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ALLUZIENCE 200 Units/mL Injectable Solution

ALLUZIENCE 200 Units/mL Injectable Solution

Ask a doctor about a prescription for ALLUZIENCE 200 Units/mL Injectable Solution

5.0(38)
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 ALLUZIENCE 200 Units/mL Injectable Solution

Introduction

Leaflet: information for the patient user

Alluzience, 200 units Speywood/ml, injectable solution

Botulinum toxin type A from Clostridium botulinum– hemagglutinin complex

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

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor.
  • If you experience side effects, consult your doctor, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet

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

1. What is Alluzience and what is it used for

Alluzience contains a substance, botulinum toxin A, which causes muscles to relax. Alluzience acts on the connection between nerves and muscles, blocking the release of a chemical messenger called acetylcholine at the nerve endings. This phenomenon prevents muscle contraction. Muscle relaxation is temporary and gradually recovers.

Some people feel unwell when wrinkles appear on their face. Alluzience can be used in adults under 65 years of age for the temporary improvement of the appearance of moderate to severe glabellar lines (vertical expression lines between the eyebrows).

2. What you need to know before using Alluzience

Do not use Alluzience:

  • if you are allergic to botulinum toxin A or any of the other components of this medicine (listed in section 6).
  • if you have an infection at the sites where you plan to inject.
  • if you have severe myasthenia, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis.

Warnings and precautions

Consult your doctor before starting to use this medicine:

  • if you have any neuromuscular disorder
  • if you often have difficulty swallowing (dysphagia)
  • if you often have problems with food or drink entering your airways, causing choking or coughing
  • if you have any inflammation at the proposed injection site
  • if the muscles where you will be injected are weak or show signs of atrophy
  • if you have any coagulation disorder, which means you may bleed more than normal, such as hemophilia (hereditary bleeding disorder caused by coagulation factor deficiencies)
  • if you have undergone or will undergo facial surgery or other surgery
  • if you did not experience any improvement in your glabellar lines after your last treatment with botulinum toxin

This information will help your doctor make a decision about the risks and benefits of your treatment.

Special precautions:

Very rare side effects have been reported with botulinum toxin, possibly related to the spread of the toxin effect to areas away from the injection site (e.g., muscle weakness, difficulty swallowing, or unwanted food or liquids in the airways). Seek medical attention immediately if you have difficulty swallowing, speaking, or breathing.

When using Alluzience in the muscles around the eye, your eyes may become dry, which can damage the surface of your eyes. To avoid this, you may need treatment with protective drops, ointments, or a protective cover that closes the eye. Your doctor will tell you if this is necessary.

When botulinum toxin has been used at more frequent intervals of 3 months or at higher doses to treat other conditions, the production of antibodies has been observed infrequently. The formation of neutralizing antibodies can reduce the effectiveness of treatment.

If you visit your doctor for any reason, make sure to inform them that you are being treated with Alluzience.

Children and adolescents

Alluzience is not indicated for patients under 18 years of age.

Other medicines and Alluzience

Tell your doctor if you are taking, have recently taken, or may take any other medicine. This is important because some of these medicines can increase the effect of Alluzience:

  • antibiotics to treat an infection (e.g., aminoglycosides such as gentamicin or amikacin), or
  • other muscle relaxants.

Pregnancy and breastfeeding

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

Alluzience should not be used during pregnancy or breastfeeding.

Driving and using machines

You may experience blurred vision or temporary muscle weakness after treatment with Alluzience. If this occurs, do not drive or use machines.

Alluzience contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per vial, which is essentially "sodium-free".

3. How to use Alluzience

Alluzience can only be administered by doctors with the necessary qualifications and experience in this treatment and who have the necessary equipment.

Your doctor will apply the injections. A vial of Alluzience should be used for a single patient and a single treatment session.

The recommended dose for glabellar lines is 50 units Speywood, administered as 10 units in each of the 5 injection sites on the forehead, at the top of the nose, and eyebrows.

