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SEKISAN 3.54 mg/ml SYRUP

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About the medicine

How to use SEKISAN 3.54 mg/ml SYRUP

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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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Introduction

Leaflet: information for the patient

Sekisan 3.54 mg/ml syrup

cloperastine fendizoate

Read this leaflet carefully before starting to take this medicine, as it contains important information for you.

Follow the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days.

Contents of the leaflet:

  1. What Sekisan is and what it is used for
  2. What you need to know before taking Sekisan
  3. How to take Sekisan
  4. Possible side effects

5 Conservation of Sekisan

  1. Package contents and additional information

1. What Sekisan is and what it is used for

Cloperastine, the active ingredient of this medicine, is a cough suppressant that inhibits the cough reflex. Sekisan is a medicine indicated for the treatment of non-productive forms of cough, such as irritative cough or nervous cough for adults and children from 2 years old.

You should consult a doctor if it worsens or does not improve after 7 days of treatment.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Sekisan

Do not take Sekisanif:

  • You are allergic (hypersensitive) to the active ingredient or to any of the other components of this medicine (listed in section 6).
  • You are allergic to allergy medicines (antihistamines).
  • You are taking medicines for the treatment of depression.
  • You are pregnant or think you may be pregnant or are breastfeeding.
  • Children under 2 years old cannot take this medicine.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Sekisan:

  • If you have high intraocular pressure.
  • If you have been told you have prostate hypertrophy.
  • If you have difficulty urinating.
  • If you are hypertensive.
  • If you have heart problems.
  • If you have a degenerative muscle disease called myasthenia gravis.
  • If you have any type of gastric or intestinal obstruction, including ulcers.
  • If you have chronic cough due to smoking, lung problems, or asthma.
  • If the cough persists after 7 days of treatment.

Children

Children under 2 years old cannot take this medicine, it is contraindicated.

Other medicines and Sekisan

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medicine.

Sekisan may interact with other medicines such as:

  • Medicines to help you sleep (sedatives, opioid analgesics, barbiturics, hypnotics, or benzodiazepines).
  • Medicines for depression and medicines for the treatment of Parkinson's disease because they may potentiate the adverse effects of this medicine.
  • Expectorant and mucolytic medicines used to eliminate excess mucus and phlegm, because taking them at the same time as a cough medicine like Sekisan may prevent the elimination of excess mucus and produce choking.

Taking Sekisan with food, drinks, and alcohol

During treatment with Sekisan, do not drink alcohol as it may increase the effects of alcohol.

Taking this medicine with food and drinks does not affect its efficacy.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

It is contraindicated in pregnancy and breastfeeding.

Driving and using machines

Sekisan may cause drowsiness at usual doses. If so, refrain from driving and operating hazardous machinery.

Sekisan contains sucrose, propyl hydroxybenzoate (E-216), methyl hydroxybenzoate (E-218), propylene glycol (E-1520), ethanol, and sodium

This medicine contains sucrose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

Patients with diabetes mellitus should note that this medicine contains 4.5 g of sucrose per 10 ml dose.

It may cause allergic reactions (possibly delayed) because it contains methyl hydroxybenzoate (E-218) and propyl hydroxybenzoate (E-216).

This medicine contains 26.25 mg of propylene glycol (E-1520) in each unit dose (10 ml), equivalent to 2.625 mg/ml.

This medicine contains 3.3 mg of alcohol (ethanol) in each unit dose (10 ml), equivalent to 0.33 mg/ml (0.033% p/v). The amount in 10 ml (unit dose) of this medicine is equivalent to less than 0.083 ml of beer or 0.034 ml of wine.

The small amount of alcohol in this medicine does not produce any noticeable effect.

This medicine contains less than 23 mg of sodium (1 mmol) per 10 ml; it is essentially "sodium-free".

3. How to take Sekisan

Follow the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

The recommended dose is:

In adults and adolescents over 12 years old: 10 ml, 3 times a day.

In children:Between 7 and 12 years old: 5 ml, 2 times a day.

