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ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS

ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS

Ask a doctor about a prescription for ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS

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Doctor

Yevgen Yakovenko

General surgery11 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.

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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 ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS

Introduction

Patient Information Leaflet

Actair 100IR & 300IR sublingual tablets

For use in adolescents and adults (from 12 to 65years old)

Standardized allergen extracts from house dust mites

(Dermatophagoides pteronyssinusand Dermatophagoides farinae)

This medication is subject to additional monitoring, which will speed up the detection of new information on its safety. You can contribute by reporting any side effects you may have. The last part of section 4 includes information on how to report side effects.

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

  • Keep this leaflet, as you may need to read it again. If you have any questions, ask your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What is Actair and what is it used for
  2. What you need to know before taking Actair
  3. How to take Actair
  4. Possible side effects
  5. Storage of Actair
  6. Package contents and additional information

1. What is Actair and what is it used for

This medication contains allergen extracts from house dust mites.

This medication is used to treat allergic rhinitis (inflammation of the nasal mucosa) in adolescents (12-17 years old) and adults. This medication works by increasing immune tolerance to house dust mites (i.e., the body's ability to cope with their presence). You may not notice an improvement until you have been taking the treatment for 3 months.

Actair 100 IR is indicated only for the dose escalation period and not for maintenance.

Before starting treatment, a doctor must diagnose your allergy through skin tests and appropriate blood tests.

The first dose of this medication should be taken under medical supervision. You should remain under medical observation for at least half an hour after taking the tablet. This is a precaution to monitor your sensitivity to the medication. It will also give you the opportunity to discuss any possible side effects with your doctor.

This medication should only be prescribed by a doctor with experience in treating allergies.

2. What you need to know before taking Actair

Do not take Actair

  • If you are allergic to any of the excipients (other components) of this medication (listed in section 6).
  • If you have severe and/or unstable asthma or have had a severe asthma exacerbation in the last 3 months.
  • If your doctor determines that your forced expiratory volume in one second (FEV1) is less than 80%.
  • If you have a disease that affects the immune system, if you are taking immunosuppressive medications, or if you have cancer.
  • If you have mouth ulcers or oral infections. Your doctor will recommend delaying the start of treatment or interrupting it until your mouth is healed.

Do not start taking this medication if you are pregnant.

Warnings and precautions

Consult your doctor or pharmacist before starting to take this medication:

  • If you experience severe allergic symptoms, such as difficulty swallowing or breathing, changes in voice, hypotension (low blood pressure), or feel a lump in the throat. Stop treatment and contact your doctor immediately.
  • If you have had a severe allergic reaction to a medication with allergen extracts in the past.
  • If your asthma symptoms worsen more than usual. Stop treatment and contact your doctor immediately.
  • If you have a cardiovascular disease.
  • If you are taking a beta-blocker (a class of medications usually prescribed to treat heart diseases and high blood pressure and also present in some eye drops and ointments).
  • If you are receiving treatment for depression with tricyclic antidepressants or monoamine oxidase inhibitors (MAOIs) or for Parkinson's disease with catechol-O-methyltransferase (COMT) inhibitors.
  • If you are going to undergo oral surgery or a dental extraction, temporarily interrupt treatment with this medication until it has completely healed.
  • If you experience heartburn or difficulty swallowing. In that case, contact your doctor.
  • If you have an autoimmune disease in remission.

Tell your doctor:

  • About any disease you have had recently;
  • About your personal or family history of any disease that affects the immune system;
  • If your allergic disease has worsened recently.

Do not stop taking your asthma control and/or relief medications without your doctor's advice, as this may worsen your asthma symptoms.

During treatment, it is expected that some localized allergic reactions of mild or moderate intensity will occur. If the reactions are severe, talk to your doctor to determine if you need any antiallergic medication, such as antihistamines.

Children and adolescents

This medication is used to treat allergic rhinitis in adolescents (12-17 years old). This medication should not be used in children under 12 years old.

