ADISOCOL 250 mg HARD CAPSULES

Ask a doctor about a prescription for ADISOCOL 250 mg HARD CAPSULES

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Taisiya Minorskaya

Family medicine12 years of experience

Dr Taisiya Minorskaya is a family medicine doctor with an official licence to practise in Spain and over 12 years of clinical experience. She provides online consultations for adults and children, combining evidence-based medicine with a personalised, modern European approach.

She helps with:

Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
Review and adjustment of antibiotics
Skin rashes and allergic reactions
Chronic condition flare-ups, high blood pressure, headaches, fatigue
Lab and test interpretation
Medication review and adaptation to European standards
Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required

Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

Book a video appointment

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.

Book a video appointment

Taisiya Minorskaya

Family medicine12 years of experience

She helps with:

Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
Review and adjustment of antibiotics
Skin rashes and allergic reactions
Chronic condition flare-ups, high blood pressure, headaches, fatigue
Lab and test interpretation
Medication review and adaptation to European standards
Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required

Book a video appointment

Alina Tsurkan

Family medicine12 years of experience

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.

Book a video appointment

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.

How to use ADISOCOL 250 mg HARD CAPSULES

Introduction

Package Leaflet: Information for the Patient

Adisocol250 mg hard capsules EFG

ursodeoxycholic acid

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.
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

What is Adisocol and what is it used for
What you need to know before you take Adisocol
How to take Adisocol
Possible side effects
Storing Adisocol
Contents of the pack and other information

1. What is Adisocol and what is it used for

Ursodeoxycholic acid is a naturally occurring bile acid. It is found in small amounts in human bile.

Adisocolis used:

to treat a disease where the bile ducts in the liver are damaged, leading to a buildup of bile. This can cause scarring of the liver. The liver should not be so damaged that it does not function properly. This disease is called primary biliary cirrhosis (PBC);
to dissolve gallstones caused by an excess of cholesterol in the gallbladder when the gallstones are not visible on a simple X-ray (visible gallstones do not dissolve) and are not more than 15 mm in diameter. The gallbladder should still be functioning despite the gallstones.
for liver disease associated with a condition called cystic fibrosis in children aged 6 to 18 years.

2. What you need to know before you take Adisocol

Do not take Adisocol if:

you are or have been told you are allergic (hypersensitive) to bile acids such as ursodeoxycholic acid or to any of the other ingredients of this medicine (listed in section 6);
your gallbladder does not function properly;
your doctor has told you that you have calcified gallstones (visible on an X-ray);
you have acute inflammation of the gallbladder or biliary tract;
you have a blockage of the common bile duct or cystic duct (obstruction of the bile ducts);
you have frequent pains in the upper abdomen, similar to cramps (biliary colic);
you are a child with a closure of the bile ducts (biliary atresia) and have a deficient bile flow, even after surgery.

Talk to your doctor about any of the above conditions. You should also ask if you have had any of these conditions in the past or if you are not sure if you have any of them.

Warnings and precautions

Talk to your doctor or pharmacist before you start taking this medicine.

Your doctor should check your liver function regularly every 4 weeks during the first 3 months of treatment. After this time, it should be checked at 3-month intervals.

If you are a woman and are taking this medicine to dissolve gallstones, you should use effective non-hormonal contraceptive measures, as hormonal contraceptives (the "pill") may promote the formation of gallstones.

When used to treat PBC, the symptoms may occasionally worsen at the start of treatment. If this happens, talk to your doctor so that they can reduce the initial dose.

When used to dissolve gallstones, your doctor should schedule a gallbladder examination after the first 6-10 months of treatment.

Tell your doctor immediately if you have diarrhea, as it may be necessary to reduce the dose or stop treatment.

