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ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION

ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION

Ask a doctor about a prescription for ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION

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Doctor

Anastasiia Shalko

Family medicine12 years of experience

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

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
  • food and medication allergies
  • 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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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 ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION

Introduction

Leaflet: information for the user

Atropine sulfate Serra Pamies 1 mg/ml injectable solution

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

  • Keep this leaflet, as you may need to read it again.
    1. If you have any doubts, consult your doctor, pharmacist, or nurse.
  • 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, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet

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

1. What Atropine sulfate Serra Pamies is and what it is used for

The active ingredient is atropine sulfate. It belongs to the group of medications called belladonna alkaloids, tertiary amines.

This medication is used as:

  • Preanesthetic: medication used before general anesthesia.
  • Spasmolytic: in liver and kidney colic. It is used to help treat irritable bowel syndrome (irritable colon, mucous colitis, and spastic colon).

2. What you need to know before taking Atropine sulfate Serra Pamies

Do not use Atropine sulfate Serra Pamies

  • if you are allergic to atropine sulfate or any of the other components of this medication (listed in section 6).
  • in patients with narrow-angle glaucoma
  • in patients with prostatic hypertrophy, as it may cause urinary retention.
  • in patients with pyloric-duodenal obstruction.
  • in patients with heart function disorders.

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to use atropine sulfate:

  • if your kidneys do not function properly.
  • if your heart beats faster than the normal rhythm.
  • if you have heart function disorders.
  • if you have ulcerative colitis.
  • if you have reflux esophagitis.
  • in elderly patients and children.

Children

  • Infants and young children are especially sensitive to the toxic effects of this type of medication.
  • Strict supervision of medication is recommended in infants and children.
  • When this type of medication is administered to children in areas where the ambient temperature is high, there is a risk of rapid increase in body temperature.
  • In children who take high doses of this type of medication, an unusual reaction may occur, characterized by hyperexcitability.

Use in elderly patients

  • They may respond to the usual doses of this type of medication with excitement, restlessness, agitation, drowsiness, or confusion.
  • Additionally, they are especially sensitive to the side effects of this type of medication (constipation, dry mouth, and urinary retention).
  • These medications can also precipitate undiagnosed glaucoma and impair memory in geriatric patients.

Other medications and Atropine sulfate Serra Pamies

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.

The administration of atropine sulfate with the following medications may require modifying the dose of one of them or interrupting treatment.

  • Ethyl alcohol:possible potentiation of alcohol toxicity.
  • Anticholinergics:medications with anticholinergic effects (amantadine, tricyclic antidepressants, disopyramide, etc.) may potentiate the action and/or toxicity of this medication.
  • Phenylephrine:possible potentiation of phenylephrine toxicity, with the appearance of hypertension.
  • Metoclopramide:possible inhibition of the prokinetic effect of metoclopramide by antagonism with atropine, as it blocks indirect cholinergic stimulation caused by metoclopramide.
  • Verapamil:possible potentiation of atropine-induced tachycardia, as anticholinergics increase the effects of verapamil on heart rate.
  • Urinary acidifiers: increase the elimination of atropine by urine and therefore decrease its action, so they are incompatible.
  • Urinary alkalizers: decrease the elimination of atropine by urine and therefore potentiate its action, so they are incompatible.
  • Antihistamines:potentiate the action of atropine and its toxic effects.
  • Phenothiazines:potentiate the action of atropine and its toxic effects.
  • Corticosteroids:potentiate the action of atropine and its toxic effects.
  • Monoamine oxidase inhibitors:potentiate the action of atropine and its toxic effects.
  • Ritodrine:it is believed that there are additive effects between both medications, causing an increase in heart rate.

Use of atropine sulfate with food, beverages, and alcohol

No interactions with food and beverages are known.

The use of atropine with alcohol may potentiate the toxicity of alcohol.

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.

Pregnancy:

Your doctor should weigh the benefits against the risks of this type of medication.

Breastfeeding:

Your doctor should weigh the benefits against the risks of this type of medication, as traces appear in breast milk.

This type of medication can generally inhibit lactation.

