VERTISAN 24 mg Tablets

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Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
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 Vertisan 24

Contents of the leaflet

  1. LEAFLET INCLUDED IN THE PACKAGING: INFORMATION FOR THE PATIENT
  2. Vertisan 24, tablets, 24 mg
    1. It is essential to carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.
    2. Table of contents of the leaflet:
  3. What is Vertisan 24 and what is it used for
  4. Important information before taking Vertisan 24
    1. When not to take Vertisan 24
    2. Warnings and precautions
    3. Children and adolescents
    4. Vertisan 24 and other medicines
    5. Pregnancy, breastfeeding, and fertility
    6. Driving and using machines
    7. Vertisan 24 contains lactose
  5. How to take Vertisan 24
    1. Recommended dose
    2. Taking a higher dose of Vertisan 24 than recommended
    3. Missing a dose of Vertisan 24
    4. Stopping treatment with Vertisan 24
  6. Possible undesirable effects
    1. Special attention:
    2. Reporting undesirable effects
  7. How to store Vertisan 24
  8. Contents of the packaging and other information
    1. What Vertisan 24 contains
    2. What Vertisan 24 looks like and contents of the packaging
    3. Marketing authorization holder and manufacturer
    4. This medicinal product is authorized in the Member States of the European Economic Area under the following names:
    5. Date of the last revision of the leaflet: 07.06.2018

LEAFLET INCLUDED IN THE PACKAGING: INFORMATION FOR THE PATIENT

Vertisan 24, tablets, 24 mg

betahistine dihydrochloride

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

  • The leaflet should be kept in case it needs to be read again.
  • In case of any doubts, the doctor, pharmacist, or nurse should be consulted.
  • This medicine has been prescribed to a specific person. It should not be given to others. The medicine may harm another person, even if the symptoms of their illness are the same.
  • If the patient experiences any undesirable effects, including any undesirable effects not mentioned in this leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.

Table of contents of the leaflet:

  • 1. What is Vertisan 24 and what is it used for
  • 2. Important information before taking Vertisan 24
  • 3. How to take Vertisan 24
  • 4. Possible undesirable effects
  • 5. How to store Vertisan 24
  • 6. Contents of the packaging and other information
Doctor consultation

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1. What is Vertisan 24 and what is it used for

Betahistine, the active substance of Vertisan 24, is similar to histamine - a substance naturally occurring in the human body.
Vertisan 24 is indicated for the treatment of Meniere's disease, characterized by the following symptoms: dizziness (often associated with nausea and/or vomiting), tinnitus, and hearing loss.

2. Important information before taking Vertisan 24

When not to take Vertisan 24

  • if the patient is allergic to betahistine dihydrochloride or any of the other ingredients of this medicine (listed in section 6),
  • if the patient has a pheochromocytoma (a tumor of the adrenal gland).

Warnings and precautions

Before starting to take Vertisan 24, the patient should discuss it with their doctor, pharmacist, or nurse,

  • if the patient has a stomach or intestinal ulcer,
  • if the patient has a chronic respiratory disease (asthma),
  • if the patient has hives, skin rash, or nasal congestion due to an allergic reaction
    • symptoms may worsen while taking Vertisan 24,
  • if the patient has very low blood pressure,
  • if the patient is taking other medicines for allergies or colds
    • so-called antihistamines (see also section "Vertisan 24 and other medicines").

There is limited data on patients with liver or kidney function disorders, as well as in elderly patients. Therefore, betahistine should be used with caution in this group of patients.

Children and adolescents

Vertisan 24 should not be used in children and adolescents under 18 years of age due to insufficient information on safety and efficacy.

Vertisan 24 and other medicines

The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
If Vertisan 24 is taken at the same time as certain medicines for allergies or colds (antihistamines), the effect of both medicines may be reduced. If the patient is currently taking an antihistamine, the dose should be gradually reduced over 6 days before starting to take Vertisan 24.
Medicines used to treat depression or Parkinson's disease (e.g., monoamine oxidase inhibitors, IMAO) may enhance the effect of Vertisan 24.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, or thinks they may be pregnant, they should consult their doctor or pharmacist before taking this medicine.
Vertisan 24 should not be taken during pregnancy, unless the doctor decides it is necessary.
It is not known whether Vertisan 24 passes into breast milk. Therefore, this medicine should not be taken during breastfeeding, unless it has been discussed with the doctor.