Other medicines and Adisocol

The effects of these medicines may be altered:

It is possible that the effectsof the following medicines are reducedwhen taking ursodeoxycholic acid:

cholestyramine, colestipol (to reduce blood lipids) or antacids that contain aluminum hydroxide or smectite (aluminum oxide). If you need to take any medicine that contains any of these ingredients, you should take it at least 2 hours before or after ursodeoxycholic acid.
ciprofloxacin and dapsone (antibiotics), nitrendipine (used to treat high blood pressure). Your doctor may need to adjust the dose of these medicines.

It is possible that the effectsof the following medicines are alteredwhen taking this medicine:

ciclosporin (to reduce the activity of the immune system). If you are being treated with ciclosporin, your doctor should check the amount of ciclosporin in your blood. Your doctor will adjust the dose if necessary.
rosuvastatin (for high cholesterol and related conditions).

Please tell your doctor if you are taking any cholesterol-lowering agent such as clofibrate or estrogen-containing medicines; especially if you are taking ursodeoxycholic acid for the dissolution of gallstones, as they may stimulate the formation of gallstones.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including those obtained without a prescription.

Treatment with ursodeoxycholic acid may still be allowed. Your doctor will know what is best for you.

Pregnancy, breastfeeding, and fertility

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.

Pregnancy:You should not take ursodeoxycholic acid during pregnancy unless your doctor considers it absolutely necessary.

Women of childbearing age:Women of childbearing age who take this medicine to dissolve gallstones should use effective non-hormonal or low-estrogen oral contraceptives. Women of childbearing age who take this medicine to dissolve gallstones should use an effective non-hormonal contraceptive, as hormonal contraceptives may promote the formation of gallstones.

Breastfeeding:According to the few documented cases of breastfeeding women, the levels of ursodeoxycholic acid in breast milk are very low and it is unlikely that adverse reactions will occur in breastfed infants. Tell your doctor if you are breastfeeding or about to start breastfeeding.

Driving and using machines

No special precautions are necessary.

3. How to take Adisocol

Follow the administration instructions for this medication exactly as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.

Ursodeoxycholic acid is available in suspension if you need a lower dose or if you cannot swallow the capsules.

For primary biliary cirrhosis (chronic inflammation of the bile ducts)

Dosage

Stages I-III

The daily dose depends on body weight. During the first 3 months of treatment, you should take ursodeoxycholic acid in the morning, at noon, and at night. As liver function values improve, the total daily dose can be taken once a day at night.

Body weight (kg)	Adisocol 250 mg hard capsules
First 3 months	Subsequently
Morning	Afternoon		Night	Night (once a day)
47 – 62	1	1	1	3
63 – 78	1	1	2	4
79 – 93	1	2	2	5
94 – 109	2	2	2	6
more than 110	2	2	3	7

Body weight (kg)	Daily dose (mg/kg body weight)	Adisocol 500 mg hard capsules
First 3 months	Subsequently
Morning	Afternoon		Night	Night (once a day)
47 – 62	12-16	Use a lower dose (250 mg capsule)	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule
63 – 78	13-16	Use a lower dose (250 mg capsule)	Use a lower dose (250 mg capsule)	1	2
79 – 93	13-16	Use a lower dose (250 mg capsule)	1	1	2 + Co-prescription of a 250 mg ursodeoxycholic acid capsule
94 – 109	14-16	1	1	1	3
more than 110		1	1	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule	3 + Co-prescription of a 250 mg ursodeoxycholic acid capsule

Stage IV

Primary biliary cirrhosis Stage IV
Daily dose (ursodeoxycholic acid 250 mg hard capsules)	Ursodeoxycholic acid 250 mg hard capsules
Morning	Night
2 capsules	1	1
3 capsules	1	2

If serum bilirubin levels increase, you will be given half the normal dose (see dosage for stages I-III). Your doctor will continuously monitor your liver function; if there is no deterioration in liver function over time, the dose may be increased and maintained at the normal dose.

Patient without an increase in serum bilirubin levels may receive the normal initial dose immediately (see dosage for stages I-III). However, close monitoring of liver function will also be applied in these cases.