Driving and using machines

The administration of atropine may produce side effects such as confusion, blurred vision, drowsiness, etc. that can affect the ability to drive and use machines. If you notice these effects, do not drive or operate machines.

Atropine sulfate Serra Pamies contains:

  • Sodium metabisulfite (E-223): this medication may produce severe allergic reactions and bronchospasm (sudden feeling of suffocation) because it contains sodium metabisulfite (E-223).
  • Sodium: this medication contains less than 23 mg (1 mmol) of sodium per ml; i.e., it is essentially "sodium-free".

3. How to use Atropine sulfate Serra Pamies

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

It is administered subcutaneously, intramuscularly, or intravenously.

Intravenous administration should be done by diluting with a minimum volume of 10 ml of physiological serum and administering slowly.

The recommended dose is:

  • As preanesthetic medication: it is administered subcutaneously or intramuscularly approximately one hour before anesthesia, or intravenously immediately before anesthesia.

Adults:0.3 to 0.6 mg of atropine sulfate may be administered. The maximum dose in adults is 3 mg in 24 hours.

Children: the dose is calculated at a rate of 0.02 mg per kg of body weight.

  • As spasmolytic medication: adults 0.4 to 0.6 mg at intervals of 4-6 hours.

If you use more Atropine sulfate Serra Pamies than you should

The following may occur:

  • dry mouth with difficulty swallowing and speaking
  • thirst
  • mydriasis (pupil dilation)
  • paralysis of visual accommodation (ability to focus vision) and photophobia (sensitivity to light)
  • increased intraocular pressure
  • dry skin
  • decreased heart rate followed by increased heart rate with palpitations and arrhythmias
  • constipation
  • difficulty urinating
  • occasional vomiting.

In case of overdose, peripheral effects may be more pronounced, and other symptoms such as hyperthermia, hypertension, increased respiratory rate, nausea, and vomiting may occur. A rash may appear on the face or upper trunk. Toxic doses also cause central nervous system stimulation, characterized by restlessness, confusion, excitement, difficulty moving, discoordination, paranoia (imagining things that do not exist), and psychotic-manic reactions, hallucinations, and delirium, and occasionally rigidity. However, in severe intoxication, central stimulation may lead to central nervous system depression, coma, circulatory and respiratory failure, and death.

The toxic central and peripheral effects of atropine can be controlled with physostigmine salicylate 1-2 mg, injected subcutaneously, intramuscularly, or intravenously; due to its short duration of action, the injection may be repeated every 1-2 hours if necessary.

The subcutaneous or intramuscular injection of neostigmine methylsulfate only controls peripheral effects. Excitement can be controlled with small doses of short-acting barbiturates such as sodium thiopental (100 mg).

Treatment of atropine poisoning may require assisted respiration and oxygen, ice bags for hyperpyrexia (especially in children), catheterization, and fluid administration.

In case of overdose or accidental administration, consult your doctor or pharmacist immediately or call the toxicology information service, phone: 91 562 04 20, indicating the medication and the amount used. It is recommended to take the packaging and the leaflet of the medication to the healthcare professional.

If you forget to use Atropine sulfate Serra Pamies

Do not use a double dose to make up for forgotten doses.

If you stop treatment with Atropine sulfate Serra Pamies

Your doctor will indicate the duration of your treatment. Do not suspend treatment before, as the expected therapeutic effect may not be achieved.

No withdrawal effects have been described.

4. Possible side effects

Like all medications, this medication can produce side effects, although not all people experience them.

The side effects of atropine are generally frequent but mild and transient. In most cases, the side effects are a prolongation of the pharmacological action and mainly affect the digestive system.

The most characteristic side effects are:

Very common side effects (may affect more than 1 in 10 patients):

  • Blurred vision
  • Dry mouth

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

  • Anaphylactic reaction (severe allergic reaction)
  • Headache
  • Mental confusion
  • Excitement (especially in elderly patients)
  • Drowsiness
  • Accommodation disorders (difficulty focusing)
  • Mydriasis (pupil dilation)
  • Photophobia (sensitivity to light)
  • Glaucoma (increased eye pressure)
  • Palpitations
  • Bradycardia (decreased heart rate) after low doses
  • Tachycardia (increased heart rate) after high doses
  • Taste disorders
  • Nausea
  • Vomiting
  • Dysphagia (difficulty swallowing)
  • Constipation
  • Paralytic ileus (acute intestinal obstruction due to paralysis of intestinal movements)
  • Urinary retention

Uncommon side effects (may affect up to 1 in 100 patients):

  • Dizziness
  • Insomnia
  • Nasal congestion
  • Impotence

Reporting side effects

If you experience any type of side effect, 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 Medication Surveillance 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 Atropine sulfate Serra Pamies

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

This medication does not require special storage conditions. Store in the original packaging to protect it from light.