Other medications and Actair

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication, including those without a prescription. If you are taking other medications for allergies, such as antihistamines, asthma medications, or steroids, or a medication that blocks a substance called immunoglobulin E (IgE), such as omalizumab, talk to your doctor about whether you should continue taking them. If you stop taking your allergy medications, you may experience more side effects during treatment with this medication.

Using Actair with food and drinks

Do not consume food or drinks in the 5 minutes after taking this medication.

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 medication.

There is no experience with the use of this medication during pregnancy. Therefore, you should not start treatment with this medication if you are pregnant. If you become pregnant while taking this medication, consult your doctor about whether it is appropriate to continue treatment.

There is no experience with the use of this medication during breastfeeding. However, no effects on breastfed infants are expected. Consult your doctor to determine if it is appropriate to continue treatment with this medication during breastfeeding.

Driving and using machines

No effects of this medication on the ability to drive or use machines have been observed.

Actair contains lactose

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

Actair contains sodium

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

3. How to take Actair

Follow your doctor's instructions for taking this medication exactly. If you are unsure, consult your doctor or pharmacist again.

The treatment includes a starting phase (progressive dose increase over a period of 3 days) and a maintenance phase.

Starting treatment

Treatment with this medication should be started as follows:

Day 1

1 tablet of 100 IR

Day 2

2 tablets of 100 IR at the same time

From day 3 onwards

1 tablet of 300 IR

The IR (Reactivity Index) expresses the activity.

Actair 100 IR is indicated only for the dose escalation period and not for maintenance.

Maintenance treatment

The dose is 300 IR (one tablet) per day.

Use inadolescents

The administration schedule in adolescents is the same as in adults.

Take this medication as follows:

  1. Remove a tablet (or 2 tablets on day 2) from the packaging by pressing the tablet against the blister.
  2. Take the tablet during the day, with an empty mouth.
  3. Place the tablet under your tongue, let it dissolve completely, and then swallow.

Hand holding a sublingual tablet with the mouth open and the tongue pressing the bottom of the device

  1. Do not eat or drink for at least 5 minutes.
  2. Wash your hands after handling the tablet.

If you take more Actair than you should

If you take more medication than you should, you may experience allergic symptoms such as localized symptoms in the mouth and throat. If you experience severe symptoms, contact a doctor or hospital immediately.

If you forget to take Actair

If you have forgotten to take a tablet, take it later during the day. Do not take a double dose to make up for forgotten doses. If you have not taken this medication for more than 7 days, contact your doctor before taking it again.

If you stop taking Actair

If you do not take this medication as directed by your doctor, you may not get the beneficial effects of the treatment. If you have any other questions about the use of this medication, ask your doctor or pharmacist.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

Side effects can be an allergic reaction to the allergen being treated. Most side effects last from minutes to hours after taking the medication and will disappear when you have been treated for 1 to 3 months.

Stop taking this medication and contact your doctor or hospital immediately if you experience any of the following symptoms:

  • Rapid swelling of the face, mouth, throat, or skin
  • Difficulty swallowing
  • Difficulty breathing
  • Changes in voice
  • Hypotension (low blood pressure)
  • Feeling of a lump in the throat (like swelling)
  • Hives and itching of the skin

Other possible side effects:

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

  • Swelling or itching in the mouth
  • Irritation of the throat
  • Itching in the ear

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

  • Itching in the eyes
  • Swelling or itching of the lips or tongue
  • Burning or tingling in the mouth, inflammation or ulcers in the mouth, mouth ulcers
  • Altered taste
  • Discomfort or pain in the mouth or throat
  • Inflammation of the throat, difficulty swallowing
    • Cough
    • Difficulty breathing
  • Chest pain
  • Stomach pain, indigestion, nausea, diarrhea
  • Itching

Uncommon (may affect up to 1 in 100 people):