How to take Adisocol

Swallow the capsules whole with a glass of water or other liquid. Take your medications regularly.

Duration of treatment

Ursodeoxycholic acid can be continued indefinitely in cases of PBC.

To dissolve cholesterol gallstones

Dosage

The recommended daily dose is 8-10 mg/kg body weight of ursodeoxycholic acid, equivalent to:

Body weight (kg)	Adisocol 250 mg hard capsules	Adisocol 500 mg hard capsules
< 60 kg	2	1
61-80 kg	3	1 + 250 mg capsule
81-100 kg	4	2
> 100 kg	5	2 + 250 mg capsule

The dose should be divided into two doses after breakfast and dinner, with one dose always after dinner

The capsule(s) should be taken at night before bedtime.

The capsules should be taken regularly.

How to take Adisocol

Swallow the capsules whole with a glass of water or other liquid. Take the capsules at night before bedtime. Take your medications regularly.

Duration of treatment

Dissolution of gallstones usually takes between 6 and 24 months. If the size of the gallstones does not decrease after 12 months, treatment should be discontinued.

Every 6 months, your doctor should check if the treatment is working. In each of these follow-up examinations, it should be checked if there has been an accumulation of calcium that causes the gallstones to harden since the last time. If this occurs, your doctor will discontinue treatment.

Even if your symptoms have disappeared, you should continue treatment: discontinuing treatment leads to prolongation of the total duration of treatment. After dissolution of the gallstones, treatment should be continued for 3-4 months.

Both indications

Use in elderly patients:

There is no evidence to suggest that the dose needs to be altered for adults, but your doctor will take your age and health status into account.

Use in children and adolescents

The administration of ursodeoxycholic acid is based on body weight and the disease being treated.

Use in children (6 to 18 years) for the treatment of liver disease associated with cystic fibrosis

Dosage

The recommended daily dose is 20 mg per kg body weight, divided into 2-3 doses. If necessary, your doctor may increase the dose to 30 mg per kg body weight per day.

Body weight (kg)	Daily dose (mg/kg body weight)	Adisocol 250 mg hard capsules
Morning	Midday	Night
20 – 29	17-25	1	--	1
30 – 39	19-25	1	1	1
40 – 49	20-25	1	1	2
50 – 59	21-25	1	2	2
60 – 69	22-25	2	2	2
70 – 79	22-25	2	2	3
80 – 89	22-25	2	3	3
90 – 99	23-25	3	3	3
100 – 109	23-25	3	3	4
>110		3	4	4

Body weight (kg)	Daily dose (mg/kg body weight)	Adisocol 500 mg hard capsules
Morning	Midday	Night
20 – 29	17-25	Use a lower dose (250 mg capsule)	--	Use a lower dose (250 mg capsule)
30 – 39	19-25	Use a lower dose (250 mg capsule)	Use a lower dose (250 mg capsule)	Use a lower dose (250 mg capsule)
40 – 49	20-25	Use a lower dose (250 mg capsule)	Use a lower dose (250 mg capsule)	1
50 – 59	21-25	Use a lower dose (250 mg capsule)	1	1
60 – 69	22-25	1	1	1
70 – 79	22-25	1	1	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule
80 – 89	22-25	1	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule
90 – 99	23-25	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule
100 – 109	23-25	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule	1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule	2
>110		1 + Co-prescription of a 250 mg ursodeoxycholic acid capsule	2	2

How to take Adisocol

Take the capsules two to three times a day, as recommended. Take the capsules regularly.

If you feel that the effect of this medication is too strong or too weak, consult your doctor or pharmacist.

If you take more Adisocol than you should

Diarrhea may occur as a result of an overdose. Inform your doctor immediately if you have persistent diarrhea. If you suffer from diarrhea, make sure to drink enough fluids to replenish the balance of fluids and salts (electrolytes).

