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ROCALTROL 0.50 mcg SOFT GEL CAPSULES

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Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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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 ROCALTROL 0.50 mcg SOFT GEL CAPSULES

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introducción

Prospecto: información para el usuario

Rocaltrol0,50microgramoscápsulas blandas

Calcitriol

Lea todo el prospecto detenidamente antes deempezar a tomareste medicamento, porque contiene información importante para usted.

  • Conserve este prospecto, ya que puede tener que volver a leerlo.
  • Si tiene alguna duda, consulte a su médico o farmacéutico.
  • Este medicamento se le ha recetado solamente a usted, y no debe dárselo a otras personas aunque tengan los mismos síntomas que usted, ya que puede perjudicarles.
  • Si experimenta efectos adversos, consulte a su médico o farmacéutico, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4

Contenido del prospecto

  1. Qué es Rocaltrol y para qué se utiliza
  2. Qué necesita saber antes de tomar Rocaltrol
  3. Cómo tomar Rocaltrol
  4. Posibles efectos adversos
  5. Conservación de Rocaltrol
  6. Contenido del envase e información adicional

1. Qué es Rocaltrol y para qué se utiliza

Rocaltrol contiene como principio activo calcitriol, (derivado de la vitamina D3) el cual promueve la absorción intestinal de calcio y regula la mineralización ósea.

Su médico le recetará Rocaltrol si sus riñones no pueden sintetizar correctamente calcitriol, lo que puede ocurrir si sufre:

‑ Osteodistrofia renal (descalcificación de los huesos debida a una insuficiencia renal crónica)

‑ Hipoparatiroidismo (deficiencia de la hormona paratiroidea que ocasiona niveles anormales de calcio y fósforo en sangre) postquirúrgico o idiopático.

  • Pseudohipoparatiroidismo (trastorno genético que se asemeja al hipoparatiroidismo pero que está causado por la falta de respuesta del organismo a la hormona paratiroidea y no porque los niveles de esta hormona sean bajos).
  • Osteomalacia (reblandecimiento y debilitamiento de los huesos).
  • Raquitismo (osteomalacia en niños) dependiente de la vitamina D (debida a alteraciones en el metabolismo de la vitamina D o en sus receptores) o hipofosfatémico resistente a la vitamina D (debida a la pérdida renal de fosfato).

‑ Tratamiento prequirúrgico en hiperparatiroidismo primario (niveles elevados de hormona paratiroidea debido al agrandamiento de glándulas paratiroideas), para minimizar la hipocalcemia (disminución de los niveles de calcio en sangre) postoperatoria.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Qué necesita saber antes de empezar a tomar Rocaltrol

No tome Rocaltrol:

  • Si es alérgico al calcitriol o a cualquiera de los demás componentes de este medicamento (incluidos en la sección 6).
  • Si presenta niveles altos de calcio en sangre.
  • Si usted presenta intoxicación por vitamina D.

Advertencias y precauciones

Consulte a su médico o farmacéutico antes de empezar a tomar Rocaltrol.

Tenga especial cuidado con Rocaltrol:

  • Si tiene que estar inmovilizado, por ejemplo tras una operación, ya que podría tener mayor riesgo de hipercalcemia (niveles altos de calcio en sangre).
  • Si tiene insuficiencia renal ya que tiene mayor riesgo de sufrir calcificaciones.
  • Si tiene raquitismo resistente a la vitamina D (hipofosfatemia familiar) ya que puede ser necesario modificar la necesidad de suplementos de fosfatos.
  • Siga las medidas dietéticas recomendadas por su médico. Si su médico no se lo ha recomendado, no debe tomar por su cuenta otros preparados de calcio no sujetos a prescripción médica.
  • Su médico le realizará controles periódicos para controlar los niveles de calcio por si es necesario el ajuste de la dosis.
  • Se deberá evitar la toma simultánea de vitamina D o sus derivados (como el dihidrotaquisterol) ya que podría producirse hipercalcemia.

Niños

No se ha establecido la seguridad y eficacia de Rocaltrol en niños para hacer una recomendación de dosis.

Otros medicamentosy Rocaltrol

Informe a su médico o farmacéutico si está utilizando, ha utilizado recientemente o pudiera tener que utilizar cualquier otro medicamento.