  • Redness and inflammation of the eyes, swollen eyes, tearing
  • Ear pain or tingling
  • Dizziness, dizziness
    • Headache
    • General discomfort or fatigue
  • Rhinitis (sneezing, runny or itchy nose, nasal congestion)
  • Nasal bleeding
  • Common cold
  • Inflammation of the lips and tongue
  • Mouth disorders such as burning, numbness, oral thrush, salivary problems
    • Palate swelling
  • Facial swelling
  • Dryness of the mouth or throat, thirst
  • Blisters in the mouth or throat, swelling of the mouth and throat due to fruits or vegetables
  • Throat disorders such as burning/tingling or tightness, hoarseness, feeling of a lump in the throat, discomfort or swelling in the back of the throat
  • Asthma, shortness of breath, wheezing
  • Chest discomfort
  • Esophageal pain, esophageal inflammation or stomach, heartburn
  • Vomiting
  • Gastroenteritis
  • Localized swelling, subcutaneous edema
  • Rash, skin irritation, hives
  • Anxiety
  • Feeling of tingling or pinching
  • Abnormal blood test results

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

  • Inflammation of the eyelids, eyelid spasms, eye irritation
  • Ear blockage, tinnitus
  • Nasal discomfort, nasal sinus obstruction
  • Gingivitis, bleeding in the mouth
  • Halitosis, belching
  • Pain when swallowing
  • Laryngeal irritation
  • Rapid breathing
  • Numbness in the throat
  • Seasonal allergy
    • Bronchitis
  • Breast pain
  • Palpitations, rapid heartbeat
  • Esophageal inflammation
  • Frequent defecation, irritable bowel, gas
  • Irritability, attention disorder, dullness, drowsiness, speech disorders, tremors
  • Blisters, skin redness, acute skin reaction, scratching lesions
  • Muscle discomfort or contractions
  • Urinary incontinence

If you are concerned about any side effect, consult your doctor to decide if you need to take any medication, such as antihistamines, for relief.

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 Medication Monitoring System for Human Use: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Actair

This medication does not require special storage conditions.

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date stated on the label after CAD/EXP. The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE collection point in your pharmacy. If you have any questions, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Actair

  • The active ingredient is a standardized allergen extract from house dust mites Dermatophagoides pteronyssinusand Dermatophagoides farinae. One sublingual tablet contains 100 IR or 300 IR.

The IR (Reactivity Index) expresses the activity.

  • The other ingredients are anhydrous colloidal silica, sodium croscarmellose, lactose monohydrate, magnesium stearate, mannitol (E-421), and microcrystalline cellulose.

Appearance of the product and package contents

Sublingual tablet.

The 100 IR tablets are white to beige, round, and biconvex, with brown speckles and "SAC" engraved on one side and "100" engraved on the other.

The 300 IR tablets are white to beige, round, and biconvex, with brown speckles and "SAC" engraved on one side and "300" engraved on the other.

The tablets are supplied in aluminum blisters sealed with a separable aluminum foil and in a cardboard box.

Package sizes: package of 3 sublingual tablets of 100 IR and 28 sublingual tablets of 300 IR

Marketing authorization holder and manufacturer

Stallergenes

Rue Alexis de Tocqueville, 6

92160 Antony

France

You can request more information about this medication from the local representative of the marketing authorization holder:

Stallergenes Ibérica S.A.

Llacuna, 22 – 2º 1ª

08005 – Barcelona

Spain

This medication is authorized in the member states of the European Economic Areaand in the UnitedKingdom (Northern Ireland)with the following names:

Austria Actair 100 IR + 300 IR Sublingualtabletten

Belgium Orylmyte 100 IR & 300 IR comprimés sublinguaux

Bulgaria ?????? 100 IR ? 300 IR ???????????? ????????

