QUTENZA 179 mg CUTANEOUS PATCH

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

• assessment of sudden or unclear symptoms
• ongoing care for chronic conditions
• follow-up after hospital discharge
• interpretation of test results
• medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

• Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
• Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
• Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
• Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning

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.

• 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.

• 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).

• 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. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

• Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
• Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
• Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
• Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
• General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
• Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
• Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
• Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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.

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

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.

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.

• 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.

• 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.

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.

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

• Diagnostic consultations for suspected endocrine disorders
• Management of thyroid conditions, including in pregnant women
• Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
• Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
• Diagnosis and treatment of endocrine-related skin, hair, and nail issues
• Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders

Dr Maria Martelli is a medical doctor specialising in anaesthesiology and pain medicine. She provides online consultations for adults, focusing on the assessment and management of acute, chronic, and complex pain conditions, as well as supportive care in serious illness. She graduated from the Medical University of Silesia in Katowice and completed her specialisation in Anaesthesiology and Intensive Care. Alongside hospital work, she has extensive experience in home and inpatient hospice care, supporting patients with severe pain and advanced disease. Since 2021, she has been a certified specialist and continues to work in anaesthesiology, intensive care, and pain treatment. Patients consult her for: 

• Chronic pain lasting more than 3 months (musculoskeletal, neuropathic, mixed pain).
• Acute pain requiring medical assessment and treatment planning.
• Post-operative pain and recovery support.
• Cancer-related pain and symptom relief.
• Palliative care support and quality-of-life improvement.
• Adjustment and optimisation of pain medication.
• Second opinions for complex or treatment-resistant pain.

Dr Martelli takes a structured, evidence-based approach, carefully analysing symptoms, previous treatments, and overall health status. Her consultations focus on realistic pain control goals, safety of therapy, and improving daily functioning. She is especially attentive to patients living with long-term pain or serious illness, providing clear explanations, compassionate guidance, and medically sound recommendations adapted to each individual situation.

Dr. Germán Picciochi is a medical specialist in psychiatry and neuropsychiatry, with professional practice starting in 2010. He also has training in legal medicine and forensic psychiatry, which allows him to approach each case from a comprehensive clinical and forensic perspective.

He holds postgraduate training in psychoneuroimmunoendocrinology, cognitive-behavioral therapies, and cognitive neuroscience. His approach is based on a comprehensive patient assessment, combining up-to-date clinical knowledge with evidence-based therapeutic tools.

Dr. Picciochi works in the diagnosis and treatment of various mental disorders, offering a professional, structured, and individualized approach tailored to each patient’s needs.

In which cases can Dr. Picciochi help you?

You may consult this specialist if you experience:

• Anxiety, stress, or panic attacks
•  Depression and mood disorders
•  Sleep disorders (insomnia, frequent awakenings)
•  Behavioral disorders and emotional difficulties
•  Memory or concentration problems
•  Complex situations requiring a holistic mind-body approach