Tenga en cuenta que:

  • Si está en tratamiento con digoxina o similares (medicamento para tratar la insuficiencia cardiaca y la frecuencia cardiaca anormal), podrían aparecer arritmias debidas a la hipercalcemia.
  • Si padece raquitismo resistente a la vitamina D y está siendo tratado con fosfato oral, ya que puede ser necesario que su médico ajuste su ingesta de fosfato suplementario.
  • Si está en tratamiento con diuréticos tiazídicos (medicamentos utilizados para la hipertensión) ya que aumentan el riesgo de hipercalcemia (niveles altos de calcio en sangre).
  • Si está tomando colestiramina (medicamento para disminuir el nivel de colesterol y de grasa en sangre), o sevelámero (medicamento para disminuir el fosfato en sangre), ya que alteran la absorción intestinal del calcitriol.
  • Si está sometido a diálisis renal crónica, deberá evitar la toma de medicamentos que contengan magnesio (por ejemplo los antiácidos) ya que podrían dar lugar a una hipermagnesemia (niveles elevados de magnesio en sangre).
  • Si está tomando corticoides ya que pueden contrarrestar los efectos de los análogos de la vitamina D.

Toma de Rocaltrol con los alimentos y bebidas

Si su función renal es normal deberá beber líquidos adecuadamente para evitar la deshidratación. Siga las medidas dietéticas recomendadas por su médico. Si su médico no se lo ha recomendado, no debe tomar por su cuenta otros preparados de calcio no sujetos a prescripción médica.

Embarazo y lactancia

Si está embarazada o en periodo de lactancia, cree que podría estar embarazada o tiene intención de quedarse embarazada, consulte a su médico o farmacéutico antes de utilizar este medicamento.

El médico decidirá la conveniencia o no de que tome Rocaltrol. La toma de Rocaltrol durante la lactancia exige la vigilancia de las concentraciones séricas de calcio en la madre y el niño.

Conducción y uso de máquinas

Este medicamento no afecta a la capacidad para conducir o utilizar máquinas.

Rocaltrolcontiene sorbitol

Este medicamento contiene 2,87 - 4,36 mg de sorbitol en cada cápsula de 0,50 mcg.

3. Cómo tomar Rocaltrol

Siga exactamente las instrucciones de administración de este medicamento indicadas por su médico. En caso de duda, consulte de nuevo a su médico.

Dosis normal:

Su médico determinará, en función del nivel de calcio que presente en sangre, la dosis óptima de Rocaltrol. Para ello le realizará análisis al menos dos veces por semana.

Una vez determinada su dosis, le controlará mensualmente el nivel de calcio en sangre. Si se sobrepasan los niveles normales de calcio, su médico le disminuirá la dosis de Rocaltrol, o bien interrumpirá el tratamiento hasta que recupere el nivel normal de calcio en sangre.

Para que el tratamiento con Rocaltrol sea óptimo, será necesario que el aporte de calcio en la dieta sea adecuado. Si fuera necesario su médico le prescribirá un suplemento de calcio. Es imprescindible que cumpla estrictamente la dieta que su médico le prescriba ya que un aumento brusco del aporte de calcio puede desencadenar una hipercalcemia (niveles altos de calcio en sangre).

Dosis en otras enfermedades:

Osteodistrofia renal (pacientes dializados)

La dosis diaria inicial es 0,25 microgramos. Si sus niveles de calcio en sangre son normales o moderadamente bajos bastará esta dosis cada dos días. Si su médico no registra la mejoría esperada podrá elevar la dosis, con intervalos de dos a cuatro semanas, en 0,25 microgramos diarios cada vez. En ese periodo su médico determinará sus niveles de calcio en sangre, al menos dos veces por semana.

La mayoría de los pacientes reaccionan ante dosis comprendidas entre 0,5 y 1,0 microgramos diario. Quizás lleguen a hacerse necesarias dosis superiores, cuando se administren al propio tiempo barbitúricos o anticonvulsivantes.

Hipoparatiroidismo y raquitismo

La dosis inicial recomendada es de 0,25 microgramos al día administrada por la mañana.

Igualmente, si su médico lo considera oportuno, aumentará su dosis a intervalos de dos a cuatro semanas. Durante el periodo de fijación de la dosis su médico determinará sus niveles de calcio en sangre, al menos dos veces por semana.