Driving and using machines

Meniere's disease symptoms may negatively affect the ability to drive and operate machines. In clinical trials, betahistine did not affect this ability or had a negligible effect.

Vertisan 24 contains lactose

This medicine contains lactose. If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine.

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

3. How to take Vertisan 24

This medicine should always be taken according to the doctor's or pharmacist's recommendations. In case of doubts, the doctor or pharmacist should be consulted.

Unless the doctor recommends otherwise, the usual dose is:
1/2-1 tablet of Vertisan 24 mg 2 times a day (corresponding to 24-48 mg of betahistine dihydrochloride). The tablet can be divided into equal doses.
The tablet should be swallowed without chewing, washed down with water during or after a meal.
The doctor will inform the patient about the duration of treatment with Vertisan 24. The medicine is usually taken for a long time, and treatment lasts several months.

In case of taking a higher dose of Vertisan 24 than recommended, the following overdose-related symptoms may occur:
headache, facial flushing, decreased blood pressure, rapid heartbeat, difficulty breathing due to bronchospasm (asthma) and edema of the mucous membranes of the upper respiratory tract due to water retention (Quincke's edema).
If any of the above symptoms occur, the patient should immediately consult their doctor. The doctor will prescribe the appropriate procedure.

Missing a dose of Vertisan 24

If the patient forgets to take a tablet of Vertisan 24, they should take the next tablet at the usual time. A double dose should not be taken to make up for the missed tablet.

Stopping treatment with Vertisan 24

Treatment with Vertisan 24 should not be stopped without the doctor's recommendation.
In case of any further doubts related to the use of this medicine, the patient should consult their doctor, pharmacist, or nurse.

4. Possible undesirable effects

Like all medicines, Vertisan 24 can cause undesirable effects, although not everybody gets them.
The patient should stop taking Vertisan 24 and immediately consult their doctor if they experience any of the following symptoms:

  • facial, tongue, or throat edema
  • difficulty swallowing
  • hives and difficulty breathing.

Undesirable effects are listed below by frequency of occurrence.
Common(occurring in less than 1 in 10 people)

  • headache.
  • nausea
  • gastrointestinal disturbances

Rare(occurring in less than 1 in 1,000 people)

  • palpitations, feeling of chest tightness
  • possible worsening of existing asthma
  • vomiting, heartburn, stomach pain and discomfort, bloating
  • feeling of warmth

Frequency not known(cannot be estimated from the available data)

  • drowsiness
  • vomiting
  • allergic reactions
  • skin and subcutaneous tissue reactions, including hives, rash, and itching

Special attention:

The patient should ask their doctor to take appropriate measures if any of the above symptoms occur.
Gastrointestinal disturbances can be avoided by taking Vertisan 24 with a meal or after a meal, or by reducing the dose.

Reporting undesirable effects

If the patient experiences any undesirable effects, including any undesirable effects not mentioned in the leaflet, they should inform their doctor, pharmacist, or nurse.
Undesirable effects can be reported directly to the Department of Post-Marketing Surveillance, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, PL-02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, e-mail: [email protected].
Undesirable effects can also be reported to the marketing authorization holder.
Reporting undesirable effects helps to gather more information on the safety of the medicine.

5. How to store Vertisan 24

The medicine should be stored out of sight and reach of children.
The medicine should not be used after the expiry date stated on the packaging and blister after: "Expiry date" or "EXP". The expiry date refers to the last day of the given month.
The medicine should not be stored at a temperature above 25°C.
Medicines should not be disposed of via wastewater. 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 Vertisan 24 contains

The active substance of the medicine is betahistine dihydrochloride.
One tablet contains 24 mg of betahistine dihydrochloride.
Other ingredients of the medicine are lactose monohydrate, corn starch, microcrystalline cellulose (type 102), citric acid, povidone K 25, crospovidone (type A), hydrogenated vegetable oil.

