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
  • Male hypogonadism – age-related or hormonal, including diagnostics and therapy
  • Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
  • Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism
Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.
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Doctor

Taisiia Proida

Psychiatry6 years of experience

Dr. Taisiia Proida is a psychiatrist and cognitive behavioural therapist (CBT), and a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care.

She specialises in consultations and ongoing support for a wide range of mental health concerns, including:

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD).
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders.

She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

CameraBook a video appointment
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Doctor

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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