Use immediately once the packaging is opened and discard any remaining solutions.

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

Medications should not be thrown away in drains or trash. Deposit the packaging and medications you no longer need in the SIGRE collection point at the pharmacy. If in doubt, 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 Atropine sulfate Serra Pamies

  • The active ingredient is atropine sulfate. Each 1 ml ampoule contains 1 mg of atropine sulfate.
  • The other components (excipients) are: sodium chloride, sodium metabisulfite (E-223), and water for injectable preparations.

Appearance of the product and package contents

Atropine sulfate Serra Pamies is a clear, clean, and sterile solution.

It is presented in 1 ml amber glass ampoules containing the injectable solution.

Each package contains 1 or 100 ampoules (clinical package) of 1 ml of solution.

Marketing authorization holder and manufacturer

Laboratorios Serra Pamies, S.A.

Ctra. Castellvell, 24

43206 REUS (Tarragona)

Date of the last revision of this leaflet:July 2019

Other sources of information

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 ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION cost in Spain ( 2025)?

The average price of ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION in December, 2025 is around 0.5 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 ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION in other countries

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

Alternative to ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION in Poland

Dosage form: Solution, 0.1 mg/ml
Active substance: atropine
Importer: Accord Healthcare B.V. Accord Healthcare Polska Sp. z o.o. Laboratori Fundació Dau Pharmadox Healthcare Ltd.
Prescription not required
Dosage form: Solution, 1 mg/ml
Active substance: atropine
Importer: Zakłady Farmaceutyczne POLPHARMA S.A.
Prescription required
Dosage form: Solution, 0.5 mg/ml
Active substance: atropine
Importer: Zakłady Farmaceutyczne POLPHARMA S.A.
Prescription required
Dosage form: Tablets, 0.25 mg
Active substance: atropine
Importer: Przedsiębiorstwo Farmaceutyczne Farmapol Sp. z o.o.
Prescription not required

Alternative to ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION in Ukraine

Dosage form: solution, 1 mg/ml, 1 ml in ampoule
Active substance: atropine
Dosage form: solution, 1 mg/ml; 1 ml in ampoule
Active substance: atropine
Prescription required

Online doctors for ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for ATROPINE SULFATE SERRA PAMIES 1 mg/mL INJECTABLE SOLUTION – subject to medical assessment and local rules.

5.0(8)
Doctor

Anastasiia Shalko

Family medicine12 years of experience

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

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
  • food and medication allergies
  • 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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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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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

Khrystyna Habrykevych

Gastroenterology6 years of experience

Dr Khrystyna Habrykevych is a gastroenterologist providing online consultations for adults with digestive and abdominal health concerns. She helps patients understand the causes of their symptoms, interpret test results, and choose appropriate next steps – whether it’s further investigation, treatment, or lifestyle adjustments.

Common reasons for consultation include:

  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
  • bloating, excessive gas, nausea or vomiting
  • diarrhoea, constipation, difficulty passing stool
  • unexplained changes in weight or appetite
  • concern about gut health or long-term digestive issues
  • changes in lab results, questions about test interpretation
  • digestive system cancer screening and prevention
  • general digestive check-ups and health assessments
Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
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Hocine Lokchiri

General medicine20 years of experience

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
  • nausea, diarrhoea, abdominal pain, digestive infections
  • 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)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
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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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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Doctor

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
December 2113:00
December 2113:50
December 2114:40
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Doctor

Liudmyla Boichuk

Family medicine10 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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€55
December 2113:30
December 2813:30
January 413:30
January 1113:30
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Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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€50
December 2209:00
December 2210:05
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