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SELINCRO 18 mg Film-Coated Tablets

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Doctor
5.0(16)

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 SELINCRO 18 mg FILM-COATED TABLETS

Contents of the leaflet

  1. Introduction
  2. What is Selincro and what is it used for
  3. What you need to know before you take Selincro
  4. How to take Selincro
  5. Possible side effects
  6. Storage of Selincro
  7. Contents of the pack and other information

Introduction

Package Leaflet: Information for the Patient

Selincro 18 mg Film-Coated Tablets

nalmefene

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What is Selincro and what is it used for
  2. What you need to know before you take Selincro
  3. How to take Selincro
  4. Possible side effects
  5. Storage of Selincro
  6. Contents of the pack and other information

1. What is Selincro and what is it used for

Selincro contains the active substance nalmefene.

Selincro is used to reduce alcohol consumption in adult patients with alcohol dependence who still have a high level of alcohol consumption 2 weeks after the initial assessment by their doctor.

Alcohol dependence occurs when a person has a physical or psychological dependence on drinking alcohol.

A high level of alcohol consumption is defined as drinking more than 60 grams of pure alcohol per day for men and more than 40 grams of pure alcohol per day for women. For example, a bottle of wine (750 ml; 12% vol.) contains approximately 70 grams of alcohol and a bottle of beer (330 ml; 5% vol.) contains approximately 13 grams of alcohol.

Your doctor has prescribed Selincro because you have not been able to reduce your alcohol consumption on your own. Your doctor will give you advice to help you comply with the treatment and, thereby, help you reduce your alcohol consumption.

Selincro works by acting on the brain processes responsible for your desire to continue drinking alcohol.

A high level of alcohol consumption is associated with a greater risk of health and social problems.

Selincro can help you reduce your alcohol consumption and maintain a reduced level of alcohol consumption.

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 you take Selincro

Do not take Selincro:

  • If you are allergic to nalmefene or any of the other ingredients of this medicine (listed in section 6).
  • If you are taking medicines that contain opioids, such as methadone, buprenorphine, or painkillers (such as morphine, oxycodone, or other opioids).
  • If you have or have recently had opioid dependence, as you may experience acute opioid withdrawal symptoms (such as nausea, vomiting, tremors, sweating, and anxiety).
  • If you are experiencing or suspect you are experiencing opioid withdrawal symptoms.
  • In case of liver or kidney function impairment (liver or kidney malfunction).
  • If you are experiencing or have recently experienced several symptoms of alcohol withdrawal (such as seeing, hearing, or feeling things that do not exist, convulsions, and tremors).

Warnings and precautions

Consult your doctor or pharmacist before starting to take Selincro. Inform your doctor about any other illness you suffer from, such as depression, seizures, liver or kidney disease.

If you and your doctor have decided that your immediate goal is abstinence (not drinking any alcohol), you should not take Selincro as it is indicated for reducing alcohol consumption.

If you require urgent medical attention, inform your doctor that you are taking Selincro. The use of Selincro may influence the choice of emergency treatment.

If you are scheduled to undergo surgery, consult your doctor at least 1 week before the procedure. You may need to temporarily discontinue treatment with Selincro.

If you feel strange, see or hear things that do not exist, and this happens repeatedly over several days, discontinue Selincro and consult your doctor.

The increased risk of suicide in people with excessive alcohol consumption or drug addiction, with or without depression, is not reduced by taking nalmefene.

If you are 65 years of age or older, consult your doctor or pharmacist before starting to take Selincro.

Children and adolescents

Selincro should not be used in children or adolescents under 18 years of age as Selincro has not been evaluated in this age group.

Taking Selincro with other medicines

Inform your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. Caution is advised when taking medicines such as diclofenac (an anti-inflammatory medicine used to treat, for example, muscle pain), fluconazole (a medicine used to treat diseases caused by some types of fungi), omeprazole (an agent used to block acid production in the stomach), or rifampicin (an antibiotic used to treat diseases caused by some types of bacteria) with Selincro.