Croatia Orylmyte 100 IR i 300 IR sublingvalne tablete

Czech Republic, Poland, Portugal, Romania ACTAIR

Denmark, Norway, Sweden Aitmyte

France Orylmyte 100 IR, comprimé sublingual

Orylmyte 300 IR, comprimé sublingual

Germany ORYLMYTE 100 IR & 300 IR

Ireland, United Kingdom (Northern Ireland) ACTAIR 100 IR & 300 IR sublingual tablets

Italy, Luxembourg ORYLMYTE

Netherlands Actair 100 IR en 300 IR, tabletten voor sublinguaal gebruik

Slovenia Actair 100 IR in 300 IR podjezicne tablete

Slovakia ACTAIR 100 IR sublingválne tablety, ACTAIR 300 IR sublingválne tablety

Spain Actair 100 IR & 300 IR comprimidos sublinguales

Date of the last revision of this leaflet: January 2023

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

About the medicine

How much does ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS cost in Spain ( 2025)?

The average price of ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS in November, 2025 is around 98.82 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS in Poland

Dosage form: Tablets, 300 IR
Active substance: house dust mites
Manufacturer: Stallergenes S.A.S.
Prescription required
Dosage form: Tablets, 100 IR+ 300 IR
Active substance: house dust mites
Manufacturer: Stallergenes S.A.S.
Prescription required
Dosage form: Tablets, 100 IR
Active substance: house dust mites
Manufacturer: Stallergenes S.A.S.
Prescription required
Dosage form: Lyophilizate, 12 SQ-HDM
Active substance: house dust mites
Manufacturer: ALK-Abello S.A.
Prescription required
Dosage form: Suspension, Basic doses: concentration 0.01 IR/ml, concentration 0.1 IR/ml, concentration 1 IR/ml, concentration 10 IR/ml or concentration 0.01 IC/ml, concentration 0.1 IC/ml, concentration 1 IC/ml, concentration 10 IC/ml; maintenance dose: concentration 10 IR/ml or concentration 10 IC/ml
Manufacturer: Stallergenes
Prescription not required
Dosage form: Suspension, Basic doses: concentration 0.01 IR/ml, concentration 0.1 IR/ml, concentration 1 IR/ml, concentration 10 IR/ml or concentration 0.01 IC/ml, concentration 0.1 IC/ml, concentration 1 IC/ml, concentration 10 IC/ml; maintenance dose: concentration 10 IR/ml or concentration 10 IC/ml
Manufacturer: Stallergenes
Prescription not required

Alternative to ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS in Ukraine

Dosage form: dragee, 15 dragees in containers
Active substance: house dust mites
Manufacturer: TOV "Imunolog
Prescription required
Dosage form: spray, 30000 TU in 9 ml bottle
Manufacturer: INMUNOTEK, S.L.
Prescription required
Dosage form: suspension, 2000 and 10,000 TU/ml; 2.5 ml in a vial
Manufacturer: INMUNOTEK, S.L.
Prescription required
Dosage form: suspension, 2000 and 10000 TU/ml
Manufacturer: INMUNOTEK, S.L.
Prescription required

Online doctors for ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for ACTAIR 100 IR & 300 IR SUBLINGUAL TABLETS – subject to medical assessment and local rules.

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Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

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.

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Doctor

Yevgen Yakovenko

General surgery11 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.

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Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Marianna Neshta

Endocrinology24 years of experience

Marianna Neshta is a medical doctor specialising in endocrinology and ultrasound diagnostics. She provides online consultations for adults, focusing on the diagnosis, treatment, and long-term management of endocrine disorders. Her approach includes personalised care plans, analysis of lab results and ultrasound scans, and evidence-based treatment.

Key areas of expertise:

  • Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
  • Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
  • Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
  • Male hypogonadism – age-related or hormonal, including diagnostics and therapy
  • Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
  • Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism
Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.
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Mar Tabeshadze

Endocrinology10 years of experience

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. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Anna Biriukova

General medicine5 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.
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€60
November 514:50
November 515:40
November 516:30
November 607:00
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5.0(1)
Doctor

Lina Travkina

Family medicine12 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.

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€70
November 515:00
November 515:45
November 516:30
November 614:00
November 614:45
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5.0(96)
Doctor

Alina Tsurkan

Family medicine12 years of experience

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
November 610:00
November 610:40
November 611:20
November 614:00
November 614:40
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