Between 5 and 6 years old: 3 ml, 2 times a day.

Between 2 and 4 years old: 2 ml, 2 times a day.

Sekisan is contraindicated in children under 2 years old.

Shake the bottle before use.

This medicine is taken orally.

Measure the amount of medicine to be taken with the measuring cup included in the package.

If you take more Sekisan than you should

The symptoms of overdose are: excitement and difficulty breathing.

If you have taken more Sekisan than you should, consult your doctor or pharmacist immediately or call the poison control center at 91 562 04 20, indicating the medicine and the amount taken.

If you forget to take Sekisan

Do not take a double dose to make up for forgotten doses.

This treatment is symptomatic; if you do not have a cough, do not take it, and if it returns, take the medicine as indicated in section 3. How to take Sekisan.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, Sekisan can cause side effects, although not everyone gets them.

The most common side effects, although rare, are: drowsiness and dry mouth.

Side effects that may occur are:

Uncommon (may affect up to 1 in 100 patients): drowsiness, dry mouth (at high doses), movement disorders, tremors, and dizziness.

Very rare (may affect up to 1 in 10,000 patients): allergic reaction, urticaria.

Reporting side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Conservation of Sekisan

This medicine does not require special storage conditions.

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date stated on the package after CAD. The expiration date is the last day of the month indicated.

Medicines should not be disposed of through wastewater or household waste. Deposit the packages and medicines you no longer need at the SIGRE point in your pharmacy. If in doubt, ask your pharmacist how to dispose of packages and medicines you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Sekisan

The active ingredient of Sekisan is Cloperastine fendizoate. Each ml of syrup contains 3.54 mg of cloperastine fendizoate (equivalent to 2 mg of cloperastine hydrochloride).

The other components (excipients) are: sucrose, microcrystalline cellulose-carboxymethylcellulose sodium, macrogol 2000 monoester, methyl hydroxybenzoate (E-218), propyl hydroxybenzoate (E-216), banana essence (contains propylene glycol (E-1520) and ethanol), and purified water.

Appearance of the product and package contents

Sekisan is presented as a white syrup with a characteristic banana essence odor. It is presented in a 120 and 200 ml amber PET bottle with a child-resistant closure. The package includes a graduated measuring cup with several measurements.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Almirall, S.A. General Mitre, 151 08022 – Barcelona (Spain).

Manufacturer:

Industrias Farmacéuticas Almirall, S.A.

Ctra. de Martorell, 41-61 08740 Sant Andreu de la Barca - Barcelona (Spain).

Local representative:

Laboratorios ERN, S.A.

C/Perú, 228

08020 Barcelona, Spain

Date of the last revision of this leaflet:June 2014

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.

Online doctors for SEKISAN 3.54 mg/ml SYRUP

Discuss questions about SEKISAN 3.54 mg/ml SYRUP, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
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  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
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  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
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Doctor

Lina Travkina

Family medicine 13 years exp.

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.
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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.

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€70
5.0 (760)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

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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€55

Frequently Asked Questions

Is a prescription required for SEKISAN 3.54 mg/ml SYRUP?
SEKISAN 3.54 mg/ml SYRUP does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in SEKISAN 3.54 mg/ml SYRUP?
The active ingredient in SEKISAN 3.54 mg/ml SYRUP is cloperastine. This information helps identify medicines with the same composition but different brand names.
Who manufactures SEKISAN 3.54 mg/ml SYRUP?
SEKISAN 3.54 mg/ml SYRUP is manufactured by Almirall S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of SEKISAN 3.54 mg/ml SYRUP 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 SEKISAN 3.54 mg/ml SYRUP is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to SEKISAN 3.54 mg/ml SYRUP?
Other medicines with the same active substance (cloperastine) include CINFATUSINA 3.54 mg/ml ORAL SUSPENSION, CLOPERASTINE KERN PHARMA 3.54 mg/ml SYRUP, CLOPERASTINE NORMON 3.54 mg/ml ORAL SUSPENSION. 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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