What Vertisan 24 looks like and contents of the packaging

White to cream-colored, flat, round tablets with beveled edges and a dividing line on both sides.
The tablet can be divided into equal doses.
Vertisan 24 is packaged in blisters containing 20, 24, 30, 48, 50, 60, 96, or 100 tablets.
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

HENNIG ARZNEIMITTEL GmbH & Co. KG
Liebigstrasse 1 – 2
65439 Flörsheim am Main
Germany
Tel.: +49 61 45 - 508 0
Fax: +49 61 45 - 508 140
e-mail: [email protected]

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Austria
Betahistin Hennig 24 mg Tabletten
Bulgaria
Вертизан N 24 mg таблетки
Germany
Betavert N 24 mg Tabletten
Hungary
Vertisan 24 mg tabletta
Italy
Betigo 24 mg compresse
Poland
Vertisan 24
Romania
Vertisan 24 mg comprimate

Date of the last revision of the leaflet: 07.06.2018

Online doctors for Vertisan 24

Discuss questions about Vertisan 24, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(22)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), 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). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • 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.

Book a video appointment
€156
Doctor
5.0(6)

Anastasiia Hladkykh

Psychiatry15 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
Book a video appointment
€156
Doctor
5.0(1)

Daria Portnova

Psychiatry31 years of experience

Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations. In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life. Patients consult Dr Daria Portnova for the following concerns: 

  • existential crises and complex life situations;
  • loss, grief, and emotional exhaustion;
  • relationship difficulties, separation, and divorce;
  • psychological and psychiatric trauma, including complex PTSD (cPTSD);
  • anxiety disorders: generalised anxiety disorder and panic disorder;
  • social anxiety and social phobia;
  • obsessive-compulsive disorder (OCD);
  • sleep disorders;
  • depressive disorders;
  • bipolar affective disorder;
  • schizoaffective disorder;
  • schizophrenia;
  • personality disorders.

Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.

Book a video appointment
€116
Doctor
5.0(1)

Pedro Alvarez Guerrero

Psychiatry8 years of experience

Dr. Alvarez Guerrero graduated in Medicine from the San Pablo CEU University in Madrid. He subsequently completed his specialization in Psychiatry in the Department of Psychiatry at Hospital Sant Joan de Deu in Manresa (Barcelona), where over the course of four years he acquired solid training in the bio-psycho-social model, developing his expertise across the different areas of mental health.

During his residency, he undertook training placements at Hospital Clínic de Barcelona, where he trained for several months in the psychiatric consultation-liaison unit. He also completed another placement at Hospital de Cruces in Bilbao, in the first-episode psychosis unit.

Throughout his professional career, Dr. Alvarez Guerrero has sought to complement his medical training with psychotherapeutic tools that allow him to address mental health disorders from a comprehensive perspective. For this reason, he specialized in Brief Strategic Psychotherapy through the Spanish Society of Psychosomatic Medicine and Psychotherapy, an approach focused on targeted and effective interventions.

With the aim of deepening his knowledge and promoting the rational use of treatments, he also completed a Master’s Degree in Psychopharmacology at the University of Valencia, which has enabled him to rigorously integrate the most up-to-date scientific evidence into the clinical management of psychopharmacological treatments.

He has also shown a particular interest in the field of legal psychiatry, completing an Official Master’s Degree in Legal, Forensic and Criminological Psychopathology at the Universitat Internacional de Catalunya. This training has allowed him to acquire the necessary competencies for the preparation of psychiatric expert reports in judicial and medico-legal contexts, thereby broadening the scope of his professional activity.

Book a video appointment
€116

Get Vertisan 24 Prescription Online

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Frequently Asked Questions

Is a prescription required for Vertisan 24?

Vertisan 24 requires 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 Vertisan 24?

The active ingredient in Vertisan 24 is betahistine. This information helps identify medicines with the same composition but different brand names.

Who manufactures Vertisan 24?

Vertisan 24 is manufactured by Henning Arzneimittel GmbH & Co. KG. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Vertisan 24 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 Vertisan 24 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 Vertisan 24 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 Vertisan 24 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 Vertisan 24?

Other medicines with the same active substance (betahistine) include Apobetina, Apobetina, Apobetina. 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.

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