En los pacientes con hipoparatiroidismo ocasionalmente se observa mala absorción; puede entonces ser necesaria la administración de dosis mayores de Rocaltrol.

Si toma más Rocaltrol del que debe

Como el calcitriol es un derivado de la vitamina D, los síntomas de una sobredosis de calcitriol son los mismos que los de una sobredosis de vitamina D. Estos mismos síntomas pueden aparecer si se toman dosis elevadas de calcio y fosfato mientras se está en tratamiento con Rocaltrol.

Los síntomas agudos de una intoxicación con calcitriol son: anorexia (falta de apetito), cefalea (dolor de cabeza), vómitos y estreñimiento. Los síntomas crónicos son distrofia (debilidad muscular progresiva), trastornos sensitivos, fiebre con sed, poliuria (excreción de orina incrementada), deshidratación, apatía (falta de energía), interrupción del crecimiento e infecciones urinarias. La hipercalcemia (niveles altos de calcio en sangre) puede ir seguida de una calcificación metastásica de la corteza renal, del miocardio, de los pulmones y del páncreas (el calcio se acumula en estos tejidos, haciendo que se endurezcan).

Se tratará con emesis (inducción al vómito) o lavado gástrico, para impedir la absorción intestinal de calcio. También se podrá administrar parafina líquida para provocar la excreción fecal. Se recomienda realizar análisis repetidos de calcio en sangre. Si persisten los niveles elevados de calcio, forzar la excreción urinaria con fosfatos o corticoides.

En caso de sobredosis ó ingestión accidental, consulte inmediatamente a su médico o farmacéutico o acuda a un centro médico, o consultar al Servicio de Información Toxicológica, Teléfono (91) 562.04.20, indicando el medicamento y la cantidad ingerida.

Si olvidó tomar Rocaltrol

No tome una dosis doble para compensar las dosis olvidadas.

Si interrumpe el tratamiento con Rocaltrol

Su médico le indicará la duración de su tratamiento con Rocaltrol. No suspenda el tratamiento antes.

Si tiene cualquier otra duda sobre el uso de este medicamento, pregunte a su médico o farmacéutico.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Posibles efectos adversos

Al igual que todos los medicamentos, Rocaltrol puede producir efectos adversos, aunque no todas las personas los sufran.

Los efectos adversos son similares a las observadas cuando se toman dosis excesivas de vitamina D, es decir, síndrome de hipercalcemia (niveles altos de calcio en sangre) o intoxicación por calcio.

Los efectos adversos observados con calcitriol son los siguientes:

Efectos adversos muy frecuentes(pueden afectar a más de 1 de cada 10 personas)

  • hipercalcemia (niveles altos de calcio en sangre)

Efectos adversos frecuentes(pueden afectar hasta 1 de cada 10 personas)

  • cefalea (dolor de cabeza)
  • náuseas
  • dolor abdominal o dolor de tripa
  • infecciones urinarias
  • sarpullido

Efectos adversos poco frecuentes(pueden afectar hasta 1 de cada 100 personas):

  • anorexia (falta de apetito)
  • vómitos
  • aumento de la creatinina en la sangre

Efectos adversos con frecuencia no conocida(no se puede estimar su frecuencia con los datos disponibles):

  • hipersensibilidad (alergia)
  • urticaria (ronchas generalmente con picor en la piel)
  • polidipsia (sensación de sed aumentada)
  • deshidratación
  • apatía (falta de energía)
  • alteraciones psiquiátricas
  • debilidad muscular
  • trastornos sensitivos
  • insomnio (dificultad para dormir)
  • arritmias cardíacas (latidos irregulares del corazón)
  • estreñimiento
  • dolor en la zona superior del abdomen
  • íleo paralítico (obstrucción intestinal)
  • eritema (piel inflamada y rojiza)
  • prurito (picor)
  • retraso en el crecimiento
  • poliuria (excreción de orina aumentada)
  • nocturia (ganas de orinar por la noche)
  • calcinosis (depósitos de calcio en los tejidos)
  • fiebre con sed
  • sed
  • pérdida de peso

Comunicación de efectos adversos:

Si experimenta cualquier tipo de efecto adverso, consulte a su médico o farmacéutico, incluso si se trata de efectos adversos que no aparecen en este prospecto. También puede comunicarlos directamente a través del Sistema Español de Farmacovigilancia de medicamentos de Uso Humano: www.notificaram.es. Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Rocaltrol

Mantener este medicamento fuera de la vista y del alcance de los niños.