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.

If you forget to take Adisocol

Do not take more capsules the next time, just continue the treatment with the prescribed dose.

If you stop taking Adisocol

Always consult your doctor before deciding to stop treatment with this medication or before stopping treatment prematurely.

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 gets them.

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

soft and loose stools or diarrhea. Inform your doctor immediately if you have persistent diarrhea, as it may be necessary to reduce the dose of your medication. If you suffer from diarrhea, make sure to drink enough fluids to replenish the balance of fluids and salts.

Very rare side effects(may affect up to 1 in 10,000 people):

during the treatment of PBC: severe upper right abdominal pain, severe worsening of liver scarring, which partially subsides after treatment is discontinued.
hardening of gallstones due to calcium accumulation. It does not present additional symptoms, but it will appear in the analyses.
hives (urticaria).

Reporting side effects

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

5. Storage of Adisocol

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

This medication does not require special storage conditions.

Do not use this medication after the expiration date that appears on the box and on the packaging after "EXP". The expiration date is the last day of the month indicated.

Medications should not be thrown away through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE Collection Point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This way, you will help protect the environment.

6. Package contents and additional information

Composition of Adisocol

The active ingredient is ursodeoxycholic acid. One capsule contains 250 mg of ursodeoxycholic acid.

The other ingredients are:

(capsule content): colloidal anhydrous silica, magnesium stearate, cornstarch.

(capsule shell): gelatin, titanium dioxide (E171), yellow iron oxide (E172).

Appearance of the product and package contents

Adisocol 250 mg hard capsules are size 0 with a yellow cap and a body filled with a homogeneous white powder.

Adisocol 250 mg hard capsules EFG are available in packages of 20, 30, 50, 60, or 100 capsules.

Only some package sizes may be marketed.

Marketing authorization holder and manufacturer:

Marketing authorization holder

Glenmark Arzneimittel GmbH

Industriestr. 31

82194 Gröbenzell

Germany

Manufacturer

ABC Farmaceutici S.P.A.

Via Cantone Moretti 29

10015 – Ivrea

Italy

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

Glenmark Farmacéutica, S.L.U.

C/ Retama 7, 7ª Planta

28045 Madrid

Spain

This medication is authorized in the Member States of the European Economic Area with the following names:

Country	Medication name
Austria	Ursodeoxycholsäure Pharmaceutical Innovation 250 mg Hartkapseln
Bulgaria	Urzodeoxycholeva kiselina PI 250 mg tvardi kapsuli
Spain	Adisocol 250 mg hard capsules EFG
Greece	Ursodeoxycholic acid/Pharmaceutical Innovation
Netherlands	Ursodeoxycholzuur PI 250 mg harde capsules
Poland	Kwas ursodeoksycholowy Pharmaceutical Innovation
Portugal	Ursodeoxicocólico 250 mg hard capsules
Romania	Acid ursodeoxicolic Pharmaceutical Innovation 250 mg capsule

Date of the last revision of this leaflet:May 2024

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).

Country of registration
Spain
Active substance
ursodeoxycholic acid
Prescription required
Yes
Manufacturer
Glenmark Arzneimittel Gmbh
This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
Alternatives to ADISOCOL 250 mg HARD CAPSULES
URSODESOXYCHOLIC ACID GRINDEKS 250 mg HARD CAPSULES
Dosage form: CAPSULE, 250 mg
Active substance: ursodeoxycholic acid
Manufacturer: Grindeks As
Prescription required
ADISOCOL 150 mg TABLETS
Dosage form: TABLET, 150 mg
Active substance: ursodeoxycholic acid
Manufacturer: Glenmark Arzneimittel Gmbh
Prescription required
ADISOCOL 300 mg TABLETS
Dosage form: TABLET, 300 mg
Active substance: ursodeoxycholic acid
Manufacturer: Glenmark Arzneimittel Gmbh
Prescription required

Alternatives to ADISOCOL 250 mg HARD CAPSULES in other countries

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

Alternative to ADISOCOL 250 mg HARD CAPSULES in Polska

AuroUrso

Dosage form: Kapsułki, 250 mg

Active substance: ursodeoxycholic acid

Manufacturer: APL Swift Services (Malta) Ltd. Generis Farmaceutica S.A.