If you take medicines that contain opioids, their effect may be reduced or they may not have any effect if taken with Selincro. These types of medicines include some types of cough and cold preparations, certain medicines for diarrhea, and potent painkillers.

Taking Selincro with food and alcohol

Selincro does not prevent the effects of alcohol intoxication.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

It is not known if the use of Selincro is safe during pregnancy and breastfeeding.

If you are pregnant, it is not recommended to take Selincro.

If you are breastfeeding, you and your doctor must decide whether to discontinue breastfeeding or discontinue Selincro treatment, considering the benefit of breastfeeding to the child and the benefit of treatment to you.

Driving and using machines

Side effects such as attention disorders, visual disturbances, abnormal sensations, nausea, dizziness, drowsiness, insomnia, and headache may occur at the start of treatment with Selincro. Most of these reactions were mild or moderate, occurred at the start of treatment, and lasted from a few hours to a few days. These side effects may affect your ability to drive or perform any activity that requires you to be alert, including the use of machines.

Selincro contains lactose

If your doctor has told you that you have an intolerance to some sugars, consult them before taking this medicine.

3. How to take Selincro

Follow exactly the administration instructions of this medicine given by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.

Posology

  • The recommended dose is one tablet per day when you perceive a risk of alcohol consumption.
  • The maximum dose is one tablet per day.

How and when to take it

  • Selincro is for oral use.
  • You should take the tablet 1-2 hours before alcohol consumption.
  • Swallow the tablet whole. Do not break or crush it because Selincro may cause skin sensitization when it comes into direct contact with the skin.
  • You can take Selincro with or without food.
  • You may expect to be able to reduce your alcohol consumption during the first month after starting treatment with Selincro.
  • Your doctor will regularly monitor you, for example, monthly from the start of treatment with Selincro; the actual frequency will depend on your progress. Together, you will decide how to proceed.

If you take more Selincro than you should

If you think you have taken more Selincro tablets than you should, inform your doctor or pharmacist.

If you forget to take Selincro

If you have started drinking alcohol without taking Selincro, take a tablet as soon as possible.

If you stop taking Selincro

When you stop taking Selincro, you may be less sensitive to the effects of medicines that contain opioids for a few days.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

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, Selincro can cause side effects, although not everybody gets them.

Side effects related to seeing, hearing, or feeling things that are not there or feeling strange are uncommon (may affect up to 1 in 100 people). If you experience any of these side effects, consult your doctor.

The side effects reported with Selincro were mainly mild or moderate, occurred at the start of treatment, and lasted from a few hours to a few days.

If you continue treatment with Selincro or resume it after an interruption, it is likely that you will not experience side effects.

In some cases, it may be difficult to distinguish between side effects and symptoms you may experience when reducing alcohol consumption.

The following side effects have been observed with Selincro:

Very common (may affect more than 1 in 10 people):

  • dizziness
  • dizziness
  • sleeplessness
  • headache

Common (may affect up to 1 in 10 people):

  • loss of appetite
  • difficulty sleeping, confusion, restlessness, reduced libido
  • drowsiness, body tremors, feeling less alert, strange sensation in the skin such as tingling, reduced sense of touch
  • rapid heartbeat, sensation of rapid or irregular heartbeat
  • vomiting, dry mouth, diarrhea
  • excessive sweating
  • muscle spasms
  • feeling of fatigue, weakness, discomfort, or restlessness, feeling of strangeness
  • weight loss

Other side effects of unknown frequency (frequency cannot be estimated from the available data):

  • visual disturbance (mainly transient)
  • facial swelling, lips, tongue, or throat
  • urticaria
  • itching
  • rash
  • redness of the skin
  • muscle pain
  • prolonged erection (priapism)

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Selincro

  • Keep this medicine out of the sight and reach of children.
  • Do not use this medicine after the expiry date which is stated on the blister and carton after EXP or CAD. The expiry date is the last day of the month shown.
  • This medicine does not require any special storage conditions.
  • Do not use this medicine if you notice any visible signs of deterioration of the tablets, such as cracked or broken tablets.
  • Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Selincro

  • Each film-coated tablet contains 18.06 mg of nalmefene (as dihydrochloride dihydrate).
  • The other ingredients are:

Core of the tablet: microcrystalline cellulose, anhydrous lactose, crospovidone (type A), magnesium stearate.

