ZIRID 50 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 Zirid

Contents of the leaflet

  1. Package Leaflet: Information for the User
  2. Zirid, 50 mg, Coated Tablets
    1. Read the Package Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.
    2. Table of Contents of the Package Leaflet
  3. What is Zirid and What is it Used For
  4. Important Information Before Taking Zirid
    1. When Not to Take Zirid
    2. Zirid and Other Medications
    3. Zirid with Food and Drink
    4. Pregnancy, Breastfeeding, and Fertility
    5. Driving and Operating Machines
    6. Zirid Contains Lactose Monohydrate
  5. How to Take Zirid
    1. Use in Children
    2. Patients with Liver or Kidney Impairment and Elderly Patients
    3. Taking a Higher Dose of Zirid than Recommended
    4. Missing a Dose of Zirid
  6. Possible Side Effects
    1. The Patient Should Stop Taking the Medication and Immediately Consult their Doctor or Go to the Hospital if they Experience:
    2. Reporting Side Effects
  7. How to Store Zirid
  8. Package Contents and Other Information
    1. What Zirid Contains
    2. What Zirid Looks Like and What the Package Contains
    3. Marketing Authorization Holder
    4. Manufacturer
    5. For More Detailed Information on the Medication and its Names in the Member States of the European Economic Area, Please Contact:

Package Leaflet: Information for the User

Zirid, 50 mg, Coated Tablets

Itopride Hydrochloride

Read the Package Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.

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

Table of Contents of the Package Leaflet

  • 1. What is Zirid and What is it Used For
  • 2. Important Information Before Taking Zirid
  • 3. How to Take Zirid
  • 4. Possible Side Effects
  • 5. How to Store Zirid
  • 6. Package Contents and Other Information
Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

1. What is Zirid and What is it Used For

Zirid contains the active substance itopride, which increases the motility of the gastrointestinal tract (spontaneous movements of the stomach and intestines necessary for the passage of food through the gastrointestinal tract) and prevents the occurrence of nausea and vomiting. The medication is intended for the treatment of symptoms resulting from delayed gastric emptying, such as a feeling of fullness in the stomach or even painful pressure in the upper abdomen, loss of appetite, heartburn, nausea, and vomiting associated with digestive disorders, for reasons other than peptic ulcer disease or organ diseases that cause changes in the passage through the gastrointestinal tract. The medication is intended for use in adults.

2. Important Information Before Taking Zirid

When Not to Take Zirid

The medication is not intended for use in children, pregnant or breastfeeding women.

Zirid and Other Medications

The patient should inform their doctor or pharmacist about all medications they are currently taking or have recently taken, as well as any medications they plan to take. Zirid and other medications taken at the same time may interact with each other.

  • Substances with anticholinergic activity (used to treat asthma, chronic pulmonary diseases, diarrhea, Parkinson's disease, and to relieve smooth muscle spasms, e.g., in the urinary bladder) reduce the effect of itopride.
  • Zirid affects the motility of the gastrointestinal tract, so it may affect the absorption of other medications. Particular caution is advised when taking medications with a narrow therapeutic index (small difference between the therapeutic dose and the harmful dose), medications with prolonged release, and enteric-coated tablets or capsules. The patient should consult their doctor or pharmacist if they are taking any of these medications.

In the case of other interactions (i.e., the effect of itopride on other medications and the effect of other medications on itopride), no other interactions have been found.

Zirid with Food and Drink

The medication should be taken before a meal.

Pregnancy, Breastfeeding, and Fertility

If the patient is pregnant or breastfeeding, or thinks they may be pregnant, or is planning to have a child, they should consult their doctor or pharmacist before taking this medication. Due to the lack of data on the safety of use, the medication should not be used during pregnancy, breastfeeding, or in women who are suspected to be pregnant, unless the benefits of treatment significantly outweigh the potential risks. If the above applies to the patient, they should consult their doctor before taking the medication.

Driving and Operating Machines

Although no effect of the medication on the ability to drive vehicles or operate machines has been found, it cannot be ruled out that the patient's ability to concentrate may be impaired due to rare dizziness. The patient should not drive if they experience such symptoms.

Zirid Contains Lactose Monohydrate

If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medication. This medication contains less than 1 mmol of sodium (23 mg) per tablet, which means it is considered "sodium-free".

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

3. How to Take Zirid

This medication should always be taken according to the doctor's instructions. In case of doubts, the patient should consult their doctor or pharmacist. The tablet has a dividing line on one side and can be divided into equal doses. The tablet should be swallowed whole or divided, with a glass of water, before a meal. The exact dosage and duration of treatment are determined by the doctor. Adults: The usual dose for adults is one tablet 3 times a day before meals. This dose may be reduced depending on the course of the disease (e.g., to ½ tablet 3 times a day).

Use in Children

Due to the lack of data on the safety of use, it is not recommended to use the medication in children.