The recommended doses in Speywood units are different from other botulinum toxin preparations.

The effect of the treatment should be noticeable a few days after the injection and can last up to 6 months.

Your doctor will decide on the appropriate interval between each treatment with Alluzience. This interval should not be less than 3 months.

Use in children and adolescents

Alluzience is not indicated for patients under 18 years of age.

If you use more Alluzience than you should

If you receive more Alluzience than necessary, other muscles different from those treated may begin to weaken. Excessive doses can cause paralysis of the respiratory muscles. This may not occur immediately. If these symptoms appear, inform your doctor as soon as possible.

In cases of overdose or accidental administration, call the Toxicology Information Service, phone 91 562 04 20 (indicating the medicine and the amount administered).

If you have any other questions about the use of this medicine, ask your doctor.

4. Possible side effects

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

Very rarely (may affect up to 1 in 10,000 people), side effects have been reported with botulinum toxin in muscles other than those at the injection site. These effects include excessive muscle weakness, difficulty swallowing, coughing, and a feeling of choking when swallowing (if liquids or food enter the airways when trying to swallow, respiratory problems such as pneumonia can occur). If this happens, inform your doctor immediately.

Seek urgent medical attention if:

  • You experience difficulty breathing, swallowing, or speaking
  • Your face swells or your skin turns red, or you have a rough rash with itching. You may be suffering an allergic reaction to Alluzience.

Tell your doctor if you experience any of these side effects:

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

  • Headache
  • Reactions at the injection site (such as pain, tingling, bruising, redness, swelling, itching, rash, irritation, discomfort, stinging), generalized weakness, fatigue, and flu-like symptoms.

Common (may affect up to 1 in 10 people)

  • Temporary facial paralysis
  • Drooping of the upper eyelid, swelling of the eyelid, drooping of the eyebrow, eye fatigue, or decreased vision, dry eye, contraction of the muscles around the eye, tearing.

Uncommon (may affect up to 1 in 100 people)

  • Eyelid twitching, vision changes, blurred or double vision
  • Ocular allergy, hypersensitivity, rash.

Frequency not known (cannot be estimated from available data)

  • Numbness
  • Muscle mass loss

Reporting side effects:

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

5. Storage of Alluzience

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

Do not use Alluzience after the expiration date stated on the label.

Store Alluzience in the refrigerator (2°C - 8°C). Do not freeze. Keep the vials in the original packaging to protect them from light.

After removing the vial from the refrigerator, it is recommended to let the vial reach room temperature. Alluzience can be stored at temperatures up to a maximum of 25°C for a single period of 12 hours without opening and protected from light. Alluzience should be discarded if not used within 12 hours after removal from refrigeration.

Once opened, the product must be used immediately.

6. Contents of the pack and further information

Composition of Alluzience

The active substance is botulinum toxin type A*, 200 units Speywood/ml. One vial contains 125 units Speywood in 0.625 ml of solution.

The other components are: L-histidine, sucrose, sodium chloride, polysorbate 80, hydrochloric acid, water for injectable preparations

*Botulinum toxin type A from Clostridium botulinum(a bacterium) – hemagglutinin complex.

The units of botulinum toxin are not interchangeable from one product to another. The recommended doses in Speywood units are different from other botulinum toxin preparations.

Appearance of the product and pack contents

Alluzience is an injectable solution. It comes in a single pack of 1 or 2 vials or in a multipack containing 6 single packs, each containing 2 vials. Not all pack sizes may be marketed.

Alluzience is a clear and colorless solution.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Ipsen Pharma

65 quai Georges Gorse

92100 Boulogne-Billancourt

France

Manufacturer:

Ipsen Manufacturing Ireland Limited

Blanchardstown Industrial Park

Blanchardstown

Dublin 15

Ireland

You can request more information about this medicine by contacting the local representative of the Marketing Authorization Holder:

Local representative:

Laboratorios Galderma SA

Serrano Galvache, 56.