No conservar a temperatura superior a 25ºC. Conservar el blíster en el embalaje exterior para protegerlo de la luz y la humedad.

No utilice este medicamento después de la fecha de caducidad que aparece en la caja después de CAD. La fecha de caducidad es el último día del mes que se indica.

Los medicamentos no se deben tirar por los desagües ni a la basura. Deposite los envases y los medicamentos que no necesita en el Punto SIGRE de la farmacia. En caso de duda pregunte a su farmacéutico cómo deshacerse de los envases y de los medicamentos que no necesita. De esta forma ayudará a proteger el medio ambiente.

6. Contenido del envase e información adicional

Composición de Rocaltrol 0,50 microgramos:

  • El principio activo es calcitriol. Cada cápsula blanda de Rocaltrol contiene 0,50 microgramos de calcitriol.
  • Los demás componentes son:

Contenido de la cápsula: butilhidroxianisol (E-320), butilhidroxitolueno (E-321), triglicéridos de grasa de coco.

Cubierta de la cápsula: gelatina, glicerol al 85%, karion 83 (contiene: sorbitol (E-420), manitol y almidón de maíz hidrolizado hidrogenado), dióxido de titanio (E-171), óxido de hierro rojo y amarillo (E-172).

Aspecto del producto y contenido del envase

Las cápsulas de Rocaltrol 0,50 microgramos son de gelatina blanda con forma oval, de color marrón–naranja a rojo-naranja opaco.

Este medicamento se presenta en blister de PVC que contienen 20 cápsulas blandas.

Titular de la autorización de comercialización y responsable de la fabricación

Titular de la autorización de comercialización

ATNAHS PHARMA NETHERLANDS B.V.

Copenhagen Towers, Ørestads Boulevard 108, 5.tv

DK-2300 København S

Dinamarca

Responsable de la fabricación

IL CSM Clinical Supplies Management GmbH

Marie-Curie-Strasse 8

Lörrach

Baden-Württemberg, 79539

Alemania

o

allphamed PHARBIL Arzneimittel GmbH

Hildebrandstr. 10-12,

Goettingen, Baja Sajonia, 37081, Alemania

o

Delpharm Poznan S.A.

Ul. Grunwaldzka 189,

Poznan, 60-322,

Polonia

Representante local

Laboratorios Rubió, S.A.

Industria, 29 - Pol. Ind. Comte de Sert

08755 Castellbisbal (Barcelona)

España

Fecha de la última revisión de este prospecto:Enero 2021.

La información detallada de este medicamento está disponible en la página Web de la Agencia Española de Medicamentos y Productos Sanitarios (AEMPS) http://www.aemps.gob.es/

Online doctors for ROCALTROL 0.50 mcg SOFT GEL CAPSULES

Discuss questions about ROCALTROL 0.50 mcg SOFT GEL CAPSULES, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

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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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Dmytro Horobets

Family medicine 7 years exp.

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.

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Alina Tsurkan

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Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Taisiia Proida

Family medicine 7 years exp.

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.

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Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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€55
5.0 (5)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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€80

Get ROCALTROL 0.50 mcg SOFT GEL CAPSULES Prescription Online

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Frequently Asked Questions

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ROCALTROL 0.50 mcg SOFT GEL CAPSULES requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

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The active ingredient in ROCALTROL 0.50 mcg SOFT GEL CAPSULES is calcitriol. This information helps identify medicines with the same composition but different brand names.

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ROCALTROL 0.50 mcg SOFT GEL CAPSULES is manufactured by Atnahs Pharma Netherlands Bv.. Pharmacy brands and packaging may differ depending on the distributor.

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What are the alternatives to ROCALTROL 0.50 mcg SOFT GEL CAPSULES?

Other medicines with the same active substance (calcitriol) include ROCALTROL 0.25 mcg SOFT GEL CAPSULES, ALDEXINA 25,000 IU HARD CAPSULES, ALDEXINA 50,000 IU HARD CAPSULES. 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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