Patients with Liver or Kidney Impairment and Elderly Patients

Patients with liver or kidney impairment, as well as elderly patients, will be closely monitored by their doctor. If any side effects occur, the patient should contact their doctor. The doctor may recommend reducing the dose or stopping treatment.

There is no experience with overdose of the medication in humans. In case of taking too many tablets or accidental ingestion of the medication by a child, the patient should immediately go to the nearest hospital or consult their doctor. In case of overdose, gastric lavage and symptomatic treatment are usually used.

Missing a Dose of Zirid

The patient should not take a double dose to make up for a missed dose. In case of any further doubts about taking this medication, the patient should consult their doctor or pharmacist.

4. Possible Side Effects

Like all medications, Zirid can cause side effects, although not everybody gets them.

The Patient Should Stop Taking the Medication and Immediately Consult their Doctor or Go to the Hospital if they Experience:

  • swelling of the hands, feet, ankles, face, lips, or throat, which may cause difficulty swallowing or breathing. A rash or itching may also occur. This may indicate that the patient is having an allergic reaction.

During treatment with itopride (the active substance of Zirid), the following side effects may occur: Uncommon (may affect up to 1 in 100 people):

  • diarrhea, abdominal pain, constipation, increased salivation, headache, sleep disorders, dizziness, back pain or chest pain, fatigue, restlessness, increased levels of creatinine and urea in the blood, decreased white blood cell count, increased prolactin levels in the blood (which may lead to milk secretion and/or breast enlargement).

Rare (may affect up to 1 in 1,000 people):

  • rash, skin redness, and itching.

Frequency Not Known (frequency cannot be estimated from the available data):

  • decreased platelet count (which may manifest as bruising or bleeding), tremors, nausea (feeling of needing to vomit), breast enlargement (gynecomastia), yellowing of the skin (jaundice), increased activity of certain enzymes (ASAT, ALAT, gamma-GT, alkaline phosphatase) and bilirubin levels in the blood.

In case of milk production by the breast outside of breastfeeding (galactorrhea) or breast enlargement in men (gynecomastia), treatment should be stopped and the doctor consulted.

Reporting Side Effects

If the patient experiences any side effects, including any side effects not listed in this leaflet, they should inform their doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Pharmacovigilance of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181 C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl. Side effects can also be reported to the marketing authorization holder. Reporting side effects will help to gather more information on the safety of the medication.

5. How to Store Zirid

The medication should be stored out of sight and reach of children. The medication should not be used after the expiration date stated on the blister pack and carton after "EXP". The expiration date refers to the last day of the month. There are no special precautions for storage. Medications should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medications that are no longer needed. This will help protect the environment.

6. Package Contents and Other Information

What Zirid Contains

The active substance of the medication is itopride hydrochloride. Each coated tablet contains 50 mg of itopride hydrochloride. The other ingredients are: Core tablet:lactose monohydrate, corn starch, croscarmellose sodium, colloidal anhydrous silica, magnesium stearate. Coating:hypromellose 2910/5, macrogol 6000, titanium dioxide, talc.

What Zirid Looks Like and What the Package Contains

Zirid is a white or almost white, round, biconvex, coated tablet with a dividing line on one side. The tablet can be divided into equal doses. The medication is packaged in blisters (transparent PVC/PVDC/Aluminum foil). Each blister contains 10, 15, or 20 coated tablets. The outer packaging is a carton box. Each carton box contains a patient information leaflet. Package sizes: 40 coated tablets, 90 coated tablets, 100 coated tablets.

Marketing Authorization Holder

Zentiva k.s., U Kabelovny 130, Dolní Měcholupy, 102 37 Prague 10, Czech Republic

Manufacturer

Zentiva k.s., U Kabelovny 130, Dolní Měcholupy, 102 37 Prague 10, Czech Republic

For More Detailed Information on the Medication and its Names in the Member States of the European Economic Area, Please Contact:

Zentiva Polska Sp. z o.o., ul. Bonifraterska 17, 00-203 Warsaw, tel.: +48 22 375 92 00, Date of Last Revision of the Leaflet:February 2025

Online doctors for Zirid

Discuss questions about Zirid, 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(11)

Anna Biriukova

Gastroenterology6 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.
Book a video appointment
€66
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 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.

Book a video appointment
€72
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(3)

Lina Travkina

Family medicine13 years of experience

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

Areas of medical care include:

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

Additional care areas:

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

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

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

Book a video appointment
€75

Get Zirid Prescription Online

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Tell us your symptoms, history, and what medicine you're requesting.

2

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Zirid?

Zirid requires a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

Who manufactures Zirid?

Zirid is manufactured by Zentiva k.s.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Zirid 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 Zirid 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 Zirid 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 Zirid 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 Zirid?

Other medicines with the same active substance () include Gasprid, Gasprid, Itokin. 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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