28033 Madrid - Spain

Phone: 902 02 75 95

Date of last revision of this leaflet:November 2022

Other sources of information

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

-----------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

Posology and method of administration:

See section 3 of the Patient Information Leaflet.

Special precautions for disposal and other handling

Instructions for use, handling, and disposal must be strictly followed.

RECOMMENDATIONS FOR THE DISPOSAL OF CONTAMINATED MATERIALS

Immediately after patient treatment, any unused Alluzience (in the vial or syringe) should be inactivated with a diluted sodium hypochlorite solution (bleach) (1% available chlorine).

Any spilled Alluzience should be cleaned with an absorbent cloth soaked in a diluted sodium hypochlorite solution.

Used vials, syringes, and materials should not be emptied and should be disposed of in appropriate containers and eliminated according to local requirements.

RECOMMENDATIONS IN CASE OF ACCIDENT DURING HANDLING OF BOTULINUM TOXIN

  • Any remaining product should be cleaned with a dry absorbent material.
  • Contaminated surfaces should be cleaned with an absorbent material soaked in a sodium hypochlorite solution (bleach) and then dried.
  • If a vial is broken, proceed as indicated above, carefully collecting the glass fragments and cleaning the product, avoiding cuts with the broken glass.
  • If the product comes into contact with the skin, wash the affected area with a sodium hypochlorite solution (bleach) and rinse with plenty of water.
  • If the product comes into contact with the eyes, rinse carefully with plenty of water or an eye cleaning solution.
  • If the product comes into contact with a wound, cut, or broken skin, rinse carefully with plenty of water and take appropriate medical measures according to the injected dose.

These instructions for use, handling, and disposal must be strictly followed.

Alternatives to ALLUZIENCE 200 Units/mL Injectable Solution in other countries

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

Alternative to ALLUZIENCE 200 Units/mL Injectable Solution in Poland

Dosage form: Powder, 125 Speywood units
Active substance: botulinum toxin
Marketing authorisation holder (MAH): Ipsen Pharma
Prescription required
Dosage form: Powder, 125 Speywood units
Active substance: botulinum toxin
Marketing authorisation holder (MAH): Ipsen Pharma
Prescription required
Dosage form: Powder, 125 Speywood units
Active substance: botulinum toxin
Marketing authorisation holder (MAH): Ipsen Pharma
Prescription not required
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Active substance: botulinum toxin
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Prescription required
Dosage form: Solution, 100 IU/ml
Active substance: botulinum toxin
Importer: Q-Med AB
Prescription required
Dosage form: Powder, 50 IU
Active substance: botulinum toxin
Manufacturer: Croma-Pharma GmbH
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Alternative to ALLUZIENCE 200 Units/mL Injectable Solution in Ukraine

Dosage form: lyophilized, 50 OD, 1 glass vial
Active substance: botulinum toxin
Manufacturer: Meditoks Ink.
Prescription required
Dosage form: lyophilized, 200 OD
Active substance: botulinum toxin
Manufacturer: Meditoks Ink.
Prescription required
Dosage form: lyophilized, 100 OD, 1 glass vial
Active substance: botulinum toxin
Manufacturer: Meditoks Ink.
Prescription required
Dosage form: powder, 100 units
Active substance: botulinum toxin
Prescription required
Dosage form: powder, 500 OD
Active substance: botulinum toxin
Manufacturer: IPSEN BIOFARM LIMITED
Prescription required
Dosage form: powder, 300 OD
Active substance: botulinum toxin
Manufacturer: IPSEN BIOFARM LIMITED
Prescription required

Online doctors for ALLUZIENCE 200 Units/mL Injectable Solution

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for ALLUZIENCE 200 Units/mL Injectable Solution – subject to medical assessment and local rules.

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Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Yevgen Yakovenko

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Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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  • 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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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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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
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  • 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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  • assessment of sudden or unclear symptoms
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  • 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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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.
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  • 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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  • Custom rehabilitation programmes for neurological and orthopedic conditions.

With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
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  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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