The film coating contains: hypromellose, macrogol 400, titanium dioxide (E171).

Appearance and packaging

Selincro is a white, oval, biconvex film-coated tablet, 6.0 x 8.75 mm in size.

The tablet is engraved with "S" on one side.

Selincro is available in packs of 7, 14, 28, 42, 49, or 98 tablets in blisters.

Not all pack sizes may be marketed.

Marketing authorisation holder

  • Lundbeck A/S

Ottiliavej 9

DK-2500 Valby

Denmark

Manufacturer

  • Lundbeck A/S

Ottiliavej 9

DK-2500 Valby

Denmark

Elaiapharm

2881, Route des Crêtes

Z.I. Les Bouillides

Sophia Antipolis

06560 Valbonne

France

You can request more information about this medicine from the local representative of the marketing authorisation holder:

Spain

Lundbeck España S.A.

Tel: +34 93 494 9620

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu.

Date of last revision of this leaflet: 01/2025

Online doctors for SELINCRO 18 mg FILM-COATED TABLETS

Discuss questions about SELINCRO 18 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(16)

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(24)

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(7)

Anastasiia Hladkykh

Psychiatry15 years of experience

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

Key areas of expertise:

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

Pedro Alvarez Guerrero

Psychiatry8 years of experience

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

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

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

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

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

Book a video appointment
€116
Doctor
0.0(0)

Elizaveta Marinicheva

Psychiatry5 years of experience

Elizaveta Marinicheva is a psychiatrist who has been practising since 2022. She received her medical degree from the University of Milan (Università degli Studi di Milano, UNIMI) and holds official authorisation to practise medicine in Italy (Abilitazione all'esercizio della professione medica). She is a member of the Milan Medical Association (Ordine dei Medici di Milano).

She is currently completing her specialist training in psychiatry at Sapienza University of Rome (Sapienza Università di Roma). She has also received additional training in psychoanalysis and has completed more than 500 hours of personal psychoanalytic therapy.

In her practice, Dr Marinicheva combines a modern medical approach to mental health with careful consideration of each patient's individual history and current condition. When pharmacotherapy is required, treatment decisions are based on the principles of evidence-based medicine and current international clinical guidelines, including NICE, APA, WFSBP and CANMAT.

Dr Marinicheva provides online psychiatry consultations for anxiety, low mood, emotional instability, sleep problems, chronic stress and other conditions affecting mental wellbeing and quality of life. During a consultation, she assesses the patient's symptoms and overall condition, discusses potential treatment approaches and, when clinically appropriate, recommends medication and an appropriate follow-up plan.

Book a video appointment
€166

Get SELINCRO 18 mg FILM-COATED TABLETS Prescription Online

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Frequently Asked Questions

SELINCRO 18 mg FILM-COATED TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in SELINCRO 18 mg FILM-COATED TABLETS is nalmefene. This information helps identify medicines with the same composition but different brand names.

The average pharmacy price for SELINCRO 18 mg FILM-COATED TABLETS is around 65.57 EUR. Prices may vary depending on the manufacturer and dosage form.

SELINCRO 18 mg FILM-COATED TABLETS is manufactured by H. Lundbeck A/S. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether SELINCRO 18 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

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 SELINCRO 18 mg FILM-COATED TABLETS in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (nalmefene) include ANTABUS 250 mg TABLETS, CAMPRAL 333 mg FILM-COATED TABLETS, TRANALEX 50 mg FILM-COATED TABLETS. 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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