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ARGENPAL 42.5 mg CUTANEOUS BAR

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About the medicine

How to use ARGENPAL 42.5 mg CUTANEOUS BAR

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

ARGENPAL 42.5 mg skin stick

Silver nitrate

Read all of this leaflet carefully before you start using this medicine

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

Contents of the package leaflet:

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

1. What is Argenpal and what is it used for

Argenpal belongs to a group of medicines called antiseptics and disinfectants. It is used in the following cases:

  • Treatment of warts and granulomas (inflammatory nodules) of the skin,
  • Treatment of mouth ulcers (aphthous ulcers),
  • Treatment of nasal bleeding originating from the anterior part of the nasal septum (anterior epistaxis).
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2. What you need to know before you use Argenpal

Do not use Argenpal:

  • If you are allergic (hypersensitive) to silver nitrate or any of the other components of this medicine (listed in section 6).
  • If you have wounded, infected, irritated, or reddened skin,
  • If you have moles, birthmarks, or other skin spots, genital warts, facial warts, or mucosal warts. Healthcare personnel will not apply Argenpal to the anogenital area or to extensive areas.

Warnings and precautions

Silver nitrate is a corrosive substance that should only be applied to the damaged area to be treated, avoiding unnecessary stains on the skin.

Treatment with silver nitrate produces a black stain on the skin that disappears over time. Healthcare personnel will not repeatedly apply silver nitrate to the same spot, as the stain may become permanent.

In the treatment of nasal bleeding (anterior epistaxis), healthcare personnel will be careful not to apply the medicine to the same place on both sides of the nasal septum, to avoid possible perforation of the septum.

If any problems occur, administration will be interrupted.

Other medicines and Argenpal

Tell your doctor or pharmacist if you are using or have recently used any other medicines.

It should not be used in conjunction with other medicines in the same area.

Pregnancy, breastfeeding, and fertility

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

Your doctor will assess the risk-benefit ratio of using Argenpal, as the efficacy and safety of using silver nitrate in pregnant women are unknown and may affect reproductive capacity.

Driving and using machines

There is no evidence of effects on the ability to drive vehicles or use machines.

Medicine questions

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3. How to use Argenpal

Argenpal should be administered by a healthcare professional, on the skin (cutaneous use).

Each Argenpal skin stick is for single use and application.

With the Argenpal skin stick previously moistened in water for a few seconds, the area to be treated should be brushed for a few seconds, trying to limit its application to the affected area, to avoid the appearance of unnecessary black stains on the skin.

It is recommended to protect the surrounding healthy skin with an oily ointment or cream, such as petroleum jelly.

Finally, the treated area should be covered with a bandage or similar.

The application should be performed exclusively by the doctor and for a brief period, which will depend on the degree of action desired.

If you use more Argenpal than you should

Due to its application on the skin, Argenpal sticks are not toxic if used properly, as silver nitrate is normally not absorbed. In case of occurrence, silver nitrate poisoning can be acute or chronic.

Chronic silver nitrate poisoning develops slowly and is due to the continued absorption and penetration of silver compounds into the mucous membranes. It is characterized by the appearance of a bluish-gray skin discoloration (argyria).

Accidental or intentional ingestion of silver nitrate can cause throat and stomach pain, acute gastroenteritis, nausea, vomiting, diarrhea, dizziness, weak and rapid pulse, shallow breathing, and convulsions.

For the treatment of poisoning, your doctor will use sodium chloride, followed by stomach lavage or emetic medications (which induce vomiting) or milk or other demulcents (substances that mimic the protective action of mucous membranes) in abundance. For pain and nervous irritability, pentobarbital sodium (a hypnotic) will be administered at a dose of 0.2 g intravenously, and if necessary, cardiotonics (medications that increase heart rate) will be used, and artificial respiration will be applied to maintain vital signs.

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 medicine and the amount ingested.

4. Possible side effects

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

The following side effects have been observed:

Disorders of the skin and subcutaneous tissue:

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

Argenpal may be irritating, causing skin inflammation (dermatitis), redness, burns, skin discoloration, or bluish-gray skin discoloration (argyria) that disappears over time. After prolonged exposure, skin discoloration or stains may become permanent.

Reporting of side effects

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

5. Storage of Argenpal

Keep out of the sight and reach of children.

No special storage conditions are required. Store in the original packaging.

Do not use Argenpal after the expiry date stated on the packaging. The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicines in the SIGRE Circular symbol with a black cross in the center and a curved arrow indicating clockwise rotation collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Contents of the pack and further information

Composition of Argenpal

The active ingredient is silver nitrate. Each skin stick contains 42.5 mg of silver nitrate.

The other ingredients are: potassium nitrate.

Appearance of the product and packaging contents

Skin stick.

Plastic rod approximately 2.4 mm in diameter and 9.5 cm in length with a product head at the end, white or grayish-white in color.

It is presented in a topaz-colored plastic tube containing 10 skin sticks.

Marketing authorization holder and manufacturer

Marketing authorization holder

  • Braun Medical, S.A.

Ctra. de Terrassa, 121

08191-Rubí (Barcelona)

Spain

Manufacturer

  • Braun Medical, S.A.

Ronda de los Olivares, Parcela II, Poligono Industrial Los Olivares

23009-Jaén

This leaflet was approved in February 2015

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

Online doctors for ARGENPAL 42.5 mg CUTANEOUS BAR

Discuss questions about ARGENPAL 42.5 mg CUTANEOUS BAR, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

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

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

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

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

Dr. Lokchiri’s professional training includes:

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

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
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  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • 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
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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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€55
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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

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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€50

Frequently Asked Questions

Is a prescription required for ARGENPAL 42.5 mg CUTANEOUS BAR?
ARGENPAL 42.5 mg CUTANEOUS BAR requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in ARGENPAL 42.5 mg CUTANEOUS BAR?
The active ingredient in ARGENPAL 42.5 mg CUTANEOUS BAR is silver nitrate. This information helps identify medicines with the same composition but different brand names.
Who manufactures ARGENPAL 42.5 mg CUTANEOUS BAR?
ARGENPAL 42.5 mg CUTANEOUS BAR is manufactured by B Braun Medical S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ARGENPAL 42.5 mg CUTANEOUS BAR online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether ARGENPAL 42.5 mg CUTANEOUS BAR is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to ARGENPAL 42.5 mg CUTANEOUS BAR?
Other medicines with the same active substance (silver nitrate) include HYDROGEN PEROXIDE CUVE 30 mg/ml CUTANEOUS SOLUTION AND CONCENTRATE FOR ORAL SOLUTION, AGUA OXIGENADA FORET 3% cutaneous solution and concentrate for oral solution, ALCOMON REFORZADO 70º SKIN SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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