Prescription required

Proursan

Dosage form: Tabletki, 400 mg

Active substance: ursodeoxycholic acid

Manufacturer: PRO.MED.CS. Praha s.a.

Prescription required

Proursan

Dosage form: Tabletki, 500 mg

Active substance: ursodeoxycholic acid

Manufacturer: PRO.MED.CS Praha a.s.

Prescription required

Ursoxyn

Dosage form: Kapsułki, 250 mg

Active substance: ursodeoxycholic acid

Manufacturer: AS Grindeks

Prescription required

Ursofalk

Dosage form: Tabletki, 500 mg

Active substance: ursodeoxycholic acid

Importer: Dr. Falk Pharma GmbH

Prescription required

Ursofalk

Dosage form: Zawiesina, 250 mg/5 ml

Active substance: ursodeoxycholic acid

Importer: Dr. Falk Pharma GmbH

Prescription required

Alternative to ADISOCOL 250 mg HARD CAPSULES in Ukraina

PMS-URSODIOL

Dosage form: tablets, 500 mg

Active substance: ursodeoxycholic acid

Manufacturer: Farmasajns Ink. (virobnictvo nerozfasovanogo produktu, pervinne ta vtorinne pakuvanna, kontrol' akosti, vipusk serii)

Prescription required

PMS-URSODIOL

Dosage form: tablets, 250 mg

Active substance: ursodeoxycholic acid

Manufacturer: Farmasajns Ink. (virobnictvo nerozfasovanogo produktu, pervinne ta vtorinne pakuvanna, kontrol' akosti, vipusk serii)

Prescription required

HOLUDEKSAN

Dosage form: capsules, 300mg

Active substance: ursodeoxycholic acid

Manufacturer: UORLD MEDICIN ILAC SAN. VE TIDZ. A.S.

Prescription required

URSOHOL

Dosage form: capsules, 250mg

Active substance: ursodeoxycholic acid

Manufacturer: PrAT "Farmacevticna firma "Darnica

Prescription required

URSOFAL'K

Dosage form: tablets, 500 mg tablets in blister

Active substance: ursodeoxycholic acid

Manufacturer: Dr. Fal'k Farma GmbH (vidpovidal'nij za vipusk serij kincevogo produktu)

Prescription required

URSOFAL'K

Dosage form: suspension, 250mg/5ml

Active substance: ursodeoxycholic acid

Manufacturer: Dr. Fal'k Farma GmbH

Prescription required

Online doctors for ADISOCOL 250 mg HARD CAPSULES

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for ADISOCOL 250 mg HARD CAPSULES – subject to medical assessment and local rules.

5.0(16)

Taisiya Minorskaya

Family medicine12 years of experience

She helps with:

Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
Review and adjustment of antibiotics
Skin rashes and allergic reactions
Chronic condition flare-ups, high blood pressure, headaches, fatigue
Lab and test interpretation
Medication review and adaptation to European standards
Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required

Book a video appointment

Alina Tsurkan

Family medicine12 years of experience

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

Antonio Cayatte

General medicine43 years of experience

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

His clinical background includes:

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

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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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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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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Dmytro Horobets

Family medicine6 years of experience

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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Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

General health concerns, prevention, and primary care.
Hypertension, type 1 and type 2 diabetes, metabolic issues.
Cold, cough, flu, respiratory infections, sore throat, fever.
Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
Skin rashes, mild allergic reactions, basic dermatological complaints.
Medication guidance, treatment adjustments, prescription review.
Paediatric concerns — fever, infections, general well-being.
Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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